MN HIV Services Planning Council Me= eting

March 9, 2= 010

9:00 am &#= 8211; 12:00 Noon

Health Services Building, Room= 110

525 Portland Ave S, Minneapolis

Minutes<= /span>

Council Members Present:<= o:p>
Mike Behl (Council Co-Ch= air)	Chris Bernard
Loyal Brooks	Peter Carr
Al Fredrickson	Bob Hansen
Michael Hargrave	Keith Henry
Jennifer Houston	Antonio Marante
Antonio Moreno	David Neller
Susanne Pfeil	John Schrom
Council Members Absent:<= o:p>
Paul Eknes-Tucker (Council Co-Chair)<= span style=3D'mso-bidi-font-weight:bold'>	Hank Jensen
Makéda Norris	Rob Pioli
Dave Rompa	Darin Rowles
Gerry Tyrrell	Gwen Velez
Karin Sabey	Aaron Keith Stewart
Guests:
Kate Nelson - MAP	Amy Mackey – Bristol-Meyers Squibb
Peggy Darrett-Brew= er	Peter O’Toole
Jerolyn Oliver – Bristol-Meyers Squibb
G-HAT:
Jonathan Hanft – Hennepin County	Thuan Tran – Hennepin County
Redwan Hamza – DHS	John Shur &= #8211; Hennepin County
Kip Alms – Hennepin County	Sheila Murphy – Hennepin County
Planning Council Staff:
Wendi Johnson (minut= es)	Tim Sullivan

Quorum Present? Yes

I.&n= bsp; = ; Welcome and Introductions; Lighting of the Candle

Mike stated he would be pre= siding and called the meeting to order at 9:10am.= Tim lit the candle in memory of Ryan White and all the people who wo= rk diligently to make services available.&nbs= p; April 8,2010 marks 20 years since Ryan’s death. The Ryan White Act legislation was = signed a few days after his death. Introductions were made.

II.&= nbsp; &nbs= p; Approval of March 9^th Meeting Minutes and Proposed Agenda<= /p>

The minutes were approved by unanimous consent. Election of Council Co-Chair was added as an action item under Operations committee report. The agenda, with addi= tion, was approved by unanimous consent.

III.= Open Forum

A. MN HIV Housing Coalition – Peter O’Toole attended the meeting to t= alk about the MN HIV Housing Coalition. Peter distributed a document entitled Minnesota HIV Housing Coalition. This is the semi-annual report and= it is expected to be updated soon. = The Housing Coalition manages the MN HOPWA grant and acts as the advisory board. MN receives about $977= ,000/ year. Technical assistance wa= s provided by HUD several years ago that provided direction on how to best spend the funds. Part of assistance inc= luded identifying partners and the Planning Council was identified = as a potential collaboration. Lee = Lewis is chair of the Housing Coalition and Peter has been asked to be the liaiso= n to the Planning Council. Questio= ns/Comments:

· Loyal asked about the housing voucher and if= they go directly to the landlord? Yes. Loyal has heard anecdotally that landlords will not take vouchers like this. Peter said it is actually a cash p= ayment and will look into this.

· Keith thinks it’s important to look at housing in the context of the larger housing crisis. He has seen a lot of patients who = have lost their jobs and had their homes foreclosed on.

· Tim said the coalition meetings are open and anyone who attends the meeting can vote.&n= bsp; The meetings are held the 3^rd Thursday at Clare Housing.<= span style=3D'mso-spacerun:yes'>

B. Michael Hargrave – Thanked Tim, Wendi, Dave, Redw= an, Jonathan and Thuan for coming to Alexandria to talk about the Ryan White legislation and the work of the Planning Counc= il. He wanted to clarify his personal = feeling on what was discussed regarding Transportation. He feels there is some misuse of funds. He was against taking = money from the service to be used for a new service in the area. He has been told that there was a meeting of Transportation providers and they are working on a fix to help agencies from running out of funds.

C. Kate Nelson attended the meeting to talk about the upcoming Allen Spear forum on April 28^th at 7pm at Plymouth Congregational Church. The forum will focus on the legal considerations around disclosing, or not disclosing, HIV status to sex partners. The forum will incl= ude a panel of lawyers.

IV.&= nbsp; &nbs= p; Part A Report, Jonathan Hanft, Hennepin County

A. Part A Award and Funding History – Jonathan pre= sented the 2010 grant award and compared it to the 2009 grant award. There is an overall increase of le= ss than 1% which is the smallest increase since 2007. MAI is now part of formula award so there is a five month overlap of MAI funding in the amount of $129,000. This essentially makes up for the = five month gap in MAI funding when it was put onto a separate grant year. Jonathan gave a presentation entit= led Ryan White Funding 2009 – 2010. = Based on what he has seen in awards= , if the President does not increase funding next year, there isn’t an increase expected next year. = In the last 11 years Part A has received about a 7% increase. As of 2004 ADAP grant funding is no longer enough to cover the need. About 40% of funds needed for ADAP costs comes from rebate. Questions/Commen= ts:

· Keith said Part C funding is very flat. Even though the need has increased= the grant award is capped. Jonath= an said this is the same for Part D funds.&nb= sp;

· Michael H. asked if reallocated funds cover = the ADAP gap. Jonathan said it is= a very small amount but it does help.

B. HRSA Policy Notice: Allowable Uses of Funds for Defined Categories of Services – A notice has been sent to grantees to clarify what can be covered by Ryan White funds and it will be posted on the Council website for member review.

C. NMAC Letter to President for Emergency ADAP Supplemental Appropriation – 11 states are now on waiting lists for ADAP. These states are working with NMAC= to make a request that the President approve $126 million funding increase for 2011 to help ADAP funding for these states.

D. Office of National AIDS Policy Report (ONAP) – A report on the 14 community discussions was released and is available at www.white= house.gov/administration/eop/onap. They are now working on a national= AIDS strategy and will be convening the White House HIV Advisory Group soon.

E. = Young Gay/Bisexual/MSM and HIV Summit – Closing Youth Event will be held on June 4^th at Patrick’s Cabaret. Friend ‘Sy Philis’ on Facebook for more information.=

F. = Unaware Into Care Meeting – The first meeting for unaware/into care took plac= e on April 7^th. About 60 people attended. Lots of good= ideas for strategies came from the discussion.&n= bsp; The ongoing workgroup will begin meeting in and is made up of good representation of providers, consumers, and general community providers.

G. All Prevention and Care Provider Meeting will be held on May 27^th at= Snelling Office Park. All Council members are welcome to attend. The theme for the yea= r is unaware/into care. Emil Angel= ica will facilitate a group brainstorming session. There will be a panel of providers= that receive prevention and care funds. Luisa will be doing a presentation on the MDH reporting and the rule change. This will better help= providers understand what happens to the info. RSVP to Wendi.

V.&n= bsp; = ; Part B/ADAP Report, Redwan Hamza, DHS

A. 2010 Part B Award Notice – Redwan distributed a document entitled 2010 Part B Award. DHS received a $103,000 ADAP increase.

B. HIV/AIDS Restructuring – The Governor has proposed to take the state allocatio= n from the HIV/AIDS Division for 2011-2012 and pay it back in 2013. During this time rebate reserves w= ill be used to supplement. The Gover= nor did pay the funds back last time so there isn’t concern that the money will go away.

C. GAMC – The Governor has cut GAMC funding.= The Senate overrode the veto but the House did not. GAMC will continue through the end= of May. As of June 1^st there will be a significant cut in how services are provided. Outpatient drug coverage will stay= the same. Hospitals will see a la= rge cut in what they will be paid for. Questions/Comments:

· Keith said for every $1 spent on patients the recovery to hospitals/clinics is about $.33. After the GAMC change the recovery= rate will drop to about $.14 and more data is required to prove outcomes. A number of hospital groups around= the state are considering not participating which would put even more burden on HCMC to serve clients.

· Redwan has heard from some hospital systems = that the compromise is better than nothing.&nbs= p;

· Most of the states on waiting lists have received a cut in their Part B and ADAP award. As of now MN has not received a cut.

D. ADAP TA Meeting – DHS has made one spot available for a Council member to attend this meeting which will be held in D.C. Talk with Mike B. if interested in attending or Redwan if there are questions about the conference.

E. = Nutrition PA – All clients on Program HH will need to see a nutritionist before they will get nutritional supplements.&nbs= p; Effective July 1, 2010 a PA will be required. This will allow clients to get appointments before the change is implemented. Questions/Comments:

· Antonio Mo. Asked how the funds have been used. Redwan said the funds have been overused. This has been an open program (pro= viders have up to 12 months to bill for the service) so it is a difficult program = to plan for.

· Keith said a lot of clients using the program did not have AIDS wasting and was typically used as a calorie supplement to diet. Usually, however, the calories were the wrong kind and were doing more harm to the client.

· Keith said there are two or three quad studi= es that will be going 2-3 years. Each enrollment saves the system $75,000. Participants in studies save the system lots of money.

F. = Trainings – The next ADAP Consumer Advisory Committee meeting is on April 16th at Clare Housing from 9-1.

VI.&= nbsp; &nbs= p; Prevention Update, Peter Carr, MDH

Peter distributed a document entitled Planning Council Updates, = 13 April 2010.

A. 2009 STD Data Release - The 2009 STD data was released last week. For the past five years there has = been a record number of STD increases. Chlamydia and gonorrhea infections, however, have gone down and Pete= r is not sure why. Other parts of = the country are seeing the same decrease. Syphilis diagnoses are also going down but have been up and down over the past few years. The pictu= re remains the same among gay men. The percentage of newly infected syphilis/HIV clients remains at about 40%. Bacterial STD infection increases = the risk of transmission of HIV. = The CDC has a syphilis elimination funding in place. MDH was funded in 2008 for this bu= t were not funded in 2009 due to a funding decrease. Last week MDH received notice that= they will be funded for 2010. This= year a contract will be re-established with a current program to do testing. MDH will also maintain the inspot.= org subscription. They are also w= orking with a public relations company to develop a media campaign targeting gay/bi men. MDH will also be looking= for ways to use social media effectively.

B. Trainings – Partner Management and Clinical Issues: syphilis and HIV co-infecti= on; MSM Health. Stay posted for m= ore information. Questions/Commen= ts:

· Antonio Mo. has heard that there is a new dr= ug resistant gonorrhea. Peter ha= s heard this as well but isn’t current on the details. Keith said CDC will recommend treatments.

VII.= Co-Chairs Update

None

VIII. Staff Update

A. Staff will be distributing a new contact list at the May meeting. If you have changes to your contact information please get them to Wendi.

IX.&= nbsp; &nbs= p; Health Care Reform Update, Tim Sullivan, Planning Council

Tim sits on a national work= group examining PLWH/A access to health care and is part of the community coalition that makes recommendations on Ryan White reauthorization. Tim distribu= ted a document entitled Health Care Refor= m. This is not Tim’s presentati= on and he hopes this information will help inform the Council on changes that may = be helpful during prioritization and allocation. Questions/Comments:

· What does dual public eligibility mean? Medicaid and Medicare.

· Keith asked what the coverage level is for MN under Medicaid. Jonathan said it’s 100%. Redwan said = anyone with a disability can spend down into the program.

· Keith asked how states with for-profit insur= ance companies will be part of the crossing state lines provision. Redwan said they are moving away f= rom the current way of doing things to allow for buying insurance.

· Antonio Mo. asked how people can be required to carry health insurance. Tim said it’s like requiring= auto insurance and there can be a penalty taken from their income taxes if they don’t have insurance. <= /p>

· Keith sees an expansion of use of public cli= nics that utilize sliding fee scales.

· Jonathan thinks reauthorization of Ryan White funds will be more difficult for community consensus based on how states support the change.

· Keith thinks the general community will bene= fit by these changes but clinics that focus on Ryan White funding will have difficulty conforming to the new model.

X.&n= bsp; = ; Committee Reports

A document entitled Committee Report Summaries: April 13, 2010 was distributed.

A. Community Voice – no additional update

B. Executive – no additional update

C. Needs Assessment & Evaluation –

a) Needs Assessment Survey Update – The survey went live on March 15^{th. There are almost 200 completed
surveys. The goal is 500. In the next couple weeks there wil=
l be
intense marketing with under represented communities. Please help spread the word. Most incentive cards are being sent
through the mail. Some have b=
een distributed
at sites. Sessions have been =
held
at West Side, Aliveness Project, and var=
ious
Greater MN support groups. Se=
ssions
at MAP and HCMC are coming up. If
you haven’t completed the survey please do so. There are six trained ambassadors.=
Questions/Comments:}

· John asked who is under represented at this point. There is a need for wo= men and African-Born populations.

· Loyal has heard from people that they don’t know Ryan White funds exist.&n= bsp; Tim said non-Ryan White eligible clients are the ones we also want to hear from.

· Redwan asked if caregivers can fill out the survey. Tim said the caregive= r can fill out the survey on behalf of the client. If someone fills it out and is HIV= - they will not be able to fill out the survey.

D. Operations –

a) ACTION ITEM: Council Co-Chair Election: Mike B. has completed his first term as Council Co-Chair. The Operati= ons committee recommended Mike B. to serve a second term as Council Co-Chair. MOTION: Keith made a motion to appoint Mike B. to a second term as Council Co-Chair= , Loyal seconded the motion and it passed unanimously with a vote of 13-0.

E.&n= bsp; Planning & Priorities – no additio= nal update.

XI.&= nbsp; &nbs= p; Post Award Allocation Proposal

A document entitled FY 2010 Post Award Allocations Proposal – September 2010 was distributed. Jonathan presented the pre-award allocation plan that was approved by the Council in September 2009. The current plan being presented m= akes recommendation for the additional funds that were awarded to the grantees.<= span style=3D'mso-spacerun:yes'> Questions/Comments:

· Chris asked what the impact will be on clien= ts receiving Emergency Financial assistance (EFA). Jonathan said part of that went to insurance assistance.

· MOT= ION: Keith made a motion to approve the revised budget. Loyal seconded the motion. Discussion:

a. = John asked for clarification that the proposed increases are not reflected on the distributed document. Jonatha= n said the document compares the 2009 post award allocation to the 2010 pre-award allocation.

b. = The question was called and the motion passed unanimously with a vote of 13-0.<= /p>

XII.= Unfinished Business

None

XIII. Announcements

None

Meeting Adjourned at 11:37 a.m.

Meeting Su= mmary:

· The MN HIV Housing Coalition will be strengthening their relationship with the Planning Council and will be pres= ent at Council meetings. The Hous= ing Coalition makes recommendations on how to best use HOPWA funds.

· Jonathan and Redwan presented the 2010 grant award and compared it to the 2009 grant award. There is an overall increase of 1%= .

· Tim gave a presentation on health care reform.

· The needs assessment consumer survey went li= ve on March 15^th. So = far about 200 surveys have been completed and there is an overall goal of 500 surveys. Sessions have been scheduled at various organizations around the state and there are six ambassadors trained to administer the survey. Information from these surveys will inform the work of the Council during its prioritization and allocation pro= cess this summer.

· Mike Behl was el= ected to serve a 2^nd term as Council Co-Chair.

· The Council approved the FY2010 post award allocation proposal.

Documents Distributed Before the Meeting:

· Agenda

· Minutes from March 13, 2010

· Committee Report Summaries: April 13, 2010

Documents Distributed At the Meeting:

· Minnesota HIV Housing Coalition

· Planning Council Updates, 13 April 2010

· Ryan White Funding 2009 – 2010

· 2010 Part B Award

· Health Care Reform

WJ/tds

March 9, 2= 010

9:00 am &#= 8211; 12:00 Noon

Minutes<= /span>

Council Members Present:<= o:p>

Council Members Absent:<= o:p>

Paul Eknes-Tucker (Council Co-Chair)<= span style=3D'mso-bidi-font-weight:bold'>

Hank Jensen

Jonathan Hanft – Hennepin County

Thuan Tran – Hennepin County

Redwan Hamza – DHS

John Shur &= #8211; Hennepin County

Kip Alms – Hennepin County

Sheila Murphy – Hennepin County

Planning Council Staff:

Wendi Johnson (minut= es)

Tim Sullivan