I. Call to Order
Council Co-Chair Don Soto called the meeting to order at 4:42 meeting.
II. Roll Call
Roll was called, and a quorum established.
III. Review and Approval of Agenda
Mr. Soto informed the Council that Item #7 would be skipped. As amended, there was a consensus to approve the agenda.
IV. Review of May 22, 2006 Minutes - VOTE
Council Member Wade Flores noted that the minutes reference in the minutes’ Item VIII should be to the Marin County Care Council. As amended, there was a consensus to approve the minutes.
V. General Announcements
VI. Public Comment
There was none.
VII. DPH HIV Health Services
Quarterly Report
Michelle Long, Director, SF Department of Public
Health, HIV Health Services
This item was skipped.
There was no Public Comment on this item.
VIII. Ryan White CARE Act Reauthorization
Update
Laura Thomas, Council Member
Council member Laura Thomas reported that she had attended the CARE Coalition meeting in Washington, D.C., along with Council Co-Chairs Randy Allgaier and Don Soto. Others from San Francisco were also there such as representatives of Project Inform. There were meetings with, among others: Senators Feinstein and Boxer, Representatives Pelosi, Honda, Eshoo, and Lee, as well as the Governor’s office.
Reauthorization is now stalled
on formula arguments among the
states,
some of
which don’t have HIV data to allow the new formulas to operate. California’s
failure to collect names with its HIV reporting was an example. It would take
several years of collecting new data to remedy this problem. Support for using
proxy measures had fallen apart, and a stalemate was now in place. There were
still questions concerning the extent of the term “medical case management.” The
stalemate is not the worst place
for California to be although funding
levels
may still be
affected.
There was a consensus to support
the Planning Committee’s
recommendation that the Council avoid
voting on priority and allocations
twice. Holding
off the retreat until things settle
down in Washington did
not offer a real alternative
since grant deadlines fell at the
beginning of October.
Reauthorization may impact housing, case management, and residential substance abuse programs; millions of dollars were involved. This would be a sea change; the implications are difficult to absorb. Waivers are possible but would undercut the Council’s ability to be competitive on the award of a portion of the grants.
Some Council Members thought that it would be helpful to outline those areas allowed under medical care management, those not allowed, and those that fall in the gray area. Perhaps shifts of funds from a suspect area could be compensated from dollars newly available to the areas that qualify.
There was a discussion of the details of the funding under various titles
There was no Public Comment on this item.
IX. Presentation of Other
Funding Streams for
HIV/AIDS Health
Services in San
Francisco
Erik Mezack, Financial
Systems Supervisor,
SF Department
of Public Health
Jack Newby, Director,
HIV Health Services
Planning Council
Mr. Erik Mezack and Mr. Newby made separate presentations concerning the other funding streams available. Mr. Newby emphasized that Ryan White funds are considered to be funds of last resort when these other funding streams are not available.
There was no Public Comment on this item.
X. Dinner Break
Meeting Evaluation Forms will be distributed to Council Members during the Dinner Break.
The Council had a short break in the meeting so that the members could eat something.
XI. Presentation
by the
Facility Based Health
Care for
San Francisco
Collective
(FBHC)
Rodney
Murphy
and Tim
Patriarca,
FBHC
There was a presentation of the Residential Care Facility for the Chronically Ill with an explanation of the program and comparisons of its costs to other programs. Specific case studies were presenting indicating some of their successes. There was discussion of how they fit in with assisted living facilities and skilled nursing care. Mssrs. Murphy and Patriarca asked for reprioritization from the CARE Council from last year. There has been planning though for the possibility of loss of funding by their facility. They believe that they do qualify as medical case management under the new reauthorization proposals.
Public Comment on this item:
One member of the public, Naomi, thought that there may be some leverage of medical funds through the medical waiver program. Another member of the public who was not identified said that RCF-CI’s reached folks who were difficult to reach.
XII.
Update from
Planning Committee
Regarding Prioritization
and Allocation
Schedule - VOTE
Laura
Thomas and
George Simmons,
Co-Chairs, Planning
Committee
The Council will discuss possible meeting schedules and agenda items for the Prioritization and Allocation Schedule.
• Monday, July 10th meeting, 4:30 – 7:30pm, The State Building, 455 Golden Gate Avenue, The San Diego Rooms A, B & C
• Monday, July 24th meeting, 4:30-7:30pm, The State Building, 455 Golden Gate Avenue, The San Diego Rooms A, B & C
• Monday, August 14th, The State Building, 455 Golden Gate Avenue, The San Diego Rooms A, B ONLY
• Monday, August 28th, 4:30-7:30pm, The State Building, 455 Golden Gate Avenue, The Benicia Rooms A, B
Council Members Laura Thomas and George Simmons noted that a number of presentations had been postponed and that a full schedule of meetings was needed before the summit. A meeting had been reserved for Aug. 28 in case there was any need following the Aug. 24 and Aug. 26 summit.
There was no Public Comment on this item.
Motion to approve the schedule proposed by the Planning Committee passed by unanimous show of hands.
XIII. New Business/Next Agenda
• Council Members will have an opportunity to complete Meeting Evaluation
Forms.
• The next Council Meeting and Agenda (July 10th) will be determined.
There was a discussion of the spreadsheet handout earlier in the meeting and whether someone could indicate the funding categories that might be in jeopardy under the reauthorization proposals.
Motion to approve the agenda for the July 10 meeting was passed by a show of hands.
There was no Public Comment on this item.
XIV. Adjournment
The meeting adjourned at 7:35.
Meeting minutes are considered to be in DRAFT form until reviewed and approved by Council attendees.
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