Resolution retroactively authorizing the Department of Public Health to accept and expend a grant increase of $2,046,778 from the Centers for Disease Control and Prevention for participation in a program, entitled “High-Impact HIV Prevention and Surveillance Programs for Health Departments,” for an amount of $7,055,155 for the period of June 1, 2025, through May 31, 2026, and a total grant amount of $12,756,614 for the period of August 1, 2024, through May 31, 2026; approving the Grant Agreement pursuant to Charter, Section 9.118(a); and to authorize the Director of Health to enter into amendments or modifications to the Grant Agreement that do not materially increase the obligations or liabilities to the City and are necessary to effectuate the purposes of the Grant Agreement or this Resolution.

This resolution retroactively authorizes the Department of Public Health (DPH) to accept and expend a $12,756,614 grant from the Centers for Disease Control and Prevention (CDC). The grant, titled "High-Impact HIV Prevention and Surveillance Programs for Health Departments," covers the period from August 1, 2024, through May 31, 2026, and includes a recent increase of $2,046,778 for the period of June 1, 2025, through May 31, 2026. Retroactive approval is sought because DPH received notice of this increase on September 25, 2025, for a project period that began on June 1, 2025.

The funding supports DPH's core HIV prevention activities, surveillance, and community engagement, integrating HIV, Sexually Transmitted Infection (STI), Hepatitis C virus (HCV), and overdose prevention work. This initiative, part of the broader "Ending the Epidemics (ETE)" syndemic approach, aims to provide person-centered, integrated care addressing medical, mental health, substance use, housing, and social needs. The grant includes $2,430,473 for contractual services and $680,207 for indirect costs for the June 1, 2025 - May 31, 2026 period.

This funding ensures the continuation and expansion of critical HIV, STI, HCV, and overdose prevention services for San Francisco residents. It supports a comprehensive, person-centered approach to health, particularly benefiting vulnerable populations by addressing their medical, mental health, substance use, and social needs.

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