HIV Planning Council 2011-2012 Year End Report August 2, 2012

1. HIV Planning Council 2011-2012 Year End ReportAugust 2, 2012 Jan Carl Park, MA/MPA Dorella Walters, MPA Governmental Co-Chair Community Co-Chair

2. HIV Health & Human Services Planning Council of New York

3. Planning Council • Presentations • 2011-12 Planning Council Workplan & Timeline • Ryan White Part A Client Satisfaction Survey • HRSA Part A Monitoring Standards • Predictors of Adherence (CHAIN) • PC/Grantee Memorandum of Understanding • New DOHMH HIV Treatment Recommendations • NYC HIV/AIDS Epidemiologic Profile

4. Planning Council • Presentations (continued) • Enhanced Comprehensive HIV/AIDS Prevention Plan (ECHPP) & 12 Cities • 2012-15 Comprehensive Strategic Plan • Change Agents: The Impact of the Affordable Care Act, Medicaid Reform & Health Homes on the Future of Ryan White Funded Services • Service Needs & Utilization in NYC, 2009-11 (CHAIN) • Eligibility & Coverage of Select Services Under NY Medicaid & Family Health Plus • Medicaid/MRT & Health Homes

5. Planning Council • Actions • Appointed Committee Chairs • Conducted Orientation, Planning Council Retreat • Elected Finance Officer • Approved Memorandum of Understanding • Approved FY11 Carryover Waiver • ApprovedFY12 Final Spending Plan • Approved Planning Council Support Budget • Approved FY12 Base & MAI Reprogramming Plans • Approved FY13 Priority Rankings & Allocations • Completed FY 13 Preliminary Spending Plan

6. Consumers Committee

7. Consumers Committee • Presentations • Medical Monitoring Project (MMP) • Gender Disparities in HIV-Related Needs • KFF Report on Medicaid & HIV • HRSA Part A Monitoring Standards • PC Needs Assessment & PSRA Processes • Employment Opportunities for PLWHAs • NWPC Vocational Training & Employment Needs Survey • NYC Vocational Education Service Providers

8. Consumers CommitteePresentations (cont’d): • CHAIN Study: Food & Nutrition Service Needs in NY EMA • External Factors Impacting RW Part A Services • What the Affordable Care Act Means for PLWHAs • Consumer Involvement & Quality Improvement • NYC 2009-12 Comp Strategic Plan Yr 3 Implementation • NYS Health Insurance Exchanges & Essential Health Benefits

9. Consumers Committee Input/Feedback • Community Advisory Board (CAB) Best Practices Survey • PC Memorandum of Understanding • FY 12 Federal HIV/AIDS Budget Appropriations • RW Part A Client Satisfaction Survey • HRSA Part A Monitoring Standards • IOC/Housing Services Directive • 2012-15 Comprehensive Strategic Plan • HRSA/RW Reauthorization Stakeholder Input: Consumer Experiences of RW Services Training • Understanding Data

10. Policy Committee

11. Policy Committee Presentations • HRSA Part A Monitoring Standards and their Implications • Benefits of the ACA for PLWHA • The Changing Health Care Landscape for PLWHA • HIV and Medicaid • Essential Health Benefits of the Affordable Care Act – Implications for PLWHA • Future of Ryan White

12. Policy Committee • Actions • Conducted committee orientation • Defined role of committee within context of HRSA technical assistance and anti-lobbying guidance • Ensured that Planning Council members are informed of and responsive to emerging federal, state and local policy concerns

13. Policy Committee Actions • Letter to Dr. Mary Wakefield (HRSA Administrator) Re: Ryan White Extension • Letter to FDA Re: OTC HIV testing • Letter to Christine Quinn Re: Mayor’s Budget • Letter to Dr. Farley Re: Blood donor deferral criteria for MSM • Letter to Dr. Nirav Shah (NYSDOH) Re: Proposed HIV testing regulations • Letter to Kathleen Sebelius (HHS Secretary) Re: Essential Health Benefits of the ACA • Letter to Dr. Margaret Hamburg (FDA) Re: Organ transplantation to and from HIV-infected individuals

14. Policy Committee Actions • On behalf of the Planning Council submitted testimony for City Council Hearing on HASA Policy Changes Policy Briefs • Syringe exchange • Truvadaas PrEP • Broadening our purview to include other illnesses such as Hepatitis C and mental illness

15. Needs Assessment

16. Needs Assessment Presentations • Presentation on Ryan White Part A Agency Client Satisfaction Survey • Presentation on the third year of implementation of the 2009-2012 Comprehensive Plan Actions • Vetted the Comprehensive Plan for HIV/AIDS Services in the NY EMA for 2012-2015 (submitted to HRSA in May 2012) • Looked back at the old (2002) Needs Assessment and forward to the new (2012) Needs Assessment

17. Integration of Care

18. Integration of Care Action (Development of Housing Services Directive) • Input from multiple speakers:  • Director of Housing in the Bureau of HIV/AIDS Prevention and Control • Public Health Solutions • Human Resources Administration • CHAIN Project • HIV Law Project • Housing Works staff and consumers • Project Hospitality staff

19. Integration of Care • Action (Development of Housing Services Directive) • Discussed considerations and recommendations for revising current directive • Created a new housing services directive covering three types of housing services: • Short-term rental assistance • Short-term housing services • Housing placement assistance • New directive voted out of committee in June 2012 • New directive approved by Planning Council in June 2012

20. Finance Committee

21. Finance Committee • Action • Reviewed quarterly commitment and expenditure reports • Negotiated and approved an FY 2012 Planning Council support budget • Created a checklist to document Assessment of the Administrative Mechanism

22. Priority Setting & Resource Allocation

23. PSRA Action • Completed FY12 Scenario Plans for possible reductions in the grant award • Completed final FY12 Spending Plan • Completed FY12 Reprogramming Plan • Revised PSRA service category ranking tool • Used revised tool to create newly ranked service priorities for the FY13 grant application • Approved a preliminary FY13 spending plan necessitating a waiver application from the 75% minimum core services requirement

24. Rules & Membership

25. Rules & Membership • Actions • Completed revisions to the Memorandum of Understanding • Revised the PC bylaws to include a code of conduct for PC members and the public • Screened 24 Planning Council applicants, interviewed 19, and approved a slate of 10 candidates for appointment for the 2012-13 PC term

26. Thanks • Dorella Walters, Community Co-Chair • Robert Cordero, Finance Officer • Felicia Carroll, Consumer At Large • Marya Gilborn, PSRA Co-Chair • Allan Vergara, PSRA Co-Chair • Sharen Duke, Policy Chair • Nancy Cataldi, IOC Co-Chair • Charles Shorter, IOC Co-Chair • Victor Benadava, Consumers Co-Chair • Gregory Cruz, Consumers Co-Chair • John Anthony Eddie, RMC Co-Chair • Gerald DeYounge, RMC Co-Chair • Lee Hildebrand, DSW, NA Chair

27. More Thanks • Graham Harriman, DOHMH • JoAnn Hilger, DOHMH • Mary Irvine, DrPH, DOHMH • John Rojas, DOHMH • Stephanie Chamberlin, DOHMH • Marybec Thoms-Griffin, DOHMH • Jessica Walstrom, DOHMH • Merline Jean-Casimir, DOHMH • Tom Petro, Westchester DOH • Julie Lehane, PhD, Westchester DOH • Rachel Miller, PHS • Bettina Carroll, PHS • Gucci Kaloo, PHS

28. Special Thanks • Nina Rothschild, DrPH, Planning Council staff • Darryl Wong, Planning Council staff • David Klotz, Planning Council staff • Rafael Molina, Planning Council staff • Judith Kirkland, Planning Council staff

29. HIV Health & Human Services Planning Council of New York • Coming together is a beginning. • Keeping together is progress. • Working together is success.