,,iii #aaith ,,congress #ast ,session ,s4 ,,res4 #ebb ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,december #b1 #bjbe,mr4 ,booker 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 #bjbd1 an estimated #dj1hjj1jjj people were living with human immunodeficiency virus 7referred to in this preamble as ,,hiv7 or acquired immunodeficiency syndrome 7referred to in this preamble as ,,aids71 including #a1djj1jjj children2 ,whereas1 in the ,united ,states1 more than #gij1jjj people with ,,aids have died since the beginning of the ,,hiv epidemic1 including over #ai1cjj deaths among people with diagnosed ,,hiv in #bjbb1 with the disease disproportionately affecting communities of color2 ,whereas1 in #bjbc1 over #ci1jjj people became newly diagnosed with ,,hiv in the ,united ,states2 ,whereas1 while all races and ethnicities are affected by ,,hiv in the ,united ,states1 communities of color are disproportionately impacted2 ,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 #ajd ,stat4 #egf7 7commonly 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 and ,,aids epidemic among minority communities in the ,united ,states1 in #aiih1 the ,minority ,,aids ,initiative was established to provide funds to ,state and local institutions and organizations to best serve 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 and ,,aids epidemic1 in #bjjc1 ,congress and the administration of ,president ,george ,w4 ,bush1 with bipartisan support1 created the ,president's ,emergency ,plan for ,,aids ,relief 7referred to in this preamble as ,,pepfar71 which for more than #b decades has served as the primary policy instrument of the ,united ,states to address ,,hiv and ,,aids in the developing world2 ,whereas the ,united ,states ,,pepfar program remains the largest commitment in history by any country to combat a single disease2 ,whereas #bf1jjj1jjj lives have been saved through ,,pepfar2 ,whereas1 as of ,september #cj1 #bjbd1 ,,pepfar has supported treatment for approximately #bj1fjj1jjj people and has enabled #g1hjj1jjj infants of mothers living with ,,hiv to be born ,,hiv-free2 ,whereas1 in fiscal year #bjbd1 ,,pepfar directly supported testing and counseling for #hd1ajj1jjj people2 ,whereas the ,global ,fund to ,fight ,,aids1 ,tuberculosis and ,malaria1 launched in #bjjb1 has helped provide antiretroviral therapy to approximately #be1fjj1jjj people living with ,,hiv or ,,aids and to #fdh1jjj pregnant women to prevent the transmission of ,,hiv and ,,aids to their children and1 as of #bjbe1 has saved an estimated #gj1jjj1jjj 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 ,whereas considerable progress has been made in the fight against ,,hiv and ,,aids1 including an approximately #dj-percent reduction in new ,,hiv transmissions1 an approximately #fj-percent reduction in new ,,hiv infections among children1 and a reduction of over #ej percent in the number of ,,aids-related deaths between #bjaj and #bjbd2 ,whereas approximately #ca1fjj1jjj people had access to antiretroviral therapy in #bjbd1 compared to only #g1gjj1jjj people who had access to such therapy in #bjaj2 ,whereas research funded by the ,national ,institutes of ,health found not only that ,,hiv treatment 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 ,,hiv1 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 ,whereas1 in #bjbd1 there were approximately #a1cjj1jjj new ,,hiv diagnoses globally1 structural barriers continue to make testing and treatment programs inaccessible to highly vulnerable populations1 and an estimated #e1cjj1jjj people living with ,,hiv globally still do not know their ,,hiv status2 ,whereas children living with ,,hiv are significantly less likely than adults to know their ,,hiv status1 and1 as a result1 are prevented from accessing life-saving treatment2 ,whereas the ,centers for ,disease ,control and ,prevention reports that over #ci1jjj people were diagnosed with ,,hiv in the ,united ,states in #bjbc1 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 #eb percent of all diagnoses in #bjbb2 ,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 services for ,,hiv prevention and treatment and substance use disorder treatment are limited2 ,whereas ,december #a of each year is internationally recognized as ,world ,,aids ,day2 and ,whereas1 in #bjbe1 commemorations for ,world ,,aids ,day will recognize the essential role of community and collective action to sustain and accelerate ,,hiv progress in the global ,,hiv and ,,aids response3 ,now1 therefore1 be it ,that the ,senate-- 7#a7 supports the goals and ideals of ,world ,,aids ,day1 including the goal to achieve #j new human immunodeficiency virus 7referred to in this resolution as ,,hiv7 transmissions1 #j discrimination1 and #j deaths related to acquired immunodeficiency syndrome 7referred to in this resolution as ,,aids72 7#b7 commends the efforts and achievements in combating ,,hiv and ,,aids through the ,ryan ,white ,comprehensive ,,aids ,resources ,emergency ,act 7,public ,law #aja-cha2 #ajd ,stat4 #egf71 the ,ryan ,white ,,hiv_/,,aids ,treatment ,extension ,act of #bjji 7,public ,law #aaa-hg2 #abc ,stat4 #bhhe71 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 achievements in combating ,,hiv and ,,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 services 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 testing and antiretroviral treatment programs1 including efforts to reduce growing disparities and improve access to life-saving medications for children2 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 impacted by the disease2 7#h7 calls for greater focus on ,,hiv-related vulnerabilities of women and girls1 including women and girls at risk for1 or who have survived1 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 response to the disease2 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 and ,,aids by those countries2 and 7#ab7 urges other members of the international community to sustain and scale up their support for1 and financial contributions to1 efforts around the world to combat ,,hiv4