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 Instituto Familiar de la Raza, Inc., to operate a health access point service, to extend the term by three years from June 30, 2027, for a new term of January 1, 2023, through June 30, 2030, and to increase the amount by $9,242,130 for a new total not to exceed amount of $17,087,730; 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 San Francisco Department of Public Health (DPH) and Instituto Familiar de la Raza, Inc., extending the contract term and significantly increasing its funding. The agreement supports the operation of a Latinx Health Access Point (LHAP) service, focusing on integrated HIV, HCV, and STD prevention programs for the Latinx community.

Key Changes & Funding:

• The contract term is extended by three years, from June 30, 2027, to a new end date of June 30, 2030. The overall agreement, including previous options, now spans from January 1, 2023, through June 30, 2030.
• Funding increases by $9,242,130, bringing the new total not to exceed amount to $17,087,730.
• Annual funding for fiscal years 2026-27 through 2029-30 is set at $2,257,022 per year, primarily from the City's General Fund.

Services & Operations:

• The LHAP, located at 1663 Mission Street, Suite 400, San Francisco, CA 94103, provides comprehensive services including integrated HIV, HCV, and STD testing; linkage and navigation to PrEP, HIV care, and treatment; harm reduction services; syringe access and disposal; overdose prevention (including Narcan/Naloxone distribution); condom distribution; community engagement; health education; and basic needs assistance (e.g., transportation via Clipper cards, grocery gift cards).
• Key partners/subcontractors include Mission Neighborhood Health Center (MNHC) and San Francisco AIDS Foundation (SFAF).
• Operational adjustments effective mid-2025/early 2026 include discontinuing certain substance abuse counseling partnerships and replacing taxi/Lyft/Uber vouchers with Clipper cards for client transportation. A media project for fentanyl overdose prevention targeting Mayan communities is also being discontinued.

This amendment falls under the broader Personal Services Contract (PSC) No. 2006-07/08, which has a cumulative approved amount of $210,000,000 and is continuous, reflecting the ongoing need for these specialized community-based public health services.