Committee Members present: Randy Allgaier, Laura Thomas, Norman Tanner, Donald
Soto, Norman Tanner, Charles Siron, Darnell Durio, Joe McMurray,
Committee Members absent: Anita Booker, Jorge Rodriguez
Other Council Members present: William Blum, Margot Antonetty
Council Support: Jack Newby, Leah Crask, Kari Orvik
Others present: Michelle Long Dixon (HIV Health Services), Russ Zellers (HIV
Health Services) Dorothy Klefner, Will Carter, 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 October 18, 2004 were reviewed
and approved.
4. Announcements
5. Public Comment
6. Committee Check-in
Discuss any issues coming up at the different Committees, communication between
Committee Co-chairs, and ensure linkage of Committee activities to the Full
Council.
-Progress of committee co-chair nominations/elections
-Concerns in committees
-Discuss Steering Committee Report agenda item at committee meetings
-Training Opportunity for all Co-chairs
-Needs Assessment Process
CM Durio and CM McMurray reported that the Community Outreach and Advocacy
committee had elected CM Durio and CM McMurray as co-chairs for the upcoming
year. The Committee is working on its calendar for next year, and decided to
hold its January committee meeting off-site in a venue targeted to the API
community, where members of the public can attend.
CM Tanner suggested having a meeting in Bayview/Hunter’s Point.
CM Siron reported that the I and P Committee had nominated CM Pugh and CM Benham
as co-chairs, and forwarded the Committee co-chair job description to Steering
under Item 10 of this agenda.
CM Soto reported that the Planning Committee had discussed the scope of work
required to conduct the needs assessment next year. Jack Newby is looking into
finding examples of needs assessments done by other EMA’s. The Committee
is updating the prioritization timeline for this year. Planning also discussed
collaboration from other committees, the Prevention Council, and the AIDS office
to put together an RFP for a consultant for the needs assessment process.
CM Allgaier stated that the Steering Committee attendance does not count toward
committee attendance, but attendance is requested by at least 1 co-chair from
each committee.
Regarding the Steering Committee update on committee agendas, CM Thomas stated
it was useful to keep the item on the agenda in order to stay informed about
issues discussed that do not make it to the full Council agenda.
Leah Crask announced a Compass Point Training Workshop for Council members
entitled, Building Effective Meetings: A Toolbox, on Thursday, January 6, 2005.
7. Requested Leave of Absence-VOTE
The Committee discussed CM Susan Shea’s requested leave of absence and
voted on approval of the leave, which will end at the beginning of January.
CM Thomas made a motion to grant the request.
The motion was approved.
8. Committee Co-chair Job Description-VOTE
The Committee discussed the Committee Co-chair job description.
CM Siron made a motion to approve the description.
CM Durio objected to the co-chairs being elected no sooner than November 1st,
stating it should be earlier.
Leah Crask: stated that in the past, the process has been to assign committees
in October, whereupon a co-chair would be nominated and voted on to start in
November.
CM Allgaier suggested nominating Co-chairs at the October committee meetings.
CM Durio also objected to the 3-year term limit and the requirement that one
co-chair be HIV+, and to the qualification which requires “knowledge
of Ryan White CARE Act.” CM Durio preferred the phrase: “ability
to learn.”
CM McMurray suggested including a guarantee that training for co-chairs would
be provided.
Jack Newby stated that Council Support has offered to provide training for
Council members, which will be further enhanced when a training and evaluation
coordinator is hired.
CM Allgaier recommended withdrawing the motion to approve the description and
to send it back to committee to be worked on.
CM Durio stated he would attend the I and P Committee meeting.
Jack Newby suggested that Council members review the document and email their
comments to Council Support so that I and P could start with a document to
work on.
9. Bylaws Change -VOTE
The Committee discussed a bylaws change which will be noticed at the Council’s
November 22, 2004 Council Meeting and voted on at the January 2005 meeting.
See handout.
Jack Newby presented the changes to the by-laws, which included adding one
excused absence for each Council member with prior notice.
CM Thomas made a motion to approve this change.
The motion was approved.
CM McMurray made a motion to approve the second change to the by-laws, which
would include the Director of Council Support in the Conflict of Interest policy.
The motion was approved.
10. Unobligated Funds Recommendation-VOTE
The I&P Committee presented their recommendation for the use of the Unobligated
funds.
Russ Zellers stated that two requests for the funds had come in since he spoke
to the I and P committee. The first request for $238K was for additional vouchers
for food and transportation next year, required services for COE's.
The other request for $90K was to cover a 3-month gap where the state stopped
funding therapeutic monitoring. Russ Zellers verified that the request to HRSA
did not include therapeutic monitoring.
The Committee discussed Mr. Zellers’ request.
CM Thomas made a motion:
If unobligated funds become available, the first $238K would go towards vouchers,
then if there is money leftover, the first $90K would go towards therapeutic
monitoring.
Raymond Banks stated that clients would prefer vouchers; therapeutic monitoring
presumes that people care whether or not their medications are working.
CM Thomas stated that vouchers do not affect people in Marin County, as they
are not taken from Marin’s allocation.
CM Durio spoke against the motion.
• Roll call vote. The motion did not pass.
CM Siron made an alternate motion:
If unobligated funds become available, $238K will go for vouchers to be distributed only to CARE-funded agencies.
• The Committee voted. The motion was approved.
CM Soto made a motion that the first $90K be put toward therapeutic monitoring for past services.
• The Committee voted. The motion did not pass.
CM Allgaier made a motion:
Any remaining money will go to Direct Emergency Financial Assistance.
•
The Committee voted. The motion was approved.
The committee will vote to forward this recommendation to the full Council for a vote of approval.
11. Discuss Development of Housing Work Group-VOTE
CM Antonetty presented background information addressing the OIG report and
the need to form a housing work group. See handout. San Francisco needs to
develop a policy around length of stay for CARE-funded transitional housing.
CM Allgaier stated that previously, the COE work group was supported by the
AIDS Office, and that the minutes were simply posted minutes on the Council’s
website.
CM Allgaier announced that a “blue ribbon” committee was being
formed to look at HIV/AIDS in a more holistic way in San Francisco, incorporating
general funds, HOPWA, and CARE funds.
CM Thomas suggested that, as a member of the original housing committee, the
work group should be separate from the “blue ribbon” committee
to do the work.
CM Thomas made a motion to move forward with the work group.
Raymond Banks suggested setting up housing options in a different EMA.
Will Carter stated that housing has been a long-debated issue and remains a “ tough
nut to crack.”
Jack Newby clarified that it was within the purview of the Council to come
up with recommendations around length of stay for transitional housing, with
support from Council Support for a limited period of time. The other objective
of the work group revolved around the OIG report and developing standards,
for which the group should find alternative support, as it was an issue bigger
than the Council.
Russ Zellers stated that the AIDS Office had a heavy workload.
CM Blum made a motion to do bullet points I and II. See handout.
CM Antonetty added to the motion removing the last sentence from bullet point
II, and the phrase “following the formation of the COE model.”
CM Thomas withdrew her original motion.
• The Committee voted. The motion was approved.
The committee will forward this recommendation to the full Council for a
vote of approval.
12. Discuss CAEAR Coalition Membership Sponsor & Representatives-
VOTE
The Committee discussed accepting the SF AIDS Foundation as a sponsor for the
Council’s CAEAR Coalition memberships and Council representatives.
The proposal was approved.
The Committee will then forward the motion to the full Council for final approval.
13. Council Support Budget Modification- VOTE
The Committee discussed the proposed Council Support budget modification, as
the Steering committee supervises Council Support.
CM Durio objected to including the executive director of Shanti in the budget.
Jack Newby responded that the $13K allotted for this year was already spent
down in the absence of a Director, whose duties Hywel Sims, former Executive
Director at Shanti, had covered.
The Committee voted. The budget was approved.
$27K will go back into unfunds.
14. Discuss Inclusion of San Mateo & Marin Counties
The Committee discussed greater inclusion of San Mateo & Marin Counties
in the Council’s processes.
CM Allgaier stated the Council’s plan to have both Marin and San Mateo
Counties come to the January Council meeting to report on how they conduct
their prioritization process” for example, their prioritization timeline
and resource allocation process, and what rules and regulations they follow.
The goal of the meeting is also to encourage membership and ensure that HRSA
mandates are followed.
Eventually, a Planning Council meeting will be held in one of those counties.
CM Durio made the point that consumers outside of San Francisco have a say
about San Francisco’s Planning Council and San Francisco doesn’t
have a say about other counties’ councils.
CM Allgaier responded that it’s the law, as the Planning Council is EMA-wide,
not just San Francisco.
CM Durio recommended looking at whole process of how the full Council makes
decisions on how each Council makes prioritization and allocation decisions
Will Carter, an unaffiliated consumer in Marin County, stated that there was
no continuum of care in Marin County, and that the quality of care is different
in Marin County than in San Francisco. Additionally, there is no process for
including consumer input in the planning process discussions.
CM Allgaier suggested holding the two counties accountable, stating the hope
that unaffiliated consumers are involved in the process of prioritization and
resource allocation. The Council is accountable to HRSA to comply with this
regulation.
CM Thomas stated that Marin consumers will have time on the next full Council
agenda.
Dorothy Klefner, a Marin County consumer, stated that in Marin County there
was no separation between the Planning Council and the Grantee.
CM Thomas suggested next steps to discuss the issue at the January meeting,
with the Marin Health Department and Marin consumers, then send it to committee
after the whole Council has heard the issues.
15 Discuss Steering Committee Strategic Planning Meeting
The Committee discussed the Strategic Planning Meeting in December.
16. Review Council Meeting Agenda
The Committee reviewed and finalized the next Council meeting agenda for November
22, 2004.
17. Next Meeting Date and Agenda Items
The meeting adjourned at 7:35pm.
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