At the San Francisco AIDS Foundation, staff members Tyrone Clifford (left) and Rick Andrews (right) demonstrate how a contingency management visit typically begins, with a participant picking up a specimen cup for a urine sample. At the San Francisco AIDS Foundation, staff members Tyrone Clifford (left) and Rick Andrews (right) demonstrate how a contingency management visit typically begins, with a participant picking up a specimen cup for a urine sample. As overdoses and public health costs related to meth and cocaine continue to spiral in California, state officials are desperate for more effective treatment options and are pursuing legislation and appealing to federal regulators to make contingency management more widely available.