MN HIV Services Planning Coun= cil Meeting

December 1= 4, 2010

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

Health Services Building, Room L14/15

525 Portland Ave S, Minneapolis

Minutes<= /span>

Council Members Present:<= o:p>
Bob Hansen	Peter Carr
Keith Henry	Antonio Marante
Loyal Brooks	Karin Sabey
Paul Eknes-Tucker (Council Co-Chair)	David Neller
John Schrom	Jennifer Houston
Leo Johnson	Hank Jensen
Tom Bichanga	Charles Koudou
Makéda Norris	Chris Bernard
Shanasha Whitson	Al Fredrickson
Antonio Moreno
Council Members Absent:<= o:p>
Mike Behl (Council Co-Chair)	Michael Hargrave
Susanne Pfeil	Rob Pioli
Dave Rompa	Darin Rowles
Lee Hertel	Gwen Velez
Gerry Tyrrell
Guests/Consultants:
Kate Nelson – MAP	Josh Conrad – MAP
Todd Monson – Hennepin County	Amy Mackey – Brisol-Myers Squibb
Amy Brugh – MAP
G-HAT:
Jonathan Hanft – Hennepin County	Thuan Tran – Hennepin County
Redwan Hamza – DHS
Planning Council Staff:
Wendi Johnson (minut= es)	Tim Sullivan

&nbs= p;

Quorum Pr= esent? Yes

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

Paul stated he would be pre= siding and called the meeting to order at 9:12 am. Paul lit the candle recalling the = day he found out he was HIV+, which was 13 years ago. Introductions were made.

II.&= nbsp; &nbs= p; Approval of October 12, 2010 Meeting Minutes and Proposed Agenda

A quorum was not present at= the start of the meeting. Approva= l of the minutes and agenda took place later in the meeting when a quorum was reached. The minutes and agen= da were approved by unanimous consent.

III.= &nb= sp; Open Forum

None

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

A. CAEAR Coalition Health Care Reform Priorities – Jonathan gave an updated and distributed a handout.

B. = Ryan White Appropriations Update – Nothing has passed yet. There are a number of possibilities being discussed:

1. = House continuing resolution that funds FY2011 with current funding levels with a = $60 million increase in ADAP

2. = Senate replaces the House version with an omnibus appropriations bill for all areas which may not contain the ADAP increase

3. = Republicans are suggesting a reversion to 2008 funding levels

Questions= /Comments:

· Keith asked if anyone has a sense of what shortfalls in ADAP could be covered by Medicaid expansion. There are too many unknowns right = now.

· Karin said HCMC has about 200 CCDS patients.

· Keith said CCDS funding is about 1/3 of the reimbursement rate of what GAMC used to be. Drugs are paid for under this prog= ram which is a plus.

C. Upcoming Trainings –

1. = There will be a case management training on clinical indicators: what they mean a= nd how to use them. This trainin= g is in collaboration with MATEC. = The training is February 18^th from 11-3pm at HSB in room L15. A survey will be sent out prior to= the training.

2. = Bob Tracy will be doing a training for Case managers on the Making Sure workshops. It will incorporat= e how to use the 365 books.

D. 2^nd Quarter Expenditure Report – Jonathan distributed a document titled Ryan White Parts A, B and Federal Reba= te Combined Spending March 1/April 1 – August 31/September 30, 2010 = and made note of over or underspending. Questions/Comments:

· Karin said there are administrative barriers= to bill for Health Insurance Premium Assistance services. If a client does not always keep t= rack of their bills it is difficult for her agency to pay the premiums.

· Antonio Ma. asked why funds are moved if an = agency spends less than 50% at this point in the year. Jonathan said it allows grantees to= look at contracts and reallocate funds so they can be best spent by the end of t= he year. Sometimes there are rea= sons for the underspending and that is taken into consideration before funding is moved.

· Al asked about Child Care Services. Jonathan said there was one expend= iture associated with a large Health Education event.

· Jennifer asked about Early Intervention Serv= ices. Jonathan hopes this funding will be spent by the end of the year to address the unaware into care, or EIIHA, activities.

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

A.      Currently working on the grant application which is due January 3^rd.

B.      = The Governor-elect plans to sign onto the Medicaid buy-in as soon as he takes office. The details are unkno= wn at this point.

C.      How many people from ADAP will qualify for the Medicaid buy-in? Redwan said they need to look at w= ho is under 133% FPG. He thinks it = is about 100 clients.

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

A.      Luisa Pessoa-Brandao took a position with NASTAD. This position has been filled with Alison LaPointe.

B.      = Surveillance – MDH is implementing an electronic surveillance system. From the prevention perspective it allows for better explanation of co-infection rates. Will be up and running by the summ= er.

C.      State HIV Prevention Strategy – Planning will be starting in the next few weeks. It will help to call attention to the importance of HIV for the state. Updates will be provided to the Council. Questions/Comments:<= /p>
·         Keith said CDC is considering making recommendation for using Truvada for use as PreP. It is about $1000/ month per perso= n. There is discussion around how useful it is as a prevention tool.

VII.=              Co-Chair’s Report

None

VIII.          Staff Report

A.      If there are questions about whether or not a meeting is taking place, please check the Council website or call Wendi’s voicemail for the current week’s schedule.

B.      = If you do not check email frequently, let staff know so you can be notified in= an alternative manner.

C.      If people wish to serve on a different committee, they should notify the Operations committee.

D.      A copy of the 2011 Council meeting schedule was provided. In addition to what is on the cale= ndar, Tim walked the Council through items:

·         Post award allocation – depending on w= hen appropriations are made grant awards could be delayed. Post award allocations could take = place in April or May for the fiscal year starting March 1^st and April= 1^st. Planning & Priorities will be working to clarify the process for how to handle post award allocations if = they are less than the pre-award allocation.&nb= sp; This could mean the loss of supportive services.

·         Jonathan will be asked to provide the Part A= expenditure report when they are available rather than waiting for Part B. This will help the Council to take action on funds more timely. = The Part B/ADAP/Combined spending reports will still take place as they have.

·         Prioritization and Allocation – Planni= ng & Priorities and Needs Assessment & Evaluation will begin planning = for the 2012 planning soon.

·         Annual Election – the annual election = will take place in February 2011. = Paul will be rotating off the Council so a Council Co-Chair position will be open. The Operations committe= e tries to have minority representation on all committees and sharing in leadership positions. Talk with staff and Co-Chairs if interested in serving. People are able to serve on more than one committee if the member wa= nts.

Tim remin= ded the Council of the things happening last year:

·         461 consumers have completed the needs assessment survey. A written = report will be provided in April/May 2011. 260 surveys were completed in the 2003 process. It has taken about the same amount= of time with double the participation.

·         The Needs Assessment & Evaluation Commit= tee has been working on a web based satisfaction survey.

·         Prioritization and allocation process. Questions/Comments:

o      = Makéda asked if we might want to thin= k of a way to contact people if email is down.&= nbsp; Perhaps a phone tree? =

o      = Karin suggested texting as another alternati= ve. This will be discussed at the next Operations meeting.

IX.&= nbsp;           &nbs= p; Assessment of the Administrative Mechanism: Part B Results

All objectives were met unanimously. This document wi= ll be posted on the Council website along with the Part A results. Hard copies will be made available= upon request.

X.&n= bsp;            = ;     Public Policy Update

Amy, Kate, and Josh attende= d the meeting to talk about what is happening at the state legislature, and what = the response is.

Strategy: long term focus o= n HIV prevention, developing relationships with legislators who want to be champi= ons for HIV issues. There is a MN appropriation for HIV prevention and specific to insurance premiums and case management programs. Amy will= be working to ensure partnerships with other organizations and people. There is a sign-on letter that wil= l be developed and presented to the MN legislature on behalf of the HIV community. They will be worki= ng on a “no promo homo” campaign to prevent homophobic messages being funded by state dollars. MN H= ouse and Senate have switched to a Republican controlled House and Senate which = is a first in MN history. In addit= ion to the legislators MN rely heavily on working with staff who will soon be repl= aced with new staff. It becomes fa= r more important for people to be engaged with what is happening at the state level.

Legislative Priorities: People have wanted to push compreh= ensive sex education in schools. Bec= ause of the $6.2billion deficit the priorities have to change. The priorities are shifting to pro= tect resources for HIV prevention and for those living with HIV, healthcare refo= rm, to protect investments in housing and healthcare, and fight things like attack= s on the current HIV teaching mandate. Their focus will now be on making connections with staff and legisla= tors in order to work more directly with the Governor. Questions/Comments:

·         Antonio Ma. asked if HIV needs for undocumen= ted people will be a priority. Am= y said they will be partnering with other agencies and organizations to address th= is need.

·         Hank asked if the Council can sign onto lett= ers of support. Tim said yes, and= the Council has done this in the past. He further clarified that the Planning Council cannot lobby as a who= le but individual members can sign onto letters as a member of the Planning Council. Amy said this partne= rship can be shifted to help the Council.

·         Jennifer asked if MAP has something for minor consent. Amy said yes. In 1971, minors were able to conse= nt for their own mental health, substance abuse, VD, and some pregnancy services (excluding abortion). This al= lows providers to serve minors without the full consent of parents. MAP will be working to help preser= ve this statute but there will be huge opposition.

Advocacy/AIDS Action Day: Feb 9^th at the Capitol.= A lot of education needs to happen= for the new legislators coming into office.&nb= sp; Anyone who wants to speak with their legislators will receive advoca= cy training. Kate distributed a = sign up sheet for the HIV Action Network email list. HIV Action Network is on Facebook = is updated every day. The Public Policy Open House will be held January 12^th 12-1pm and from 6-7pm. Wendi will forward the= email to Council members.

Positive Leaders Program: J= osh is part of the HIV Positive Leaders program and attended AIDS Action Day last year. He found it empowering = and gave him a voice to talk with representatives and speak about healthcare and prevention. A large number of people need to unite to talk about what issues are important.

Tim reminded everyone that = now is the time to be involved. Any questions on what can or can’t be done as a Council member or private citizen can be directed to Council staff or Kate Nelson.

XI.&= nbsp;           &nbs= p; Committee Reports

A document entitled Committee Report Summaries: December 1= 4, 2010 was distributed.

A.      Community Voice – no additional update

B.      = Executive –

·         Reallocation Update – Because there wa= s no November Council meeting the Executive committee acted on behalf of the Cou= ncil to approve the reallocation proposal. A copy of the 2010 Reallocat= ion Proposal was distributed. $15,000 was moved from Planning Council admin to Emergency Financial Assistance and $14,000 was moved from Health Insurance Premium Assistance to Emergency Financial Assistance.

C.      Needs Assessment & Evaluation –

·         Satisfaction Survey – In final negotia= tion stages with the provider to host the survey. HIV providers were asked what they= are already doing and what questions they would like to see asked. Consumer focus groups were conducte= d to review the survey instrument (Open Arms, West Side, and in Alexandria) with 6-8 people at each foc= us group. Providers will be enco= uraged to get their clients to complete the satisfaction surveys. Grantees will receive individual provider data, Council will receive aggregate service area data, and provid= ers will be able to review their data and compare it to other unnamed providers= that provide the same service.

D.      Operations –

·         Recruitment – Aggressive recruitment h= as been taking place. We have ab= out 13 applications on file. The Cou= ncil is still in need of a mental health provider and a representative from the State Medicaid office. Commun= ities of color, women, and age ranges meet the epidemic. We have received an application fr= om a Native American. Blank applic= ations are available on the Council website. Questions/Comments:

o      = Will those not voted onto the Council be encouraged to become community members?&nb= sp; Yes, as appropriate. T= here will be 11 open spots.

o      = How many are under age 30 and are there any under 25 years old? There are= some under 30 and at least one person from an organization that serves youth.

o      = Antonio Ma. asked what happens after someone finishes their 2^nd term. Tim said the bylaws can be suspended if someone wants/needs to serve beyond their 2^nd term. Because of HRSA mandates this could be taking place for two members.

o      = Amy asked about the mandated positions. There are 16 classes of individuals mandated by HRSA. 33% of memb= ership needs to be unaligned consumers (not working for, on the board of, or a consultant to a Ryan White funded agency).= The bylaws allow for up to 30 members.

E.&n= bsp;      Planning & Priorities –

·         Comprehensive Plan Update – The commit= tee received updates on items with a review date of 12/31/10. The committee hopes to have final answers on some items and will be moving forward. Planning & Priorities will be revising the comp plan to include EIIHA activities.

XII.=              Unfinished Business

None

XIII.          Announcements

a.      = Today from 3-6 Makéda will be representing the American Lung Association at WallGreen’s on W. Broadway with free flu shot vouchers. Can get the shot at that time and c= an get vouchers for others in your family.

Meeting Adjourned at 11:11 am

Meeting Su= mmary:

·         The Council reviewed the 2^nd quar= ter expenditure report and received information on service areas with over and underspending.

·         Amy, Kate, and Josh attended the meeting to = talk about changes in the legislature, priorities, and the upcoming AIDS Action = Day on February 9^th at the Capitol.= Contact Kate Nelson with any questions.

·         The Executive committee approved a reallocat= ion proposal on behalf of the full Council, due to time constraints, that moved $15,000 from Planning Council admin to Emergency Financial Assistance and $14,000 from Health Insurance Premium Assistance to Emergency Financial Assistance.

           &nbs= p;

Documents Distributed Before the Meeting:

·         Agenda

·         Minutes from August 10, 2010

Documents Distributed At the Meeting:

·         Ryan White Parts A, B and Federal Rebate Combined Spending March 1/April 1 – August 31/September 30, 2010

·         Committee Report Summaries December 14, 2010=

·         2010 Reallocation Proposal

WJ/

December 1= 4, 2010

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

Minutes<= /span>

Council Members Present:<= o:p>

Council Members Absent:<= o:p>

Jonathan Hanft – Hennepin County

Thuan Tran – Hennepin County

Redwan Hamza – DHS

Planning Council Staff:

Wendi Johnson (minut= es)

Tim Sullivan