Meeting of the
PRIORITY SETTING & RESOURCE ALLOCATION COMMITTEE
Monday, December 8, 2025
By Zoom Videoconference
3:05 – 3:50pm
DRAFT MINUTES
Members Present: Marya Gilborn (Co-chair), Matt Baney, Camila Gomez, David Klotz, David Martin, Guadalupe Dominguez Plummer (ex-officio), Stella Safo, MD, John Schoepp
Members Absent: Raffi Babakhanian, Paul Carr, Joan Edwards, Billy Fields, Steve Hemraj, Marcelo Maia, Diane Tider
Staff Present: Doienne Saab, Scott Spiegler, Johanna Acosta, PhD, Adrianna Eppinger-Meiering, Laura Moya Adames, Abraham Omeyoma (DOHMH); Arya Shahi, Barbara Silver, Gemma Ashby-Barclay (Public Health Solutions)
Agenda Item #1: Welcome/Introductions/Minutes
Ms. Gilborn and Mr. Carr opened the meeting, followed by introductions and a moment of silence. The minutes of the November 10, 2025 meeting were approved with no changes.
Agenda Item #2: GY 2026 Spending Scenario Planning
Mr. Klotz explained that the PSRA Committee approved a GY 2026 spending plan for the grant application that requests an increase in funding. As in every year, the Committee meets in the winter to develop scenarios for implementing a possible reduction to the award. This meeting is to set the stage for developing reduction scenarios.
There was a review of the current (GY 2025) spending plan. It was explained that by the next meeting, there will be more information from the Recipient on possible savings in carrying costs that will be available to absorb part of a reduction in funding. In addition to changes in carrying costs, we will get information from the NYS AIDS Institute HIV Uninsured Care Program about how much of an upfront reduction ADAP can absorb. It was noted that the ADAP allocation has shrunk over the years from a high of over $16M to under $3M.
The federal funding picture was described. The White House, House of Representatives majority and Senate majority have all proposed different budget outlines. Congress has until the end of January when the current continuing resolution expires (which reopened the federal government after the longest shutdown in history) to approve a final budget (or pass another CR). The White House and Senate majority proposed flat funding Ryan White Part A (although the White House proposes eliminating Part F, and the House proposes ending Parts C, D and F). There are also proposals to end EHE and HIV prevention funds. Decreases are proposed to MAI funds from all parties, some modest, others drastic.
A proposed change in the way formula funds will be calculated starting in GY 2026 for Parts A and B was described. The number of cases in an EMA/TGA or state would be changed from counting the address when diagnosed to current address. HRSA estimates that this will benefit the NY EMA slightly with a 2% increase over 5 years.
Additional information from the Recipient will include any data on service categories with patterns of overspending. It was noted that for GY 2025, a drastic reduction scenario cut programs from the lowest ranked up. Newly rebid Behavioral Health programs were slated for a reduction ahead of lower ranked Legal Services as those were newly rebid contracts and it would have been easier to cut those rather than existing programs. For GY 2026, there will be new programs in Ambulatory Outpatient Care (HIV & Aging), Medical Case Management (Care Coordination), and Emergency Financial Assistance.
There being no further business, the meeting was adjourned.
