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While some individual public health officials have sup- ported efforts to reform HIV criminalization, the contribution of the organized public health profession, as a whole, has been marginal. Public health authorities have been indifferent to such efforts, have been afraid to voice their support, or have actively stood in the way of needed changes.This editorial argues that it  is not too late for the public health community to make a difference. There is much work and ongoing advocacy needed for the tide to fully turn on HIV criminalization in this country. A strong public health voice urging the federal government to deliver on its promise to enact principled, evidence-based Criminal Code reforms that end unjust HIV criminalization would make an important contribution.