HIV Health Services Planning Council
City Hall, Mayor’s Conference Room (Rm. 201)
1 Dr. Carlton B. Goodlett Place
September 27, 2004
4:30 PM - 7:30 PM
DRAFT MINUTES

I. Call to Order

II. Roll Call

III. Review and Approval of Agenda
The agenda was reviewed and approved.

IV. Review and Approval of Minutes- August 30, 2004
The minutes were reviewed and approved.

V. General Announcements
CM Pugh respectfully declined her nomination for Council co-chair.
CM Tanner apologized for his absence at meetings due to a injury following a stabbing.
CM Hume acknowledged the hard work of the Council Co-chairs this year.
CM Booker presented the guidelines for respectful engagement. See handout.

VI. Public Comment
Tom Nolan, Director of Project Open Hand, introduced himself to the Council.
Maureen Fiorelli, representing the Immune Enhancement Project, asked the Council to consider the importance of complementary therapies.
A member of the public spoke in support of acupuncture and complementary therapy.

VII. Meeting Introduction
Council Co-chairs
*Planning Committee Prioritization Topic

CM Sallee reviewed the by-laws regarding voting and parliamentary procedure. See handout.
If a Council member recused themselves from voting, due to conflict of interest, they will not be counted toward the total number of votes. If a Council member abstains from voting for reasons other than conflict of interest, they will be counted toward the total number of votes. CM Sallee encouraged Council members to vote, except in the case of a direct conflict of interest.

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

VIII. HIV Health Services Quarterly Report
Michelle Long Dixon, HIV Health Services

Michelle Long Dixon presented the HIV Health Services Quarterly report.
CM Simmons asked about a final meeting regarding the changes in Reggie data collection, stating that many organizations do not have the money or staff to fulfill the mandated Reggie data.
Michelle Long Dixon stated that HRSA has been looking into the legal ramifications of redistributing rollover dollars. The San Francisco AIDS Office has stepped up on spending down the award money.

Brenda Walker presented the full report from the Office of Inspector General. See handouts.
Ms. Walker addressed questions regarding the OIG review for Baker Places.
CM Antonetty encouraged the Council to take a leadership role around housing.

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

IX. Co-chair Job Description- VOTE
Infrastructure & Policy Committee

CM Pugh presented the changes to the Co-Chair job-description.
CM Ortiz called the question.

• Roll Call Vote on calling the question. The motion was approved to call the question. See Attachment A, Column 2.

Vote on motion
• Roll Call Vote. The motion was approved. See Attachment A, Column 3.

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

X. Distribute Ballots for Council Co-chair -VOTE
Co-chairs

The Co-chairs accepted final nominations for Council Co-chair and then closed the nominations. The ballots were distributed to all Council members.
CM Thomas made a motion to close nominations.
The motion was approved.

Public Comment on this item

XI. Allocation to Subcategories-VOTE
*Planning Committee Prioritization Topic
The Council discussed the allocation of funds for each subcategory including attention to MAI dollars.
CM Hume presented motions 1-4 from the Planning Committee.

Motion 1: To increase the base budget of Council Support by $54,734. (This would be the amount of the first budget proposed by Hywel Sims in May 2004.)

CM Durio spoke against the motion, stating that too much money would go into Council support.
CM Allgaier spoke in favor of the motion, stating that the Council could save money it spent on consultants by having its own training and evaluation coordinator, to help the Council make informed decisions that will benefit clients.
CM Hicks spoke in favor of the motion. Better information and training will allow the Council to make better use of less money. San Francisco spends less money on Council support than most other EMA’s.
CM Siron called the question.

Public Comment on this motion:
Mike Smith spoke for the Council having increased Council support.


• Roll Call vote. The motion was passed. See Attachment A, Column 4. (19/24)

Motion 2: To allocate an additional $125,000 to Council Support in 2005-06 for the needs assessment. (The Council is mandated to complete a needs assessment every three years.)

CM Durio spoke against the motion, stating that is was too much money.
CM Pugh spoke in favor of the motion, point out that needs assessment is expensive.
CM Siron called the question.
• Roll Call vote. The motion was approved. See Attachment A, Column 5. (23/24)

Motion 3: To keep service categories 1-15 funded at the same level as this year. (The funding amounts are listed on the base budget.)

Russ Zellers stated that level funding reflects the current year’s funding. $323K was the amount of money spent this year to close out programs.
CM DiCrocco asked could if the money could be used to refund the defunded categories.
CM Pugh called the question.
• Roll Call vote. The motion was approved. See Attachment A, Column 6. (24/24)

Motion 4: To take the $54,734 and $125,000 for Council Support out of the savings (unallocated) budget line.

CM Ortiz called the question.
• Roll Call vote. The motion was approved. See Attachment A, Column 7. (22/24)

CM Thomas presented motions 5-8, looking at specific services that had been previously defunded to ensure that those services remain available. The Council had worked with the AIDS Office to identify other funding sources to fund these services.

Motion 5: To look at all of the service categories, after category 15, with no funding ($0) to see if members were interested in funding those categories.

CM Pearce inquired about integrated case management.
CM Thomas responded that integrated case management responded specifically to a need in the monolingual Spanish communities.
Russ Zellers stated that the Council needed to specify which communities of color to fund, and added that using money from the Detox category would impact the ability to provide detox services to the HIV community.
CM Byers stated that with this motion all discussion of funding the lower subcategories would be eliminated.
CM Sanders asked if the eligibility criteria for COE’s would be different than for those who receive integrated case management dollars.
CM Tanner made a motion to call question.

• Roll Call vote. The motion was approved. See Attachment A, Column 8. (22/24)

Motion 6: To only look at the following service categories for funding:
16. Integrated Case Management
19. Complementary Therapies
20. Legal/Immigration Assistance
22. Outpatient Substance Services


CM Pugh called the question.
CM Durio objected to calling the question.
• Roll Call vote on calling the question. The motion to call the question was approved. See Attachment A, Column 9. (22/24)

Vote on Motion 6:
• Roll Call vote. The vote passed. See Attachment A, Column 10. (22/24)

Motion 7: To reduce Detox (21) by $242,000; this represents the amount that was not requested for detox services in the last RFP.

• Roll Call vote. The vote passed. See Attachment A, Column 11. (22/22)

Motion 8: To add the detox reduction amount ($242,000) to the remaining unallocated amount for a total of $316,159 to fund Integrated Case Management (16), Complementary Therapies(19), and Legal/Immigration Assistance (20). Take the average dollar amount of these contracts funded last year and fund them at 2/3 of that level (provide 8 months of average contract costs, since these programs will be funded through the general fund until June 2005).

CM Pugh called the question.

• Roll Call vote. The vote passed. See Attachment A, Column 12. (23/23)

Motion 9: To include all remaining unallocated dollars ($69,841) into Outpatient Substance Services (22).

CM Siron called the question.

• Roll Call vote. The vote passed. See Attachment A, Column 13. (23/23)

CM Hume made a motion recommending that the Planning Committee come up with a recommendation for which communities of color Integrated Case Management should address and bring that recommendation back to the Council.

CM Sallee seconded the motion.
CM Durio asked why the full Council could not vote on this issue.
CM Thomas spoke against the motion.
CM Hume withdrew the motion.
CM Hume made a motion to target Integrated Case Management to mono-lingual Spanish speaking groups.

CM Ortiz called the question.

The Council voted to approve the motion by a show of hands.

Public Comment on this item

XII. Dinner Break

XIII. Continue Allocation to Subcategories-VOTE
*Planning Committee Prioritization Topic
The Council finished its discussion of allocation to subcategories.

Public Comment on this item

XIV. New Council Co-chair Voting Results
The results of the Council Co-chair vote were announced.
CM Anita Booker, CM Randy Allgaier, and CM Charles Siron will be the new Council Co-Chairs.
CM Booker thanked CM Hume and CM Sallee for their work as Council Co-chairs.

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

XV. New Business/ Next Agenda
CM Sanders presented the new committee assignments from the Membership committee. See handout.
CM Byers asked that the funding scenarios be discussed at the November council meeting.
CM Allgaier thanked the co-chairs for their team leadership.
CM Pearce inquired if the HPPC – Prevention With Positives Committee would become a standing home committee on the Council.

XVI. The meeting adjourned at 6:50pm.

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

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