Priority Setting & Resource Allocation Committee Minutes July 8, 2024

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Meeting of the Priority Setting & Resource Allocation Committee

Monday, July 8, 2024

By Zoom Videoconference

3:05 – 4:15

Members Present: Paul Carr (Co-chair), Marya Gilborn (Co-chair), Raffi Babakhanian, Kyron Banks, Billy Fields, David Klotz, Steve Hemraj, Matthew Lesieur, Guadalupe Dominguez Plummer (ex-officio), John Schoepp, Terry Troia

Member Absent: Matt Baney, Joan Edwards, Claire Simon

Staff Present: Scott Spiegler, Deb Noble, Gina Gambone, Johanna Acosta, PhD, Adrianna Eppinger-Meiering, Kimbirly Mack, Patrick Chan, Jimmy Jaramillo, Alex Dran (DOHMH); Arya Shahi

Agenda Item #1: Welcome/Introductions/Minutes

Mr. Carr and Ms. Gilborn opened the meeting, followed by introductions and a moment of silence. The minutes of the April 13, 2024 meeting were approved with no changes.  

Agenda Item #2: GY 2025 Application Spending Plan

Mr. Klotz recapped the discussion on the GY 2025 application spending plan to date. The EMA can request up to 5% over the current year’s award. In the NYC Base portion of the award, there would be additional funds to allocate due to the end of the one-time enhancement to Housing and the termination of the Health Education category. In the winter, the Committee will consider how to allocate these uncommitted funds in flat funding or decrease scenarios.

The Committee voted last month to reduce the Psychosocial Support category by 20%. The Committee had also asked about whether the two remaining programs in the Oral Health Services (OHS) category can absorb the uncommitted funds from the terminated contract. Ms. Gambone reported bothremaining programs have can absorb the funds in to increase capacity, including enrolling new clients and extending hours, and purchasing equipment to serve more clients (dental chairs, etc.). It was clarified that this kind of equipment is allowable (unlike capital projects such as construction). There was a consensus to keep the OHS allocation at its current level.

The Committee had requested additional information regarding potential targeted increases for categories with demonstrated unmet need, particularly Housing and Food & Nutrition. Ms. Noble explained that there is an average of a 12% increase for 2024 for all of US HUD’s fair market rents across the board for all housing sizes. Also, the NYC Rent Guidelines Board has recently increased rents for all 2-year leases in rent stabilized buildings beginning October 2024 by 5.2%. Additionally, research done by the DOHMH HIV Housing Unit shows that Ryan White and HOPWA housing clients are concentrated in the most rent-burdened neighborhoods (i.e., places where people pay the highest proportion of their incomes for rent). Finally, new HRSA policy now allows RW funds to be used for security deposits, which will affect Housing Placement Assistance programs. There was a consensus in the Committee for a 15% ($1,731,423) targeted increase to the NYC Base Housing allocation.

Ms. Gambone also reported that Food & Nutrition Services (FNS) could absorb an increase. Nine of 11 programs overperformed on at least one type of food service (i.e., congregate, pantry, voucher), seven of them overperformed by 130% – 196% and two overperformed by 238% and 528% respectively. Ten of 11 programs reached or exceeded their projected number of intakes—from 100% to 502%, meaning, programs continue to identify more people who need FNS services. And of course, food costs have increased substantially. There was a consensus in the Committee for a 15% ($1,172,690) targeted increase to the NYC Base FNS allocation.

Ms. Gambone also reported that Legal Services could support a 10% increase. The average time for cases has extended (especially housing and benefits cases), direct legal advocacy services and reassessment services have increased contributing towards overspending, and the programs in the category were able to spend down their entire enhancement from carryover funds. There was a consensus in the Committee for a 10% ($361,590) targeted increase to the NYC Base Legal Services allocation.

There was a consensus to allocate the remaining increase in an across-the-board increase weighted by ranking score (with no increases to ADAP, OHS or PSS).

A motion was made and seconded to approve the NYC Base application spending plan. The motion was adopted 10Y-0N.

There was a consensus to allocate the entire 5% increase ($353,538) in MAI funding to Housing, which is a 17% increase to that category.

A motion was made and seconded to approve the NYC Base application spending plan. The motion was adopted 8Y-0N.

The Tri-County GY 2025 application spending plan will be approved by the TC Steering Committee on Wednesday and go directly to the Executive Committee. The plan will also allocate a 5% increase request.

Agenda Item #3: Public Comment

Mr. Hemraj reported that the Governor is outsourcing home care services to a single provider (for a program where the services are hired directly by clients). There being no further business, the meeting was adjourned.