,,iii #aagth ,,congress #b;d ,session ,s4 ,,res4 #hef ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,december #a1 #bjbb,mr4 ,booker 7for himself and ,mr4 ,sullivan7 submitted the following resolution2 which was referred to the ,committee on ,foreign ,relations ,,resolution ,commemorating and supporting the goals of ,world ,,aids ,day4 ,whereas1 as of the end of #bjba1 an estimated #ch1djj1jjj people were living with human immunodeficiency virus 7,,hiv7 or acquired immunodeficiency syndrome 7,,aids71 including #a1gjj1jjj children2 ,whereas1 in the ,united ,states1 more than #ggj1jjj people with ,,aids have died since the beginning of the ,,hiv epidemic1 including over #ah1jjj deaths among people with diagnosed ,,hiv in #bjbj1 with the disease disproportionately affecting communities of color2 ,whereas1 in #bjbj1 over #cj1jjj people became newly diagnosed with ,,hiv in the ,united ,states2 ,whereas communities of color are disproportionately affected by ,,hiv in the ,united ,states2 ,whereas1 in order to address the ,,hiv epidemic in the ,united ,states1 on ,august #ah1 #aiij1 ,congress enacted the ,ryan ,white ,comprehensive ,,aids ,resources ,emergency ,act 7,public ,law #aja-cha2 commonly referred to as the ,ryan ,white ,,care ,act7 to provide primary medical care and essential support services for people living with ,,hiv who are uninsured or underinsured2 ,whereas the ,ryan ,white ,,hiv_/,,aids ,program provides services and support for over half of all people diagnosed with ,,hiv in the ,united ,states2 ,whereas1 to further focus attention on the ,,hiv_/,,aids epidemic among minority communities in the ,united ,states1 in #aiih 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 ,,hiv2 ,whereas the ,united ,nations ,sustainable ,development ,goals established a global target to end ,,aids as a public health threat by #bjcj2 ,whereas1 in order to further address the global ,,hiv_/,,aids epidemic1 in #bjjc1 ,congress and the ,white ,house created the ,president's ,emergency ,plan for ,,aids ,relief 7referred to in this preamble as ,,pepfar72 ,whereas the ,united ,states ,,pepfar program remains the largest commitment in history by any country to combat a single disease2 ,whereas1 as of ,september #cj1 #bjbb1 ,,pepfar has supported treatment for more than #bj1jjj1jjj people1 and has enabled #e1ejj1jjj infants of mothers living with ,,hiv to be born ,,hiv-free2 ,whereas1 in fiscal year #bjba1 ,,pepfar directly supported ,,hiv testing and counseling for #fd1gjj1jjj people2 ,whereas the ,global ,fund to ,fight ,,aids1 ,tuberculosis and ,malaria was launched in #bjjb1 and1 as of #bjba1 has helped provide antiretroviral therapy to approximately #bc1cjj1jjj people living with ,,hiv_/,,aids and to #fgj1jjj pregnant women to prevent the transmission of ,,hiv_/,,aids to their children1 saving an estimated #ej1jjj1jjj lives2 ,whereas the ,united ,states is the largest donor to the ,global ,fund to ,fight ,,aids1 ,tuberculosis and ,malaria1 and every #a contributed by the ,united ,states leverages an additional #b from other donors1 as required by law2 ,whereas1 with ,united ,states leadership1 global partners pledged record amounts to combat infectious diseases at the seventh replenishment of the ,global ,fund to ,fight ,,aids in ,september #bjbb2 ,whereas considerable progress has been made in the fight against ,,hiv_/,,aids1 including a nearly #cj-percent reduction in new ,,hiv infections1 an over #ej-percent reduction in new ,,hiv infections among children1 and an over #de-percent reduction in the number of ,,aids-related deaths between #bjaj and #bjbj2 ,whereas approximately #bh1gjj1jjj people had access to antiretroviral therapy in #bjba1 compared to only #g1hjj1jjj people who had access to such therapy in #bjaj2 ,whereas research funded by the ,national ,institutes of ,health found that ,,hiv treatment not only saves the lives of people living with ,,hiv1 but people living with ,,hiv on effective antiretroviral therapy and who are durably virally suppressed cannot sexually transmit ,,hiv--proving that ,,hiv treatment is prevention2 ,whereas it is estimated that1 without treatment1 half of all infants living with ,,hiv will die before their second birthday2 ,whereas1 despite the remarkable progress in combating ,,hiv1 significant challenges remain2 ,whereas there were approximately #a1ejj1jjj new ,,hiv infections in #bjba globally1 structural barriers continue to make testing and treatment programs inaccessible to highly vulnerable populations1 and an estimated #e1ijj1jjj people living with ,,hiv globally still do not know their ,,hiv status2 ,whereas the ,centers for ,disease ,control and ,prevention reports that nearly #ca1jjj people were diagnosed with ,,hiv in the ,united ,states in #bjbj and #ac percent of the #a1bjj1jjj people in the ,united ,states living with ,,hiv are not aware of their ,,hiv status2 ,whereas men who have sex with men 7referred to in this preamble as ,,msm71 particularly young ,,msm of color1 are the population most affected by ,,hiv in the ,united ,states2 ,whereas southern ,states bear the greatest burden of ,,hiv in the ,united ,states1 accounting for #ea percent of new infections in #bjah2 ,whereas people living with ,,hiv are frequently susceptible to other infections1 such as hepatitis ,b and ,c and tuberculosis2 ,whereas the opioid and heroin epidemics have led to increased numbers of new ,,hiv infections among people who inject drugs1 and the crisis has disproportionately affected nonurban areas1 where ,,hiv prevalence rates have been low historically and have limited services for ,,hiv prevention and treatment and substance use disorder treatment2 ,whereas the ,,covid-#ai pandemic has placed a significant burden on the public health systems across the ,united ,states and the globe2 ,whereas #bjbc marks the #bjth anniversary of the ,,pepfar program1 an initiative launched by ,president ,george ,w4 ,bush with bi-partisan support that has become the primary policy instrument of the ,united ,states to address ,,hiv_/,,aids in the developing world2 ,whereas ,december #a of each year is internationally recognized as ,world ,,aids ,day2 and ,whereas1 in #bjbb1 commemorations for ,world ,,aids ,day recognize that the inequalities which perpetuate the ,,aids pandemic are not inevitable and that the world can tackle them3 ,now1 therefore1 be it ,that the ,senate-- 7#a7 supports the goals and ideals of ,world ,,aids ,day1 including the goal to achieve zero new ,,hiv infections1 zero discrimination1 and zero ,,aids-related deaths2 7#b7 commends the efforts and achievements in combating ,,hiv_/,,aids through the ,ryan ,white ,,hiv_/,,aids ,treatment ,extension ,act1 the ,minority ,,hiv_/,,aids ,initiative1 the ,centers for ,disease ,control and ,prevention1 the ,national ,institutes of ,health1 the ,substance ,abuse and ,mental ,health ,services ,administration1 the ,office of ,minority ,health1 and the ,office of the ,secretary of ,health and ,human ,services2 7#c7 commends the efforts and achievements in combating ,,hiv_/,,aids made by the ,president's ,emergency ,plan for ,,aids ,relief1 the ,global ,fund to ,fight ,,aids1 ,tuberculosis and ,malaria1 and the ,joint ,united ,nations ,programme on ,,hiv_/,,aids2 7#d7 supports efforts to end the ,,hiv epidemic in the ,united ,states and around the world by #bjcj2 7#e7 supports continued funding for prevention1 care1 and treatment services1 and research programs for communities impacted by ,,hiv and people living with ,,hiv in the ,united ,states and globally2 7#f7 urges1 in order to ensure that an ,,aids-free generation is achievable1 rapid action by all countries toward further expansion and scale-up of antiretroviral treatment programs1 including efforts to reduce disparities and improve access for children to life saving medications2 7#g7 encourages the scaling up of comprehensive prevention services1 including biomedical and structural interventions1 to ensure inclusive access to programs and appropriate protections for all people at risk of contracting ,,hiv1 especially in communities disproportionately impacted2 7#h7 calls for greater focus on the ,,hiv-related vulnerabilities of women and girls1 including women and girls at risk for or who have survived violence or faced discrimination as a result of the disease2 7#i7 supports continued leadership by the ,united ,states in domestic1 bilateral1 multilateral1 and private sector efforts to fight ,,hiv2 7#aj7 encourages input from civil society in the development and implementation of domestic and global ,,hiv policies and programs that guide the response2 7#aa7 encourages and supports greater degrees of ownership and shared responsibility by developing countries in order to ensure the sustainability of the domestic responses to ,,hiv_/,,aids by those countries2 and 7#ab7 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 ,,hiv4