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Project ExEl (Expand and Elevate), Cycle 2

Award Number: NH25PS005243
ORGANIZATION: NATIONAL CENTER FOR PREVENTION SERVICES
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 08/01/2024
PERIOD OF PERFORMANCE END DATE: 07/31/2029

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Project ExEl (Expand and Elevate), Cycle 2 - As a result of hard-fought accomplishments in prevention, care, and treatment services informed by a robust HIV and STI surveillance system, there is increasing optimism that San Francisco (SF) will be the first city in the United States to achieve its goal to ‘Get to Zero’ (GTZ): zero new HIV infections; zero HIV deaths; and zero HIV stigma. SF City Clinic (SFCC), SF’s only municipal STI clinic, is a critical access point for low-barrier, confidential and culturally sensitive clinical HIV prevention services for populations prioritized by local and national efforts to reduce new HIV infections, and is an essential player in SF’s GTZ efforts. In 2020, with support from PS20-2010 Component C, SFCC launched Cycle 1 of Project Expand and Elevate (Project ExEl). Through Project ExEl, SFCC leveraged many opportunities to increase the complexity and scope of its integrated HIV and STI prevention services. While Project ExEl allowed SFCC to strengthen its syndemic, person-centered, and status-neutral approach to care, there are ongoing opportunities for improving services and strategic partnerships to enhance the delivery of high-quality, affirming, and culturally and linguistically relevant sexual health services accessible to those of all racial/ethnic, sexual, and gender identities both at SFCC and throughout the SF system of care, and to strengthen the partnerships needed to achieve SF’s GTZ goals. With funding from PS24-0003, SFCC will launch Project ExEl Cycle 2, using two main strategies: 1)Strengthening clinic infrastructure and improving service delivery and 2) Fostering action-oriented and strategic partnerships with community providers, community-based organizations (CBOs), health departments and other entities. Project ExEl will accelerate progress towards the following long-term outcomes: 1) Increased delivery and uptake of stigma-free, quality comprehensive sexual health services 2) Increased viral suppression among persons with HIV 3) Reduced new HIV and STI infections 4) Reduced HIV and STI disparities, including racial, ethnic, gender, and sexual orientation disparities Project ExEl will be led by Principal Investigator Dr. Stephanie Cohen and will draw on SFDPH and SFCC expertise in using continuous quality improvement (CQI) to optimize clinic workflows and address health disparities; implementing innovations in biomedical prevention (HIV PrEP, PEP, and doxy-PEP); and ensuring access to rapid ART initiation and re-initiation. In addition, through Project ExEl Cycle 2, SFDPH and SFCC will strengthen partnerships with community-based organizations, build capacity for the delivery of sexual health services in primary care, participate in local HIV planning groups, and undertake new and innovative approaches to meaningfully engage community and incorporate community feedback into planning and CQI work. This collaborative work will further local and national capacity to develop scalable best practices for high impact HIV and STI prevention.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $0 )
2026	2025	CITY & COUNTY OF SAN FRANCISCO	101 GROVE ST	SAN FRANCISCO	CA	94102	SAN FRANCISCO	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	05	2	3/30/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2025	CITY & COUNTY OF SAN FRANCISCO	101 GROVE ST	SAN FRANCISCO	CA	94102	SAN FRANCISCO	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	04	2	2/26/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2025	CITY & COUNTY OF SAN FRANCISCO	101 GROVE ST	SAN FRANCISCO	CA	94102	SAN FRANCISCO	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	03	2	2/13/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2025	CITY & COUNTY OF SAN FRANCISCO	101 GROVE ST	SAN FRANCISCO	CA	94102	SAN FRANCISCO	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	02	2	2/11/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2024	CITY & COUNTY OF SAN FRANCISCO	101 GROVE ST	SAN FRANCISCO	CA	94102	SAN FRANCISCO	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	04	2	2/26/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2024	CITY & COUNTY OF SAN FRANCISCO	101 GROVE ST	SAN FRANCISCO	CA	94102	SAN FRANCISCO	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	03	2	2/13/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2024	CITY & COUNTY OF SAN FRANCISCO	101 GROVE ST	SAN FRANCISCO	CA	94102	SAN FRANCISCO	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	02	2	2/11/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2024	CITY & COUNTY OF SAN FRANCISCO	101 GROVE ST	SAN FRANCISCO	CA	94102	SAN FRANCISCO	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	05	2	3/30/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $600,000 )
2025	2025	CITY & COUNTY OF SAN FRANCISCO	101 GROVE ST	SAN FRANCISCO	CA	94102	SAN FRANCISCO	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	00	2	8/20/2025	NON-COMPETING CONTINUATION	$600,000
2025	2025	CITY & COUNTY OF SAN FRANCISCO	101 GROVE ST	SAN FRANCISCO	CA	94102	SAN FRANCISCO	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	01	2	9/25/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	CITY & COUNTY OF SAN FRANCISCO	101 GROVE ST	SAN FRANCISCO	CA	94102	SAN FRANCISCO	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	01	2	9/25/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	CITY & COUNTY OF SAN FRANCISCO	101 GROVE ST	SAN FRANCISCO	CA	94102	SAN FRANCISCO	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	02	1	11/20/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	CITY & COUNTY OF SAN FRANCISCO	101 GROVE ST	SAN FRANCISCO	CA	94102	SAN FRANCISCO	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	03	1	7/21/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	CITY & COUNTY OF SAN FRANCISCO	101 GROVE ST	SAN FRANCISCO	CA	94102	SAN FRANCISCO	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	00	2	8/20/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $600,000

Issue Date FY: 2024 ( Subtotal = $600,000 )
2024	2024	CITY & COUNTY OF SAN FRANCISCO	101 GROVE ST	SAN FRANCISCO	CA	94102	SAN FRANCISCO	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	00	1	7/9/2024	NEW	$600,000
2024	2024	CITY & COUNTY OF SAN FRANCISCO	101 GROVE ST	SAN FRANCISCO	CA	94102	SAN FRANCISCO	USA	Sexually Transmitted Diseases (STD) Prevention and Control Grants	01	1	9/26/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $600,000

Grand Total All Awards = $1,200,000

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Project ExEl (Expand and Elevate), Cycle 2

Award Number: NH25PS005243

ORGANIZATION: NATIONAL CENTER FOR PREVENTION SERVICES

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 08/01/2024

PERIOD OF PERFORMANCE END DATE: 07/31/2029

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