I. Call to Order
The meeting was called to order at 4:36 p.m.
II. Roll Call
See Attachment
A for Roll Call
III. Review and Approval of Agenda
Item 9 was moved from 5:15 p.m. to 7:20 p.m., moving up the times for the rest
of the agenda by 5 minutes. With these changes, the agenda was approved by
consensus.
IV. Review and Approval of Minutes- April 26, 2003
Page 3, Item 7, comments attributed to Mike Smith were in fact made by Bill
Hirsch. With this change the minutes were approved.
V. General Announcements
Bylaws Change Vote Notification
Vote to occur at June 28, 2004 HIV Health Services Planning Council meeting.
CM Pugh presented the changes to the Council’s written by-laws. See handout.
Leah Crask announced the Diversity Training meeting on June 23rd. Council members
should RSVP to Leah Crask if they want to attend by June 1, 2004.
The Second Community Forum will occur at the Metropolitan Community Church
on 150 Eureka St. at 18th Street on June 29, 2004 from 5-8 p.m.
CM Geanuracos reported on the first Community Forum which occurred on May 20,
2004. Community members discussed cuts in services, the ISM model and completed
a prioritization exercise. CM Geanuracos will work with Council Support to
produce meeting notes.
CM Chung invited Council members to the API Wellness Center Fundraising Event
on Wednesday, May 26th from 7-10 p.m. at the Yerba Buena Center for the Arts.
CM Byers reported on the Governor’s revised budget, which ensured that
ADAP will have adequate funding in the coming year.
CM Ortiz encouraged Council members to work on recruiting new Council members
that would be representative of the demographics of those who attended the
Community Forum.
VI. Public Comment
Sparky Spaeth (Marin Health and Human Services) announced a new Planning Council
for Marin County. They are looking for Council Members to review new applications
in the month of June.
Brett Andrews (Positive Resource Center) spoke of the importance of Benefits
Counseling to the community and clients.
Tim Patriarch (Maitri) spoke of the importance of facilities-based health care
and stated that two facilities-based hospices are currently at the bottom of
the list for prioritization funding. They are incorrectly grouped in the service
category of home-based health care (RCFCI).
Shane Lind spoke of the importance of acupuncture for primary care and the
lack of funding for acupuncture.
Hywel Sims (Shanti) reported that under the current DPH contingency budget,
the only non-profits slated to be affected were HIV/AIDS organizations.
Bill Hirsch (AIDS Legal Referral Panel) stated that legal services available
to the community will be significantly reduced this week.
VII. Update from the Mayor’s Office
Steve Kawa (Chief of Staff, Mayor’s Office) presented an update from
the Mayor’s Office regarding City funding issues. He stated the Mayor’s
Office was not pleased with the $4 million cut for Ryan White money, but that
they were working to improve the situation. The Mayor asked all departments
to begin with a 5.5% reduction, which amounted to a $22 million cut. The Mayor
also plans to propose increased taxes in San Francisco in the fall. The Mayor
wanted to try to protect direct service, but cuts will occur. CM Thomas asked
about the position of the Mayor’s policy advisor on HIV and their interaction
with the Planning Council. Steve Kawa was unsure who would be appointed. Mr.
Kawa indicated that the Mayor's Office will continue to fund a full membership
with the CAEAR Coalition for a member of the Planning Council.
Public Comment on this item
Bill Hirsch commended the Mayor’s office on its efforts to preserve community
services despite budget constraints.
Hywel Sims re-stated that under the current DPH contingency budget, the only
non-profits slated to be affected were HIV/AIDS organizations, including Shanti.
Brett Andrews pointed out that Positive Resource Center was another HIV organization
to receive cuts, which would affect back-to-work employment services that could
eventually save the City money.
VIII. HIV Health Services Report-
Russ Zellers (HIV Health Services) handed out a monthly update on the solicitation
process. Most solicitations have been completed, except for one on outpatient
mental health, which remains to be published. Michelle Long Dixon handed
out an update on the status of contracts. Four contracts have been certified,
most contracts have gotten 6-month extensions. The rest are in the process
of being negotiated. The AIDS Office will update the Council as more information
becomes available.
Public Comment on this item
Bill Hirsch (ALRP) suggested that new contractors and dimunition of service
information would be helpful to have on RFP’s.
IX. ISM Advisory Group Update
CM Allgaier presented a brief update on the progress of the ISM Advisory Group.
See handout.
CM Sallee stated the Council would be informed and would discuss the ISM Advisory
group’s recommendations after the prioritization exercise. The ISM issues
would be further discussed in the separate Committees. The Steering Committee
will be discussing the greater DPH set- aside issue in its June meetings.
Public Comment on this item
There was no public comment on this item.
X. Reggie Data Presentation (2nd half)
Steve Solnit presented the demographics and characteristics of client data
from the Reggie system. See handout.
Public Comment on this item
There was no public comment on this item.
XI. Dinner Break
XII. Severe Need Exercise
John Golenski facilitated an exercise developing the Council’s Severe
Need Definition. Please see handout. John Golenski reviewed what was discussed
at the joint I & P and Planning Committee meeting regarding the three major
criteria defining Severe Need:
1. Disease status (not having access to effective therapy)
2. Combination of substance abuse and mental illness
3. Level of Poverty (taking the low end of SSI as marker for low-income)
The Council discussed the criteria for Severe Need and how the Council Members
had arrived at the categories. Concern was expressed of the populations of
people who have various barriers to accessing care, such as undocumented individuals,
transgender individuals and those who fall through the cracks- not severe enough
need but not enough coverage to include some services. Mr. Golenski mentioned
that utilizing the severe need definition is one way to decide who is first
in line to receive CARE funds.
The Council decided the Infrastructure & Policy Committee will develop a proposal for severe need at their next Committee meeting. The proposal will then go to the Steering Committee and be forwarded to the full Council for the June 28, 2004, meeting. The Council would like to vote on the Severe Need Definition at the June 28, 2004, Council meeting
Public Comment on this item
Brett Andrews (Positive Resource Center) commented on the Council being mindful
of using populations as “barriers”, for example the African American
Community and transgender individuals.
XIII. New Business/ Next Agenda
CM DiCrocco stated some concern about the wording in the LaFrance and Associates
needs assessment documents. He will take his concerns to the Evaluation Committee
for discussion.
XIV. Adjourned
The meeting adjourned at 7:30.
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