[Congressional Record Volume 169, Number 197 (Thursday, November 30, 2023)]
[Senate]
[Pages S5695-S5696]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]




SENATE RESOLUTION 482--COMMEMORATING AND SUPPORTING THE GOALS OF WORLD 
                                AIDS DAY

  Mr. BOOKER (for himself and Mr. Sullivan) submitted the following 
resolution; which was referred to the Committee on Foreign Relations:

                              S. Res. 482

       Whereas, as of the end of 2022, an estimated 39,000,000 
     people were living with human immunodeficiency virus 
     (referred to in this preamble as ``HIV'') or acquired 
     immunodeficiency syndrome (referred to in this preamble as 
     ``AIDS''), including 1,700,000 children;
       Whereas, in the United States, more than 770,000 people 
     with AIDS have died since the beginning of the HIV epidemic, 
     including over 19,000 deaths among people with diagnosed HIV 
     in 2021, with the disease disproportionately affecting 
     communities of color;
       Whereas, in 2021, over 35,000 people became newly diagnosed 
     with HIV in the United States;
       Whereas communities of color 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 (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 services 
     and support for over half of all people diagnosed with HIV in 
     the United States;
       Whereas, to further focus attention on the HIV/AIDS 
     epidemic among minority communities in the United States, in 
     1998 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 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 created the 
     President's Emergency Plan for AIDS Relief (referred to in 
     this preamble as ``PEPFAR'');
       Whereas the United States PEPFAR program remains the 
     largest commitment in history by any country to combat a 
     single disease;
       Whereas 25,000,000 lives have been saved through PEPFAR;
       Whereas, as of September 30, 2022, PEPFAR has supported 
     treatment for more than 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 64,700,000 people;
       Whereas the Global Fund to Fight AIDS, Tuberculosis and 
     Malaria was launched in 2002, and, as of 2022, has helped 
     provide antiretroviral therapy to approximately 24,500,000 
     people living with HIV/AIDS and to

[[Page S5696]]

     710,000 pregnant women to prevent the transmission of HIV/
     AIDS to their children, saving an estimated 59,000,000 lives;
       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, with United States leadership, global partners 
     pledged record amounts to combat infectious diseases at the 
     seventh replenishment of the Global Fund to Fight AIDS in 
     September 2022;
       Whereas considerable progress has been made in the fight 
     against HIV/AIDS, including a nearly 40-percent reduction in 
     new HIV infections, a nearly 60-percent reduction in new HIV 
     infections among children, and a 50-percent reduction 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 that HIV treatment not only saves the lives of 
     people living with HIV, but people living with HIV on 
     effective antiretroviral therapy and who are durably virally 
     suppressed cannot sexually transmit HIV, proving that HIV 
     treatment is prevention;
       Whereas it is estimated that, without treatment, half of 
     all infants living with HIV will die before their second 
     birthday;
       Whereas, despite the remarkable progress in combating HIV, 
     significant challenges remain;
       Whereas there were approximately 1,300,000 new HIV 
     infections 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 Centers for Disease Control and Prevention 
     reports that over 35,000 people were diagnosed with HIV in 
     the United States in 2021 and 13 percent of the 1,200,000 
     people in the United States living with HIV are not aware of 
     their HIV status;
       Whereas men who have sex with men (referred to in this 
     preamble as ``MSM''), particularly young MSM of color, are 
     the population most affected by HIV in the United States;
       Whereas southern States bear the greatest burden of HIV in 
     the United States, accounting for 52 percent of new 
     infections in 2021;
       Whereas people living with HIV are frequently susceptible 
     to other infections, such as hepatitis B and C and 
     tuberculosis;
       Whereas the opioid and heroin epidemics have led to 
     increased numbers of new HIV infections among people who 
     inject drugs, and the crisis has disproportionately affected 
     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 2023 marked the 20th anniversary of the PEPFAR 
     program, an initiative launched by President George W. Bush 
     with bi-partisan support that has become the primary policy 
     instrument of the United States to address HIV/AIDS in the 
     developing world;
       Whereas December 1 of each year is internationally 
     recognized as ``World AIDS Day''; and
       Whereas, in 2023, commemorations for World AIDS Day 
     recognize the essential role of communities in the global 
     HIV/AIDS response: Now, therefore, be it
       Resolved, That the Senate--
       (1) supports the goals and ideals of World AIDS Day, 
     including the goal to achieve zero new human immunodeficiency 
     virus (referred to in this resolution as ``HIV'') infections, 
     zero discrimination, and zero acquired immunodeficiency 
     syndrome (referred to in this resolution as ``AIDS'')-related 
     deaths;
       (2) commends achievements in combating HIV/AIDS through the 
     Ryan White HIV/AIDS Treatment Extension Act, the Minority 
     HIV/AIDS Initiative, the Centers for Disease Control 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 achievements in combating HIV/AIDS made by the 
     President's Emergency Plan for AIDS Relief, the Global Fund 
     to Fight AIDS, Tuberculosis and Malaria, and the Joint United 
     Nations Programme on HIV/AIDS;
       (4) supports efforts to end the HIV epidemic in the United 
     States and around the world by 2030;
       (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 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 structural interventions, 
     to ensure inclusive access to programs and appropriate 
     protections for all people at risk of contracting HIV, 
     especially in communities disproportionately impacted;
       (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;
       (9) supports continued leadership by the United States in 
     domestic, bilateral, multilateral, and private sector efforts 
     to fight HIV;
       (10) encourages input from civil society in the development 
     and implementation of domestic and global HIV policies and 
     programs that guide the response;
       (11) 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 countries; and
       (12) 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 HIV.

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