IV 
118TH CONGRESS 
1ST SESSION 
H. RES. 904 
Supporting the goals of World AIDS Day. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 1, 2023 
Ms. LEE of California (for herself, Ms. JACOBS, Mrs. WATSON COLEMAN, Ms. 
BARRAGA´N, Ms. SEWELL, Mr. MULLIN, Ms. ADAMS, Ms. HOULAHAN, Mr. 
SOTO, Ms. NORTON, Ms. WILLIAMS of Georgia, Ms. WILSON of Florida, 
Mr. COHEN, Ms. MOORE of Wisconsin, Mr. NADLER, Ms. CLARKE of 
New York, Mr. MCGOVERN, Ms. BLUNT ROCHESTER, Mr. FITZPATRICK, 
Ms. MENG, Mr. SWALWELL, Mr. VICENTE GONZALEZ of Texas, Mr. 
SCHIFF, Mr. KRISHNAMOORTHI, Ms. WILD, Mr. SHERMAN, Mr. TRONE, 
and Mr. CARSON) 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 2022, an estimated 39,000,000 
people were living with human immunodeficiency virus 
(HIV) or acquired immunodeficiency syndrome (AIDS), 
including 1,500,000 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 19,000 deaths among people with 
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diagnosed HIV in 2021, with the disease disproportion-
ately affecting communities of color; 
Whereas, in 2021, over 35,000 people became newly diag-
nosed with HIV in the United States; 
Whereas, according to the Centers for Disease Control and 
Prevention (‘‘CDC’’), Black Americans, Hispanic Ameri-
cans, Asian Americans, American Indians, Alaska Na-
tives, 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 needs of racial and ethnic mi-
norities 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 Centers for Disease Con-
trol and Prevention (‘‘CDC’’)) has publicly announced 
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 25,000,000 lives have been saved through PEPFAR; 
Whereas, as of September 30, 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 64,700 people; 
Whereas sustained bipartisan commitment is essential for 
PEPFAR to continue saving lives, preventing new HIV 
infections, and accelerating progress toward controlling 
the global HIV/AIDS pandemic; 
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Whereas the Global Fund to Fight AIDS, Tuberculosis and 
Malaria, 
launched 
in 
2002, 
has 
helped 
provide 
antiretroviral therapy to approximately 24,500,000 peo-
ple 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, as of 
2022; 
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 40-percent reduc-
tion in new HIV transmissions, a nearly 60-percent re-
duction in new HIV transmissions among children, and 
a reduction of over 50 percent 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 not only that HIV treatment 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; 
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Whereas nearly 4,000,000 people globally had started taking 
PrEP by the end of 2022; 
Whereas it is estimated that, without treatment, half of all 
infants living with HIV will die before their second birth-
day; 
Whereas, despite the remarkable progress in combating HIV, 
significant challenges remain; 
Whereas there were approximately 1,300,000 new HIV diag-
noses 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 CDC reports that over 35,000 people were diag-
nosed with HIV in the United States in 2021, 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, particularly young Black Americans 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 52 percent of new in-
fections in 2021; 
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; 
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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-
fected nonurban areas, where HIV prevalence rates have 
been low historically and there are limited services for 
HIV prevention, treatment, and substance use disorder 
treatment; 
Whereas December 1 of each year is internationally recog-
nized as ‘‘World AIDS Day’’; 
Whereas 2023 marked the 20th anniversary of the PEPFAR 
program, an initiative launched by President George W. 
Bush with bipartisan support that has become the pri-
mary policy instrument of the United States to address 
HIV/AIDS globally; and 
Whereas, in 2023, commemorations for World AIDS Day rec-
ognize the essential role of communities in the global 
HIV/AIDS response: 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-
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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, 
the Housing Opportunities for Persons With AIDS 
Program, the Centers for Disease Control and Pre-
vention, the National Institutes of Health, the Sub-
stance Abuse and Mental Health Services Adminis-
tration, the Office of Minority Health, and the Of-
fice of the Secretary of Health and Human Services; 
(4) commends the efforts and achievements in 
combating HIV/AIDS made by the President’s 
Emergency Plan for AIDS Relief (‘‘PEPFAR’’), the 
Global Fund to Fight AIDS, Tuberculosis and Ma-
laria, 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 
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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 
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; 
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