FY 2023 RWHAP PART A PLANNING COUNCIL_PLANNING BODY REFLECTIVENESS AND ROSTER FINAL-FINAL.PDF
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Recipient Name: Maricopa County Grant Number: H89HA11478 Date the form was completed? Membership Categories Vacant (Y/N/NA) Vacancy Duration (if applicable) Comment Section: Comments are required for all legislatively mandated categories. Include barriers for recruitment and plans to address vacancy. Healthcare Provider, including Federally Qualified Health Center No Community Based Organization (CBO) Serving Affected Populations/AIDS Service Organization (ASO) No Social Service Provider - Housing and Homeless Services No Social Service Provider - Other Not Applicable Mental Health Provider Not Applicable Substance Abuse Provider Not Applicable Mental Health & Substance Abuse Provider No Local Public Health Agency No Hospital Planning Agency or Healthcare Planning Agency No Affected Communities, including People with HIV and Historically Underserved Subpopulations No Non-Elected Community Leader No State Medicaid Agency Yes 5+ years The Recipient's office has reached out and identified a Medicaid representative that has agreed to attend one to two meetings per year to present data and reports to the Planning Council. These presentations are currently being confirmed and scheduled. Medicaid has identified that they do not have capacity for ongoing participation and membership beyond occassional presentations. State Part B Agency No State Part B Agency & State Medicaid Agency Not Applicable Part C Recipient No Part D Recipient, or if none present, Representative of Organization Addressing the Needs of Children, Youth, and Families with HIV No Other Federal HIV Programs, including HIV Prevention programs No Representatives of/or Formerly-Incarcerated People with HIV No 4/19/2023 Date the form was completed? Number Percentage (include % with # ) Number Percentage (include % with # ) Number Percentage (include % with # ) White, not Hispanic 6556 45.16% 11 50.00% 3 37.50% Black, not Hispanic 2413 16.62% 6 27.27% 4 50.00% Hispanic 4551 31.35% 3 13.64% 0 0.00% Asian/Pacific Islander 251 1.73% 0 0.00% 0 0.00% American Indian/Alaska Native 407 2.80% 1 4.55% 0 0.00% Multi-Race 338 2.33% 1 4.55% 1 12.50% Total 14516 100% 22 100% 8 100% Gender Number Percentage (include % with # ) Number Percentage (include % with # ) Number Percentage (include % with # ) Male 12468 85.89% 12 54.55% 8 100.00% Female 2048 14.11% 7 31.82% 0 0.00% Transgender: male-to-female 0 0.00% 1 4.55% 0 0.00% Transgender: female-to-male 0 0.00% 0 0.00% 0 0.00% Other gender identity 0 0.00% 2 9.09% 0 0.00% Total 14516 100% 22 100% 8 100% Age Number Percentage (include % with # ) Number Percentage (include % with # ) Number Percentage (include % with # ) <13 years 17 0.12% 0 0.00% 0 0.00% 13-19 years 65 0.45% 0 0.00% 0 0.00% 20-29 years 1306 9.00% 1 4.55% 1 12.50% 30-39 years 2898 19.96% 7 31.82% 1 12.50% 40-49 years 3099 21.35% 3 13.64% 1 12.50% 50-59 years 4081 28.11% 6 27.27% 2 25.00% 60+ years 3039 20.94% 5 22.73% 3 37.50% Other/Unkown 11 0.08% 0 0.00% 0 0.00% Total 14516 100% 22 100% 8 100% Planning Council/Planning Body Reflectiveness Table (Use most recent HIV Prevalence data) HIV Prevalence in EMA/TGA Total Members of the PC/PB Unaffiliated RWHAP Part A Clients on PC/PB Race/Ethnicity HIV Prevalence data source and year of data: 2022 Annual Arizona HIV/AIDS Report, based on 2021 data. Source: https://www.azdhs.gov/preparedness/epidemiology-disease-control/disease-integration- services/index.php#hiv-epidemiology-reports 4/19/2023 PC Reflectiveness and Roster 4/19/2023 0 22 1 36% Yes No None Name (use an * to self-identify) PC/PB Position Agency Affiliation Gender Race/Ethnicity Membership Category (Only use dropdown) Member since? Unaffiliated (1 for yes; 0 for No) Term(s) Steve Gallardo Member Maricopa County Board of Supervisors Male Hispanic or Latino Local Public Health Agency 3/1/2023 0 9th term *Randall Furrow Chair - Male White Affected Communities, including PWH and historically underserved subpopulations 4/1/2021 1 8th term Meaghan Kramer Vice Chair - Female White Non-Elected Community Leader 4/7/2021 0 1st term *Chuck Albrecht Member - Male White Affected Communities, including PWH and historically underserved subpopulations 4/22/2020 1 2nd term *Eric Eason Member - Male Black or African American Affected Communities, including PWH and historically underserved subpopulations 4/22/2020 1 2nd term *Alain Barnes Member - Male Race/ethnicity unknown Affected Communities, including PWH and historically underserved subpopulations 10/19/2022 1 1st term *Anthony Holscher Member - Male White Affected Communities, including PWH and historically underserved subpopulations 4/24/2022 1 3rd term *Casey Johnson Member - Male Black or African American Affected Communities, including PWH and historically underserved subpopulations 4/7/2021 1 1st term Cedric McIntosh Member Terros Health Male Black or African American Social Service Provider - housing and homeless services 7/27/2022 0 1st term Cynthia Quinn Member Maricopa County Jails Female White Representatives of/or formerly-incarcerated PWH 7/14/2021 0 1st term Deborah Reardon-Maynard Member Arizona Dept of Health Service Female White Other Federal HIV Programs, including HIV Prevention programs 2/24/2021 0 1st term Duvia Lozano Member Chicanos Por La Cuasa Female Hispanic or Latino Mental Health & Substance Abuse Provider 3/9/2022 0 3rd term Daniel Iniguez Proxy Pool Chicanos Por La Cuasa Male Hispanic or Latino Mental Health & Substance Abuse Provider 3/9/2022 0 3rd term Emily Halling Member Southwest Center for HIV/AIDS Additional gender identity White Community Based Organization (CBO) serving affected populations/AIDS Service Organization (ASO) 6/8/2022 0 1st term Casey Simon Proxy Pool Southwest Center for HIV/AIDS Male White Community Based Organization (CBO) serving affected populations/AIDS Service Organization (ASO) 6/8/2022 0 1st term Erica TeKampe Member HIV Care Directions Female White Hospital Planning Agency or healthcare planning agency 5/1/2021 0 1st term *Philip Seeger Proxy Pool HIV Care Directions Male White Hospital Planning Agency or healthcare planning agency 5/1/2021 0 1st term Eva Galindo Member - Transgender : male-to- female Black or African American Non-Elected Community Leader 9/1/2021 0 1st term Frank Schaffer Member Sundance Dental Male White Non-Elected Community Leader 6/8/2022 0 1st term *Jason Vail Cruz Member Valleywise Health Additional gender identity White Part C Recipient 6/8/2022 0 1st term FY 2023 Part A Planning Council/Planning Body Membership Roster What is the minimum authorized/prescribed number of PC/PB members according to PC/PB bylaws? How many individuals are currently serving PC/PB members? Date the form was completed? Comments: If you are not in compliance with the 33% unaffiliated client mandate, please provide a detailed and succinct narrative on how you plan to comply: Comments: If there are not term limits in the bylaws, describe the plans for establishing term limits. PC Minimum Membership: There is no minimum number of Planning Council members included in the current bylaws, only a maximum number (27). The Planning Council is in the final stages of completing updated Bylaws that will include term limits and membership minimums. Term limits will be set to two consecutive three-year terms, with a mandatory one (1) year break after completion of the two consectuive terms before being allowed to re-apply. The minimum number of members will be set at 21 members. Once the Bylaws are approved by legal, the Planning Council, and the Board of Supervisors, the limits will begin for all new members and, at the time of renewal, for existing PC members. What is the number of vacancies, if any? What percentage of PC/PB members are unaffiliated Part A clients? Do at least two members of the PC/PB publicly disclose their HIV status? Per the most current PC/PB bylaws are there term limits? What are the current term limits and membership rotations? PC Reflectiveness and Roster Taylor Kirkman Member Valleywise Health Female White Part D Recipient, or if none present, representative of organization addressing the needs of children, youth, and families with HIV 2/24/2021 0 2nd term Craig Crabtree Proxy Pool Valleywise Health Male White Part C Recipient 4/12/2023 0 1st term *Khambrell Arnold-Henderson Member - Male Black or African American Affected Communities, including PWH and historically underserved subpopulations 10/19/2022 1 1st term Patricia Sandoval Member AZ Dept of Health Services Female Hispanic or Latino State Part B Agency 4/12/2023 0 1st term Jimmy Borders Proxy Pool AZ Dept of Health Services Male White State Part B Agency 9/1/2021 0 2nd term Shane Sangster Member Native Health Male American Indian or Alaska Native Healthcare provider, including Federally Qualified Health Center 7/27/2022 0 1st term *Tashawn Blount Member - Male Black or African American Affected Communities, including PWH and historically underserved subpopulations 8/31/2022 1 1st term Total 8 Date: APPROVED AS TO FORM: Attorney for Maricopa County Date ___________________________________ Clerk of the Board ___________________________________ Date _______________________ _______________________ FOR AND BEHALF OF MARICOPA COUNTY: ___________________________________ Chairman, Board of Supervisors ___________________________________ Date ATTEST: CEO or designee signature: Annual certification by the Chief Elected Official (CEO) or designee (required only if a membership category is vacant) attesting there are plans to fill vacancies: Comments: If you are not in compliance with the membership requirements of RWHAP Legislation, provide a detailed and succinct narrative documenting efforts and plans to fill the category vacancy. Vacant membership categories: Medicaid - The Recipient's office has reached out and identified a Medicaid representative that has agreed to attend one to two meetings per year to present data and reports to the Planning Council. These presentations are currently being confirmed and scheduled. Medicaid has identified that they do not have capacity for ongoing participation and membership beyond occassional presentations. PC Reflectiveness and Roster