HIV/AIDS Grants and Services

1
HIV/AIDS Grants and Services

• Gunther Freehill
• Director, Public Affairs
• County of Los Angeles
• Department of Health Services
• Office of AIDS Programs and Policy

2
Grant Funds

• The Number of Master Grants Managed by the Office
  of AIDS Programs and Policy.

What is Four?
3
OAPP Program Overview

• Funding 85 million
• Federal Grants
• HRSA
• CDC
• State Grants
• State Office of AIDS
• SB 90
• Hepatitis C Demonstration Project
• Net County

4
OAPP Program OverviewRevenue 2002-2003
4
5
Grant Management

• CARE Title I
• Annual application
• Conditions of award
• Minority AIDS Initiative
• Women, Infants, Children and Youth

6
Grant Management

• CDC Prevention
• Annual application
• Annual progress report
• Annual Plan for Services

7
Grant Management

• State Master Grant Agreement
• Prevention
• Demonstration Projects
• Corrections
• Hepatitis C
• High Risk MSM
• SB 90

8
Grant Management

• CARE Title II Consortium
• Annual application
• Women, Infants, Children and Youth

9
Grant Management

• Net County
• Annual Budget
• Maintenance of Effort

10
Grant Management Challenges

• Inconsistent Fiscal Years
• Inconsistent Guidance
• Inconsistent Reporting Requirements
• Overlapping Applications

11
Funding for Care

• The Largest Source of Funds for Care and
  Treatment for People with HIV in California.

What is Medi-Cal?
12
The CARE Act

• He was the person in whose honor the CARE Act was
  named.

Who was Ryan White?
13
The CARE Act

• The mode of transmission by which Ryan White was
  infected with HIV.

Why does it matter?
14
The CARE Act

• This is what the E in CARE Act Represents.

What is Emergency (Comprehensive AIDS
Resources Emergency Act)?
15
The CARE Act

• Within Two, the Number of Votes Cast Against
  Reauthorization of the CARE Act in 2000 in the
  United States Senate.

What is zero?
16
The CARE Act

• Within Two, the Number of Votes Cast Against
  Reauthorization of the CARE Act in 2000 in the
  United States House of Representatives.

What is zero?
17
The CARE Act

• These Two Senators Co-Sponsored the Legislation
  that Became the CARE Act in 1990.

Who are Edward M. Kennedy (D- MA) and Orrin G.
Hatch (R-UT)?
18
CARE Act Title I

• There are Fifty-One of These.

What are Eligible Metropolitan Areas (EMA)?
19
CARE Act Title I

• It is the Planning Council in Los Angeles County.

What is the Los Angeles County Commission on HIV
Health Services?
20
Commission on HIV Health Services

• Required by CARE Act Title I
• Establishes priorities for Title I and Title II
  Consortium funds
• Forty-nine members
• Seven committees

21
CARE Act Title I

• Two of the Four Primary Responsibilities of
  Planning Councils.

• What are
• Assessing Need
• Establishing Priorities
• Comprehensive Care Planning
• Assessing Administrative Efficiency?

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(No Transcript)
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Continuum of Care Services Model
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CARE Act Title I

• The Influence the Planning Council Has on Funding
  to Agencies or Providers.

What is None?
25
CARE Act Title I

• This EMA Allocates a Greater Proportion of Title
  I Funds to Outpatient Medical Services than any
  other.

What is Los Angeles?
26
Title I Priorities for Year 12

• Primary Health Care Services 64.9
• Ambulatory Outpatient 45.4
• Specialty 1.2
• Psychiatric 2.9
• Oral Health 1.3
• Nutritional Counseling .3
• Treatment Adherence .3
• Mental Health 6.2
• Substance Abuse 6.5
• Hospice .9

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Title I Priorities for Year 12

• Patient Care Coordination 1.6
• Case Management .8
• Referral .2
• Translation, Interpretation .6
• Economic Well Being 1.0
• Legal Services .9
• Permanency Planning .1

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Title I Priorities for Year 12

• Removal of Barriers 20.4
• Case Management 10.0
• Food 1.7
• Transportation 3.5
• Child Care .5
• Housing Assistance 4.6

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Title I Priorities for Year 12

• Enhancement Services .2
• Peer Support .2
• Program Support 1.8
• Planning Council Support 3.0
• Quality Management 2.1
• Administration 5.0

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ADAP

• The Number of Funding Sources for the AIDS Drug
  Assistance Program.

• What is four?
• Title II ADAP Set-Aside
• State General Fund
• Rebates
• Title II General Fund

31
ADAP

• Within Five, the Number of Drugs Available
  Through ADAP in California.

What is 184?
32
ADAP
Of Drug Costs, Dispensing Fees and Co-Payments,
the Costs that ADAP Will Support.
What Are

• Enrollment Costs
• Diagnostic Assays

• Drug Costs
• Dispensing Fee
• Co-Payments

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ADAP

• The Number of Drugs that Account for 50 of ADAP
  Costs in California.

What is 6?

• Nelfinavir
• Stavudine
• Lamivudine

• Lamivudine/Zidovudine
• AZT 3TC - Abacavir
• Lopinavir/Ritonavir

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ADAP

• The Maximum Annual Income for an ADAP Beneficiary.

What is lt 200 Federal Poverty No Charge gt200
and lt 50,000 Co-Payment gt 50,000 Waiver
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CDC

• The Local Implementation Group for CDC Funds in
  Los Angeles.

What is the Los Angeles County HIV Prevention
Planning Committee?
36
Prevention Planning Committee

• Required by Centers for Disease Control and
  Prevention
• Plans prevention services for CDC, State and
  local funds
• Twenty-nine members
• Five Committees

37
CDC
The Number of Local Health Jurisdictions with CDC
Cooperative Agreements
What is 6?

• New York City
• Philadelphia
• San Francisco

• Chicago
• Houston
• Los Angeles County

38
CDC
The Services Supported by the CDC Grants.
What are

• Surveillance
• Demonstration Projects

• Health Education and Risk Reduction
• Counseling and Testing

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Comprehensive HIV Prevention Program
40
Prevention ServicesPrevention Plan 2000

• Organized by Behavioral Risk Group
• Men Who Have Sex with Men
• Injection Drug Users
• Men who Have Sex with Men and Women
• Women at Sexual Risk
• Set Asides
• Native Americans
• Transgender
• Evaluation
• PHIP
• Youth

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Prevention ServicesDemonstration Projects

• Prevention for HIV Infected Persons Coordinated
  Prevention Networks
• HIV, STD, Hepatitis MTU Programs
• Prevention in Public and Commercial Sex
  Environments
• MSM-specific HIV, STD, Hepatitis MTU Program

42
The Congressional Black Caucus Initiative

• The Correct Name of the Congressional Black
  Caucus Initiative

What is the Minority AIDS Initiative?
43
The Minority AIDS Initiative

• This Congressional Committee Included Seven
  Members of the CBC when the Minority AIDS
  Initiative Began in 1998.

What is the House Judiciary Committee?
44
The Minority AIDS Initiative

• Within Two, the Number of Federal Offices that
  Distribute Minority AIDS Initiative Funds.

• What is five?
• Centers for Disease Control and Prevention
• Health Resources and Services Administration
• National Institutes of Health
• Office of Minority Health
• Substance Abuse and Mental Health Administration

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MAI Partners and Funding(in Millions)
46
MAI Partners and Funding(Proportions)
47
The Minority AIDS Initiative

• Of the 37.9 Million in CARE Act Title I Funds in
  Los Angeles, this much is Funded by the Minority
  AIDS Initiative (within 100,000).

What 2.1 Million?
48
Title I Allocations LA County
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MAI /CARE Act AppropriationsFiscal Year 2002
123,200,000 MAI Funds
1,919,609,000 CARE Act Funds
50
MAI / CARE Act Funding(in Millions)