What is the Greater Hampton Roads HIV Health Services Planning Council?
The Norfolk TGA (Transitional Grant Area) Ryan White Part A Planning Council is a federally mandated group of dedicated volunteers appointed by the mayor of the city of Norfolk, Virginia to plan the organization and delivery of Ryan White Part A HIV/AIDS services. Part A funds go to Eligible Metropolitan Areas (EMA) and TGA's that have been hit hardest by the HIV/AIDS epidemic. Part A funds are used to meet the health service needs of people living with HIV/AIDS that are not met by any other health care programs.
It is also called the Planning Council, Ryan White Council or just Council.
What does the Council do?
The Council has several major duties, including:
Determine the size and demographics of the population of individuals with HIV/AIDS.
Determining the needs of people living with HIV/AIDS, especially those not in care, affected subpopulations and historically under served communities.
Setting priorities for the allocation of funds.
Developing a comprehensive plan for the organization and delivery of health services.
Assessing the efficiency of the grant administration and the effectiveness of services.
Establishing data driven methods (focus groups, Ad Hoc panels, public meetings, etc.) which focus on community needs and priorities.
Defining Standards of Care for services provided to people living with HIV/AIDS.
Coordinate with Federal, State and local grantees that provide HIV-related services within the TGA.
Be available to facilitate and collaborate with all funded AIDS programs within the TGA, including but not limited to: the CARE Act Part A, B, C, D and F, housing opportunities for people living with AIDS (HOPWA) funds and Centers for Disease Control and Prevention (CDC) funds.
Participate in the development of the Statewide Coordinated Statement of Need (SCSN) initiated by the State Public Health agency responsible for administering grants under Part B (Title II)
The Council has a mandate to focus on people who are not in care (i.e. not receiving medical care) by assessing their needs and developing programs to bring them into care.
The Planning Council and its Committees use parliamentary procedure or Robert’s Rules of Order to conduct meetings. If you want to learn more about this procedure, access the link on the website called Decision Process.
When and where does it meet?
The Council every month with a full schedule available at the Meeting Calendar link. All Council meetings are held at 741 Monticello Avenue, Norfolk, VA. For a full set of directions go to www.ghrplanningcouncil.org.
NOTE: Meeting dates and times are subject to change. For current meeting information, please see the Meeting Calendar link
How does one find out about Council meeting times and agendas?
The Planning Council has a website, www.ghrplanningcouncil.org which includes upcoming Council meeting times and agendas, locations, and minutes from full Council and committee meetings. It links to documents such as the Comprehensive Plan and other useful Council information.
How does one contact Council members or staff?
If you have any questions or need additional information please contact Ryan White Planning Council Staff at: 757-823-4409.
Who is on the Council?
The Planning Council is comprised of twenty-three (23) members who serve a 2-year term with the option to be considered for two additional terms. The Council is to be representative of race, ethnicity, culture, gender, geography, consumer and care service categories. Members are selected for their expertise, knowledge, ability and willingness to view the entire HIV/AIDS system and its unique characteristics and should be reflective of the epidemic in the Greater Hampton Roads region.
Are people with HIV/AIDS on the Council?
The Planning Council is comprised of various share holders in the community who directly or indirectly interact with the HIV/AIDS community and who have a vested interest to ensure that the best possible services are provided to ensure a positive and healthy outcome for those served. One of the most important components of the Planning Council membership and the reason why this program has been so successful over the years is the mandated requirement that one-third (33%) of Planning Council membership be consumers of services provided by the TGA. The involvement of the community is vital in ensuring that the funds are indeed being expended to their maximum benefit.
How does one join the Council?
Membership application forms are available from Council staff and on the Council web site at Become a Member. The Membership/Nominations Committee reviews applications of potential applicants on an ongoing basis. The Membership/Nominations Committee selects nominees and forwards names to the full Council. The Council votes on the applicants, and the names are forwarded to the Mayor for appointment. The Membership/Nominations Committee strongly recommends that persons thinking about applying to the Council attend several Council or committee meetings first.
Who nominates the members?
The Membership & Nominations Committee will maintain an ongoing and open recruitment process to solicit applicants for Planning Council membership/ The Membership and Nominations Committee shall identify nominees by advertising in the media, posting on the website and through individual contacts throughout the TGA. The Committee will submit to the Chair of the Council a list of candidates for Council membership. In the event of a vacancy, the Committee shall submit to the Chair of the Council names for appointment within thirty (30) days. The Committee will follow the established approved "Council Nominations Process".
What is the term of office?
All terms of Planning Council members shall be for two years and shall commence of the first day of June and end on May 31st. It is recommended that terms be staggered with members serving no more than three consecutive two-year terms. An individual may be eligible for an additional appointment after rotating off the Council for one calendar year and are members in good standing with the Council. Council members must meet the meeting attendance requirements to stay in good standing.
Can one participate without becoming a member?
All Council meetings and committee meetings are open to the public. Public comment is taken at the beginning of each full Council meeting and during the meeting on each agenda item. Members of the public are encouraged to participate in the discussions at committee and work group meetings.
What area does it cover?
The Norfolk TGA includes the following jurisdictations; Norfolk, Chesapeake, Portsmouth, Suffolk, Virginia Beach, Hampton, Newport News, Poquoson, Williamsburg, and the counties of the Isle of Wight James City, Gloucester, Mathews, and York in Virginai and Currituck County North Carolina.
What is the Ryan White HIV/AIDS Treatment Modernization Act?
The Ryan White HIV/AIDS Treatment Modernization Act was recently reauthorized in December of 2006. It redefined funded areas into two subsets—EMAs or Eligible Metropolitan Areas and TGAs or Transitional Grant Areas.. Prior to 2007, the legislation had been known as the Ryan White CARE Act. This federal legislation was originally passed in 1990 and reauthorized in 1995, 2000 and 2006. It authorized spending federal dollars for HIV health services through five different titles or parts. It was envisioned as a disaster relief bill to help cities and states overwhelmed by the costs of caring for people with HIV/AIDS. It helps support a comprehensive continuum of HIV health services for low-income people living with HIV. The current CARE Act will expire in FY 2010. Congress and Community Organizations are already working on the new version of the Act.
What is Ryan White Part A?
Part A (previously Title I) funds go directly to the urban areas hardest hit by HIV/AIDS. There are now 55 cities receiving Part A funds. The funds are for emergency HIV health services as described in the legislation. Part A requires a community planning process to prioritize and allocate the funds.
What is Ryan White Part B?
Part B (previously Title II) funds go to the states. Part B covers the AIDS Drug Assistance Program (ADAP, CADAP in Connecticut), which provides medications to low income people with HIV/AIDS.
What are the other Parts?
The other Parts fund specific programs or special needs groups. The money goes directly to community-based organizations and medical facilities. Part C (previously Title III) funds early intervention services and community health clinics. Part D (previously Title IV) is for services for women, families, children, and youth. Part F covers dental services at dental schools, the AIDS Education and Training Centers, and Special Projects of National Significance.
Who administers the programs?
The Health Resources and Services Administration (HRSA) administers the programs on the federal level. They are a part of the Department of Health and Human Services (HHS). The Greater Hampton Roads HIV Health Services Planning Council in Norfolk, VA (also known as the Grantee) provides day-to-day administration on the local level.
What determines how much money the Greater Hampton Roads TGA gets?
Congress appropriates the funding for the Ryan White HIV Treatment Modernization Act each year. Half of the money for Part A is distributed through a formula developed by the Centers for Disease Control (CDC) to estimate the number of people living with HIV/AIDS. The other half is allocated through a competitive grant proposal process, often called the supplemental grant.
What is it used for?
Ryan White funds pay for primary medical care, dental care, substance abuse treatment, mental health care, case management, and dental health services. In addition, 25% of total funds can be used for support services that help people get into medical care or stay in care such as housing assistance. It also pays for Planning Council staff and activities such as needs assessment, evaluation, comprehensive planning and grant administration. The funds are distributed to community-based organizations, public health programs, community health clinics, and hospitals.
Are there things that the funds can’t be used for?
Yes. The Federal government has a number of restrictions on funding. The money cannot be spent on capital improvements or construction. It cannot pay for permanent housing services. It must be used as the payor of last resort, meaning that if a service can be paid for somewhere else, such as billed to Medicaid, it cannot be paid for by Ryan White Part A. Money also cannot be given directly to consumers. The ability to use funds for counseling and testing or prevention services is limited.
Who can get services?
Ryan White Part A services are for people living with HIV/AIDS who are low income and uninsured or under-insured. Programs or agencies may have additional eligibility criteria, such as disability. Services are prioritized for those with the most severe needs, such as those who are homeless or who have multiple diagnoses.
Where are Ryan White Part A services available?
Ryan White Part A services are available at several locations throughout the Greater Hampton Roads TGA. For a full inventory of services in the TGA, visit our Where To Go For Services link on the website.
What else do we know about CARE clients?
More clients access medical case management than any other service, followed by medical care.
About 16% of current clients entered the system of care last year.
Nearly 70% of clients meet at least two of the criteria for severe need.