Sex Workers

For 340B-covered entities, core to the challenge of navigating a changing and uncertain policy landscape is the complexity of how multiple variables interact differently with each covered health care entity based on its unique makeup of services, funding, patient population, and payer mix. This toolkit aims to assist 340B covered entities in understanding their current areas of funding stability and where they are vulnerable, and to plan for the future.

In light of proposed and actual changes in Federal and State policy that have the potential to affect the 340B program, we conducted a rapid response study, exploring the impact to facilities that serve people living with or at risk for HIV. As a companion to the Navigating 340B Toolkit, this Explainer takes a closer look at the answers to these three questions: 1. How does 340B work? 2. What is the relationship between 340B and HIV services? 3. What are the current factors impacting 340B revenue for HIV clinical and service organizations?

Policy brief based on a study of seven California emergency departments (ED) implementing HIV Prevention Services (HPS) linkage programs. Three models for integrating HPS into the ED were identified and may serve as a guide for future protocol development.

Paper A Systematic Review of HIV Pre-exposure Prophylaxis (PrEP) Implementation in U.S. Emergency Departments: Patient Screening, Prescribing, and Linkage to Care January 18, 2024 Systematic Review of peer-reviewed quantitative studies and conference abstracts addressing PrEP screening, prescribing, and/or linkage to PrEP care in US Emergency Departments. Further research into the best practices for integrating ED […]

Infographic Phase II: Assessing Smoking Cessation Services in Central and Northern California HIV Safety Nets January 17, 2024 This publication is phase II of an audit or “secret shopper” study that sought to characterize current access to smoking cessation services in Central and Northern California HIV safety nets and to identify potential strategies for increasing […]

Infographic Zero-Cost Preventative Care for Californians & Extended Coverage for STI Screenings September 10, 2023 Employer coverage for PrEP is at risk—proposed legislation in California seeks to preserve and extend coverage for PrEP and other preventative care. Learn more about the Texas case Braidwood Management v. Becerra and what California Assembly Bill 1645 will do to address […]

Policy Brief Are California pharmacists ready to provide long-acting injectable pre- exposure prophylaxis (PrEP) for HIV prevention? July 31, 2023 A new CHPRC analysis finds strong potential to increase access to long-acting injectable forms of HIV prevention in California pharmacies. Pharmacists surveyed were highly supportive of pharmacy-based PrEP provision under Senate Bill 159, and more […]

Full Report Risk of Criminalization Among Sex Workers Carrying Condoms June 7, 2023 People who engage in sex work (PESW) are particularly vulnerable to criminalization even when seeking to report experiencing victimization. The health and safety of those engaged in sex work is further jeopardized as condoms have been historically used as evidence of sex […]

Policy Brief Climate Change and Continuity of Care: Maintaining Access to Prevention and Care Services during Climate-Related Events in California June 1, 2022 Natural disasters related to climate change are on the rise in California, but the impacts of climate-related events on healthcare delivery and client engagement in care are not well understood. The critical […]

Meeting Proceedings Policy and Research Priorities to End the Epidemics of HIV, Viral Hepatitis, STIs, and Overdose: a California HIV/AIDS Policy Research Centers and End the Epidemics community convening December 29, 2021 On November 10, 2021, the California HIV/AIDS Policy Research Centers (CHPRC) and the statewide End the Epidemics coalition (ETE) convened a community meeting […]