In 2003, PAWS San Francisco expanded its services to persons with other serious illnesses or mental health problems, and in 2007 to senior citizens with low incomes.

[1] More than thirty other PAWS agencies (which are modeled on, but independent of, the San Francisco group) have been established in other North American cities.

[3] In 2009, Rachel Herman founded PAWS NY, which offers services to clients across New York City who have physical and financial barriers to caring for their pets.

In 2019, PAWS NY helped 275 people and their 387 pets across New York City [4] and in 2020, the organization was featured on The Weekend TODAY Show.

North County expanded its services to low income, disabled, chronically ill and elderly clients.