Resolution approving Amendment No. 2 to the agreement between the City and County of San Francisco, acting by and through the Department of Public Health (DPH), and the San Francisco AIDS Foundation, to operate a health access point and provide capacity building services, to extend the term by four years from June 30, 2026, for a new term of January 1, 2023, through June 30, 2030, and to increase the amount by $11,946,338 for a new total not to exceed amount of $23,832,933; and to authorize DPH to enter into amendments or modifications to the agreement that do not materially increase the obligations or liabilities to the City and are necessary to effectuate the purposes of the agreement or this Resolution.

This resolution approves Amendment No. 2 to an agreement between the Department of Public Health (DPH) and the San Francisco AIDS Foundation (SFAF), significantly expanding and extending critical health services. The amendment increases the contract amount by $11,946,338, bringing the new total not to exceed $23,832,933. It also extends the agreement term by four years, establishing a new period from January 1, 2023, through June 30, 2030.

Key Services & Mechanisms: The agreement funds a comprehensive "Health Access Point" (HAP) model, providing integrated HIV, HCV, and STD testing, linkage to PrEP/ART/treatment, harm reduction services (including syringe access and naloxone distribution for overdose prevention), condom distribution, community engagement, health education, basic needs support (food, housing, transportation), mental health, and primary care referrals. It also includes workforce development programs, such as the Clinical Assistant Program, and capacity building support for community organizations, notably the Black/African American HAP (Rafiki Coalition) and Youth HAP (LYRIC).

Target Populations: Services are delivered through an equity-focused, community-centered approach, targeting populations disproportionately affected by HIV, HCV, and STDs, including Latinx, Gay/MSM, Trans women, People who use drugs, Asians and Pacific Islanders, Young Adults (18-24), and Black/African Americans. The overarching goals are to achieve zero new HIV infections, eliminate HCV, reverse rising STI rates, and eliminate racial disparities in health outcomes.

Upstream References: This contract (ID# 1000024734) was originally awarded through RFP 4-2019 and operates under the broader PSC 2006-07/08, aligning with San Francisco's "Getting to Zero" and "End Hep C SF" initiatives.