IV 
117TH CONGRESS 
1ST SESSION 
H. RES. 813 
Supporting the goals of World AIDS Day. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 18, 2021 
Ms. LEE of California (for herself, Miss GONZA´LEZ-COLO´N, Mr. MCGOVERN, 
Mr. FITZPATRICK, Ms. WILLIAMS of Georgia, Mr. CONNOLLY, Mrs. 
CAROLYN B. MALONEY of New York, Ms. PRESSLEY, Ms. MOORE of Wis-
consin, Mrs. WATSON COLEMAN, Mr. CICILLINE, Mr. KHANNA, Mr. 
CLEAVER, Ms. SALAZAR, Ms. SA´NCHEZ, Ms. CHU, Ms. SEWELL, Mr. 
DEUTCH, Mr. COHEN, Mr. PRICE of North Carolina, Mr. BACON, Ms. 
BARRAGA´N, and Mr. GRIJALVA) submitted the following resolution; which 
was referred to the Committee on Energy and Commerce, and in addition 
to the Committee on Foreign Affairs, for a period to be subsequently de-
termined by the Speaker, in each case for consideration of such provisions 
as fall within the jurisdiction of the committee concerned 
RESOLUTION 
Supporting the goals of World AIDS Day. 
Whereas, as of the end of 2020, an estimated 37,700,000 
people were living with human immunodeficiency virus 
(HIV) or acquired immunodeficiency syndrome (AIDS), 
including 1,720,000 children; 
Whereas in the United States, more than 770,000 people 
with AIDS have died since the beginning of the HIV epi-
demic, including nearly 16,000 deaths among people with 
diagnosed HIV in 2019, with the disease disproportion-
ately affecting communities of color; 
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•HRES 813 IH 
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 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); 
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•HRES 813 IH 
Whereas the PEPFAR program remains the largest commit-
ment in history by any country to combat a single dis-
ease; 
Whereas, as of 2020, PEPFAR has supported treatment for 
approximately 17,200,000 people, and has enabled 
2,800,000 infants of mothers living with HIV to be born 
HIV-free; 
Whereas, in fiscal year 2020, PEPFAR directly supported 
HIV testing and counseling for 50,000,000 people; 
Whereas the Global Fund to Fight AIDS, Tuberculosis and 
Malaria, 
launched 
in 
2002, 
has 
helped 
provide 
antiretroviral therapy to approximately 21,900,000 peo-
ple living with HIV/AIDS and to 686,000 pregnant 
women to prevent the transmission of HIV/AIDS to their 
children, saving an estimated 44,000,000 lives, as of 
2020; 
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 27,500,000 people had access to 
antiretroviral therapy in 2020, compared to only 
7,800,000 people who had access to such therapy in 
2010; 
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•HRES 813 IH 
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; 
Whereas despite the remarkable progress in combating HIV, 
significant challenges remain; 
Whereas there were approximately 1,500,000 new HIV diag-
noses in 2020 globally, structural barriers continue to 
make testing and treatment programs inaccessible to 
highly 
vulnerable 
populations, 
and 
an 
estimated 
6,100,000 people living with HIV globally still do not 
know their HIV status; 
Whereas the CDC reports that nearly 37,000 people were di-
agnosed with HIV in the United States in 2018 and 14 
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; 
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•HRES 813 IH 
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 the CDC estimates that 44 percent of Black 
transgender women are living with HIV in the United 
States, and transgender women are 49 times more likely 
to be diagnosed with HIV compared to the global general 
adult population; 
Whereas one in two people living with HIV in the United 
States are 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-
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 2021, commemorations for World AIDS Day rec-
ognize the need for ‘‘Ending the HIV Epidemic: Equi-
table Access, Everyone’s Voice’’: Now, therefore, be it 
Resolved, That the House of Representatives— 
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•HRES 813 IH 
(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) 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 
(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; 
(3) 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; 
(4) 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; 
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