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 Rafiki Coalition for Health & Wellness, to provide health access point services; to extend the term by three years from June 30, 2027, for a new term of January 1, 2023, through June 30, 2030; to increase the amount by $10,670,270 for a new total not to exceed amount of $20,083,870; 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 Rafiki Coalition for Health & Wellness for health access point services. The amendment extends the agreement's term by three years, from June 30, 2027, to June 30, 2030, establishing a new total term of January 1, 2023, through June 30, 2030. It also significantly increases the contract amount by $10,670,270, bringing the new total not to exceed amount to $20,083,870.

Program Details: The agreement funds the "Umoja Program," an equity-focused, community-centered Health Access Point (HAP) designed to provide integrated HIV, HCV, and STD prevention services primarily for Black/African American residents of San Francisco, particularly in the Bayview Hunter's Point area (Rafiki Coalition is located at 601 Cesar Chavez Street). Services are harm reduction-based, sex-positive, and trauma-informed, and include integrated testing, linkage to care (PrEP, ART, treatment), overdose prevention (naloxone distribution), syringe access, condom distribution, community engagement, health education, basic needs support (food, housing, employment), mental health services, and workforce development. Key partners in service delivery include San Francisco AIDS Foundation (SFAF), 3rd Street Youth Center and Clinic, UCSF Alliance Health Project (AHP), PRC (Positive Resource Center), and Glide Foundation.

Goals: The program aligns with the city's "Getting to Zero" goals to eliminate new HIV infections, HIV-related deaths, and stigma, eradicate HCV, reverse rising STD rates, and address racial disparities in health outcomes. The agreement incorporates compliance with federal and state laws, including HIPAA, the HITECH Act, and 2 CFR Part 200 for federal funding audits.