MINUTES OF MEETING -DECEMBER 6, 2004 TRAVIS COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS

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MINUTES OF MEETING -DECEMBER 6, 2004 TRAVIS COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS On Monday, the 6th day of December, 2004, the Travis County Hospital District Board of Managers convened at 6:39 PM at the Granger Building, First Floor, Commissioners Courtroom, 314 West 11th Street, Austin, Texas 78701. Secretary for the meeting was Cindy Trautmann. The meeting adjourned at 7:26 PM was absent from the meeting. 1. CITIZENS' COMMUNICATION 6:39 PM. No one spoke. 2. WAIVE THE REQUIREMENT SET FORTH IN SECTION 311.003(E) OF THE TEXAS TAX CODE THAT NOT LATER THAN THE 60TH DAY BEFORE THE DATE OF A PUBLIC HEARING, THE AUSTIN CITY COUNCIL NOTIFY EACH TAXING UNIT THAT LEVIES REAL PROPERTY TAXES IN A PROPOSED REINVESTMENT ZONE THAT THE CITY OF AUSTIN INTENDS TO ESTABLISH THE REINVESTMENT ZONE FOR THE HEARING ON DECEMBER 16, 2004, REGARDING THE PROPOSED REINVESTMENT ZONE AT THE FORMER ROBERT MUELLER MUNICIP AL AIRPORT. [6:39 PM -6:43 PM.] Clerk's Notes: Mr. Collins explained the Reinvestment Zone and the tax code section requiring the City of Austin to give a sixty (60) day notice. Mr. Collins further explained that not waiving the sixty (60) day notice would delay the Cityts Public Hearing process; waiving the notice will not be hannful to the Travis County Hospital District and would be a courtesy accommodation to the City of Austin. Motion made by and seconded by Dr. Tom Coopwood to waive the sixty (60) day notice for the Public Hearing that the City Council is required to set for the creation of a reinvestment zone at the fonner Robert Mueller Airport. Thomas Young

Tom Coopwood Frank Rodriguez Rosie Mendoza Rose Lancaster Donald Patrick 3. DESIGNATE A REPRESENTATNE OR REPRESENTATNES TO NEGOTIATE A CONTRACT FOR LEGISLATNE CONSULTING SERVICES AND AUTHORIZE THEM TO NEGOTIATE WITH ONE OR MORE OF THE INDNillUALS OR FIRMS WHO SUBMITTED PROPOSALS TO PROVillE LEGISLATNE CONSULTING SERVICES. [6:43 PM -6:55 PM] Clerk's Notes: asked Dr. Patrick, Chair of the Legislative Committee to provide the Board with a report. Dr. Patrick reported that six (6) proposals were submitted for Legislative Consulting Services and that all were excellent finns. The sub-committee selected three finns from the initial six finns. These finns are: Hillco (Buddy Jones, Principal and Marsha Jones, who would be primarily involved with TCHD work); Randy Kane and Mark Rodriguez (individually and collectively); and a group made up of Susan Ross, James Matthis and Mario Martinez, and Jaime Cappello. Mr. Cappello has been a state legislator and Chainnan of the Public Health Committee. Each group presented a proposal and visited with the sub-committee for about 45 minutes, answering 11 questions propounded to each group. The Legislative Committee, comprised of Chainnan Clarke Heidrick, Dr. Donald Patrick and, recommended to the Board that Hillco be hired with a strong recommendation for Hillco to work out an agreement with Jaime Cappello to represent the Travis County Hospital District, as well. noted that Mr. Collins, Temporary Administrator and Cyd Grimes, Travis County Purchasing Agent were also Legislative Committee members. Motion made by Manager Patrick and seconded by authorizing and Mr. James Collins, Temporary Administrator, to negotiate with Hillco and with Jaime Cappello as a subcontractor; Amended motion made by Manager Patrick and Manager Frank Rodriguez authorizing and Mr. James Collins, Temporary Administrator, to negotiate a contract with Hillco, and that negotiations with Hillco would include a HUB subcontractor. Manager Coopwood's second still stands.

4. Manager Frank Rodriguez APPROVE PARTICIPATION IN A LEGISLATIVE EFFORT TO INCREASE RESOURCES AVAILABLE TO TRAUMA CENTERS ACROSS THE STATE AND A REGIONAL STRATEGY TO IMPROVE HEALTHCARE AND AUTHORIZE EXPENDITURES AND/OR THE USE OF RESOURCES FOR THE EFFORT. [6:56 PM -7:15 PM] Clerk's Notes: Fonner Mayor Bruce Todd who with David Hilgers represents a legislative effort to increase resources to trauma centers within the State of Texas, spoke to the Board of Managers. The coalition has spoken to other Hospital Districts, heads of Trauma Centers, not-for-profit hospitals and for-profit hospitals in the State of Texas. A purpose of the legislative effort is to bring compensation to trauma centers and health care providers for services rendered to indigents who do not reside in the urban counties or Hospital Districts providing the care. The legislative effort is also proposing the ability of counties not currently in a hospital district to join such districts and have an equity tax rate. Meetings of leaders of the coalition and have been set. Mayor Todd stated that he would expect any lobbyist group hired by the Travis County Hospital District to join other lobbyist of other coalition members to participate in the coalition's objectives. Participation in the coalition would be $10,000.00. Mayor Todd, at this time is seeking a statementhat the Travis County Hospital District approves joining the coalition, subject to the coalition being fonned as represented in the position paper presented to the District December 2nd. If the District joins, the Board would need to appoint representatives to the coalition. Preston Gee, Sr. Vice-President, Strategic Planning, of St. David's Healthcare Partnership, and Jesus Garza, were recognized by Chaimlan Heidrick as being in the audience. Preston Gee articulated his support of the proposed Coalition. Mayor Todd stated that there should be twenty entities that would be part of the Coalition and that each member would be asked for a $10,000.00 contribution once the Coalition has viability. Chairman Heidrick

Manager Frank Rodriguez Motion made by Manager Patrick and seconded by Manager Frank Rodriguez to state the intent of the Travis County Hospital District to join the collaborative effort and when the time is appropriate and certain conditions have been established then the Travis County Hospital District will pay the requested amount to the Coalition. Friendly amendment proposed by that the Board direct its Administrator and one or more members of the Travis County Hospital District Board of Managers to work closely with Mayor Todd to make sure specific conditions are identified and met so that the Board may have some assurance that prerequisites have been met at the time of the required budget amendment and to approve the financial actions. Manager Frank Rodriguez seconded the friendly amendment. [ volunteered to work with the Administrator on this item]. Manager Frank Rodriguez Other Business: Possible dates for the next meeting. The Board will meet on December 16th. The possibility of meeting on the 20th or 22nd was discussed. Chairman Heidrick asked the Board Members to e-mail him of their respective availability to meet the week of the 20th of December. Motion to adjourn made by and seconded by Manager Patrick. The meeting adjourned at 7:26 PM

Attested to by: ~~&;.0'7./?:~,Ii.-z:-- ---~ ~ t~~~::=:==:. L / Travis County Hospital District Board of Managers