III 

118TH CONGRESS 

1ST SESSION S. RES. 482 

Commemorating and supporting the goals of World AIDS Day. 

IN THE SENATE OF THE UNITED STATES 

NOVEMBER 30, 2023 

Mr. BOOKER (for himself and Mr. SULLIVAN) submitted the following 

resolution; which was referred to the Committee on Foreign Relations 

RESOLUTION 

Commemorating and supporting the goals of World AIDS 

Day. 

Whereas, as of the end of 2022, an estimated 39,000,000 

people were living with human immunodeficiency virus 

(referred to in this preamble as ‘‘HIV’’) or acquired immunodeficiency syndrome (referred to in this preamble as 

‘‘AIDS’’), including 1,700,000 children; 

Whereas in the United States, more than 770,000 people 

with AIDS have died since the beginning of the HIV epidemic, including over 19,000 deaths among people with 

diagnosed HIV in 2021, with the disease disproportionately affecting communities of color; 

Whereas in 2021, over 35,000 people became newly diagnosed 

with HIV in the United States; 


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•SRES 482 IS 

Whereas communities of color are disproportionately affected 

by HIV in the United States; 

Whereas in order to address the HIV epidemic in the United 

States, on August 18, 1990, Congress enacted the Ryan 

White Comprehensive AIDS Resources Emergency Act 

(Public Law 101–381; commonly referred to as the 

‘‘Ryan White CARE Act’’) to provide primary medical 

care and essential support services for people living with 

HIV who are uninsured or underinsured; 

Whereas the Ryan White HIV/AIDS Program provides services and support for over half of all people diagnosed with 

HIV in the United States; 

Whereas to further focus attention on the HIV/AIDS epidemic among minority communities in the United States, 

in 1998 the Minority AIDS Initiative was established to 

provide funds to State and local institutions and organizations to best serve the health care costs and support 

the needs of racial and ethnic minorities living with HIV; 

Whereas the United Nations Sustainable Development Goals 

established a global target to end AIDS as a public 

health threat by 2030; 

Whereas in order to further address the global HIV/AIDS 

epidemic, in 2003, Congress and the White House created the President’s Emergency Plan for AIDS Relief 

(referred to in this preamble as ‘‘PEPFAR’’); 

Whereas the United States PEPFAR program remains the 

largest commitment in history by any country to combat 

a single disease; 

Whereas 25,000,000 lives have been saved through PEPFAR; 

Whereas, as of September 30, 2022, PEPFAR has supported 

treatment for more than 20,000,000 people, and has enVerDate Sep 11 2014 00:32 Dec 01, 2023 Jkt 049200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6300 E:\BILLS\SR482.IS SR482

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•SRES 482 IS 

abled 5,500,000 infants of mothers living with HIV to be 

born HIV-free; 

Whereas in fiscal year 2021, PEPFAR directly supported 

HIV testing and counseling for 64,700,000 people; 

Whereas the Global Fund to Fight AIDS, Tuberculosis and 

Malaria was launched in 2002, and, as of 2022, has 

helped provide antiretroviral therapy to approximately 

24,500,000 people living with HIV/AIDS and to 710,000 

pregnant women to prevent the transmission of HIV/ 

AIDS to their children, saving an estimated 59,000,000 

lives; 

Whereas the United States is the largest donor to the Global 

Fund to Fight AIDS, Tuberculosis and Malaria, and 

every $1 contributed by the United States leverages an 

additional $2 from other donors, as required by law; 

Whereas, with United States leadership, global partners 

pledged record amounts to combat infectious diseases at 

the seventh replenishment of the Global Fund to Fight 

AIDS in September 2022; 

Whereas considerable progress has been made in the fight 

against HIV/AIDS, including a nearly 40-percent reduction in new HIV infections, a nearly 60-percent reduction 

in new HIV infections among children, and a 50-percent 

reduction in the number of AIDS-related deaths between 

2010 and 2022; 

Whereas approximately 29,800,000 people had access to 

antiretroviral therapy in 2022, compared to only 

7,800,000 people who had access to such therapy in 

2010; 

Whereas research funded by the National Institutes of Health 

found that HIV treatment not only saves the lives of peoVerDate Sep 11 2014 00:32 Dec 01, 2023 Jkt 049200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6300 E:\BILLS\SR482.IS SR482

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•SRES 482 IS 

ple living with HIV, but people living with HIV on effective antiretroviral therapy and who are durably virally 

suppressed cannot sexually transmit HIV, proving that 

HIV treatment is prevention; 

Whereas it is estimated that, without treatment, half of all 

infants living with HIV will die before their second birthday; 

Whereas, despite the remarkable progress in combating HIV, 

significant challenges remain; 

Whereas there were approximately 1,300,000 new HIV infections in 2022 globally, structural barriers continue to 

make testing and treatment programs inaccessible to 

highly vulnerable populations, and an estimated 

5,400,000 people living with HIV globally still do not 

know their HIV status; 

Whereas the Centers for Disease Control and Prevention reports that over 35,000 people were diagnosed with HIV 

in the United States in 2021 and 13 percent of the 

1,200,000 people in the United States living with HIV 

are not aware of their HIV status; 

Whereas men who have sex with men (referred to in this preamble as ‘‘MSM’’), particularly young MSM of color, are 

the population most affected by HIV in the United 

States; 

Whereas southern States bear the greatest burden of HIV in 

the United States, accounting for 52 percent of new infections in 2021; 

Whereas people living with HIV are frequently susceptible to 

other infections, such as hepatitis B and C and tuberculosis; 


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•SRES 482 IS 

Whereas the opioid and heroin epidemics have led to increased numbers of new HIV infections among people 

who inject drugs, and the crisis has disproportionately affected nonurban areas, where HIV prevalence rates have 

been low historically and have limited services for HIV 

prevention and treatment and substance use disorder 

treatment; 

Whereas 2023 marked the 20th anniversary of the PEPFAR 

program, an initiative launched by President George W. 

Bush with bi-partisan support that has become the primary policy instrument of the United States to address 

HIV/AIDS in the developing world; 

Whereas December 1 of each year is internationally recognized as ‘‘World AIDS Day’’; and 

Whereas in 2023, commemorations for World AIDS Day recognize the essential role of communities in the global 

HIV/AIDS response: Now, therefore, be it 

1 Resolved, That the Senate— 

2 (1) supports the goals and ideals of World 

3 AIDS Day, including the goal to achieve zero new 

4 human immunodeficiency virus (referred to in this 

5 resolution as ‘‘HIV’’) infections, zero discrimination, 

6 and zero acquired immunodeficiency syndrome (re7 ferred to in this resolution as ‘‘AIDS’’)-related 

8 deaths; 

9 (2) commends achievements in combating HIV/ 

10 AIDS through the Ryan White HIV/AIDS Treat11 ment Extension Act, the Minority HIV/AIDS InitiaVerDate Sep 11 2014 00:32 Dec 01, 2023 Jkt 049200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\SR482.IS SR482

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•SRES 482 IS 

1 tive, the Centers for Disease Control and Preven2 tion, the National Institutes of Health, the Sub3 stance Abuse and Mental Health Services Adminis4 tration, the Office of Minority Health, and the Of5 fice of the Secretary of Health and Human Services; 

6 (3) commends achievements in combating HIV/ 

7 AIDS made by the President’s Emergency Plan for 

8 AIDS Relief, the Global Fund to Fight AIDS, Tu9 berculosis and Malaria, and the Joint United Na10 tions Programme on HIV/AIDS; 

11 (4) supports efforts to end the HIV epidemic in 

12 the United States and around the world by 2030; 

13 (5) supports continued funding for prevention, 

14 care, and treatment services, and research programs 

15 for communities impacted by HIV and people living 

16 with HIV in the United States and globally; 

17 (6) urges, in order to ensure that an AIDS-free 

18 generation is achievable, rapid action by all countries 

19 toward further expansion and scale-up of 

20 antiretroviral treatment programs, including efforts 

21 to reduce disparities and improve access for children 

22 to life-saving medications; 

23 (7) encourages the scaling up of comprehensive 

24 prevention services, including biomedical and struc25 tural interventions, to ensure inclusive access to proVerDate Sep 11 2014 00:32 Dec 01, 2023 Jkt 049200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\SR482.IS SR482

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1 grams and appropriate protections for all people at 

2 risk of contracting HIV, especially in communities 

3 disproportionately impacted; 

4 (8) calls for greater focus on the HIV-related 

5 vulnerabilities of women and girls, including women 

6 and girls at risk for or who have survived violence 

7 or faced discrimination as a result of the disease; 

8 (9) supports continued leadership by the United 

9 States in domestic, bilateral, multilateral, and pri10 vate sector efforts to fight HIV; 

11 (10) encourages input from civil society in the 

12 development and implementation of domestic and 

13 global HIV policies and programs that guide the re14 sponse; 

15 (11) encourages and supports greater degrees 

16 of ownership and shared responsibility by developing 

17 countries in order to ensure the sustainability of the 

18 domestic responses to HIV/AIDS by those countries; 

19 and 

20 (12) urges other members of the international 

21 community to sustain and scale up their support for 

22 and financial contributions to efforts around the 

23 world to combat HIV. 

Æ 


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