HIV Health Services Planning Council
Infrastructure & Policy Draft Minutes
Wednesday, January 5, 2005
25 Van Ness Ave., Room 330B
4:30-6:30 p.m.

Committee members present: Ayisha Benham, Charlene Pugh, George Simmons
Other Council members present:
Council support present: Jack Newby, Leah Crask, Wilhelmina Parker
Others present: Francine Austin


1. Introductions

2. Review/Approve Agenda
Agenda was reviewed but no motion to approve was made.

3. Review/Approve Minutes
Minutes for September 1 & December 1, 2004, were reviewed but no motion to approve was made.

4. Announcements
Francine Austin announced that Centers of Excellence solicitations should go out this month.

5. Public Comment
No public comments were made.

6. Steering Committee Update
The Co-chairs presented a monthly update on Steering Committee activities and discussions. There was also a Steering Committee strategy meeting update.
CM Benham: Stated that it was a good meeting. Committee priorities were set based on consensus rating with red, green or yellow dots.
Jack Newby: How the various committees impact each other was crystallized during the meeting. Steering Committee was also shown what their responsibility was and the need to take ownership. The conflict of interest policy will be something to address.

7. Conflict of Interest Policy Discussion
Due to there not being a representative present from the City Attorney’s office, this discussion was informal.
CM Pugh: Her meeting with the city attorney’s office showed that the expectations around the conflict of interest policy are very different.
Jack Newby: Quoted policy from pg 7 as current bylaws. The same attorney that CM Pugh spoke with told Jack Newby that the Gov. Code section 1090-1098 is their standard. Meaning that providers should not be allowed to discuss programs they represent as well as not being allowed to vote.
CM Simmons: As a housing provider, he would be allowed to say his opinion but not allowed to vote. Believes that if you are a provider and your agency will benefit from your vote, that would be a conflict of interest. But if the Council is functioning correctly, the prioritization process would eliminate conflict of interests due to the top items always getting funded anyway.
CM Pugh: Voting for services in blocks need to be eliminated or else everyone will come across an issue of conflict of interest.
Jack Newby: Provider survey done during retreat showed that providers were evenly split on the voting and conflict of interest issue.
CM Simmons: Suggested that dealing with money not be left to the very end.
Jack Newby: Believes that there will be a data summit over 2 days, first day going over the previous year, the second day on prioritization. One question that should be asked of the City Attorney’s office is to see if there is an exception for non-profit entities, just as government entities are, due to the fact that they are devoted to serve the public good.
CM Benham: Stated the conflict of interest issue that developed around Bill Honig and his wife working for a non-profit that benefited from funding he allocated.
Jack Newby: What are the questions that we should ask the city attorney’s office?
CM Simmons: If a vote benefits their organization, this is a conflict of interest.
CM Pugh: Consumers are exempt from conflict of interest issues.
CM Simmons: Yes, consumers should be exempt from issues of conflict of interest.
Francine: What if a consumer works for a service provider?
Group: That is a conflict of interest… being a service provider supercedes the fact that they are a consumer.
CM Benham: Wants self-disclosure when discussing issues in meetings in order for her and others to be able to recognize possible issues of conflict on their own.
CM Simmons: Agreed with the need for personal self-disclosure.
Wilhelmina: Is it a requirement to self-disclose secondary connections of conflict of interest, i.e. a partner is a service provider?
CM Benham: Start with 2 categories: self-disclosure and agency affiliation.
Jack Newby: The compromise that was made in his past is to come to a consensus using colored cards as a prelude to voting. This would give all a sense of what the general feel was about the issue.
Group: At this time conflict of interest is only dealt with individuals doing self-disclosure. And having name tags shows the person’s agency affiliation but that still doesn’t tell where the funding comes from to support their pay. And if an agency files a grievance regarding a conflict of interest, the entire process could be thrown out the window.


8. Develop Conflict of Interest Policy
Instead of beginning the process of beginning to develop a policy around Conflict of Interest, the Council discussed what questions should be asked of the City Attorney’s office regarding Conflict of Interest.
CM Simmons: 1st question, state personal conflict of interest at the beginning of all discussions; 2nd question, state if their agency could benefit from financial or contractual gain, which would be a conflict of interest. The conflict of interest would develop when there is a direct gain due to their vote. Chairs can recuse anyone that they feel is in a conflict of interest, although it’s never done. Only reminders are sometimes stated. 3rd how do non-profits fit into Government Code 1090-1098?


9. Committee Work Plan Update & Timeline

Due to having unanswered questions for the City Attorney’s office, developing a timeline was not possible at this time.

10. Next meeting date & agenda items
Jack Newby: Suggested having HAPN included in this process and have them represented in the next meeting.
CM Pugh: Draft conflict of interest policy and present to Steering, all after asking and getting answers from the city attorney’s office.
Next meeting will be 2/2/05.

The meeting adjourned at 5:40pm.

Meeting minutes are considered to be in DRAFT form until reviewed and approved by Council attendees.

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