Cut your Medicare prescription drug costs with “ExtraHelp”

Great news: thanks to the new prescription drug law, the Inflation Reduction Act, in 2024, people with Medicare may qualify for even more savings through the Extra Help program. This program helps some people pay their Medicare drug coverage (Part D) costs, like premiums, deductibles, coinsurance, and other costs. In 2024, the program will expand, and you may qualify.

How does Extra Help lower my costs?
In 2024, everyone who qualifies for Extra Help will pay:
• $0 for your Medicare drug plan premium.
• $0 for your plan deductible.
• A reduced amount for both generic and brand-name drugs.
If you get any level of Extra Help now, and meet the qualifications for next year, you’ll get these cost savings automatically—you don’t need to reapply.

How do I find out if I qualify for Extra Help?
In most cases, you must live in one of the 50 states or the District of Columbia and have income and resources below a certain limit. The income limit is based on your income from the previous year.
• Your annual income must be below $21,870 for an individual, or $29,580 for a married couple in 2023.
• Your resources must be below $16,600 for an individual or $33,240 for a married couple in 2023.
o Resources include money in a checking, savings, or retirement account, stocks, and bonds. Resources don’t include your home, one car, burial plots, up to $1,500 for burial expenses if you’ve put that money aside, furniture, and other household and personal items.

These limits can change each year. Even if you don’t qualify for Extra Help now, you can reapply for Extra Help any time, if your income and resources change.

How do I apply for Extra Help?
Some people qualify automatically, but if you don’t, it’s easy to apply for Extra Help:
• Visit Social Security online at
• Call Social Security at 1-800-772-1213. TTY users can call 1-800-325-0778.
After you apply, Social Security will review your application and send you a letter to let you know if you qualify for Extra Help. Once you qualify, you can choose a Medicare
Low-income Subsidy Drop-in Article
drug plan. If you qualify for Extra Help and don’t select a plan, Medicare will select a plan for you.

Where can I get more information?
• Visit Social Security at or call 1-800-772-1213 (TTY: 1-800325-0778) if you have questions about the Extra Help program or need help filling out the application.
• Visit or call 1-800-MEDICARE (1-800-633-4227) to learn about Medicare drug plans, Extra Help, and other ways to lower your prescription drug costs. TTY users can call 1-877-486-2048.

San Francisco residents living with HIV? The Equal Access to Healthcare Program (EAHP) team of advocates at PRC can help; email [email protected] or call (415) 864-4066.

Celebrating our most important asset — our staff!

PRC Recognizes May as Staff Appreciation Month

Here at PRC, we help more than 5,000 of San Francisco’s most underserved adults each year go from a place of crisis to stability by giving them the foundation they need to transform their lives for the better. And by “we”, we’re referring to the more than 200 dedicated and hardworking members of our staff
who work tirelessly to ensure each person who walks through our doors has the support they need to thrive.

In 2022, PRC dedicated May as Staff Appreciation Month (SAM) to celebrate our compassionate change-makers with an organization-wide show of gratitude for their dedication and hard work. This year, we celebrated SAM once again.

Staff at each of our locations received weekly deliveries of treats and snacks and inspiring notes thanking them for their service. Our People Experience team (Human Resources) curated trivia challenges and entertaining games with chances to win awesome prizes donated by generous business and community
donors. The activities concluded with an open house that included lunch, games, and the opportunity for staff to socialize and celebrate each other.

To say that we are proud of our staff and the ways they uplift our community is an understatement. Each day they work to keep people housed, ensure they receive the health benefits they need to live a dignified life, provide tools to find meaningful employment and offer mental health and substance addiction supports that accompany recovery. In our humble opinion, the staff at PRC are the cream of the crop, and we can’t thank them enough for dedicating their lives to helping others in need.

Please join us in showing your appreciation for these incredible individuals and their dedication to lifting up everyone in need. San Francisco is a better place because of them and their compassion for their fellow human.

In community,


Black Leadership Council’s Aftershock Film Screening, Panel Discussion, and a Call to Action

We’re elated to share about an incredibly impactful event of which we were a part. On Wednesday, April 12, the Black Leadership Council (BLC), an initiative of PRC, and partners First 5 Alameda County, Alameda Health System and Alameda County Public Health Department’s BElovedBIRTH Black Centering, and the California Black Health Network held a screening of the powerful documentary Aftershock and a post-film Panel Discussion. The event took place at Oakland’s historic Grand Lake Theatre during Black Maternal Health Week, which aims to inspire awareness, activism, and community-building to amplify the voices, perspectives, and lived experiences of Black Moms and birthing people.

This film highlights the devastating inequities that Black birthing women face as they relate to maternal morbidities. More specifically, the film follows the preventable deaths of two young African-American women in New York City, whose bereaved families turn their pain into power and galvanize activists, birth workers, and physicians to reckon with the US maternal health crisis.

The screening was followed by a panel discussion with one of the filmmakers, Tonya Lewis Lee; two of the featured fathers, Omari Maynard and Bruce McIntyre; California Black Health Network Executive Director Rhonda Smith; and Alameda Health System & Alameda County Public Health Department’s BElovedBIRTH Black Centering Director Jyesha Wren. Their contributions to the discussion and the event were invaluable as we learned how they use film, art, innovative programming for Black birthing mothers, and policy reform efforts to find effective solutions that lead to health equity and justice. The panel was moderated by Tasha Henneman, PRC’s Chief of Policy and Government Affairs and Director of the BLC, and Kevin Bremond, First 5 Alameda County Father’s Corps’ Co-Founder and Program Administrator.

We encourage you to watch the film on HULU and then view our panel discussion embedded below.

The event ended with the Black Leadership Council’s call to action:

  • Reclaim the promise of racial justice, equity, and quality health care for ALL!
  • Commit to advancing and funding the work of all those represented and make it endure!
  • Be voices, eyes, ears, and advocates for Black mothers and birthing people!
  • Grow a broader, more resilient base of political support for racial equity beyond the brave leadership of the event’s justice warriors.
  • Become a member of the Black Leadership Council and join them in Sacramento, on June 19, 2023, for their annual advocacy day, “Black in Action.”

Check out our curated photo gallery of the event by clicking the arrow keys to the left and right below.


“So important was the feeling people walked away with. The film and panel discussion opened a door for birthing people and non-birthing people to recall their own personal experiences or those of others close to them, to reflect on the harsh realities of health inequities that Black women face, and provided education on the historical racism that has shaped the birthing/medical field.”

— Tasha Henneman, Chief of public Policy and Government Affairs, PRC / Director, BLC

Hear from our attendees, who left the event feeling inspired and activated! You can also view all photos from the event taken by Bethanie Hines Photography.

The Black Leadership Council acts as a coalition because when we improve outcomes for our community members hardest hit by inequities, we improve them for all of us.

PRC Brief — Honest feedback from PRC clients

As we continue to incorporate our organizational values into everything we do, we’d like to emphasize the importance of honesty, particularly in the realm of integrated legal, social, and behavioral health services. Courage and vulnerability are essential components of honesty and necessary for both clients and providers for meaningful growth to occur. As a provider, our clients rely on us to provide high-quality, honest care that is tailored to meet their individual needs.

Here’s what our clients have had to say:

— Workforce Development Client

— Baker Places Residential Treatment Client

Our dedicated staff works tirelessly to ensure that each client’s needs are met. As part of our overall care and compliance, we routinely request our clients’ honest feedback to ensure our programs are as impactful as can be. Through this feedback, we are continually learning what works and what we can improve upon through changes to our approach and strategies.

We are proud to be able to provide these services and we are grateful to our donors who make this work possible. By focusing on honesty and all our values, we will continue to improve the lives of our clients and create meaningful and lasting change in our community.


PRC Brief: Black History Month Highlight — Sylvester

As Black History Month comes to a close, we’d like to highlight someone with profound significance to PRC. Sylvester, “Queen of Disco”, was known for his gender-bending persona and performances, flamboyant and androgynous appearance, falsetto singing voice, and hit disco singles in the late 1970s and 1980s. An inspiration to countless LGBTQ+ people, Sylvester was a trailblazer within the drag community and always unequivocally himself. You can learn more about Sylvester in this 8-part podcast about Sylvester’s life.

As one of the first public figures to be open that he was dying of AIDS, Sylvester was instrumental in raising awareness of the disease and fundraised to support the cause until his death in 1988. Prior to his passing, Sylvester selected two organizations he received support from during his lifetime — AIDS Emergency Fund (read the history of how this became PRC’s Emergency Financial Assistance program) and Project Open Hand — as the beneficiaries of his estate and future music royalties.

Sylvester attending the Castro’s 1988 Gay Freedom Parade in a wheelchair

We continue to receive financial support thanks to Sylvester’s foresight and are proud to be connected in this meaningful way with such an inspirational figure.

To honor Sylvester’s legacy, PRC named its signature fundraising event after his biggest hit, You Make Me Feel (Mighty Real), and each year we give the Sylvester Community Pillar Award to an individual who embodies the love, joy, individualism, and sheer fabulousness of Sylvester. Past recipients include drag
personality and LGBTQ+ advocate Donna Sachet, Former SF Pride President and LGBTQ+ advocate Gary Virginia, singer and actress Dionne Warwick, and singer-songwriter Patti LaBelle.

Ideas on who we should honor in 2023? Send us your nomination with why you think they should be honored to [email protected]!

We’re hard at work planning the 2023 Mighty Real Gala and look forward to announcing the date soon. In the meantime, save the date for Gary Virginia & Donna Sachet’s Pride Brunch, benefitting PRC, on Saturday, June 24, and enjoy getting Mighty Real!

Sylvester — You Make Me Feel (Mighty Real)

Introducing PRC Brief: Our commitment to you

With new leadership and a new year, we wanted to rethink our communications
to you, so we’re launching PRC Brief — shorter, more frequent, and more
engaging bites of content to keep you informed.

We also recently surveyed you, our dedicated supporters, and we heard you.

  • You want to know what’s going on with PRC
  • You want us to be transparent
  • You want to know how we are strengthening the organization

We heard you, and what you had to say aligns perfectly with our organizational

values of:

We commit to you, our clients, and our community to embody these values in everything we do.

Starting with accountability. We are taking significant steps to become more financially sustainable over the long-term. We are making great progress in implementing a plan that maps out several key strategies.

  • Re-negotiating our contracts to make them more fully funded
  • Reducing expenses wherever possible to create a more efficient organization
  • Establishing a federally negotiated indirect rate for our federally funded contracts
  • Restructuring programs to focus on those most central to our core mission and be financially sustainable

As part of the last strategy, we successfully transferred two of our programs — Joe Healy Detox Program and Acceptance Place — to another service provider with as little disruption to clients and staff as possible. Both are up and running and accepting clients.

There is still much more work to do, and we look forward to keeping you informed throughout.

Thank you for taking the time to voice your concerns and share why PRC is so meaningful to you and worth saving. On behalf of the more than 5,000 clients we serve each year, we wholeheartedly agree.

We invite your continued dialogue.

Look out for:

  • 2021/22 Impact Report
  • Save the date for our 2023 events
  • Upcoming campaign for supporters to share PRC’s impact on your life

In community,


PRC Names Chuan Teng as New CEO

As a valued supporter, we wanted you to be among the first to know: we are
elated to formally announce that PRC’s Board of Directors has appointed Chuan
Teng as the permanent Chief Executive Officer of PRC!

Since September, Chuan has served in this role on an interim basis and
chartered a path to organizational sustainability by strengthening the agency’s
health through creative problem-solving, keeping our mission and values at the
core of all decision-making, and leveraging our partnerships in meaningful ways.

With this in mind, we are optimistic about what 2023 and the future will bring. Stay
tuned for more frequent and informative updates on our progress. We also want
to hear from you! Watch for an upcoming survey requesting your input on our
communications and the PRC donor experience.

Thank you for your commitment to PRC and for being an integral part of our
successes. We look forward to engaging with each and every one of you.

In partnership,

All of us at PRC

Another Step in Combating Stigma Based on Gender

New social security policy allows for self-selection of gender.

As part of the Social Security Administration’s (SSA) Equity Action Plan, on October 20, 2022, the Acting Commissioner of Social Security, Kilolo Kijakazi, announced that SSA will offer individuals the option to self-select their gender on their Social Security Number (SSN) applications and records. SSA is committed to decreasing the burden on those who identify differently from their assigned gender at birth. Acting Commissioner Kijakazi stated, “This new policy allows people to self-select their sex in our records without needing to provide documentation of their sex designation.”

Those who want to update their SSN records will need to apply for a replacement card. ( They will still need to prove their identity with current documentation, such as a passport or state-issued driver’s license or identity card. Although the gender field is not used in determining benefit eligibility, SSA is working with other agencies to allow millions of transgender people in the United States to update their most commonly used identification documents.

Unfortunately, the current SSA record system cannot include nonbinary or unspecified gender designation at this time. SSA is exploring options to support an “X” designation in the future.

This new policy began when President Biden signed Executive Order 13988, Preventing and Combating Discrimination on the Basis of Gender Identity or Sexual Orientation on January 20, 2021.


Social Security Implements Self-Attestation of Sex Marker in Social Security Number Records (Abigail Zapote, Senior Advisor to the Commissioner, dated October 20, 2022)

An interview with retiring PRC CEO Brett Andrews 

After two decades of visionary leadership, PRC’s Chief Executive Officer Brett Andrews has decided to retire. Since stepping into the role in 2003, Brett has grown PRC from a staff of 18 and an annual operating budget of $1.25 million to a staff of more than 300 and an annual budget of more than $30 million. 
Brett’s dedication and passion for improving the lives and the health and economic outcomes of thousands of San Francisco’s most vulnerable adults have been truly inspirational to those of us who have had the honor to work alongside him. He has given us the confidence to continue his legacy, For that, we are eternally grateful and ready to carry on. As Brett hands over the reins to a new era of leadership, we couldn’t pass up the opportunity to celebrate him and thank him for his service. Brett will receive PRC’s inaugural Lifetime Achievement Award during this year’s Mighty Real Gala on Friday, November 4. We look forward to sharing this heartfelt moment with our community.   

Before his official departure, we took the opportunity to sit with Brett to get a glimpse of what the past 20 years have been like. We invite you to read what Brett had to share about the lessons he’s learned along the way. We hope you find his reflections to be as insightful as we do.  

As you reflect on your 20 years with PRC, what stands out to you the most? 

“In the beginning, one thing really stood out to me. San Francisco was the first city — particularly at PRC — where I saw folks go out of their way to volunteer. There was a devoted core at PRC and so many other nonprofits who, every time you looked up, were donating their time. Volunteering is one of the hardest things to get people to do, yet there was this massive bank of volunteers, whether it was for Folsom Street, Dore Alley, the Richmond/Ermet Aid Foundation’s, Help is on the Way fundraising gala, or the Academy of Friends, these wonderful folks were always there. I just marveled at how many people — beyond what they needed to do in order to keep their life moving forward — were willing to volunteer in the nonprofit sector. That remains something that is extraordinary to me.” 

What accomplishments of PRC are you most proud of? 

“There was an early decision we made as a board and staff that the work we were doing in HIV was relevant to a broader population. In 2004, we formally expanded our mission beyond HIV. The work of what was then the Benefits Counseling Program and Employment Services is now Legal Advocacy and Workforce Development. If it was beneficial and helpful to one population that was disabled, we knew it was relevant for another population, and that was behavioral health. Through making that pivotal move, we were able to serve a larger population. But it also availed us of many great opportunities. I think we were successful in taking advantage of those opportunities, and they allowed us to create the organization that we have today. It’s because we took that big bold move that more people have been able to benefit from our services.” 

Who have been the community leaders who have inspired you the most along the way? 

“Senator Mark Leno stood out to me early on. He’s gracious, and he’s generous. I remember receiving two lovely handwritten notes in 2003 when I first came to PRC; One from Gavin Newsom, the mayor at the time, and another from Mark Leno, when he was an assembly member that said, “Good luck to you! We really love and believe in PRC, and its important services.” Mark later invited me to the state building to talk about his interests, my vision, and what my vision was for PRC. Mark has always been a valued thought partner, which one needs because the Chief Executive Director’s role is unique in that sometimes you only have yourself. You have a board of directors that you’re seeking to show a great deal of confidence and leadership. You have staff and other stakeholders who believe in you and the vision, and then where do you go when there’s indecision? Where do you go when you’ve reached a crossroads where you really could benefit from some counsel and have it not impact who you are as a person or a leader? And I found Mark Leno to be that for me over the years. I very much appreciate him for his thought leadership, thought partnership, and just the way in which he moves in the world with an open heart, kindness, and humanity.” 

You are known for your ability to give inspiring speeches. What advice do you have for somebody that would like to be as skilled a speaker as you are? 

“For me, it was both a personal and a professional journey toward authenticity. I look back at times when I gave speeches or remarks at galas or commencements, and the best speeches I gave were the ones where I was most authentic. In my earlier years, I couldn’t be as authentic as I wanted or needed to be because I was still processing both my professional and personal life and what that meant. I was a black queer boy, and I was trying to show leadership in a world that was new to brown leadership. I was also dealing with my own health challenges, how to look strong and confident, and not show any weakness. Yet in the weaknesses was often where the answers came from, and not just in a performative way. My recommendation for everyone is that you must have the courage to step into that authenticity. It’s not easy work. It’s hard. But over the years, I’ve been more pleased with myself and the consistency of the speeches I’ve given because I know they are a direct result of the work that I have done to be more authentic.”  

Would you say that it’s important to embrace vulnerability? 

“It’s about being courageous enough to be vulnerable around people, particularly those who you may not know well while understanding that one must still be careful. But I was willing to take a chance because, at some point, all I was going to be left with was myself. You’re interacting with people who in many ways trust you to be authentic and to provide a framework where they can thrive and succeed in life. We live in a culture where we’re expected to put on a brave face, which is why I think PRC’s services are more relevant now than ever. When considering the mental health challenges that come with working so hard to put on that brave face, compared to what you ultimately end up with when you’re home all by yourself, you can create fissures and fracture yourself. We’re not tempered glass. We can’t go from hot to cold like that. We must be integrated. And these compartmentalized ways in which we live life ultimately can do lasting and arguably irreparable damage if you don’t address it. You must learn how to be an integrated person so that the “you” that one person sees, is the same person everyone sees, and that there’s a continuity of you. It’s important that there’s a throughline, a connection that says, I’ve met Brett and I know him. One of the greatest compliments that can come from that is having people who’ve known me over a period say, yep, that’s who Brett is. Those are his values. That’s what he stands for. And that process takes work.” 

Your compassion, drive, and determination to improve the lives, health and financial outcomes of our clients have been truly commendable. What would you like to say to the staff at PRC who will carry on in your legacy?  

“At times it can be very isolating in this job. A lesson I learned that I would offer others is that you’re not in it alone. It can be hard to recognize there are people here to support you, at all levels of the organization, from management down. So one: you’re not alone. Challenge yourself to reach out when you’re feeling alone. Find a colleague or two who you really enjoy having conversations with and know that you can bounce ideas back and forth in order to get through these periods of indecision and isolation. It’s important to be courageous and reach out for support along the way.” 

“Also, be unapologetic and proud of the work you do. Talk up the organization you’re working with. Talk about the work you’re doing and be immodest about the role you play in it. Many of the jobs we do aren’t celebrated so you can’t sit around and wait for somebody to come and pat you on the back or give some great sense of hope or wisdom or words of support. Sometimes you have to be that for yourself. Remind yourself: I’m doing an extraordinary thing here. I play a key and important role. I like the role that I play and I’m going to play it tomorrow and the day after. I believe in self-encouragement, and I was an old man before I learned that I was waiting for that pat on the back. I was waiting for the cheering on to success. As it turns out, it was always in there. It was already there for me. I just needed to do it for myself. So those are my words of encouragement.”  

“And to everyone who’s committed to staying in this work, In my eyes, you’re already knighted and canonized because you’re committed to doing the work but be modest about your contribution to the world. I think it was Marianne Williamson who said: “Your playing small does not serve the world.” 

If you could gather all the fundraisers and volunteers who over the years helped to build PRC into the organization that we know it to be today, what would you like to say to them? 

“I would say the work is hard and often thankless. That’s why it’s important to find the motivation inside of yourself. Because in the end, all of us in our own unique ways are seeking love: to love and be loved. I believe the root of it all — the volunteer efforts and the contributions — are based on the fact that we love and care about humanity. Let that be your true north. Let it be as campy as it may. Let nothing stand in the way of that. Let it be expressed in your words and your thoughts. And certainly, for everyone who has lifted a pen and written a check and volunteered, let it be expressed in your deeds. That’s our quest.” 

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We would like to thank Brett for his decades of guidance, compassion, and work ethic, and for his genuine heart of gold. Working in partnership with him has been truly motivational and rewarding on many levels. We believe that Brett has prepared us to remain successful for our clients for as long as our services are needed. Brett’s successor, Chuan Teng, has worked closely with Brett for more than a decade and shares his commitment to PRC’s clients. For those who have yet to meet her, we invite you to join us as we symbolically pass the leadership torch at our Mighty Real Gala on Friday, November 4th.

If you would like to honor Brett and his dedication to PRC’s clients, please consider making a donation in support of continuing his legacy.  

Brett Andrews Reflects on His Decades of Service at PRC Following the Announcement of His Retirement

Donna Sachet; the Queen of the Castro, fundraising powerhouse, fierce LGBTQ+ advocate, and longtime friend of PRC – recently interviewed PRC’s Brett Andrews to give readers of her SF Bay Times column a chance to learn more about how Brett views his twenty years of leadership at PRC.

Give it a read and you’re sure to feel inspired. We certainly are!