HIV Health Services Planning Council
City Hall, Mayor’s Conference Room (Rm. 201)
1 Dr. Carlton B. Goodlett Place
April 26, 2004
4:30 PM - 7:30 PM
DRAFT MINUTES


I. Call to Order
The meeting was called to order at 4:35pm.

II. Roll Call
See attachment A for Roll Call.

III. Review and Approval of Agenda
The agenda was approved by consensus.

IV. Review and Approval of Minutes- March 22, 2003
Council Member (CM) Perez clarified a point made in the last meeting concerning case management for mono-lingual people. He noted that losing a case manager is more severe for a person without language skills than for a person who can contact a case manager for themselves.
The minutes from the March 22, 2004 Council Meeting were approved by consensus.

V. General Announcements
CM Clayton introduced a new prospective member, Sparkie Spaeth, the Community Health and Prevention Services Manager for Marin County.

CM Allgaier announced a training meeting on diversity issues for Steering Committee members and Council members interested in taking leadership positions on the Council. The meeting will take place on June 23rd from 4:30-8:30pm. He will send out information on the Yahoo! e-mail group.

CM Geanuracos announced two Community Forum meetings. The first will be Tuesday, May 20th, from 5-8pm at the YMCA on Golden Gate. CM Geanuracos wanted to distribute flyers to all CARE-funded agencies in the city and asked Council members to help with distribution. The second meeting will be in June, the date and location to be announced. The meetings will address topics concerning the Integrated Services Model and a prioritization exercise. CM Geanuracos urged Council members to attend at least one of the forum meetings. CM Geanuracos will be interviewed on KALW radio about the Council and the Community Forum meetings, and would like help from a Council member.

CM Shea announced that she will be changing employment positions as of July 1st and will contact the Membership Committee to clarify her membership status.

VI. Public Comment
Patrick Monette-Shaw submitted his written comment:

This Council should be forewarned that your Steering Committee will recommend that the full Council decline a request made by the HIV/AIDS Provider Network (HAPN) to reduce the budget for Council Support by 12% to match the amount of funds cut to the SF EMA last March in the loss of $4 million in CARE Funds. The Steering Committee is considering one of three scenarios for changing the budget for council support. Scenario 1 would increase the support budget by $47,740, or 14%. By declining to reduce the council support budget by 12% and increasing it another 14%, the combined 26% difference sends two message: Clients who are losing their services will be sent the message that the Council does not want to hold itself to the same standards being imposed on clients, HAPN members will be sent the message that the Council is insensitive to layoffs occurring at ASO’s.


VII. Rollover Funds- VOTE
The Council discussed this agenda item based on the memo from Dr. Katz to the Board of Supervisors on April 12, 2004. Michelle Long Dixon informed the Council that the AIDS office did not have the amount of rollover funds, and that she will have the amount in June.

CM Hume made a motion to send the proposal to the Infrastructure and Policy Committee to review backfill and rollover funds policy.
CM Conley seconded the motion.
The Council discussed the motion.
CM Sallee called the question on the motion.

Public Comment on this item:

Bill Hirsch (AIDS Legal Referral Panel) opposed the motion and spoke in favor of funds being made available now.

Patrick Monette-Shaw submitted his written comment:
This Council should reject this proposal put forth by San Francisco's Director of Public Health (DPH), Mitch Katz, MD; a Council member just noted the proposal was raised behind your backs fully two weeks ago and you are just now learning that Katz proposes to use "rollover dollars" (i.e., any unspent money) from last fiscal year’s CARE Award (FY 03-04) for CARE primary care services on methadone maintenance instead. Katz recommends certain contracts be eliminated, naming particular service providers, apparently unaware this Council is prohibited by federal legislation from basing priority-setting decisions around named, particular service provider agencies. Katz's proposal reads uses the kind of "vague" language that politicians such as Supervisor Daly prefer. Katz appears to have unilaterally decided to spend $372,000 on methadone maintenance. Vote “no” on accepting his proposal. You are the ones who are supposed to set funding decisions in the driver’s seat, not Katz.

Naomi Prochovnik (Continuum) spoke in favor of the motion. She is concerned that priorities are being proposed for the Council, rather than the Council setting its own priorities.

The Council then voted on the motion. See Attachment A, Column 2. The motion did not carry.

CM Pearce made a motion to approve the use of rollover dollars to continue services, as per the memo from Mitch Katz.
CM Pearce withdrew his motion.
CM Shea made a motion to send request back to the Steering committee for guidance and to figure out best way to handle the issue.
CM Sanders seconded the motion.
CM Shea withdrew her motion.

CM Booker made a motion to vote to accept Mitch Katz’s proposal concerning the use of rollover dollars.
CM DiCrocco seconded the motion.
CM Siron called the question.

Public Comment on this Item:

Bill Hersch (ALRP) urged the Council to accept the proposal.
Mike Smith (AIDS Emergency Fund) urged the Council to accept the proposal.

The Council then voted on the motion. See Attachment A, Column 3. The motion did not carry.

CM Hume made a motion to eliminate item 9 from agenda.

VIII. HIV Health Services Report-VOTE
The Council voted to approve the 2004/2005 budget for condition of award. The HIV Health Services quarterly report and update was presented and discussed.

Public Comment on this item
There was no public comment on this item.

IX. Subcategory Descriptions (part 1)
This item was eliminated from the agenda.

X. Dinner Break

XI. Reggie Data Presentation (1st half)
Reggie staff presented the demographics and characteristics of client data from the Reggie system.

For more information, please consult the handouts given out during the presentation. The Council discussed the presentation. CM Hume observed that there was a lot of missing data.
Reggie staff state that there were plans to clean up data and to potentially come up with a Reggie Advisory Committee.

Public Comment on this item
There was no public comment on this item.

XII. Prioritization Exercise
Mr. Golenski presented on and facilitated an exercise for developing a new decision making model for the Council. The exercise model focused on resource reduction and defining values.
The Council discussed the exercise and ranked the following categories:

Category: Votes:
Equity 5
Prospective Contribution 17
Merit 0
Right/Duties 4
Compassion 2
Shared Risk 2
Chance 0
Fairness 17
Utilitarianism 22
Altruism 0

Public Comment on this item
There was no public comment on this item.

XIII. New Business/ Next Agenda
There were no items mentioned for the next agenda.

XIV. Adjourned
The meeting was adjourned at 7:30pm.



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

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