HIV Health Services Planning Council
Steering Committee DRAFT Minutes
Monday, October 18, 2004
25 Van Ness, Room 330 B
5:00-7:00pm


Committee Members present: Norman Tanner, Jorge Rodriguez, Charlene Pugh, Randy Allgaier, Charles Siron, Anita Booker, William Blum
Other Council Members: Mary Lawrence Hicks, Darnell Durio, LauraThomas
Council Support present: Jack Newby, Leah Crask, Kari Orvik
Others present: Tim Patriarca (Maitri), Mike Smith (AIDS Emergency Fund), Russ Zellers (HIV Health Services), Michelle Long Dixon (HIV Health Services), Raymond Banks

1. Introductions

2. Review/Approve Agenda
The agenda was reviewed and approved.

3. Review/Approve Minutes
The minutes from the Steering Committee meeting on September 20, 2004 were reviewed and approved.

4. Announcements

5. Public Comment

6. Committee Check-in
CM Allgaier reported that many committees did not meet quorum, an issue that will be addressed at the October full Council meeting.
CM Rodriguez stated that the Membership committee responded to the lack of members on the Evaluation committee and made new membership assignments.
CM Durio reported that the Community Outreach and Advocacy had its 4th consecutive meeting without a quorum. The Committee discussed its plans for the upcoming year.
CM Siron volunteered to work with Membership to do follow up phone calls to boost attendance.

7. Develop Motions for Funding Scenarios-VOTE

The Committee discussed the suggestions from the Planning Committee and developed motions to bring forward to the Council for the funding scenarios.
CM Allgaier stated that the Planning Committee had come up with a motion that, after checking with Russ Zellers, would not work. COE’s are funded through categories that exist, so services can’t be cut in those areas. There still might be savings from COE’s, but that figure will not be known up front.

CM Allgaier read the proposed funding scenario. See handouts.
Decreased funding

In the case of a 5 % cut, Center’s of Excellence (COE’s) would be cut by 2.5%, everything else would be cut by 5%, except for the categories that have been refunded. Those categories would absorb a 10% cut, and category 22 (Outpatient Substance Abuse) would be eliminated.

In the case of a 10% cut, COE’s would be cut by 5%, everything else would be cut by 10%, except for the categories that have been refunded. Those categories would absorb a 15% cut, and categories 22,20,19, would be eliminated.

CM Durio asked that since most categories had been refunded at such a minimal amount, would they still be able to operate by taking out so much in the funding scenario.
CM Allgaier responded that he was unsure, stating that he tried to work with decisions already made in previous years by looking at the categories that had been cut.
CM Booker stated she thought refunded programs were based on providing services at the minimum level.
CM Pugh stated her conflict of interest regarding dental services, but reminded the Committee that dental services had been cut in half, and already had used all of their money.
CM Thomas spoke in favor of CM Allgaier’s proposal. In a cut scenario, it made sense for COE’s to take a smaller cut. She was encouraged by the refunded programs at the bottom of the list getting General Fund money this year.
CM Allgaier stated that the proposal was a compromise.
Mike Smith stated that the proposal was a livable compromise.
CM Booker spoke in favor of the motion.

CM Tanner called the question

• The Committee voted. The motion passed.

CM Siron asked about the case of increased funding.
CM Pugh made a motion to take the total percentage of funding and apply it to all categories proportionally.

CM Booker spoke against the motion.
CM Allgaier spoke against the motion. Proportional cuts keep more in line with decisions we’ve made about prioritization order.
CM Pugh spoke in favor of the motion, stating that the same amount of money means more to smaller categories than to larger programs.
CM Tanner agreed with CM Pugh.
CM Thomas spoke against the motion, stating that everything is underfunded and an increase is unlikely.
CM Pugh withdrew the motion.

Mike Smith suggested not giving COE’s any proportion of the increase.

CM Allgaier made a motion for increased funding:
Any funding increase would give a proportional increase to every service category, except for COE’s, which would receive no proportion of the increase.

• The Committee voted. The motion passed.

Raymond Banks asked about consumers making self-referrals.
CM Booker stated she would respond to Mr. Banks’ question offline.

Russ Zellers asked the committee to provide guidance to move from smaller percentages to greater percentages, if the funding scenario ends up being 6.5 percent, for example.

CM Thomas will work with Jack Newby to come up with clearer guidance for the funding scenario.

8. Review Council Meeting Agenda
The Committee reviewed and finalized the next Council meeting agenda for October 25, 2004.
CM Durio asked if there would be further reports to come from the ISM Committee.
CM Allgaier responded no.
Jack Newby asked when the Grantee’s portion of the Grantee Assessment evaluation mechanism would be available.
CM Allgaier stated that the Evaluation committee would work with the AIDS office to develop an action plan.
CM Thomas asked if the Council needed to vote on anything for the Title 1 budget.
Michelle Long Dixon replied that the Council would vote on the approval of the budget for the grant application at the October Council meeting.

9. Discuss Developing a Working Relationship with the
HIV Prevention Planning Council (HPPC)-VOTE

The Committee discussed the development of a working relationship with the HPPC for the coming year and the Council’s participation on the Prevention with Positives Committee.
CM Thomas stated that a move toward making a more formal link between the Planning Council and the HPPC would be a good thing, whether or not it is a home committee.
CM Hicks suggested that making HPPC a home committee might attract more people to the Council.
CM Durio stated that there are not currently enough Council members on committees to get work done. The Community Outreach & Advocacy Committee suggested creating a link with COA to the Prevention with Positives Committee in order to report back to the Council on a regular basis.
CM Booker supported CM Durio’s suggestion, stating her concern that committees were not meeting quorum.
CM Blum spoke in favor of making Prevention with Positives a committee with the caveat that it start with one or two members. Currently, there is not enough of a formal link between the two bodies.
CM Allgaier stated that this could be the beginning of future collaboration with HPPC.

CM Pugh made a motion that HPPC become an official home committee for the Planning Council to formalize its collaboration with HPPC. In this first year of collaboration, no more than 2 members will have HPPC as their official home committee, and that membership will be assessed in a year.
Seconded.
• The Committee voted. The motion did not pass. (6 in favor, 4 opposed).

An alternate motion was proposed.
To create two or three official designated liaisons from the Planning Council to Prevention with Positives, who would regularly report back to the COA committee about their activities, but their attendance would not count toward their home committee membership.

CM Durio spoke against the motion, stating it might drain the leadership from the Council.
CM Hicks spoke in favor of the motion, stating it would encourage negotiations between the two bodies.
CM Pugh called the question.

• The Committee voted. The motion was approved, and will be forwarded to the full Council meeting.

10. Discuss a Council Strategic Work Plan
The Committee discussed the development of a Council strategic work plan.
Jack Newby stated that currently, the Council has no mission statement, which should be generated. Then a work plan should be developed that is consistent with those goals and which coordinates the work of committees with a timeline and roadmap for completion.
CM Blum highlighted committees reporting back at the full Council meetings.
CM Allgaier emphasized giving a context to those report backs by creating the work plan.

11. Discuss Regional Activities/ CAEAR Coalition
The Committee discussed the CAEAR Coalition and upcoming regional activities.
Jack Newby recommended that the Planning Council become member of CAEAR Coalition, which would require raising funds, separate from Title I money. Shanti could be the fiscal agent of that money. This is important to give the Council a forward look at what is happening on a national scale in order to make more informed decisions. It would promote a more regional approach for the Coalition. It would also help link the Council with congressional representatives. Ultimately, it might help the SF EMA gain more education, more knowledge, more money, and a more regional sense.
Michelle Long Dixon cautioned about keeping financial contributions separate from Title I activities.
CM Thomas commented that time would be needed on the Council’s agenda to do report backs from regional and national conferences.
The Committee agreed to seek to become members of the CAEAR Coalition by identifying independent resources for that membership and travel expenses.
This recommendation will be forwarded to the full Council in November.

12. Discuss Supervision of Council Support
The Committee discussed their role in supervision of the Director of Council Support.
This role used to belong to the executive director of the contractor for Council Support.
CM Durio asked if the ED of the contracting organization would still receive .1% of the Council Support budget.
Jack Newby stated that this amount was written in as support of approximately 4 hours a week, which was currently being given.
CM Hicks suggested setting up a protocol of formal evaluation of the Director.

13. Next Meeting Date and Agenda Items
CM Durio suggested establishing a procedure for selecting outside committee representatives.
CM Thomas suggested discussing reauthorization, reporting back from state Title I summit, which was related to reauthorization. Also, the final unmet need numbers should be reported to the Council. A report should be given on the baseline data from the city and county’s work with PLWH in the jail system.
CM Allgaier suggested having a presentation from Prevention with Positives.

The meeting adjourned at 7:00pm.


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

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