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Special Called Meeting of the HIV Planning Council
May 7, 2024

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AUSTIN AREA HIV PLANNING COUNCIL The mission of the HIV Planning Council is to develop and coordinate an effective and comprehensive community-wide response to HIV. Planning Council: Office of Support Staff Report May 7, 2024 – May 8, 2024 Executive/GMCS/FASPNA Committee Meeting OFFICE OF SUPPORT STAFF Kodjo Dodo, Manager Kodjo.Dodo@austintexas.gov Rashana Raggs, Supervisor Rashana.Raggs@austintexas.gov Nathalia Delgadillo, Planner II Nathalia.Delgadillo@austintexas.gov Zaria Thomas, Planner I Zaria.Thomas@austintexas.gov. Deena Rawleigh, Admin Sr. Deena.Rawleigh@austintexas.gov AUSTIN AREA HIV PLANNING COUNCIL MEMBERS TOTAL 10 (1 Non-voting member), 2 New Members Pending 1. Kelle’ Martin, Chair 2. Alicia Alston 3. Joe Anderson Jr. 4. Liza Bailey 5. Aran Belani 6. Zachery Garay 7. Ashley Garling 8. Marquis Goodwin 9. Judith Hassan 10. Rocky Lane, Non-Voting 11. Kristina McRae-Thompson 12. Gin Pham Summary complete it)  The Austin Area HIV Planning Council (HIVPC) is at 10 members.  BCIC Sexual Harassment training is due on May 10 (except for new members who have 90 days to  The Executive Committee completed their edits and updates to the Bylaws at their April meeting. The Committee is expected to review Policies and Procedures starting next month.  Kelle’ Martin temporarily joined the GMCS committee as new members were pending in early April. o Two community members interviewed at the GMCS Meeting o GMCS discussed caucus logistics and policy/procedures. A more approachable/less of a commitment option was posed by members. The PO agrees with the committee members sentiment, and that a townhall may be more feasible. Therefore, a townhall will be planned, if this recommendation is approved. o The Recruitment and Retention updates were reviewed and approved.  The Finance/Allocations and Strategic Planning/Needs Assessment committee voted to focus on the impact of changing urban neighborhoods and rising housing costs related to healthcare access for PLWH for Year 2 of Assessment for Needs and Barriers to PLWH in and out of care. o This committee received their annual training on PSRA o Edited and voted on the FY25 PSRA process o Reviewed, edited, and voted on updates to the Integrated Plan  The Business committee approved the recommendations of the Bylaw edits, two April applicants, Integrated Plan edits, Recruitment and Retention edits, and the FY25 PSRA process. o This committee also discussed and voted to move the May Business meeting to May 20, 6-8PM o Business received their annual training on PSRA  The Office of Support has created an event requests form …

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Town Hall Location and Goal Setting Goal of First Town Hall: To obtain diverse input from PLWH, both in and out of care, related to satisfaction with current services, information on service needs, barriers, and gaps, and overall trends and concerns. This town hall meeting will address the legislative requirement for Planning Council to obtain “input on community needs and priorities”. The town hall aims to supplement the needs assessment findings where community members expressed their needs for: Community members in the field expressed the main barriers they face, when deciding on seeking care are: 1. Dental Care 2. Medical Appointment access 3. Medical cost-sharing assistance 1. 2. 3. ability to pay for services. lack of access to health insurance Not knowing where to go For those who are currently connected to care resources, Other was the most selected reasons that participants did not seek care. The barriers reported included: Seeing [another doctor] • • New diagnosis • None/didn’t have it/I didn’t know I was positive/I am HIV-negative/I do not have an HIV diagnosis. • Legal issues and housing Being undetectable was the second most reported reason for person’s in-care to not continue seek care. Format of Town Hall: Common format is a briefing by a panel of three/four community leaders, and a moderator [Planner]. Develop a set of questions or topics led by an agenda to obtain information that the Planning Council needs for decision making. Meeting Logistics: Wednesday, July 17, 2024 from 6:30 PM to 8:30 PM CST, hybrid Location: Permitting and Development Center in Event Room 1406. Room is booked from 4:00 PM – 9:00 PM for preparation and clean up. Parking will be validated for attendees at this townhall. Because this special called “meeting” of the Austin Area HIV Planning Council (HIVPC) is subjected to the Texas Open Meeting Act (TOMA), attendee parking will be validated. Per Section 7.2 of the Bylaws, the HIVPC at all times conducts its meetings and operations, in accordance with the requirements of TOMA. See the Permitting and Development Center site for more information on parking. If Planning Council would prefer to host the first townhall at the Asian American Resource Center, the community room is smaller than the PDC but has capacity for 40 persons. Hybrid capable and parking is free. Regarding Townhall #2, based on previous related discussions with the Chair and council, the Planner has posed the idea …

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Planning Council Directive to the Grantee Directive # 01-2021 Creation Date: July 6, 2021, Revised August 28, 2023 and September 26, 2023 Directive regarding Directive for the EIS, MCM, and OAHS Service Categories regarding Community Health Workers for Ending the HIV Epidemic in the Austin TGA. In order to develop or leverage current Community Health Worker programs that will be designed as peer based to improve HIV Care Continuum outcomes for people with HIV/AIDS-contributing to the End of the HIV Epidemic in the Austin Transitional Grant Area (TGA). The model must use peers: individuals living with HIV/AIDS who are in care and come from priority Early Identification of Individuals with HIV/AIDS (EIIHA) and Minority AIDS Initiative (MAI) populations (including Black MSMs, Latinx MSMS, Black women, and Trans POC) determined based on data. The model must be based on a central agency that is responsible for training, and oversight with peers assigned to and serving as staff. Defining Community Health Worker (CHW) Community Health Worker Definition: American Public Health Association (APHA) definition : As trusted members of the localities in which they work, CHWs serve as the liaisons between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery. CHWs also build individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support, and advocacy. Defining “Peer”: A peer can be defined as a person with the same cultural background as the clients, or as a person who has these similarities and is living with HIV. Some projects have found that a peer who is known to be living with HIV often has immediate rapport and credibility with the client given this shared life experience. Others believe it is helpful but less important than many other personal characteristics and experiences. For example, while it is sometimes assumed that the best match for a young Latinx MSM of color is a peer who is also a young Latinx MSM, at least one of the SPNS projects found that a slightly older Note: This Directive is provided to the Grantee in accordance with the Ryan White HIV/AIDS Program Part A Manual, Section XI, Chapter 4, and Policy#2 (Guidance) of the Austin Area HIV Planning Council Approved 08.23.23 with Allocation Edit Approved 09.25.23 female can be equally effective, because the person …

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Planning Council Directive to the Grantee Directive # 01-2015 Creation Date: February 24, 2015 Directive regarding compliance with HRSA requirement (Policy Clarification 13-04) to evaluate consumer eligibility for insurance under the Affordable Care Act (ACA) The Austin Area HIV Planning Council hereby directs the Grantee to ensure that all uninsured consumers receiving services under Part A/MAI are assessed for insurance coverage available through the ACA Marketplace. Specific activities related to this Directive include the following: 1. Evaluate all existing Silver insurance plans available through the federal Marketplace to determine which plans provide adequate coverage for HIV/AIDS care and treatment. Identify all consumers receiving core medical services under Ryan White Part A/MAI who are eligible to enroll in accordance with the provisions of the Affordable Care Act. 2. 3. Work with each eligible consumer to determine total cost to the consumer, including the cost of the premium, co-payment and deductible. 4. On an individual consumer basis, determine if it is cost effective for the Ryan White Program for the consumer to transition to ACA insurance. It is recommended that the Grantee utilize the methodology prescribed by the Texas Department of State Health Services (DSHS) for Part B Administrative Agents in accordance with the DSHS instructions contained in: Interim Guidance to Texas Administrative Agents on Health Insurance Assistance Services. 5. Ensure that each consumer eligible for insurance under ACA be fully educated about the benefits of ACA insurance as well as the potential consequences of not obtaining insurance. Consumer education must include apprising the consumer of the Payer of Last Resort policy and potential federal income tax liability. The Austin Area HIV Planning Council also directs the Grantee to provide quarterly updates to the Planning Council regarding the progress made in compliance with this directive. The report shall include (but not limited to) the following: 1. The number of consumers who are insured broken down by the following (add additional categories as appropriate): Insurance purchased through the ACA Marketplace • • Other private insurance including group insurance through employer • Medicare • Medicaid • Veterans Administration Note: This Directive is provided to the Grantee in accordance with the Ryan White HIV/AIDS Program Part A Manual, Section XI, Chapter 4 and Policy#2 (Guidance) of the Austin Area HIV Planning Council Directive # 01-2015 Page 2 2. The impact of insurance in terms of quality and continuity of care: • How ACA insurance has …

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Planning Council Directive to the Grantee Directive # 02-2021 Approved: June 28, 2021 Directive regarding increasing client access to services under the OAHS Service Category In order to increase access to care for residents of the Austin TGA outside of Travis County by increasing the number of services and locations outside Austin (including Travis County), require at least one OAHS subrecipient to offer services in one or several of the outer counties, through the any of the following methods: • opening a new clinic • partnering with an FQHC or another provider located in at least one of the other TGA • providing services on a regularly scheduled basis at an existing subrecipient site • using a mobile health care van without HIV-specific signage • or some other mechanism that increases physical proximity of OAHS services for TGA residents outside of Travis County • By co-location of staff daily or on a scheduled basis in a subrecipient facility outside counties Travis County Note: This Directive is provided to the Grantee in accordance with the Ryan White HIV/AIDS Program Part A Manual, Section XI, Chapter 4 and Policy#2 (Guidance) of the Austin Area HIV Planning Council

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Austin Area HIV Planning Council Recruitment and Retention Plan 2024 Contents Recruitment .................................................................................................................................................. 2 Objec(cid:415)ve ................................................................................................................................................... 2 Strategic Goals .......................................................................................................................................... 2 1. Marke(cid:415)ng Materials ......................................................................................................................... 3 A. Flyers ............................................................................................................................................. 3 B. Brochures ...................................................................................................................................... 3 C. FAQ Sheet...................................................................................................................................... 4 D. Swag .............................................................................................................................................. 4 E. Other ............................................................................................................................................. 5 F. Picture Gallery .............................................................................................................................. 5 2. Marke(cid:415)ng Pla(cid:414)orms ......................................................................................................................... 9 A. Websites ....................................................................................................................................... 9 B. Social Media ................................................................................................................................. 9 C. Mailchimp ..................................................................................................................................... 9 D. Newspapers .................................................................................................................................. 9 E. Radio ............................................................................................................................................. 9 F. City Resources ............................................................................................................................... 9 3. Recruitment Opportuni(cid:415)es .............................................................................................................. 9 A. Events ............................................................................................................................................ 9 B. Loca(cid:415)ons ....................................................................................................................................... 9 C. Outer Coun(cid:415)es .............................................................................................................................. 9 4. Metrics .............................................................................................................................................. 9 Austin Area HIV Planning Council Recruitment and Retention Plan 2024 Recruitment Objec(cid:415)ve The objec(cid:415)ve of the Aus(cid:415)n Area HIV Planning Council is to recruit dedicated members who embody our values and vision, and to engage our community in a collabora(cid:415)ve effort to address the challenges posed by HIV/AIDS. Strategic Goals  To fill vacant membership categories o Grantees of other federal programs o Affected communi(cid:415)es o State Medicaid agency o Non-elected community leaders  To maintain all legisla(cid:415)vely required ra(cid:415)os o No more than 33% affiliated members o At least 33% membership comprised of consumers who are recipients of Ryan White Part A services  To engage members of priority popula(cid:415)ons that are dispropor(cid:415)onately affected by HIV/AIDS o PLWH o Black MSM o La(cid:415)nx MSM o Black WSM o Trans and Gender Expansive/Diverse persons (TGE and TGD), QTBIPOC Austin Area HIV Planning Council Recruitment and Retention Plan 2024 a. The 2023 flyers were created by the Office of Support based on previous years’ flyers. They were translated into Spanish by former member Sharon Zaldivar Alatorre. They were meant as a placeholder un(cid:415)l a more strategic marke(cid:415)ng plan could be implemented. 1. Marke(cid:415)ng Materials A. Flyers 1. 2023 Flyers 2. Ideas for 2024 Flyers a. Design i. Size ii. Visuals b. QR codes i. Aus(cid:415)n HIV website ii. Survey Monkey applica(cid:415)on c. Message/Informa(cid:415)on i. How to appeal to mul(cid:415)ple communi(cid:415)es 1. Everyday language ii. Informa(cid:415)on d. Languages i. English ii. Spanish B. Brochures Brochures are tangible, portable, and easily distributable. They provide a concise and visually appealing way to convey essen(cid:415)al informa(cid:415)on about the HIV Planning Council, its mission, services, and contact details to a wide audience. Well-designed brochures with the Council's branding and logo enhance visibility and promote recogni(cid:415)on. They serve as a tangible representa(cid:415)on of …

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Austin HIV Planning Council FAQ 1. What is the Austin HIV Planning Council? The Austin HIV Planning Council is a volunteer-driven organization dedicated to improving the lives of individuals living with HIV in the Austin area. The Council plays a vital role by:  Prioritizing the allocation of Ryan White HIV/AIDS Program (RWHAP) funds to ensure people living with HIV have access to critical healthcare services, medication, and support programs.  Facilitating open communication to ensure the voices of those impacted by HIV are heard and reflected in the Council's decision-making.  Community engagement 2. HIV Planning Council 4 Committees: Business Executive Governance/Membership and Care Strategies (GMCS) Finance/Allocations and Strategic Planning/Needs Assessment (FASPNA) GMCS and FASPNA are standing committees, performing the legislative responsibilities. Business and Executive are the Planning Council’s overseeing committees. Executive is made up of the chair, vice chair, secretary, and chairs of standing committees. The Business committee is the entire council meeting together to review the month's work. Each committee meets once a month. 3. How can I get involved? The Planning Council welcomes community participation! Here are some ways to get involved:  Attend monthly meetings: These meetings are open to the public and offer a valuable opportunity to learn more about the Council's work and priorities.  Become a Council member: Council membership offers a unique opportunity to directly influence how resources are allocated to support the well-being of people living with HIV in Austin. The typical time commitment for Council members is 4-6 hours per month.  Who are we looking for? 4. Where can I find more information? For more information about the Austin HIV Planning Council, please visit our website: https://www.austintexas.gov/department/hiv-planning-council, Facebook page, or contact us directly at hivplanningcouncil@austintexas.gov. To apply for membership, please fill out this form: Application for Membership on Austin Area HIV Planning Council For more information on Ryan White, the Ryan White Care ACT, and Ryan White HIV/AIDS Program (RWHAP) Services About the Program | Ryan White HIV/AIDS Program (hrsa.gov) (insert QR codes and links for each site) Commented [RD1]: Move to brochure? Field Code Changed

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MEMBERSHIP ACTIVITY REPORT The HIV Planning Council is currently comprised of 9 voting members; 1 non‐voting member Updated: 5/2024 Fiscal Year 2024 GENERAL MEMBERSHIP CHARACTERISTICS   Membership applications received since last report: 0  Membership Interest Communication Received: 0  Boards and Commissions interest: 0     Planning Council voted to approve since last report: 0 Planning Council awaiting CEO/Mayor approval for: 2 There are 13 federally mandated membership categories. 2 membership categories are currently vacant: o o State Medicaid Agency Local public health agency MEMBERSHIP APPROVALS AND TERMINATIONS  Liza Bailey and Aran Belani are waiting for CEO approval and to receive New Member Orientation KEY MEMBERSHIP CHARACTERISTICS White Part A services.  HRSA requires at least 1/3 (33%) of Planning Council membership be comprised of consumers who are recipients of Ryan  The current [unaligned] consumer membership is not in compliance (20%) with HRSA requirements for consumers who are individuals without a conflict of interest.  After the approval of two pending members, the percentage of unaligned consumers will drop to ~17%  In accordance with Planning Council bylaws, members who have a conflict of interest, as defined by local, state, and federal statute, may not exceed 1/3 (33%) of the total membership.  The current percentage of members with a conflict of interest is 40% of the total membership.  After the approval of two pending members, the percentage of conflicted members will drop to 33%. *Indicates conflicted members AFFILIATION TERM #1 TERM #2 TERM MEMBER NAME 1. Kelle’ Martin, Chair 08/22/2023-08/22/2025 2. Alicia Alston Part B Planner 04/03/2024-04/03/2026 3. Joe Anderson Jr. Texas Health Action* 04/03/2024-04/03/2026 4. Zachery Garay Vivent Health* 11/27/2023-11/27/2025 #3 . MEMBERSHIP ACTIVITY REPORT 08/24/2023-08/24/2025 ASHwell* 04/03/2024-04/03/2026 7. Judith Hassan 04/03/2024-04/03/2026 5. Ashley Garling 6. Marquis Goodwin Project Transitions* Black Trans Leadership of Austin 8. Rocky Lane 9. Kristina McRae Thompson 10. Gin Pham 11/27/2023-11/27/2025 10/06/2020- 10/06/2022 06/23/2022- 06/23/2024 10/06/2022- 10/06/2024 . MEMBERSHIP ACTIVITY REPORT Planning Council/Planning Body Reflectiveness (Use HIV/AIDS Prevalence data as reported in your FY 2023 Application) HIV Prevalence in EMA/TGA Total Members of the PC/PB Unaligned RWHAP Clients on PC/PB Number Number Number Percentage (include % with # ) Percentage (include % with # ) Percentage (include % with # ) Race/Ethnicity White, not Hispanic Black, not Hispanic Hispanic Asian/Pacific Islander American Indian/Alaska Native Multi‐Race Other/Not Specified 2566 1443 2356 0 0 243 100 Total 6708 …

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https://p2p.onecause.com/hcra2024?fbclid=IwAR2ir7bQN8SyamiiVKph0rpjnd1FcX-mRNbqlZZI_-WqMGQ_fIzgAwzDR0w_aem_AXQuiNYfI1y65D19tAvAoWOTU9N-5aohb9m_o1xSWdgMff0woQbxBrWRUwRqXfZfV4LzWDy78zKPP8hhRFUVuxe- HIV Planning Council Social Media Plan 2022 Date Topic/ Focus Location Public Health Emergency Prepardness Response (note: YES) Notes Measurable Goals https://www.hiv.gov/events/awareness-days LINKS CTAAFSC Conference Palmer Event Center (900 Barton Springs Rd. Austin, TX 78704) 2024 THEME Engage, Educate, Empower: Uniting to End HIV/AIDS in Black Communities. #NBHAAD National Black HIV/AIDS Awareness Day #NBHAAD | HIV.gov National Women and Girls HIV/AIDS Awareness Day #NWGHAAD | HIV.gov National Native HIV/AIDS Awareness Day #NNHAAD | HIV.gov; https://www.nnhaad.org/ 2024 THEME: Protecting, Connecting, and Thriving: We Are All Public Health University of Texas at Austin Presentation about HIVPC Speaker: Nathalia https://nphw.org/About-NPHW ; https://nphw.org/ https://utexas.campuslabs.com/engage/organization/texaspublichealth ACC Eastview Campus, African American Cultural Center 3401 Webberville Rd Austin, TX 78702 Austin Public Health’s Maternal Infant Outreach Program (MIOP) as we celebrate Black Maternal Health Week. https://www.eventbrite.com/e/its-a-birthing-thang-tickets-851986744287?aff=oddtdtcreator National Youth HIV & AIDS Awareness Day #NYHAAD | HIV.gov https://www.cdc.gov/hiv/library/awareness/nthtd.html National Latinx Conference on HIV/HCV/SUD El Paso, TX Nathalia and Kelle' will be attending https://www.latinosandhiv.org/ Spicewood Springs Branch Library 5:30pm - 7:30pm 5/30/2024 - Thursday Fast Track Cities May Consortium Bergstrom Technology Center 6800 Burleson Road Suite 310, Room 195.15 Austin, TX 78744 Will share updates on workgroup activities and plans for the rest of 2024. This consortium is an opportunity to inform the community and workgroup members on progress towards accomplishing workgroup objectives https://www.eventbrite.com/e/austintravis-county-fast-track-cities-may-consortium-tickets-872945923757?aff=oddtdtcreator COA Holiday COA Holiday COA Holiday Zachery Garay COA Holiday 9 - 11am CST Spotlight to welcome new supervisor COA Holiday COA Holiday Zaria will be attending training for PHAP. COA Holiday The importance of mental Health/ using services that are available to us. Spans across September and October Messaging JANUARY FEBRUARY MARCH APRIL NWOP (National Week of Prayer) event 2024 THEME Prevention and Testing at Every Age. Care and Treatment at Every Stage. #NWGHAAD 25th Anniversary Ride to promote awareness of HIV/AIDS and raise funds for Central Texas services and prevention efforts. MAY free, 2-hour course is open to community members. Austin's Office of Homeland Security and Emergency Management (HSEM) offers the community a basic emergency preparedness training resource: Ready Together, a classroom training on the basics of preparedness Empowering Women, Cultivating Health: Celebrating Voices, Wellness, and Resilience JUNE JULY AUGUST SEPTEMBER OCTOBER mental health mental health 2024 THEME: NOVEMBER Day of the Dead DECEMBER 2024 THEME: 1/1/2024 - Monday 1/15/2024 - Monday 2/1/2024 - Thursday 2/6/2024 - Tuesday 2/7/2024 - Wednesday 2/14/2024 - Wednesday 2/19/2024 - Monday 2/28/2024 - Wednesday New Year's …

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Join us! Join us! The HIV Planning Council is a group of dedicated volunteers that help steer the response to the HIV crisis. Council members prioritize services to help people living with and affected by HIV. The HIV Planning Council works to ensure the best care for the community. The HIV Planning Council is a group of dedicated volunteers that help steer the response to the HIV crisis. Council members prioritize services to help people living with and affected by HIV. The HIV Planning Council works to ensure the best care for the community. Develop and coordinate a community-wide HIV Prevention and Care Plan Develop and coordinate a community-wide HIV Prevention and Care Plan Guide resources to help provide medical and support services for people living with HIV (Ryan White Part A Grant) Guide resources to help provide medical and support services for people living with HIV (Ryan White Part A Grant) Focus and planning for Black Women and Men, Queer People of Color, Latinx, Trans Community, Youth, and People Who Use Injection Drugs Focus and planning for Black Women and Men, Queer People of Color, Latinx, Trans Community, Youth, and People Who Use Injection Drugs For more information: austintexas.gov/content/ hiv-planning-council For more information: austintexas.gov/content/ hiv-planning-council (512) 972-5841 @AustinHIVPC HIVPlanningCouncil@austintexas.gov (512) 972-5841 @AustinHIVPC HIVPlanningCouncil@austintexas.gov Join us! Join us! The HIV Planning Council is a group of dedicated volunteers that help steer the response to the HIV crisis. Council members prioritize services to help people living with and affected by HIV. The HIV Planning Council works to ensure the best care for the community. The HIV Planning Council is a group of dedicated volunteers that help steer the response to the HIV crisis. Council members prioritize services to help people living with and affected by HIV. The HIV Planning Council works to ensure the best care for the community. Develop and coordinate a community-wide HIV Prevention and Care Plan Develop and coordinate a community-wide HIV Prevention and Care Plan Guide resources to help provide medical and support services for people living with HIV (Ryan White Part A Grant) Guide resources to help provide medical and support services for people living with HIV (Ryan White Part A Grant) Focus and planning for Black Women and Men, Queer People of Color, Latinx, Trans Community, Youth, and People Who Use Injection Drugs Focus and planning for Black Women and Men, Queer People of Color, …

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REGULAR MEETING OF THE HIV PLANNING COUNCIL BUSINESS COMMITTEE MEETING MONDAY, APRIL 22, 2024, 6:00 P.M. PERMITTING AND DEVELOPMENT CENTER, RM. 1203 6310 WILHELMINA DELCO DRIVE AUSTIN, TEXAS Some members of the HIV PLANNING COUNCIL may be participating by videoconference. The meeting may be viewed online at: Click here to join the meeting Public comment will be allowed in-person or remotely via telephone. Speakers may only register to speak on an item once either in-person or remotely and will be allowed up to three minutes to provide their comments. Registration no later than noon the day before the meeting is required for remote participation by telephone. To register to speak remotely, call or email the Office of Support, (512) 972-5841, HIVPlanningCouncil@austintexas.gov. CURRENT HIV PLANNING COUNCIL MEMBERS: Kelle’ Martin, Chair Alicia Alston Joe Anderson Jr., Conflicted Zachery Garay, Conflicted Ashley Garling AGENDA CALL TO ORDER PUBLIC COMMUNICATION: GENERAL Marquis Goodwin, Conflicted Judith Hassan, Conflicted Rocky Lane, Non-Voting Kristina McRae-Thompson Gin Pham The first 10 speakers signed up no later than noon on 4/21/2024 will each be allowed a three- minute allotment to address their concerns regarding items not posted on the agenda. APPROVAL OF MINUTES 1. March 25, 2024 CONFLICT OF INTEREST DECLARATIONS 2. Members will declare conflict of interest with relevant agenda items, service categories, and/or service standards. STAFF BRIEFINGS 3. Introductions/Announcements 4. Office of Support Staff Report 5. Administrative Agent Report 6. Part B Report DISCUSSION AND ACTION ITEMS 7. Discussion and approval of new Planning Council members 8. Discussion and approval of rescheduling May meeting day (Memorial Day) 9. Discussion and approval of Bylaws updates 10. Discussion and approval of Integrated Plan updates 11. Discussion of Priority Setting and Resource Allocation (PSRA) Training 12. Discussion and approval of PSRA process 13. Discussion and approval of Recruitment and Retention Plan 14. Discussion and approval of Townhall plan 15. Open nominations for Vice-Chair and Secretary COMMITTEE UPDATES 16. Governance/Membership and Care Strategies 17. Finance/Allocations and Strategic Planning/Needs Assessment 18. Review of workplan calendar and social calendar FUTURE AGENDA ITEMS ADJOURNMENT Indicative of action items The City of Austin is committed to compliance with the American with Disabilities Act. Reasonable modifications and equal access to communications will be provided upon request. Meeting locations are planned with wheelchair access. If requiring Sign Language Interpreters or alternative formats, please give notice at least 2 days (48 hours) before the meeting date. TTY users’ …

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Membership Applicant Biographical Sketch The following individual has submitted a membership application to the HIV Planning Council. Liza Bailey (Applicant Name) Patient Care Technician at Family Emergency Rooms OCCUPATION COMMUNITY VOLUNTEER WORK Experience in emergency medicine. Research Assistant for Project Seed at the University of Texas. Kappa Rho member and volunteer coordinator for aspiring female healthcare professionals SKILLS/EXPERIENCE Fluent in Russian. Conversational Spanish skill. Licensed Emergency Medical Technician in Texas. Lived Experience as a child of an immigrant. Public Health Undergraduate at the University of Texas at Austin. COUNTY OF RESIDENCE HRSA MEMBERSHIP SLOT (Check all that apply) Travis Bastrop Caldwell Hays Williamson Health Care Providers, Including Federally Qualified Health Centers Community-based organizations serving affected populations and AIDS Service Organizations (ASOs) Substance Abuse Providers Social Service Providers, including providers of housing and homeless services Mental Health Providers Local Public Health Agency Hospital planning agencies or health care planning agencies Affected Communities, including PLWH/A, members of a Federally recognized Indian tribe as represented in the population, individuals co-infected with hepatitis B or C and historically underserved groups and subpopulations. Non-Elected Community Leaders State Government (including the State Medicaid Agency. State agency and the agency administering the program under part B. Grantees under subpart II of part C (Title II early intervention) Representatives of organizations with a history of serving children, youth, women, and families living with HIV and operating in the area. Grantees under other Federal HIV programs, including but not limited to providers of HIV prevention services Representatives of individuals who formerly were Federal, State, or local prisoners, were released from the custody of the penal system during the preceding 3-years, and had HIV/AIDS as of the date on which the individuals were released. HIV/AIDS Prevention Provider Yes No A AA H W PI Other Reducing Health Disparities Planning Council Recommend? Yes No CONFLICT OF INTEREST RACE/ETHNICITY SPECIAL INTERESTS GMCS Committee Recommend? Yes No Membership Applicant Biographical Sketch The following individual has submitted a membership application to the HIV Planning Council. Aran Belani (Applicant Name) OCCUPATION COMMUNITY VOLUNTEER WORK SKILLS/EXPERIENCE COUNTY OF RESIDENCE HRSA MEMBERSHIP SLOT (Check all that apply) CONFLICT OF INTEREST RACE/ETHNICITY SPECIAL INTERESTS GMCS Committee Recommend? Yes No Peer Ambassador and Undergraduate Research Assistant at the University of Texas at Austin Civic Engagement Alliance Vice Chair for TxVotes. Undergraduate Research Committee Member for the Senate of College Councils. Longhorn Emergency Medical Service Responder Fluent in Hindi and …

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HRSA HAB, HIV Integrated Prevention and Care Plan, CY2022-2026 Summary Statement SECTION I: Integrated Plan Submission and Review Summary Jurisdiction Submission Type Austin, Texas ☐ Integrated state/city prevention and care plan ☐ Integrated state-only prevention and care plan ☒ Integrated city-only prevention and care plan ☐ Other:_________________________________ Austin, TGA ☒ Yes ☐ No or Not Applicable Name of Plan(s) Used: Fast Track Cities Action Plan, Austin System of Care Summary Report, Austin HRSA EHE Year 3 Workplan 2.0 If available, URL to other Plan(s): ☒ Yes ☐ No RWHAP Part A Jurisdictions (EMA/TGA) or MSAs included in the plan Did the jurisdiction use portions of other plans to satisfy requirements (e.g., EHE plan)? Executive Summary Included HRSA Reviewer’s Name: HRSA Reviewer’s Name: HRSA Reviewer’s Name(s) Melody Barry Darrin Johnson 1 | P a g e Integrated HIV Prevention and Care Plan Summary Statement SECTION II: Community Engagement and Planning Process Purpose of this Section: For the recipient to describe how the jurisdiction approached the planning process, engaged community members and stakeholders, and fulfilled legislative and programmatic requirements including: 1. SCSN 2. RWHAP Part A and B planning requirements including those requiring feedback from key stakeholders and people with HIV 3. CDC planning requirements Tips given to recipients for meeting this requirement: 1. This requirement may include submission of portions of other submitted plans including the EHE plan submitted as a deliverable for PS19-1906. 2. Be sure to provide adequate detail to confirm compliance with legislative and programmatic planning requirements. 3. The planning process should include key stakeholders and broad-based communities that include but are not limited to people with HIV, funded-service providers, and stakeholders, especially new stakeholders, from disproportionately affected communities. See Appendix 3 for required and suggested examples of stakeholders to be included. 4. Explain how the jurisdiction built collaborations among systems of care relevant to HIV in the jurisdictions (e.g., behavioral health and housing services). 5. Include community engagement related to “Respond” and support of cluster detection activities. Please select all planning bodies that participated in developing the Integrated Plan ☐ Integrated HIV Prevention and Care Planning Body ☒ RWHAP Part A Planning Council/Planning Body ☐ RWHAP Part B Advisory Group ☒ HIV Prevention Group (HPG) ☐ EHE Planning Body ☐ Other, please specify: Please note the remainder of this table includes the language provided to the recipient in the CY 2022-2026 CDC DHAP and HRSA HAB Integrated …

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Austin Area Comprehensive Planning Council Ryan White Part B Administrative Agency Report Submitted by Alicia Alston April 22, 2024 I. Part B Grants Administration/Management Update • New Staff is joining our team: 3 Monitors, 1 Planner, within the next few weeks. II. Part B Expenditure Summary Update The 23-24 Part B expenditure summary is as follows: • 100 % of the contract year has expired, with 86% of the funds used through March 2024 • 100% of the contract year has expired, with 95% of the funds used through March 2024 • 58.33% of the contract year has expired, with 52% of the funds used through March 2024 Table 1: Ryan White, State-R and State Services FY 22-23/22-24 Part B Billing Summary March 2024 Expended Amount Percent Expended Service Delivery $4,190,559.00 $4,169,373.98 86% CATEGORY Expended Amount Percent Expended Service Delivery $1,318,117.00 $1,214,200.89 95% Budgeted Amount Budgeted Amount (RW) (State R) (State Services) RW (All agencies) CATEGORY State R (All Agencies) State Services (All Agencies) Budgeted Amount Expended Amount Percent Expended Service Delivery $4,550,970.00 $2,477,800.27 53% III. Ryan White Part B Expenditure Summary Update (Austin Agencies Only) Service Delivery $1,295,832.00 $1,681,594.13 130% ***Out of variance: Expenditures are more than 10% (over or under) the contract year percentage. Service Category Justification Expended Allocation Health Insurance $100,000.00 $100,000.00 Within Variance Oral Health $205,500.00 $227,882.28 Out of Variance: Has program income to cover the overages $644,282.00 $864,201.70 Within Variance $12,500.00 $10,387.87 Out of Variance $67,750.00 $91,280.88 Within Variance $75,300.00 $101,539.27 Within Variance (100%) (111%) (134%) (83%) (135%) Outpatient Ambulatory Health Services Early Intervention Services Emergency Financial Assistance Local AIDS Pharmaceutic al Assistance (135%) (127%) (192%) Non-Medical Case Management Mental Health $117,500.00 $149,160.82 Within Variance $70,000.00 $134,166.31 Out of Variance: Has program income to cover the overages Food Bank $3,000.00 $2,975.00 Out of Variance Total Regular Ryan White $1,295,832.00 $1,681,594.13 (99%) (130%) V. Client Complaints

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1. 2. CATEGORY Part A Formula MAI MAI Carryover TOTAL Austin Transitional Grant Area (TGA) Administrative Agent (AA) Report to HIV Planning Council May 2024 PART A & MAI GRANTS ADMINISTRATION/MANAGEMENT UPDATE HRA is now fully staffed. Antoinette Hannah is the RWA Lead and Collin Lessing is the EHE Lead. We got permission from HRSA to use the funding that was allocated in carryover funds for FFY23, so the Austin TGA will not be losing those funds. OTHER HIV RESOURCES ADMINISTRATION GRANT UPDATES 1. HOPWA: 2 contracts executed, 2 routing for signatures 2. Part C: FFY24 2 contract executed, 1 affirming exhibits 3. EHE PS20: Both contracts are executed and will be receiving a 2-month extension 4. Part A/MAI: All FFY24-25 contracts are under negotiation 5. HRSA EHE: All FFY24-25 contracts are under negotiation PART A & MAI FISCAL UPDATE 1. Expenditures Through February Part A Formula Carryover $449,918 $167,654 37% Part A Supplemental $1,774,600 $1,774,600 100% Budgeted Amount Expended Amount Percent Expended $3,374,977 $3,357,520 99% $388,620 $361,566 93% $16,925 $16,925 100% $6,005,040 $5,678,265 95% 1. CQM Plan Development and Next Steps CLINICAL QUALITY MANAGEMENT The CQM plan is currently being revised to include EHE and Part C activities, monitoring and evaluation. HRA team will meet with HRSA to review CQM Plan prior to finalization. Austin TGA Administrative Agent Report to HIV Planning Council, January 2024, Page 12 2. CQM Performance Measures CQM performance measures for Part A/MAI, Part C and EHE have been drafted and shared with the CQM Committee. Performance measures will be finalized after review from the HRSA TA. 3. Quality Improvement Projects Recipients will be beginning a new round of quality improvement projects that will be focused on data quality and improvement in viral load suppression. This will be a six-month PDSA cycle ending in December 2024. 4. CQM Committee Meetings Last meeting was held on April 11, 2024, where our subrecipients presented their findings on their last QIP Cycle. CQM Committee meetings will be moving from a monthly basis to a quarterly basis. CQM staff will begin meeting with the subrecipients on a monthly basis individually to provide individualized technical assistance. Data Management: TCT Enhancements and Issues: DATA MANAGEMENT UPDATE 1. The data staff at HRA continue to work through TCT issues with subrecipients and the TCT Help Desk. HRA meets with the TCT Help Desk weekly. There have been additional meetings with data managers …

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Date Topic/ Focus Location Messaging Platforms Budget Notes Measurable Goals LINKS Public Health Emergency Prepardness Response (note: YES) Target Audience https://www.hiv.gov/events/awareness-days HIV Planning Council Social Media Plan 2022 CTAAFSC Conference Palmer Event Center (900 Barton Springs Rd. Austin, TX 78704) 2024 THEME Engage, Educate, Empower: Uniting to End HIV/AIDS in Black Communities. #NBHAAD National Black HIV/AIDS Awareness Day #NBHAAD | HIV.gov COA Holiday COA Holiday COA Holiday Zachery Garay National Women and Girls HIV/AIDS Awareness Day #NWGHAAD | HIV.gov National Native HIV/AIDS Awareness Day #NNHAAD | HIV.gov; https://www.nnhaad.org/ JANUARY FEBRUARY MARCH APRIL NWOP (National Week of Prayer) event 2024 THEME Prevention and Testing at Every Age. Care and Treatment at Every Stage. #NWGHAAD 1/1/2024 - Monday 1/15/2024 - Monday 2/1/2024 - Thursday 2/6/2024 - Tuesday 2/7/2024 - Wednesday 2/14/2024 - Wednesday 2/19/2024 - Monday 2/28/2024 - Wednesday New Year's MLK Day Black History Month National Black HIV/AIDS Awareness Day Valentine's Day President's Day HIV Is Not A Crime Awareness Day Membership Spotlight - 3/1/2024 - Friday Women's History Month 3/7/2024 - Thursday National Women's & Girls HIV/AIDS Awareness Day event 3/10/2024 - Sunday 3/17/2024 - Sunday 3/20/2024 - Wednesday 3/31/2024 - Sunday 3/31/2024 - Sunday National Women and Girls HIV/AIDS Awareness Day St. Patrick's Day National Native HIV/AIDS Awareness Day Trans Visibility Day Easter Membership Spotlight - 4/1/2024 - Monday 4/4/23 4/1/2024 - 4/7/2024 (begins on Monday) 4/5/2024 - Friday 4/7/2024 - Sunday National Minority Health Month National Public Health Day National Public Health Week Texas Public Health Networking Fair World Health Day 4/13/2024 - Saturday It’s a Birthing Thing 4/10/2024 - Wednesday National Youth HIV and AIDS Awareness Day 2024 THEME: Protecting, Connecting, and Thriving: We Are All Public Health University of Texas at Austin Presentation about HIVPC ACC Eastview Campus, African American Cultural Center 3401 Webberville Rd Austin, TX 78702 Austin Public Health’s Maternal Infant Outreach Program (MIOP) as we celebrate Black Maternal Health Week. https://nphw.org/About-NPHW ; https://nphw.org/ Speaker: Nathalia https://utexas.campuslabs.com/engage/organization/texaspu blichealth https://www.eventbrite.com/e/its-a-birthing-thang-tickets- 851986744287?aff=oddtdtcreator National Youth HIV & AIDS Awareness Day #NYHAAD | HIV.gov Date Topic/ Focus Location Messaging Platforms Budget Notes Measurable Goals LINKS Public Health Emergency Prepardness Response (note: YES) Target Audience HIV Planning Council Social Media Plan 2022 25th Anniversary Ride to promote awareness of HIV/AIDS and raise funds for Central Texas services and prevention efforts. MAY National Latinx Conference on HIV/HCV/SUD El Paso, TX Spicewood Springs Branch Library free, 2-hour course is open to …

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HIV Planning Council Recruitment and Retention Plan 2024 Steps for Membership Recruitment 1. Invite potential members to Planning Council meetings. Ask if they would like to be emailed information about Planning Council meetings? Connect with our social media accounts for information Update recruitment flyer on Monthly Digest 2. Advertisement Flyers Brochures Social media announcements, Encourage providers and partners to share on their networks, Newspaper Ads ATXN Radio Station announcements 3. Community Engagement Events: "Lunch & Learns" at locations with potential members, Community Forums, Collaborate with existing related events, event request form Ask for suggestions/input from potential members Network with other HIV-focused organizations Activities: trivia Offer incentives Use swag items to recruit members Engage with priority populations Provide swag packs for PC members to recruit 4. Communication Reach one initiative: Recruitment of Planning Council members through word of mouth. Utilization of everyday language Make HIVPC materials and resources more accessible FAQ sheet Creation of HIVPC brochure: description of HIVPC, current initiatives, accomplishments, requirements for potential members Presentations that illustrate outcomes and previous contributions to present to providers or groups. Steps for Membership Retention 1. New Member Orientation Provide new members with welcome packet (printed official signed Mayor letter of membership, HIVPC brochure, FAQ sheet) 3 months into membership survey new members for feedback on planning council 2. Membership Recognition Monthly Membership Spotlight Achievements in planning council and the community Welcome posts for new members 3. Check-ins/ Office Hours Provide members with the opportunity to connect with Office of Support about any issues or concerns Twice a month during the week, afternoons/evenings 4. Trainings and Development Communicate about attendance to upcoming conferences Available trainings on Digest Potentially attending "Lunch & Learns" of interest Glossary of Ryan White Part A Grant terms Team building activities 5. Suggestion Box A way for members to express needs and interests. Survey provided to members at the beginning of meetings 6. Conducting exit interviews/surveys Why has member decided to leave the planning council? Thank you, acknowledgement, for their work with planning council What Improvements Would Members Like to See? WE WANT TO HEAR FROM YOU! CLICK HERE to Submit to our Virtual Suggestions Box or Scan the Code Above! Contact Us! Email: hivplanningcouncil@austintexas.gov Facebook: facebook.com/austinhivpc/ Website: austintexas.gov/HIV Boards and Commissions Information: austintexas.gov/content/hiv-planning-council

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Austin Area HIV Planning Council Integrated HIV Prevention and Care Plan 2022-2026 Table of Contents Page # SECTION I: EXECUTIVE SUMMARY OF INTEGRATED PLAN AND SCSN................ 3 SECTION II: COMMUNITY ENGAGEMENT AND PLANNING PROCESS 1. JURISDICTIONAL PLANNING PROCESS ............................................................... 4 SECTION III: CONTRIBUTING DATA SETS AND ASSESSMENTS 1. DATA SHARING AND USE ........................................................................................... 7 2. EPIDEMIOLOGIC SNAPSHOT .................................................................................... 8 3. HIV PREVENTION CARE AND TREATMENT RESOURCE INVENTORY ...... 17 4. NEEDS ASSESSMENT .................................................................................................. 18 SECTION IV: SITUATIONAL ANALYSIS ............................................................................ 18 SECTION V: 2022-2026 GOALS AND OBJECTIVES .......................................................... 18 SECTION VI: 2022-2026 INTEGRATED PLANNING IMPLEMENTATION APPROACH ............................................................................................................................... 19 SECTION VI: LETTERS OF CONCURRENCE 2 SECTION I. EXECUTIVE SUMMARY OF INTEGRATED PLAN AND SCSN The Integrated HIV Prevention and Care Plan is a five year plan to accelerate progress in the Austin Transitional Grant Area (TGA) towards diagnosing all people with HIV early as a possible, treating people with HIV rapidly and effectively to reach sustained viral suppression, preventing new HIV transmissions by using proven interventions, including pre-exposure prophylaxis (PrEP), and responding quickly to potential HIV outbreaks to get vital prevention and treatment services to people who need them in order to increase access to care, improve health outcomes, and reduce HIV-related health disparities. This plan reviews the landscape of the HIV epidemic in the Austin TGA—the demographics of those living with and more likely to be impacted by HIV/AIDS, resources and services available, and needs, gaps and barriers to prevention and care. The second half of the plan details goals and objectives the Austin TGA in accordance with the plans of our partners initiatives Ending the HIV Epidemic and Fast Track Cities. In 2019, there were 6,721 people living with HIV/AIDS (PWH) within the five county TGA, with over 100 new diagnoses that year. A majority (85%) of people with HIV are male. Among males, Whites have a higher prevalence at 42%, followed by Latinx at 36%. Black females comprise 48% of all females with HIV, while Black males comprise 16% of all males with HIV. Men who have sex with men (MSM) continue to bear a heavy burden of HIV in the Austin TGA. Table D demonstrates the distribution of mode of transmission by race/ethnicity among persons living with HIV in the Austin TGA. The most common mode of transmission was MSM (70%) for all races/ethnicities. MSM was the most common mode of transmission for HIV cases among all groups: …

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Priority Setting and Resource Allocation • Slides for Module 5 Training Objectives 01 Following the training, participants will be able to: 02 Explain PSRA Importance and Context: 03 Explain Priority Setting, Resource Allocation, and Directives: Legislative Language on PSRA DUTIES The planning council shall: “establish priorities for the allocation of funds within the eligible area, including how best to meet each such priority and additional factors that a grantee should consider in allocating funds under a grant” §2602(b)(4)(C) PSRA: A PC/PB Responsibility Planning council is the decision maker about the use of RWHAP Part A program funds – at least 85% of the total grant award Recipient must manage procurement so that funds are spent on services in the amounts determined by the PC Funds can be moved among service categories only with PC approval Planning body sets priorities and recommends allocations and directives to the recipient HRSA/HAB Expectations for PSRA There are many “right ways” to carry out PSRA Process should be: Appropriate for your EMA or TGA Carefully considered and discussed Based on agreed-upon principles and criteria Documented in writing Followed consistently Reviewed annually and updated as needed HRSA/HAB Expectations for PSRA (cont.) The entire PC/PB participates actively in decisions about priority setting and resource allocation Decisions are made based on data, not anecdotal information or “impassioned pleas” PC reviews many types of data and directly links decision making to these data Meetings are open, but practices regarding public comment vary, and only vetted PC/PB members vote Conflict of interest is managed Both the actual process and results of PRSA are documented in writing HRSA/HAB Expectations for Priority Setting Priorities are developed based on service needs of all PLWH in the EMA or TGA, regardless of: Who they are Where they live PC/PB must establish a sound, fair process for priority setting and ensure that decisions are data based Services prioritized must be from those listed in the legislation and described by HRSA/HAB as fundable through RWHAP Part A HRSA/HAB Expectations for Priority Setting (cont.) Priority is based on the importance of services to diverse PLWH living in the EMA or TGA – which services should be a part of the comprehensive system of quality care Decisions on priorities should not consider sources or amounts of funding for these services Even if the PC/PB cannot fund all prioritized services, additional resources could become available – or other funding …

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