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San Francisco ties clean needle distribution for drug users to treatment, counseling

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San Francisco ties clean needle distribution for drug users to treatment, counseling

San Francisco Mayor Daniel Lurie, who won election in November on the pledge to crack down on the city’s fentanyl crisis, announced a new public health policy Wednesday that will more forcefully push treatment on drug users seeking clean needles and other supplies tied to their addiction.

The new policy, to take effect April 30, marks a dramatic shift from the strategies San Francisco has used in recent years to encourage — but not pressure — illicit drug users into treatment, even as overdoses topped 800 in 2023. Though overdose numbers fell last year, preliminary data for 2025 show them creeping back up.

For years, San Francisco and other cities have fostered the growth of community programs that provide so-called harm reduction services. Such programs generally target homeless people struggling with addiction, sending out street workers to distribute sterile syringes and clean smoking kits — foil, pipes and straws, for example — with the aim of preventing transmissible diseases such as HIV and Hepatitis C. Many such programs also distribute Narcan, a medication that can rapidly reverse the effects of opioid overdoses.

The harm-reduction approach has staunch defenders, who say the strategy helps safeguard people with drug addictions until they are ready to commit to treatment. The strategy also has weary critics who say the notion of “meeting addicts where they are” has not proven effective enough at getting people to seek treatment or lowering death rates.

During a news conference at City Hall, Lurie said the days of San Francisco handing out drug supplies without connecting people to treatment “are over,” and that the overdose crisis, fueled by fentanyl, mandates a more aggressive response.

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“We have so much work to do in this city,” Lurie said. “We are seeing people struggling with addiction. We are seeing people die of overdose. And we have to make a change.”

Under the new policy, city staff and nonprofits that receive city funding are barred from handing out sterile syringes and other supplies unless they actively work to connect people with treatment and counseling. The policy prohibits workers from passing out smoking supplies in streets, parks and other public spaces, instead requiring such handouts be conducted indoors or at city-sanctioned locations. It does not change the rules around distributing clean syringes in public.

“We are really trying to get proactive here, instead of waiting, watching folks die,” said Daniel Tsai, director of the San Francisco Public Health Department.

The tougher restrictions follow in the wake of the Trump administration’s announcement last month that it was revoking billions in federal grants that help fund mental health and addiction services across the country. The prospect of major cuts in federal funding for community-level services is particularly worrisome for San Francisco leaders, who are facing a budget deficit of nearly $1 billion starting this year.

Lurie, who has generally avoided talking about Trump during his first months in office, said his administration would “focus on what we can control right now.” In recent weeks, he has announced a series of policy shifts to move San Francisco away from what its critics — and many voters — perceive as a soft approach to deterring the open drug dealing and drug use that plague some neighborhoods, including downtown and the Tenderloin and South of Market districts.

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Soon after taking office in January, Lurie worked with the Board of Supervisors to pass a measure giving his office more authority to bypass bureaucratic hurdles that have slowed expansion of shelter and treatment programs for homeless people, as well as more leeway to pursue private funding to finance those initiatives.

He is working to open a 24/7 “stabilization center” in the heart of the Tenderloin where police can drop off people who need medical care. He is also pushing forward with a campaign promise to open 1,500 more treatment beds.

Lurie’s early efforts have alarmed some front-line street workers who say he is abandoning strategies that effectively prevent overdoses.

Tyler TerMeer, chief executive of the San Francisco AIDS Foundation, warned that the new policy could result in more people turning from smoking drugs to injecting them, raising the likelihood of people overdosing and contracting infectious diseases.

“San Francisco AIDS Foundation stands firm in our knowledge that providing people with the information and resources they need to take care of themselves, including safer-use supplies and treatment and counseling services, is best for the health of people who use substances,” TerMeer said.

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Lurie’s office said the public health department will monitor overdose rates and the transmission of HIV and Hepatitis C “to ensure this policy aligns with overall public health goals.”

Both Lurie and Tsai acknowledged the new approach will not be easy to implement. For one, the city does not have anywhere near enough treatment beds to accommodate all the people in need. And the rules stop short of forcing people into treatment. Still, Lurie said, San Francisco has to upend the status quo even as it expands capacity for treatment and interim housing.

“What we are doing is not working,” Lurie said. “I am not going to sit by and not take action.”

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Crews Drape Tarp Over White House in Latest Trump Restoration

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Construction workers unfurled a large printed tarp to cover scaffolding installed at the White House’s front entrance. Doug Burgum, the interior secretary, said President Trump had ordered the repairs after noticing damage to columns.

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WATCH: Trump’s Energy chief reveals what escalating Iran tensions could mean for gas prices

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WATCH: Trump’s Energy chief reveals what escalating Iran tensions could mean for gas prices

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Energy Secretary Chris Wright is telling Americans not to be concerned about the possibility of another surge of sharp increases in gasoline prices as tensions with Iran have started to escalate once again.

Asked whether Americans should worry about higher prices at the pump and how the Trump administration is preparing to keep the economy stable if the conflict continues to worsen, Wright told Fox News Digital: “It has not been any good behavior from Iran that’s allowed oil to flow. It’s been the United States military.”

“That’s not changing,” he assured, speaking from the Great American State Fair on the National Mall this week.

US CLAWS BACK KEY CONCESSION TO IRAN AFTER FRESH ATTACKS ON COMMERCIAL SHIPS IN STRAIT OF HORMUZ

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(Mario Tama/Getty Images) (Mario Tama/Getty Images)

With Iran striking three commercial vessels transiting the Strait of Hormuz on Monday and Tuesday, Wright doubled down in urging citizens to not credit Iran for the U.S. military’s work to ensure oil shipments continue flowing through the strait.

“Look, the U.S. Military has been the key asset here,” he said. “They have assured the flow of oil and gas through the Strait of Hormuz throughout. Not at the beginning of this conflict, but through the last six weeks.”

Wright said the administration is closely monitoring global oil supplies as the tentative ceasefire with Iran seemingly came to come to a halt, with President Donald Trump telling Secretary-General Mark Rutte the call for peace with Iran is “over” at the NATO Summit in Turkey on Wednesday.

But, he pointed to the continued shipping through the Strait as evidence that markets should remain stable.

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TRUMP SAYS IRAN CEASEFIRE IS ‘OVER’ AFTER IRANIAN ATTACKS TRIGGER MASSIVE US RESPONSE

President Donald Trump speaks at the White House on Tuesday, April 22. (AP/Alex Brandon)

“We’re of course constantly watching the supply of oil, the supply of refined products and what’s going on there,” Wright said. “And I think still all positive trends.”

Beyond geopolitical concerns, Wright also praised the new chain of discounted gas stations across Pennsylvania and New Jersey, Freedom Fuel, which promises customers prices below the national average.

The Trump administration, though not involved with the network, has heavily endorsed the new chain and its 25 locations.

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“We love it,” Wright said when asked about Freedom Fuel. “I mean, look, any mechanism we can to lower energy costs for Americans of all kinds, we’re all in on.”

“With Freedom Fuels, they’re just lowering it down to their wholesale price of gasoline,” Wright said. “So they’re not making any money selling gasoline, but they’ve got convenience stores. That’s how most gas stations make money.”

NEWSOM UNDER FIRE AS CALIFORNIA GAS TAX HIKE SENDS PUMP PRICES EVEN HIGHER

Gasoline costs are a known concern for many Americans, and amid surging prices there has been a considerable increase in those opting to purchase electric vehicles to save money long-term at the pump — with Tesla dominating the market for these types of models.

Wright argued one of the benefits to living in America is having the option to choose what type of vehicle you drive.

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“We just want people to buy what they would prefer,” he told Fox News Digital when asked his thoughts on increasing calls for support of the electrification of cars. “Consumer choice — you wanna buy an electric car, you wanna buy a gas powered car, diesel powered car, buy a big truck. That’s the choice.”

“That’s why you live in America. You get the choice of all those.”

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Black mold and $1 wages: Settlement forces immigrant detention centers to protect workers

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Black mold and  wages: Settlement forces immigrant detention centers to protect workers

In 2023, California regulators levied more than $100,000 in fines against the private operator of a federal immigration facility, kicking off a three-year battle over whether detainees who do work at the facilities should be considered employees.

The question went beyond semantics: If considered employees, the detainees would be subject to state worker protection laws.

A legal settlement announced this week now affirms that private immigrant detention facilities are subject to California’s workplace safety and health requirements.

“Every worker deserves a safe and healthy workplace and should be able to report workplace hazards without fear of retaliation,” said Denisse Gómez, spokesperson for the California Division of Occupational Safety and Health or Cal/OSHA.

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“Individuals who perform work in these facilities are entitled to workplace safety protections, and this settlement reinforces Cal/OSHA’s commitment to enforcing those protections and safeguarding vulnerable workers,” she added.

Under the settlement between California and the GEO Group, a Florida-based private prison company, the company recently withdrew its legal challenges and agreed to pay more than $100,000 in the fines.

The GEO Group did not respond to requests for comment.

Back in 2023, Cal/OSHA issued $104,510 in fines against the GEO Group. The agency had found six violations of state code by the company after detainees complained about a lack of protective equipment and proper training while cleaning the facility for $1 per day.

Detainees alleged they routinely wiped black mold off shower walls at the facility, saw black dust spew from air vents and used cleaning solutions that lacked instructions during the COVID-19 pandemic.

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The biggest fine levied against the GEO Group was for failure to establish and maintain “effective written procedures to reduce employee risk of exposure to aerosol transmissible disease.”

Advocates viewed Cal/OSHA’S recognition of the detainees as workers as a victory that could pave the way for future labor rights fights at other detention centers in the state.

But the GEO Group appealed, arguing that detainees participating in ICE’s voluntary work program make their own schedules and aren’t employees, so hazard exposure couldn’t be “as a result of assigned duties,” as California law states. Plus, the company argued, there wasn’t enough evidence that detainees were exposed to any hazard.

Early last year, the state’s Occupational Safety and Health Appeals Board rejected the GEO Group’s argument and found that detainees should be considered “affected employees.”

The GEO Group sued, but three days before a California Superior Court hearing in May, the company and Cal/OSHA reached the settlement.

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Along with paying the fines, the GEO Group agreed to draft plans for avoiding aerosol transmissions at 12 secure and reentry facilities in California, including five detention centers that hold immigrants.

“GEO ensures detainees are afforded the necessary tools, equipment, and personal protective equipment … to safely and effectively perform any necessary tasks,” the settlement states.

Gómez said the settlement also leaves intact the appeals board’s ruling that civil immigration detainees who participate in work programs can participate in proceedings anonymously, “acknowledging the potential for retaliation when individuals raise workplace safety concerns.”

But the question of whether detainees are employees and deserve certain protections isn’t entirely resolved — at least not for the federal government.

Last month, U.S. Immigration and Customs Enforcement released new standards for detention facilities across the country. The revised guidelines “emphasize that detainee volunteers participating in the voluntary work program are not considered facility and/or government employees” and thus not entitled to labor regulations.

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Attorney Mariel Villarreal said the timing of the new detention standards made her question whether the GEO Group had asked ICE to specify in its standards that detainees are not workers in response to its battle with Cal/OSHA.

“To me, it’s a reaction to this very settlement,” she said. Villarreal works for the California Collaborative for Immigrant Justice, which filed the original complaint on behalf of detainees who said they worked in unsafe conditions.

Villarreal pointed to a Washington Post report that GEO Group executives privately asked ICE to specify that detainees are not employees of the facilities where they work. Two top Trump administration officials, border czar Tom Homan and acting ICE director David Venturella, previously worked for the GEO Group.

New versions of ICE detention standards take effect as contracts are established or modified, so this year’s rules won’t immediately apply to every facility.

An ICE spokesperson did not comment about the settlement. The spokesperson, who did not provide their name in an emailed statement Wednesday, said the agency has begun transitioning detention facilities to meet the 2026 standards, “building on its longstanding commitment to safe, secure, and professional detention operations.”

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“ICE has consistently implemented many of these best practices independently, reinforcing its role as the leader in detention operations,” the spokesperson added.

The GEO Group and other immigrant detention center operators have faced other legal battles over workers’ rights, including lawsuits in Washington, Colorado and California over the $1-per-day payment.

Villarreal said she’s confident that the Cal/OSHA settlement would continue to hold even if California facilities incorporated the new standards. But she said she believes the statements are an attempt by the GEO Group to “sidestep responsibility” and avoid the possibility of being fined under similar circumstances in other states.

“These statements in the new standards are a way for them to try and preserve profits as much as possible,” she said. “GEO and ICE are so intertwined at this point that they have the same motives.”

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