The City of West Hollywood will host a public hearing to gather input from community members about whether individuals at high risk for HIV transmission are able to effectively access medications approved as part of FDA-approved protocols for Pre-Exposure Prophylaxis(PrEP) and Post-Exposure Prophylaxis (PEP).
City of West Hollywood staff and officials have become aware from anecdotal information in the community that there may be barriers to easily accessing PrEP and PEP at pharmacies in Los Angeles County and other regions of the state. While statewide legislation, SB 159, authorizes pharmacists to furnish PrEP and PEP without a physician prescription and prohibits insurance companies from requiring prior authorizations to obtain PrEP coverage, there is concern that national pharmacy chains and local pharmacies may not be participating in ways the legislation intended. City outreach to local pharmacists indicates that many local pharmacists have not taken the California State Board of Pharmacy (CSBP) training to dispense PrEP and PEP, and may not have been aware of the training at all.
The City’s aim in hosting a public hearing is to gather input from impacted residents and community stakeholders; findings will then be relayed to legislators and other key decision makers. The public hearing is open to the public and will take place on Thursday, February 23, 2023 at 6:30 p.m. at the West Hollywood City Council Chambers/Public Meeting Room, located at 625 N. San Vicente Boulevard. Limited validated parking will be available in the adjacent West Hollywood Park five-Story structure.
Community members may view the public hearing live on WeHoTV on Spectrum Channel 10 within West Hollywood; by clicking on the ‘Watch Live’ link on the City’s WeHoTV website page www.weho.org/wehotv; or through City’s WeHo YouTube channel at www.youtube.com/wehotv. It will also be live-streamed on streaming services such as AndroidTV, AppleTV, FireTV, and Roku. Digital streaming platform viewers can find programming by searching for “WeHoTV.”
Individuals who would like to provide comments but are unable to attend the hearing, or who would prefer to share their experience directly, can send their comments by email to Hernán Molina, the City of West Hollywood’s Governmental Affairs Liaison, at hmolina@weho.org.
In January 2019, Senator Scott Wiener, D-San Francisco introduced SB 159 HIV: preexposure and postexposure prophylaxis. The bill, which was signed by Governor Newsom into law on October 7, 2019, seeks to make PrEP and PEP more readily available to HIV negative individuals who are at high risk of HIV infection. SB 159 does so, among other things, by:
- Authorizing a pharmacist to furnish PrEP and PEP in specified amounts and requires a pharmacist to furnish those drugs if certain conditions are met, including that the pharmacist determines the patient meets the clinical criteria for PrEP and PEP consistent with federal guidelines; and
- Requiring a pharmacist, before furnishing PrEP and PEP, to complete a training program approved by the California State Board of Pharmacy.
Having easy access to PrEP and PEP and proper adherence to the recommended treatment are just two necessary steps in the efforts to reducing community transmission of HIV. PrEP is a key prevention strategy for ending the HIV epidemic in the U.S. The Centers for Disease Control and Prevention (CDC) reports fewer than 25% of the approximately 1-million Americans who could benefit from PrEP are using this preventative medication. One of the goals of the federal Ending the HIV Epidemic in the U.S. (EHE) initiative is to have 50% of people who could benefit from PrEP using it by 2025.
The HIV/AIDS epidemic has had a significant impact on the City of West Hollywood. The disease’s elevated infection rate among gay men caused a devastatingly high number of deaths in the City in the era following the City’s founding in 1984. The City of West Hollywood was one of the first government entities to provide social services grants to local AIDS and HIV organizations. The City sponsored one of the first AIDS awareness campaigns in the country in October 1985 and the City’s response to the AIDS crisis has been recognized as a model for other cities, nationally and globally.
In 2015, the City of West Hollywood City Council adopted the HIV Zero Strategic Plan. The City Council directed staff to work with social service providers, community clinics, the Los Angeles County Department of Public Health, and other governmental agencies to develop a strategic plan aimed at reducing the rates of transmission and slowing disease progression. The City of West Hollywood’s HIV Zero Initiative embraces a vision to “Get to Zero” on many fronts: Zero new infections. Zero progression of HIV to AIDS. Zero discrimination. Zero stigma. The City currently contracts with APLA Health, Healthcare in Action, the Los Angeles LGBT Center, Men’s Health Foundation, and Planned Parenthood to provide biomedical interventions, such as PrEP and PEP to community members at risk of acquiring HIV.
For more information, please contact Hernán Molina, the City of West Hollywood’s Governmental Affairs Liaison, at (323) 848-6364 or at hmolina@weho.org. For people who are Deaf or hard of hearing, please call TTY (323) 848-6496.
I survived the whole first AIDS crisis, and now I’m supposed to believe a pill will protect me? If I take the pill but still get HIV, they’ll claim I am the small percent where it didn’t take. Nope. I’ll continue with the safer sex practices that seem more plausible.
Wait. It’s possible to obtain PrEP without a prescription in West Hollywood? I was not aware. My local Weho pharmacist doesn’t provide refills without a prescription and insurance authorization. I will be attending this hearing. It seems there’s an issue indeed.
I’ve been on PrEP almost since it was first introduced. In 2013. It is a miracle drug. I’ve never paid a dime for it, as it is covered by my insurance, and Gilead has a discount card program, which covers any co-payment I would have to make.
Regarding access, isn’t it available for free, through the Gay and Lesbian Center and/or AHF? Or APLA?