Item Description:
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Agmt A2311910 with Hennepin County, State of Minnesota (DHS), Minnesota Department of Health (MDH), Ramsey County, and City of Minneapolis to replace the 2016 Intergovernmental Agreement executed in 2016
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Resolution:
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BE IT RESOLVED, that Ryan White Intergovernmental Cooperative Agreement A2311910 with Hennepin County, State of Minnesota Department of Human Services (DHS), Minnesota Department of Health (MDH), Ramsey County, and the City of Minneapolis replace the previous Ryan White Intergovernmental Agreement executed in 2016; and that the Chair of the Board be authorized to sign the agreement on behalf of the county.
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Background:
This new agreement assures continued integration of HIV prevention and care community planning and coordination of public fund administration statewide. The agreement updates the framework established in 2016 for intergovernmental coordination of a strong public health approach to HIV prevention and care in Minnesota to comply with changes in federal guidelines for integrated HIV prevention and care planning in Minnesota.
Hennepin County is the recipient of federal Ryan White Part A funding to provide services to low income people living with HIV in the 13-county Minneapolis-St. Paul metropolitan grant area. The federal Ryan White legislation requires the Chief Elected Official of the Part A grant area, the Chair of the Hennepin County Board of Commissioners, to enter into intergovernmental agreements with jurisdictions that have 10% or more of the prevalent cases in the grant area to create a cooperative administrative mechanism to allocate funds and services for people living with HIV.
From 1995 to 2015, Hennepin County worked cooperatively with the State of Minnesota, the Cities of Minneapolis and St. Paul and Ramsey County to convene the Minnesota HIV Services Planning Council, a community planning body, required by the Ryan White legislation, that would prioritize HIV services and allocate both the County’s Part A and the State’s (DHS) Part B Ryan White funds jointly. With the HIV epidemic centered in the Twin Cities Metropolitan Area where 84% of people living with HIV reside, planning jointly with the State ensured coordination of public fund allocation and administration for HIV care in Minnesota. Prior to 2015, the Minnesota Department of Health convened a separate community planning body to advise them on their Centers for Disease Control HIV prevention funding.
In step with advances in 1) HIV treatment, 2) high impact biomedical prevention interventions such as pre-exposure prophylaxis (PrEP) and the 3) National HIV/AIDS Strategy, HRSA’s HIV/AIDS Bureau and the CDC issued new guidelines for states and local jurisdictions to fully integrate HIV care and prevention through the development of comprehensive plans that address the entire continuum of HIV prevention and care services. To fully integrate HIV care and prevention planning in Minnesota, Hennepin County’s Public Health Department, DHS’ HIV/AIDS Program and MDH’s STD/HIV/TB Section, the Minnesota HIV Services Planning Council and the Community Cooperative Council on HIV/AIDS Prevention (MDH’s HIV prevention community planning group) agreed to create one statewide planning body in 2016, the Minnesota Council for HIV/AIDS Care and Prevention, to fully integrate HIV care and prevention community planning efforts in Minnesota. The new Intergovernmental Cooperative Agreement continues to assure an integrated HIV care and prevention planning framework and strengthens cooperative administration of public funding of HIV prevention and care among government grantees in Minnesota. This agreement assures that the Minnesota Council for HIV/AIDS Care and Prevention continues to fulfill both the Ryan White Program federal legislative and CDC HIV prevention grant requirements for community involvement in planning for a comprehensive system of HIV prevention and care in Minnesota.
recommendation
Recommendation from County Administrator: Recommend Approval