Ryan White Planning Council - Community Health Planning & Strategies (chps) Committee - Regular Meeting

Yes, the recording is going now. Okay. Line item number one, let's do the determination of quorums and we have three out of five members today. Having met um I believe yes, we only need three for today's meeting. So, we can go ahead and start. Okay, let's do the welcome introduction and declarations of conflict of interest.

Thank you, Eric. So, I will just call the names of anyone who is on the chips committee or anyone from the office who is scheduled to speak on today's agenda. So, when I call your name, please list any conflicts that you have. And we'll start with Eric Een. Eric Een, no conflict. Randall Furrow. Randall Furrow, planning council chair, no conflict. Erica Tamp Erica Tamp care directions conflicts with medical and non-medical case management referral for healthcare and support services transportation and HIPSA Jeremy Hiveron

Jeremy Hiveron Maropa County Reagan Hoy Reagan Hoy Maricopa County and Deborah Reen Maynard Good afternoon, Deborah Raiden Mayard, Arizona Department of Health Services. Yes, I have conflicts now. Um, ADAP and Ryan White partney. Thank you so much, Deborah, and everyone and Eric, we can go back to you for line item number three.

Thank you so much. Line item number three, review and acceptance of agenda. So the chair will not make any adjustments to the agenda. The chair may change the order of agenda items but not may not add any new items to the open meeting laws requiring advanced notice of agenda topics. Thank you. So this is our agenda today. We can't make any changes. Um but yes, this is what we are looking at for today. And so Eric, whenever you're ready, we can go on to the next agenda item for the reviewing of the past minutes.

Item number four, review and approval of the minutes and action items. The committee will review the minutes from October 2nd, 2025. A few of these are missing. the P for present. So, I can um make that edit actually right now. Sorry, I just noticed that. But once I make that, we can take a motion. Are we still waiting for people to um sign in?

Um no. So, we um this is the um all we'll have for today for attendance. Okay. I will now accept a motion to approve the minutes. Do I hear a motion? This is Erica. I move to accept the minutes. Thank you, Erica. Second that. Do I have a second motion? This is Deborah. I can second that. Thank you, Deborah. I think technically we have to It has to be a motion from someone who's on the chips committee. Oh, I'm sorry. I thought I added back in. So, never mind.

That's okay, Deborah. No, at at full planning council meetings, you totally can. Thank you. Um, thank you. Second motion. Uh, so was that from Eric? Yes. Okay. I think Sorry. I think all you have since it's three people, I think all you have for motions and seconds today are Erica and Randall. And then everyone can vote. So, Randall, do you do you second the the motion to approve the minutes? I'll second that motion. Thank you, Rand. Yes. Thank you, Rand. Thank you.

Do we have any comments or questions before I do a little roll call vote? Hearing none, we'll start with Eric. Yes, I approve. Randall, yes. and Erikica Camp approved. Thank you. Motion carries.

Okay. Thank you so much. Now we move to line chair update number five and updates as of today. That was no updates, right? Did I hear that correct? No.

Okay. Now we move to line item number six. Ryan White HIV/ AIDS Part A recipient by Jeremy Hernandin. Thank you, Jeremy.

Thank you, Eric. Good afternoon, everyone. Just a couple of things. Um, so maybe some quick things. uh part A site uh regarding our part A site visit uh corrective action plan after today's meeting maybe um the planning council uh will be done with their portions um admin items were completed as of this week and then for the fiscal stuff Elena and I are working on uh finalizing two policies that we should have completed in December and then everything will be able to be submitted um uh to on time. So, we're good to go there. We are also working on our EA non-compete continuation submission, which is due December 1st, but we're hoping we'll be able to submit that uh Thursday, so this week, so early, which was is great. Um uh also I just um uh wanted you all to be aware that Hersa did uh release a um proposed change to how they would be calculating formula funding. Um uh Lisa for our team announces that at the swag meeting on Friday. if you were there as well. Um but they are proposing to revise how formula funding for both part A and part B awards are are calculated currently and for the last uh however many years I think maybe since inception I don't know it's been a long time they've been uh doing they've been calculating the formula funding based on uh address at diagnosis um and the proposed change would change it to the most recent address uh for

people with HIV where they're living currently or the most recent address on file. Um and so that brings it in line with uh CDC's approach and HOPA's approach. Those were changed in the last couple of years. Um and they're currently seeking public comment. Um this is expected to have uh change um small changes in both uh the our uh formula funding and then also for the state of Arizona um for the part B formula funding um for uh the Phoenix EMA u which is us uh over the next 5 years it would increase our formula funding and our total award up by 11% um And also uh this kind of supports the uh in migration trend that we see here in Maricopa County. We are and have been consistently over the last several years the largest or the fastest growing county in the country. Um so uh that could have an impact and also um uh we do see that trend in our data as well when we look um at the data of new clients coming into our system of um we do have a lot of people moving here uh with HIV um and coming into the Ryan White system of care. Um we also just so you are aware um and is the chat open? I still have it turned off. Yeah,

I will send out the information. U Gwen, I'll get that to you so you can include it in the email we're sending later today to the council. Um uh the link to uh submit public comment if you'd like. Public health leadership did approve late Friday for me to submit a public comment in support of the change. Um so, but you'll be able to see in the link there's a full uh there's how to submit a public comment. Um, and also there's uh um it lays out the funding over the next five years, the proposed funding over the next five years for all the different jurisdictions and states that would be impacted by this. Um so um that's a potential exciting thing for our jurisdiction um to support the the growth in uh the epidemic from um people moving into the into the county. Yes, Randall. Um I understand that over five years it would be an 11% increase. How many

how many clients would that come down to approximately? I know 11%. in terms of how many we be able to serve or how many more clients

or how they're calculating it, how they're it doesn't give a it doesn't give like the numbers that they're basing it off that 11%. I think it's based on trends. We looked um at it and of our of our clients each year that we serve was able to rough estimate about two to 4% could be potentially coming in from outside of our jurisdiction. Um that doesn't necessarily mean coming from out of state. They might be moving from other parts of Arizona into Maricopa or now. Um, so but that would still impact that could still impact our our formula funding because it would be based on if they're living here um as long as that data is reported uh and on the on it. So there is some of we do see some of that but that's over the course of every year um they're calculating 11%. I don't it's a very complex calculation that they do on how they do and formula funding is only a portion of our it's the biggest part but we got formula funding and then supplemental which is based on our application and other various things. Um uh so there uh which goes into our total award. So 11% means the formula funding is probably jumping a little bit more than that. Um uh it just but it um yeah.

So bottom line it would it would convert over to the jurisdiction getting a little more money based on and uh could potentially allow us to serve more people. Also that depends on if the awards ever adjust for cost of living um and expenses, right? So, um um but yeah, it has to be open for 30 days. Um uh and then we'll we'll wait and see what they do end up deciding. Great. Also, thank you, Jeremy.

Of course, I got a couple more. Um just wanted you all to be aware. I'm going to pull something up on my screen. Um Gwen is going to share this out uh after the meeting. Um, but there are several World AIDS Day events uh coming up uh um in the next couple weeks. So, as you can see, there's the AIDS uh quilt memorial. The information is on here, the times and when it's available. Um it's actually uh uh open. It started yesterday and it's available to see through December 11th. Valley Wise Valley Wise Health is hosting a World AIDS Day event on Monday, December 1st. Uh Prisma Community Care is hosting a World's AIDS Day lunch and learn on that same day. Adilante Healthc Care is hosting a Rock the Ribbon event that same day. And then the World AIDS Day candlelight vigil is that evening. So, lots of events on Monday, December 1st. But we'll share this information. We'll share this uh this uh uh PDF out to the council so they can see. There's also an additional one for the lunch and learn to sign up um with a a link in the flyer to sign up. Um so we'll share those out if you're able to attend. That would be great. We have uh our team is going to be at uh a couple of the events um uh throughout the day as well. Um, and then I could have kept it on. I'm going to go into my uh allocations and expenditures report. All good news on the allocations and expenditures report. Um though we are still showing um about 263,000 underspent in part A and formula and MAI

funding. Um all of that is eligible for carryover. It's within the 5% right now. Uh, primary medical care is projected to be the most underspent, but we we know that that's probably going to shrink as we get closer to the end of the year. Um, most projected overspent right now is still health insurance premiums uh and cost sharing, which is mostly made up of the dental insurance program and medical case management. However, all of our service categories are trending in the right direction um based on the adjustments um that we uh that we made with the council's approval. um except for substance use services which is a small line item that um has been trending uh trending up but we should be able to adjust for that under rapid reallocation authority which is what we'll be coming to you with um at the December full planning council meeting. Um, as a reminder while I'm talk, while I mention it, December's planning council meeting is on the 16th of December and it's in person and we'll be doing it at the Parson Center this year. Um, but uh yeah, so everything's trending in the right direction. So where um from month to month is we've been been looking at this all of those that have make it a little bit bigger, the table a little bit bigger. All of these service categories that are showing in red on the right hand side of your screen, those overages are coming down closer to the budgeted amount. And we expect that trend to continue um because uh now that we have two months of the all the changes in place um for August and September uh uh expenses, we expect that to continue. So we are moving in the right directions and we

should be able to handle any uh closeout items with rapid reallocation authority. Any questions on that?

Okay. Okay. I'm complete. Thank you Jeremy so much. Of course. Now we'll move to line seven. Planning for needs assessments. And I'm going to have Deborah Raiden Mayard from AGHS um share updates. Thank you, Deborah.

Oh, I'm so glad that you wanted updates from me and not like a plan. So, it's like I haven't talked to anyone about this. I'm not sure what you need. Um but for updates, we're good. Okay. Um, currently and updates are going to sound an awful lot like what you heard if you went to swag, but um, right now with the needs assessment, the analysis has all been done. We are currently in the editing phase. Um, it's been given out to some of the other programs on our team, their epies to take a look and make sure everything is um, the way it needs to be before we provide it to anyone else outside of our office. Um, make sure we give you good information. So hopefully that will be ready to release fairly soon. Um I don't have a date yet. I'll have to check in with a link. Um and if I can say something about the integrated plan while we're here.

Sure.

Um okay. Since that's kind of attached to those. Um, we do currently have a community engagement feedback survey out um on the goals and objectives for um for the integrator plan and the proposed changes um as we update it for this next submission. Um, and Gwen, thank you so much for sending that out to um planning council. Um, we decided it probably was not the best survey to go out to like users of services because it's there's not quite enough information about what we're doing. Um, so it really should go out to folks that are involved in integrated planning process. But yeah, I think that's it for right now questions for me.

I don't have any questions. I will just jump in and say regarding planning um it's on the PECAT that uh the the the committee starts looking at planning the next uh our next smaller needs assessment. These are the ones we don't we don't do we don't necessarily do jointly unless there's a joint topic. Um so that's what that that's about. Um you'll have a smaller group. So, um, depending on where you want to go with this today, it's it's just that time of the year where we start need to start thinking about what type of topics or data we want to look at to decide on a smaller needs assessment survey type thing um for next grant year. So, we try to start the planning a little early for that. Um,

what was that? Oh, I said we have not identified anything yet at the state that we are intending to do for next year, but I'm sure we'd be happy to join in if we have some um some joint priorities. So,

and I'll just open we'll just open up the floor. Has anybody had any thoughts on potential ideas or data they'd like for us to bring to the next meeting? Possibly. As far as previous needs assessments, are there any populations or special things that we looked at where a needs assessment had hasn't been done um say in excess of 5 years or something? Thank you. Perfect. Um,

not included on here is a 2024 one for newly diagnosed uh, individuals which we did under with EHE funding um, and shared with you all. So, I think you're wide open on the topics. Erica's got her hand up. Okay.

Help us out. Help us out. I am wondering, and this may be off track for what a needs assessment would be, but um a lot of the potential uh federal changes coming are around like able-bodied adults without dependence. um

you know, is that something we would want to think about like so we can have I mean maybe we can have a good handle on that because we can look at ages and household sizes and things um just by looking at our data. But I don't know, just something to think about, I guess, in terms of a group that's maybe going to see some impacts and loss of services. So impacted maybe by Medicaid changes and such. Is that what you're saying? Medicaid, SNAP, housing. I mean, it's the population that's the most kind of

being and becoming vulnerable by by the changes, right? I've I as soon as you started talking I was like that the Medicaid population might be a good like and and but also but medic but the the subset within that right too of the populations that would be impacted I think we'd need Medicaid also I thought of that group too just because again but a lot of our Medicaid clients will be okay um anyway just somewhere either of those things

that sounds I think uh Reagan's on the call. Uh um Reagan, that might be a thing we should pull and start looking at how we can maybe pull some of that information to try to see like what uh how big that population is. And then we can bring that data back to the to J January's meeting and uh depending on what that data looks like, you all can start thinking about like what types of questions you want to start um asking and then hopefully by my by March's meeting, we can come back with some like draft questions for the group to review if we go that route. Even if the changes are being impacted, I think it'd be good to find out like how are they being impacted and how is that really and so like it's their their needs might be changing, right? Um any other thoughts?

I would like to see that. I just wonder um as far as like getting data and stuff like that. Um,

we think we have enough information in this system to be able to pull. Yeah, cuz we would pull it probably like Medicaid would be one of the parameter people on Medicaid, but also people who are um household of one um because they're most impacted. They they they're one of the most impacted populations by the changes. I think there's ways we can filter with some of the information we have. Um Erica, we might need to reach out to you um to to to confirm some of those things.

So yeah, I really really I really like that idea and would look forward to seeing what the team can bring back to us in January. Sorry about that.

We collect this. This is Michael Brown. Do we collect information of people that are underinsured or maybe uninsured as well? Erica's nodding. Um, yes, kind of. I mean we know people who are not insured. Um generally we people who are underinsured we if we know that if we're provided that information we try to steer them to places to get to better insured. Um or they go on Ryan White. Uh but it's hard unless they're reporting if they're just reporting they have insurance. It's not necessarily screened unless they're asking for us to screen it. Right. Eric.

Yeah. Ideally, we are collecting uh insurance cards and ADAP uh wants us. It doesn't always happen. I mean, but it's a it's like a goal to screen everyone's private insurance for um uh gosh, why am I spacing there? Affordability and adacy.

Adequacy. that's the a word. Um you the reality is a lot of times they come to us already on insurance. So there's no there's kind of no point there's nothing to do at that point because you can't drop insurance um once you have it. So, but if we can um evaluate affordability and adequacy and adequacy is what we're talking about here beforehand uh then we can give some guidance and we do have little boxes in uh the portal to mark affordability and um adequacy. So, we kind of have some information, but I don't think it's uh all inclusive because like I said, if they already come with it, then we, you know, aren't evaluating it and checking those boxes. A long answer. Sorry.

Thank you, Erica. Curiosity. Um, great question, Michael. First of all, uh Deborah, from a part B perspective, um do you guys have data related to your area of jurisdiction on questions like that regarding the uninsured, underinsured, that kind of thing. Ours is going to be very similar to what Erica's talking about where yes, as we are working with clients, we are collecting that information from individuals. So, we could pull some of those things. They may not be as in-depth as what you're hoping for, but we could do some.

Okay. And Eric's nodding, so that makes sense. I would say those would need to be pulled the portal level which uh would ADHS would have to take the lead on that because we don't um but and that stuff's not that that level is not imported into Careware where we pull our data from

the other pieces we're talking about with the filtering out of the population Erica was talking about the most of that stuff is already in Careware um that we could pull from there um not necessarily easily but we could And just one more thing to the adequacy issue is that uh there are insuranceances that are adequate prescription inadequate medical and vice versa. So we also can't say oh just because it was inadequate for prescription coverage it must be inadequate for medical also because that's not always the case. So, we really would as best we could need to make sure we're like getting separate data, not not assuming the two go together. And the other thing that we may be able to pull, it's from, you know, last year's needs assessment, but we may also be able to look at some of the response to the questions that were asked around insurance because, you know, we have asked that in the last year or two of needs assessments. Um, which obviously are not totally aged out yet. Um, but we may be able to make some inferences based on the the different types of data we can pull.

That would be great. Yes. Okay. Is that something um Deborah that you all could maybe take a look at um and just come with a few talking points about that to the January meeting specifically around the insurance about any any like any insights you're seeing from that from those those bits if you'll have time I will ask Elena if she has time to um look at that data from that aspect I'm looking forward to the January meeting now. Right. Right. I know. Thank you, Erica.

Now, we to line eight, priority setting and resource allocation, PSRA, process review. Gwen, are you ready for me?

Yes. Thank you, Eric. So, as part of the um HERSA site visit corrective action plan, HERSA has asked us to create a document that reflects our current PSA procedures and have this submitted to them within the next month or so. So what we wanted to do so this document I sent this out to the committee a few weeks ago and this document reflects how we are currently doing PSRA and I know that there will probably be some changes happening for next year's meeting but for the purposes of this document I just wanted to make sure that I'm writing it properly as we've currently done the PSA process and my question for the committee today would be if if you had the chance to review this are there any steps that are missing from the timeline portion specifically when it comes to the planning council and the chips committee. So, um yeah, in the interest of time, we probably won't go through this like in a lot of depth right now, but I wanted to give you all a chance if there was anything that you thought was missing that you wanted to add or anything you wanted to change from the planning council side. I read through it three times and I cannot find anything that needs to be added or the spirit of the steps that we need to um change. But um to to me it's very reflective of the process as we currently do it.

Yeah, that's good feedback. And then yeah, as we um as we make edits to the process for next year, we can revisit this document and then at that time I will type up changes as the committee makes them. So we can worry about like big changes later. But yeah, just for now if as long as everyone feels like it's reflective, then we can go ahead and submit this as part of our cap. I reviewed it also and um at this moment I don't have any changes for it.

Okay, thank you. Perfect. Um, I'll pause for a few more minutes in case any or a few more moments in case anyone has any comments. If not, we can accept this. Jeremy, we need we don't need to vote on this, do we? Because it's not or I don't know how we wanted to approve it. We could it would be We did We did vote on the other thing in STAR, right? Yes. Yeah. It's just But it's just a vote of the committee. He doesn't have to go to the full council. I think is what we did. The only the the one I think I was most wondering about was Can you go down to the bottom of page six and top of page seven? Yes.

I think this is the one that I was uh right there that kind of ranking that one. I think we'll have to flesh out a little bit more for next year. Um uh cuz that makes it seem like that last bit of the really deep work that the council does on the rankings and allocations is it it oversimplifies it I think. Um, but uh if there's if there's anything on this little like the ranking all 28 service categories and set setting the allocations for the upcoming grant year, if there's anything you'd want included there now, we can do that. Um, or if you're okay with just leaving it as is for now, we can um we can push it forward for now and then just come back to it when we're um it is a little bit simplistic. Um, however, I'm trying to outguess the people at HERSA that would be looking at this and reviewing this and um, you know, is simplistic something that's going to be good enough for them or are they going to want more meat to it? So, so do you have any idea like who at HERSA looks at this? Is it, you know,

I still will be part of it and I'm sure and if they have feedback that's great, too. Like I'm I think we can welcome feedback on this as well. Um, this is the first time we're actually doing something that's really talking about all the steps uh in a document like this rather than just like an Excel spreadsheet, a checklist, right? This is a little bit more detailed and and Gwen kept adding things um as we were reviewing some of the processes that we do. But Erica, you were gonna say something.

Um, I just I agree with what Randall said. I think sometimes if we try to really start putting every little detail, you also open yourself up for providing too much information, I guess, that then could get nitpicked. And especially if potentially there could be changes, I think a kind of broad like ranks and then, you know, there's a few steps there. I think I don't know. I think that's sufficient. If they want more, they can ask for more. It's a lovely document, so I think they really got a lot of good information.

Taylor has her hand up.

Yeah, I would just um second what Erica just said, having just gone through the corrective action plan process with HERSA on part C and D. Um the simpler the better because the more detail you put, the more they tear it to pieces. So, um, keep it simple because they can always ask you to add to it, but the more you put in there, the more problems they will find with everything you write down. So, love it. I like that we put a lot of detail in the leadup to it because it shows how much work goes into it. um as well. Um and obviously we are going to based on the feedback from the the survey and stuff too and the conversations that we've had with all of you, we we will be making changes to this in terms of like particularly, you know, thinking about things like day two potentially being in person and being able to get all that stuff done, everything signed before we leave the room. Um that kind of stuff too. So like that um uh we will adjust for those things and um and and some of the facilitation pieces as well. Um but we can come back and and do that once we've made decisions as a as a once you all have made decisions as a committee on how you want to move forward. So, all right then. If uh sounds like we're we're good to to uh ask for a motion, Eric, to to approve this

motion to approve.

Randle, you're on mute. I'll make that motion. I'll second the motion. Are there any comments or questions before we do the roll call? Just great job. Great job by you. Thank you. Yeah, Gwen did a lot of great work on that. Thank you. And thank you all for the feedback, too. So, for the roll call, we'll start with Eric Een. Yes. Randall Furrow. Yes. and Eric Tamp. Yes. Motion carries. Planning council's done with their site visit cap items.

Okay. Thank you everyone. So now we'll move on to line number nine. Review of early identification of individuals with HIV/ AIDS. And I would like to welcome Reagan. Forgive me if I say this wrong. Reagan Hoy. It It's a It's a difficult one. So, thank you so much for being Eric. Are you comfortable with her going right to number 10, too, as she's presenting because it's all together.

No problem. Great. Um, Gwen, do you have the slides available? Gwen, you're on mute. Sorry, I was talk. Okay, I will open those up, Reagan. Just give me one second. Thank you, Len. Um, I'm sorry for not having my camera on. My internet is deeply unhappy today, so no camera for today. But this presentation is just a brief overview of our summer 2025 continuum data, which I sent out to all our providers a few weeks ago. Um, many of you will have seen this, so I'm going to go a little bit quicker than I did last time, but we will also add on some um, e-ha data. All right, so this first slide is just a basic overview of our key metrics. So, we served 45,527 clients over the summer 2025 period, which as you can see in the lower right hand corner is from July 2024 to June 2025. That's about 250 less clients than we served in annual data. Our retention, receipt of care, and suppression all went down by 1% over that time period as well. That's pretty standard. We expect um the percentages to increase over the course of the year. So, we would expect in the annual 2025 data for these percentages to be higher than that. So,

it's not really cause for alarm that they've decreased. This next slide is just a visualization of how summer 2025 compares to annual 2023 and annual 2024 data. Um, so our client count is pretty similar to what it was in 2023. And then our retention receipt of care and suppression again have decreased by 1% since annual 2024 data, but it's looking higher or on par with 2023. These are our overall continuum goals. Um, so we're hoping to meet these by annual 2025 data. For retention, our goal is to get to 94%. We're at 93, so we're pretty close there. And then for suppression, our goal is 90%, which at this current moment looks like it's very probable. So, next up are service category goals. Um, here this shows what our service category goal is for each of these and then what our actual is. The values highlighted in orange are where we're not quite meeting the goal yet. So, that would be in MCM suppression. We're at 85% whereas our goal is 87. OS suppression, nutrition suppression, as well as non-medical case management suppression. And again, we expect these values to increase. Um, and none of them are very far off from their goal except perhaps OHS suppression is about 4% below. Next up, this is a summary of our viral suppression by demographics. So, our overall suppression is at 88%. So, that line, that dotted line on the right hand side is how you could compare all these other values to the overall average. Some things that I wanted to point out here. Um, interestingly, cisgender women

have the lowest viral suppression rate, which is very atypical. They typically have the highest of the three groups listed here. Cisgender men, cisgender women, and transgender women. Um, but on the other side of that, transgender women are above the average, which in the past, um, they have not been. They've usually been below the average. So, that is a great increase. The 18 to 34 age group has increased by 2% the suppression. That is a very difficult population to reach. So that's a significant improvement. But we also served about 100 fewer clients. The Hispanic population is growing a lot. We actually had 200 more clients than annual data and they have a very high suppression rate. So they are at 90% suppression as our biggest demographic group. It's interesting the white non-Hispanic group is actually decreasing by the same amount um of clients as Hispanic is increasing which is pretty interesting. So there are about 200 fewer white non-Hispanic clients in this data set but their suppression increased by 1%. We have also seen an increase in the number of temporary and unstably homed clients and a decrease in stably homed clients. This is an overview of our priority population suppression. So again, the average is 88%. Here, um, black MSM is at 83% which is a bit below our overall average, but that is an increase of 3% from annual data. On the 18 to 24 year old subgroup, their suppression increased by 4%. Again, difficult group to target. So that's a big increase. And then transgender women of color and young Hispanic men are significantly above average. That is especially notable for the transgender women of color. I believe just a few

years ago they were in the low8s and now we're in the 90%. Also one of our fastest growing populations. It's a smaller population but it is still uh in the last uh 3 years we've grown by almost 50% in that population. All right. And this is the EHAN newly diagnosed information. So EH stands for early identification of individuals with HIV and AIDS. Um so here we're taking a look at those clients. We served about 218 newly diagnosed clients in summer 2025. Again, July 24 to June 25. You can see the overall split over there on the left. So about 31% of our newly diagnosed clients are not E-Ha and then 69% are E-Hawa clients, which would be young adult, Hispanic MSM, and black and AfricanAmerican MSM. This percentage is pretty consistent. this like proportion um it's been within 3% over the past 3 years. So like in 2022 and 2023 it was 70%. 20 e-ha 2024 it was 68% e-ha and now it's 69% e-ha. So it's been very consistent in that proportion. As far as the specific breakdown um the proportion of the young adults and black African-Americans stayed the same but Hispanic MSM increased by 2%. Finally, this is our EIS services continuum. Couple notes on this one. This is currently only funded by EHE and it does include clients served under EIS through the Jumpstart program. And for those that don't know, the

Jumpstart program provides case management and EIS services for people with HIV during incarceration as well as after their release to the community to support their engagement into medical care and support services. So here these stats linked to medical care that's 75% linked to Ry White 54% 67% redemption 64% engaged in care and suppression is 55%. suppression is always going to be quite a bit lower than the other SER categories just because of the nature of EIS services. But this is a 4% increase since the last time I presented this data partially because our jump start programs and jail jail project programs have kind of stabilized over the recent months. Um so we're seeing a big increase in that. And that is actually all the data I have from summer 2025. Um, you guys can let me know if you have any questions. Providers also have the specific dashboards available on their FTP site. Um, I have a brief question. Um, Gwen, can you go back to the I think it was the second slide

this one, Randall, or was it the one after? Maybe after. There we go. Um and again it's just a refresher from my memory on the diagnosed why what happened in 2024 that there was a bump of newly diagnosed about 300 and then the next year it was 300 below what was what was going on in the landscape

I will just quick clarification I'm going to let Jeremy handle this but um these numbers are not necessarily newly diagnosed. Just something to keep in mind. Um so in summer 2025 actually only about 200 of those clients were newly diagnosed. Okay.

Uh so Randall so on the continuum in the in the time frame so 2023 and 20 24 those are calendar year right January to December. um it is individuals who were eligible and had at least a service even even if it was an eligibility service um on the continuum. So the numbers don't always match even what we have on PSR the midyear stuff it's similar to uh what we see in uh the outcomes where um the end number is kind of wonky throughout the year until the end of the year um because we don't do our full year data analysis until 5 months after the till after the grant year is closed. So there might be services reported that are reported late like dental comes in later or those you know medical sometimes comes in a couple months later some so um but they so there is a sometimes a little bit of lag in in the crossover there and on in all honesty and we've like tried over the years to fix this as much as possible but there is some just discrepancy in running our report not on a calendar year cycle. So there's always a little bit of uh room where we that's why Reagan's like we we anticipate these percentages going up because that's the trend we always see every year. Um it's not that our expression has necessarily dipped, but because we're running the reports sooner so we can see the stuff um and not letting the the grant year close to get the whole calendar year stuff like it kind there's just bit of a lag time in between. So they don't always line up perfectly. If we were running the summer 2025 data on the same schedule, it'd be be run like four to five months after

June had completed. And so uh so then it they might look a little bit more uh reflective, but then we're always feeling like we're playing catch-up. So this helps us to make decisions and pivot and see the data where we need to focus, but it doesn't necessarily reflect the uh the same. It's a little wonky comparing them side to side. Does that make sense? I will say 2024 we saw a number of bumps, right? We saw uh Medicaid unwinding happening and and some of that stuff. So maybe there has been some settling of that kind of stuff. Now with all the changes happening, we might see an influx next year

in the data, right? Um uh more people needing Ryan White services, they come back to us. But if they're on Medicaid and are not using case management or not using other services um or they are enrolled in other insurance or whatever and they're not using other services, they may not be included on here even if they are eligible for our services. So that might be also explaining a little bit of that that dip from from year to year. Great. Thank you, Reagan. beautiful job and thank you and Jeremy for um Can we go Go ahead.

Sorry I interrupted you before Gwen took it down took the slide down. Can we go to slide number five, Gwen, which is the service category goals? I just wanted to let you all know that uh uh Crystal, our our uh Crystal Hilton, our project officer for part A, um is doing a project with her jurisdictions on support service category goals. And so looking at goals that are not as closely tied to the continuum, but looking at developing some performance measures that are um around service delivery and improvement of care there. Um this is an extra thing that we uh um signed up for with her. So, we're currently looking at a couple of different goals that we'll be talking to subreients about that would be impacted um uh particularly around uh non-medical case management and and referral for healthcare. Um we think that their performance measures are simple but in um and um but and do uh and doable um with not requiring a lot of lengthy work from our subreients to meet the goals. an um something that could allow us to see improvements in things like people renewing on time or renewing with the proper documentation or with um better understanding in our system of where clients are being getting their case management um care and uh that they're active in case management. So, those kinds of things we're taking a look at, but we'll be talking to our subscribers about, but I just wanted you all since we were talking about it today to be aware that this is a thing uh we were asked to participate in and uh Gina um and Reagan and I are are participating in.

Thank you so much, um Reagan, Jeremy, and um there a lot of um work that goes into this. So, thank you so much. Any questions? Nope. Okay. Line item number 11, parking lot. And I don't think there's any items in our parking lot at the at the time. So, we move on. Line item 12. We're going to review the scope of work and planning council activity timeline. PCAT, can you pull up the PECAT document to share, please? Do you think there's any changes that need to be made to this? Um, so far it looks like January does cover everything that we need to talk about. So if anyone else has any items to add, we can we can there's also an agenda item later um Eric on the agenda for items to add to the next meeting. But I think so far the PECAT is good.

Thank you so much. Mhm. Line item 13, determination of agenda item for next meeting. Any items that we need for the next meeting by any chance? I have none that I could think of.

Focusing on integrated plan updates and uh needs assessment planning. Is that what that needs assessment? Yes. That's it, Eric.

Okay, thank you. Okay, line 14, current event summaries. This is the time for planning council members to share a brief summary of current events. Members of the planning council cannot propose, discuss, deliberate, or take legal action or any matter voiced during this time. Nope. Okay. Line item 15, call to the public. This is a time for the public to comment. Members of the planning council cannot propose, discuss, deliberate, or take legal action or any matter voiced during this time. Any calls from the public? Nope. Okay, the time is 1:00 for the record and the next meeting will be January 27th, 2026 at 12. I call this meeting ajourned.

Thank you. Thank you all. Thank you. Great job.