IV 
117TH CONGRESS 
2D SESSION 
H. RES. 1504 
Supporting the goals of World AIDS Day. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 1, 2022 
Ms. LEE of California (for herself, Miss GONZA´LEZ-COLO´N, Ms. JACKSON 
LEE, Ms. WILLIAMS of Georgia, Mr. FITZPATRICK, Ms. WILSON of Flor-
ida, Ms. MOORE of Wisconsin, Mr. COHEN, Ms. TITUS, Mr. TONKO, Mrs. 
WATSON COLEMAN, Mr. TAKANO, Ms. MENG, Ms. PRESSLEY, Ms. JA-
COBS of California, Mr. CARSON, Mrs. CAROLYN B. MALONEY of New 
York, Ms. CLARKE of New York, Mr. KILMER, Mr. CICILLINE, Mr. 
MCGOVERN, Mr. PAPPAS, Ms. BARRAGA´N, Ms. BUSH, Ms. VELA´ZQUEZ, 
and Ms. WATERS) submitted the following resolution; which was referred 
to the Committee on Energy and Commerce, and in addition to the Com-
mittee on Foreign Affairs, for a period to be subsequently determined by 
the Speaker, in each case for consideration of such provisions as fall with-
in the jurisdiction of the committee concerned 
RESOLUTION 
Supporting the goals of World AIDS Day. 
Whereas, as of the end of 2021, an estimated 38,400,000 
people were living with human immunodeficiency virus 
(HIV) or acquired immunodeficiency syndrome (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 epi-
demic, including over 18,000 deaths among people with 
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diagnosed HIV in 2020, with the disease disproportion-
ately affecting communities of color; 
Whereas each year nearly 40,000 people become newly diag-
nosed with HIV in the United States; 
Whereas, according to the Centers for Disease Control and 
Prevention (‘‘CDC’’), Blacks, Hispanics, Asians, Amer-
ican Indians, Alaska Natives, and Native Hawaiians and 
other Pacific Islanders 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 of 
1990 (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 serv-
ices and support for over half of all people diagnosed with 
HIV in the United States; 
Whereas, to further focus attention on the HIV/AIDS epi-
demic among minority communities in the United States, 
in 1998, the Minority AIDS Initiative was established to 
provide funds to State and local institutions and organi-
zations to best serve the health care costs and support 
the needs of racial and ethnic minorities living with HIV; 
Whereas, 
since 
2016, 
the 
historic 
U=U 
(Undetectable=Untransmittable) movement has positively 
impacted the lives of people living with HIV by pro-
moting the scientific facts; 
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Whereas, when people living with HIV are on treatment and 
have an undetectable viral load, they protect their own 
health and they cannot transmit HIV; 
Whereas, in 2022, the Federal Government across sectors 
(including the White House, the Department of Health 
and Human Services, and the CDC) has publicly an-
nounced their support for the U=U movement in hopes 
of positively changing the trajectory of HIV in the United 
States; 
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 cre-
ated the President’s Emergency Plan for AIDS Relief 
(PEPFAR); 
Whereas the PEPFAR program remains the largest commit-
ment in history by any country to combat a single dis-
ease; 
Whereas, as of March 31, 2022, PEPFAR has supported 
treatment for approximately 20,000,000 people, and has 
enabled 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 63,400,000 people; 
Whereas the Global Fund to Fight AIDS, Tuberculosis and 
Malaria, 
launched 
in 
2002, 
has 
helped 
provide 
antiretroviral therapy to approximately 23,300,000 peo-
ple living with HIV/AIDS and to 670,000 pregnant 
women to prevent the transmission of HIV/AIDS to their 
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children, saving an estimated 50,000,000 lives, as of 
2021; 
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 considerable progress has been made in the fight 
against HIV/AIDS, including a nearly 30-percent reduc-
tion in new HIV transmissions, over a 50-percent reduc-
tion in new HIV transmissions among children, and over 
a 45-percent reduction in the number of AIDS-related 
deaths between 2010 and 2020; 
Whereas approximately 28,700,000 people had access to 
antiretroviral therapy in 2021, 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 peo-
ple living with HIV, but people living with HIV on effec-
tive antiretroviral therapy and who are durably virally 
suppressed cannot sexually transmit HIV, proving that 
HIV treatment is prevention; 
Whereas the CDC states that preexposure prophylaxis 
(PrEP) reduces HIV transmission through sexual contact 
by 99 percent when taken as prescribed, proving that 
PrEP is critical for HIV prevention; 
Whereas nearly 1,000,000 people globally had started taking 
PrEP by the end of 2020; 
Whereas it is estimated that, without treatment, half of all 
infants living with HIV will die before their second birth-
day; 
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Whereas, despite the remarkable progress in combating HIV, 
significant challenges remain; 
Whereas there were approximately 1,500,000 new HIV diag-
noses in 2021 globally, structural barriers continue to 
make testing and treatment programs inaccessible to 
highly 
vulnerable 
populations, 
and 
an 
estimated 
5,900,000 people living with HIV globally still do not 
know their HIV status; 
Whereas the CDC reports that nearly 31,000 people were di-
agnosed with HIV in the United States in 2020 and 13 
percent of the 1,200,000 people in the United States liv-
ing with HIV are not aware of their HIV status; 
Whereas the CDC has found that men who have sex with 
men (MSM), particularly young Blacks and Hispanics, 
are the population most affected by HIV in the United 
States; 
Whereas southern areas of the United States bear the great-
est burden of HIV, accounting for 51 percent of new in-
fections in 2018; 
Whereas globally transgender feminine individuals are 66 
times more likely and transgender masculine individuals 
are 6.8 times more likely to be diagnosed with HIV com-
pared to the general adult population; 
Whereas one in two people living with HIV in the United 
States is over 50; 
Whereas people living with HIV are frequently susceptible to 
other infections, such as hepatitis B and C and tuber-
culosis; 
Whereas the opioid and heroin epidemics have led to in-
creased numbers of new HIV transmissions among people 
who inject drugs, and the crisis has disproportionately af-
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fected 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 the COVID–19 pandemic has placed a significant 
burden on the public health systems across the United 
States and globe; 
Whereas December 1 of each year is internationally recog-
nized as ‘‘World AIDS Day’’; and 
Whereas, in 2022, commemorations for World AIDS Day rec-
ognize that ‘‘inequalities which perpetuate the AIDS 
pandemics are not inevitable; we can tackle them’’: Now, 
therefore, be it 
Resolved, That the House of Representatives— 
(1) encourages people around the world to work 
to achieve the goal of zero new HIV transmissions, 
zero discrimination, and zero AIDS-related deaths, 
in order to end the HIV epidemic in the United 
States and around the world by 2030; 
(2) encourages Federal, State, and local govern-
ments, including their public health agencies, and 
community-based organizations to share and dis-
seminate 
U=U 
(Undetectable 
equals 
Untransmittable) information; 
(3) commends the efforts and achievements in 
combating HIV/AIDS through the Ryan White HIV/ 
AIDS Treatment Extension Act of 2009 (Public 
Law 111–87), the Minority HIV/AIDS Initiative, 
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the Housing Opportunities for Persons With AIDS 
(HOPWA) Program, the Centers for Disease Con-
trol and Prevention, the National Institutes of 
Health, the Substance Abuse and Mental Health 
Services Administration, the Office of Minority 
Health, and the Office of the Secretary of Health 
and Human Services; 
(4) commends the efforts and achievements in 
combating HIV/AIDS made by PEPFAR, the Global 
Fund to Fight AIDS, Tuberculosis and Malaria, and 
the Joint United Nations Programme on HIV/AIDS; 
(5) supports continued funding for prevention, 
care and treatment services, and research programs 
for communities impacted by HIV and people living 
with HIV in the United States and globally; 
(6) urges, in order to ensure that an AIDS-free 
generation is achievable, rapid action by all countries 
toward 
further 
expansion 
and 
scale-up 
of 
antiretroviral treatment programs, including efforts 
to reduce disparities and improve access for children 
to life-saving medications; 
(7) encourages the scaling up of comprehensive 
prevention services, including biomedical and struc-
tural interventions, to ensure inclusive access to pro-
grams and appropriate resources for all people at 
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risk of contracting HIV, especially in communities 
disproportionately impacted as these groups make 
up the majority of new HIV diagnoses in the United 
States and prevention efforts should specifically 
reach these groups; 
(8) calls for greater focus on the HIV-related 
vulnerabilities of women and girls, including women 
and girls at risk for or who have survived violence 
or faced discrimination as a result of the disease, 
such as through the implementation of layered pre-
vention programming through PEPFAR’s DREAMS 
(Determined, 
Resilient, 
Empowered, 
AIDS-free, 
Mentored, and Safe) public-private partnership to 
reduce structural and individual vulnerabilities to 
HIV; 
(9) supports continued leadership by the United 
States in domestic, bilateral, multilateral, and pri-
vate sector efforts to fight HIV; 
(10) encourages input from civil society in the 
development and implementation of domestic and 
global HIV policies and programs that guide the re-
sponse with specific measures for transparency and 
accountability; 
(11) encourages and supports greater degrees 
of ownership and shared responsibility by developing 
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countries in order to ensure the sustainability of the 
domestic responses to HIV by those countries; and 
(12) urges other members of the international 
community to sustain and scale up their support for 
and financial contributions to efforts around the 
world to combat HIV. 
Æ 
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