SUPPORTS ITEM NO. 4 CS&B COMMITTEE AGENDA JULY 24, 1997 ADMINISTRATIVE REPORT Date: June 24, 1997 CC File: 2202 TO: Standing Committee on City Services and Budgets FROM: Director of Finance SUBJECT: 1997 Health Grants to AIDS Organizations RECOMMENDATION A. THAT, consistent with resolution of February 4, 1997, Council approve terminating grants to the AIDS organizations totalling $50,150 to cover the three month period January 1, 1997 to March 31, 1997, as follows: AIDS Vancouver $21,500; McLaren Housing Society of B.C $ 7,750; B.C. Persons with AIDS Society $20,900; source of funds to be the "Other" grants allocation. CONSIDERATION B. THAT Council approve an extension of the terminating grants to the AIDS organizations totalling $50,150, representing an additional three months funding to the AIDS organizations to June 30, 1997, to be allocated as follows: AIDS Vancouver $21,500; McLaren Housing Society of B.C $ 7,750; B.C. Persons with AIDS Society $20,900; source of funds to be 1997 Contingency Reserve. GENERAL MANAGER'S COMMENTS The General Manager of Corporate Services RECOMMENDS approval of A as being consistent with Councils previous decision on funding these organizations. Item B is submitted for Council's CONSIDERATION. COUNCIL POLICY City Council, on April 15, 1996, when approving the 1996 grants to the three AIDS organizations, also resolved : THAT Council advise AIDS Vancouver, McLaren Housing Society of B.C., and B.C. Persons with AIDS Society that their grant program will be terminated at the end of 1996; and instruct staff to assist the three organizations to secure the necessary funding from the Ministry of Health and/or the Vancouver Health Board. City Council, on February 4, 1997, when dealing with the shortfall in the 1997 Operating Budget, primarily as the result of the $17.2 million reduction in Provincial transfer payment, affirmed the following: THAT the remaining City grants in the Health field totalling approximately $200,000 be referred to the Vancouver/Richmond Health Board for funding as of April 1, 1997, the day the Vancouver Health Board gains control over its budget, and that the Mayor sends the Vancouver Richmond Health Board a letter to this effect. Approval of grants require eight affirmative votes of Council. BACKGROUND Funding to the health related service organizations is a Provincial Government responsibility. However, since the mid-1980's, the City has taken a leadership role by providing financial assistance to AIDS Vancouver, McLaren Housing Society of BC and Persons with AIDS Society. The City grants have provided funds to support general administrative costs and, in the case of the McLaren Housing Society of BC, to support a portion of the salary of the full-time executive director position. On January 1, 1996, the Vancouver Health Department was transferred to the Vancouver Health Board (VHB). The transfer resulted in the Board becoming the policy making body on health related issues. One issue outstanding from the transfer was the annual grants from the City to the three AIDS organizations, which was to be subject to further discussion between the City and the Vancouver Health Board. After City Council approved the 1996 grants to the three AIDS organizations, a grant request was submitted by Downtown Eastside Youth Activities Centre (DEYAS) for funding to support their programs. Staff advised DEYAS that the responsibility of funding for health related activities has been assumed by the Vancouver/ Richmond Health Board, and that such funding request should be made to the Health Board. In May, 1996, staff from Community Services and Corporate Services, acting on instruction from Council, met with representatives of the Health Board to pursue the on-going funding issue of the three AIDS organizations. Staff from the Health Board advised that the funding to AIDS organizations in BC remained under the control of the Provincial Government and had not been transferred to the Health Board. On February 4, 1997, Council approved a resolution which had the effect of terminating funding to the three AIDS organizations as of March 31, 1997. However, this created some concern for the organizations because the Health Board had not committed funding to them. As a result, on March 26, 1997, the Mayor met with the Chair of the Vancouver/ Richmond Health Board to clarify the funding situation. At that time, the Mayor offered to present for Council's consideration, a request for an extension of the City's funding commitment to June 30, 1997, on the clear understanding that the City's responsibility for funding beyond July 1, 1997 would be transferred to the Health Board. On May 8, 1997, City staff met with the Chief Executive Officer of the Vancouver/Richmond Health Board, and confirmed that the Ministry of Health will retain the funding responsibility and contractual authority for Vancouver's AIDS organizations until March 31, 1998, leading to the eventual transfer of responsibilities to the Vancouver/Richmond Health Board as of July 1, 1998. This situation was confirmed by the Director of the Provincial AIDS Strategy on May 27, 1997. OPTION FOR CONSIDERATION On February 4, 1997, Council adopted a recommendation that City funding for the three AIDS organization be discontinued after March 31, 1997 at which time it was assumed the Vancouver Health Board would take responsibility for ongoing funding. This report recommends that Council approve the following grants to fulfill that resolution: AIDS Vancouver $21,500 McLaren Housing Society of B.C $ 7,750 B.C. Persons with AIDS Society $20,900 This report also presents for Council consideration, the provision of additional funding of a similar amount for the three AIDS organizations, representing an extension of City support until June 30, 1997. This proposal is consistent with the offer of the Mayor to present to Council a request for an additional three months of funding to take the organizations until July 1, 1997. It is uncertain that, even with the eventual transfer of AIDS funding from the Ministry of Health, the Health Board will consider support for these organizations to be a priority. However, as the operations of these organizations fall under the provincial mandate rather than the City's, continuation of City funding to these organizations beyond Council's original commitment of March 31, 1997 will only serve to take the pressure to fund these organizations off the Province and the Health Board. In addition, it will provide no incentive for the organizations to seek alternative sources of ongoing funding for their operations from non-government sources. Therefore, should Council be supportive of additional funding for the AIDS organizations, that additional funding should be in the form of a terminating grant. FINANCIAL IMPLICATION The 1997 "Other" grants allocation has limited funding available and should Council approve funding beyond the initial three months included in Recommendation A, that additional funding will have to be provided from Contingency Reserve. * * * * *