IV 118th CONGRESS 1st Session H. RES. 281 IN THE HOUSE OF REPRESENTATIVES April 6, 2023 Ms. Lee of California (for herself, Mr. Payne , Ms. Jacobs , Ms. Barragán , Ms. Chu , Mr. Davis of Illinois , Ms. Williams of Georgia , Mrs. Hayes , Mr. Evans , and Ms. Sewell ) submitted the following resolution; which was referred to the Committee on Energy and Commerce RESOLUTION Supporting the goals and ideals of National Youth HIV/AIDS Awareness Day .

Whereas National Youth HIV/AIDS Awareness Day is a nationwide observance that calls on people to take action to invest in the health, education, and leadership of young people; Whereas, more than 40 years into the epidemic, the Centers for Disease Control and Prevention estimates that in the United States more than 1,189,700 people are living with HIV, and 30,635 people were diagnosed with HIV in the United States in 2020; Whereas, in 2020, youth aged 13 to 24 years composed 20 percent of all new HIV diagnoses in the United States; Whereas young people living with HIV are the least likely of any age group to be retained in care and have a suppressed viral load; Whereas 56 percent of young people living with HIV ages 13 to 24 are unaware of their HIV status; Whereas African-American youth are most impacted by the epidemic, representing 54 percent of new transmissions in young people ages 13 to 24; Whereas young African-American gay and bisexual men are even more severely affected, representing 53 percent (2,740) of new HIV diagnoses among young gay and bisexual men; Whereas young gay and bisexual men accounted for 84 percent (5,161) of all new HIV diagnoses in people aged 13 to 24 in 2020; Whereas the National HIV/AIDS Strategy expands the fact that youth experience worse HIV outcomes on status awareness, pre-exposure prophylaxis uptake, and health outcomes; Whereas the National HIV/AIDS Strategy recommends children and young adults with HIV need tailored and often more intensive medical and support services to support them as they grow and become young adults; Whereas the Division of Adolescent and School Health is the only Federal program supporting HIV prevention for adolescents in schools; Whereas the Nation’s largest Federal program dedicated to providing care and treatment for people living with HIV was named after Ryan White, a teenager from Indiana who helped educate a Nation about HIV and AIDS in the 1980s; Whereas the Ryan White Part D Program is one of the national efforts to link young people living with HIV to medical care and support services; Whereas the Patient Protection and Affordable Care Act provides youth, including those living with or impacted by HIV and AIDS, better access to health care coverage, more health insurance options, additional funding for sex education, a prohibition against denying people living with HIV access to health care, and expanded access to Medicaid which will support more young people living with HIV receiving care; and Whereas April 10 of each year is now recognized as National Youth HIV/AIDS Awareness Day : Now, therefore, be it

That the House of Representatives— (1) supports the goals and ideals of National Youth HIV/AIDS Awareness Day ; (2) encourages State and local governments, including their public health agencies, education agencies, schools, and media organizations to recognize and support such a day; (3) supports young people’s right to education, prevention, treatment, and care, and to live without criminalization, discrimination, oppression, and stigma; (4) promotes up-to-date, inclusive, culturally responsible, and medically accurate information about HIV, such as pre-exposure prophylaxis PreP, in sex education curricula to ensure that all young people are educated about HIV, as called for in the National HIV/AIDS Strategy; (5) supports removal of HIV laws that are scientifically inaccurate and unfairly criminalize young people living with HIV for behaviors that are consensual or have no risk of transmission; (6) urges youth-friendly and accessible health care services, especially access to medications such as pre-exposure prophylaxis, post-exposure prophylaxis, and antiretroviral therapy without parental consent, to better provide for the early identification of HIV through voluntary routine testing, and to connect those in need to clinically and culturally appropriate care and treatment as early as possible; (7) supports the increase of funding for programs that support people impacted by and living with HIV, including the Centers for Disease Control and Prevention’s Division of Adolescent and School Health, the Division of STD Prevention, and the Division of HIV Prevention, the Ryan White HIV/AIDS Program, the Medicaid program, AIDS Drug Assistance Programs, and programs that support medical mentorship, peer navigation, educating communities on testing and treatment options, and people accessing PrEP, and ensure a smoother transition to adult HIV care; (8) recommends a comprehensive prevention and treatment strategy that empowers young people, parents, public health workers, educators, faith leaders, and other stakeholders to fully engage with their communities and families to help decrease violence, discrimination, and stigma toward individuals who disclose their sexual orientation or HIV status; (9) calls for a generation free of HIV stigma in a manner that prioritizes youth leadership and development in order to ensure youth involvement in decisions which impact their health and well-being as well as advance a pipeline for the next generation of HIV and AIDS doctors, advocates, educators, researchers, and other professionals; and (10) recognizes the direct impact from harmful legislative efforts seeking to restrict bodily autonomy for young people, such as restrictions on abortion and birth control access and bans on transgender health care, which negatively impact youth access to nonstigmatizing HIV prevention, education, confidential testing and treatment, and increases risk for criminalization.