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CHACHSPT November 13 & 14, 2019 Record of the Proceedings CHACHPT | November 13 & 14, 2019 1 Table of Contents Designated Federal Officer Opening of Meeting and Roll Call ..................................................... 1 Introductions, Welcome, Adoption of Minutes .............................................................................. 3 Designated Federal Officers Welcoming Remarks......................................................................... 3 HRSA Update ................................................................................................................................. 3 U.S. Department of Health and Human Services (HHS) Office of Infectious Disease and HIV/AIDS Policy (OIDP) Update on the National Strategies ........................................................ 4 HIV (NHSP) and Viral Hepatitis (NVHSP) Joint Development ............................................................... 4 STI Federal Action Plan ........................................................................................................................... 4 HRSA HIV/AIDS Bureau (HAB) Update ...................................................................................... 5 CDC Updates .................................................................................................................................. 7 CDC and HRSA on Updates - Discussion ...................................................................................... 8 Presentation: Update on Ending the HIV Epidemic: A Plan for America .................................... 11 Update on Ending the HIV Epidemic: A Plan for America HRSA and CDC Updates: Discussion ....................................................................................................................................................... 14 Panel 1: Building Community Capacity for Engagement to End the HIV Epidemic ................... 18 Panel 1 Discussion .................................................................................................................................. 23 Panel 2: Engaging People with HIV Who Are Out of Care: Changing the System ..................... 25 Presentation: NIMH Research to Inform the Federal Ending the HIV Epidemic (EHE) Initiative ....... 25 Presentation: Engaging Out of Care Populations: Targeting Services for Inmates .............................. 27 Housing: Contracting as Intervention .................................................................................................... 29 Substance Use and HIV Care.................................................................................................................. 29 Marking Sense of the Patient Experience: Engagement and Retention Strategies of the Ryan White Wellness Center at Roper St. Francis Healthcare .................................................................................. 31 Panel 2 Discussion .................................................................................................................................. 32 Recap Day One ............................................................................................................................. 35 Day 2, November 14, 2019: Opening Session .............................................................................. 37 Recap of Day 1.............................................................................................................................. 37 Panel 3: Prioritizing PrEP to Support the End of the HIV Epidemic ........................................... 37 Presentation: CDC Preparation and Implementation ............................................................................ 37 Record of the Proceedings CHACHPT | November 13 & 14, 2019 i Presentation: HRSA Guidance................................................................................................................ 39 Presentation: The Health Center Program: Expanding Access to PrEP ............................................... 39 Presentation: Integration of PrEP into Primary Care at Whitman-Walker Health ............................... 40 Presentation: HIV Prevention: Sexual Health ........................................................................................ 41 Panel 3 Discussion .................................................................................................................................. 42 Public Comment ...................................................................................................................................... 45 Panel 4: Models of Clinical Care and Workforce Issues .............................................................. 46 Presentation: HIV/AIDS Bureau Workforce and Model of Clinical Care Activities .............................. 46 Presentation: The PATHways Program at the Vanderbilt Comprehensive Care Clinic: An Innovative Approach to Reach Traumatized, Marginalized People with HIV Otherwise Not Engaged in Care ..... 47 Presentation: Ending the Epidemic ........................................................................................................ 48 Panel 4 Discussion .................................................................................................................................. 50 Guidance for CHAC Resolutions and Recommendations ............................................................ 51 Update on the Recency Assay-Based Incidence Estimation Pilot Project .................................... 52 National HIV/AIDS Strategy (NHAS)/EHE Workgroup Report ................................................. 53 Recency Assay-Based Incidence Estimation Project and the NHAS/EHE Workgroup Report: Discussion ..................................................................................................................................... 54 Perinatal Infectious Disease Workgroup Report........................................................................... 57 HIV and Aging Workgroup Report .............................................................................................. 57 Hepatitis Workgroup ..................................................................................................................... 58 Update from the Presidential Advisory Council on HIV/AIDS (PACHA) Liaison ..................... 59 Update from the Presidential Advisory Council on HIV/AIDS (PACHA) Liaison: Discussion . 59 Business Section ........................................................................................................................... 60 Record of the Proceedings CHACHPT | November 13 & 14, 2019 ii Designated Federal Officer Opening of Meeting and Roll Call Laura Cheever, MD, ScM Associate Administrator HIV/AIDS Bureau (HAB), Health Resources and Services Administration (HRSA) Theresa Jumento, PhD Senior Advisor, Division of Policy and Data, HAB, HRSA Dr. Theresa Jumento welcomed participants and provided instructions for meeting participation and logistic information. Dr. Laura Cheever welcomed meeting participants and said the theme was ending the HIV epidemic. She reminded participants that Centers for Disease Control and Prevention (CDC)/ Health Resources and Services Administration (HRSA) Advisory Committee (CHAC) meetings are open to the public and that all comments made during the proceedings are a matter of public record. Dr. Cheever reminded voting members that they should recuse themselves from voting on matters for which they have a potential conflict of interest. Dr. Cheever conducted roll call and asked committee members to state any potential conflicts of interest for the record. CONFLICT OF INTEREST DISCLOSURES CHAC Voting Member Potential Conflict of Interest (Institution/Organization) Chair: Jean Anderson, MD Recipient of (HRSA) Ryan White HIV/AIDS Program Professor of Gynecology and Obstetrics (RWHAP) funding, Gilead Sciences trauma-informed Johns Hopkins University care funding, spouse’s IRA includes Gilead stock Marvin Belzer, MD, FACP, FSAM Recipient of funding through CDC, HRSA, Substance Professor of Clinical Pediatrics and Medicine Abuse and Mental Health Services Administration Division Head, Adolescent Medicine (SAMHSA), National Institutes of Health (NIH) University of Southern California Demetre Daskalakis, MD Associate Clinical Professor of Medicine, none Infectious Diseases New York Department of Health and Mental Hygiene Debra Hauser, MPH Recipient of CDC and Gilead Sciences funding, on President Trojan Sexual Health Advisory Committee Advocates for Youth Peter Havens, MD, MS Recipient of HRSA and NIH funding, and CDC funds to Medical College of Wisconsin Wisconsin for Pre-exposure prophylaxis (PrEP) Venton Hill-Jones, MS Chief Executive Officer Organization receives Gilead Sciences funding Southern Black Policy and Advocacy Network Devin Hursey Employed by hospital that receives RWHAP funding U.S. People Living with HIV Caucus Record of the Proceedings CHACHPT | November 13 & 14, 2019 1 CHAC Voting Member Potential Conflict of Interest (Institution/Organization) Johanne Morne, MSEd Director Recipient of RWHAP funding New York State Department of Health, AIDS Institute Kneeshe Parkinson Recipient of RWHAP funding Kneeshe Speaks Susan Philip, MD, MPH Infectious Disease Specialist Recipient of HRSA and CDC funding San Francisco Department of Health Michael Saag, MD Recipient of funding from HRSA, CDC, Associate Dean for Global Health Gilead Sciences, Merck University of Alabama at Birmingham Gloria Searson, ACSW Founding Director Recipient of funding from Gilead Sciences, Merck
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