This presentation will provide an in-depth overview of our agency’s innovative street outreach strategies for HIV prevention and treatment across Texas. We focus on connecting with populations often labeled as “hard to reach” through a combination of trauma-informed care and peer navigation, designed to foster trust and engagement. Our approach prioritizes immediacy—once we identify individuals in need, we work to link them to HIV care or initiate PrEP within 24 hours, and often on the same day. We are leading the effort for prompt diagnosis and linkage to care in Texas when individuals in many areas have to wait days, even weeks, for a doctor's appointment.