[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H. Res. 904 Introduced in House (IH)]
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118th CONGRESS
1st Session
H. RES. 904
Supporting the goals of World AIDS Day.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
December 1, 2023
Ms. Lee of California (for herself, Ms. Jacobs, Mrs. Watson Coleman,
Ms. Barragan, Ms. Sewell, Mr. Mullin, Ms. Adams, Ms. Houlahan, Mr.
Soto, Ms. Norton, Ms. Williams of Georgia, Ms. Wilson of Florida, Mr.
Cohen, Ms. Moore of Wisconsin, Mr. Nadler, Ms. Clarke of New York, Mr.
McGovern, Ms. Blunt Rochester, Mr. Fitzpatrick, Ms. Meng, Mr. Swalwell,
Mr. Vicente Gonzalez of Texas, Mr. Schiff, Mr. Krishnamoorthi, Ms.
Wild, Mr. Sherman, Mr. Trone, and Mr. Carson) 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 determined 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 2022, an estimated 39,000,000 people were living with
human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome
(AIDS), including 1,500,000 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, according to the Centers for Disease Control and Prevention (``CDC''),
Black Americans, Hispanic Americans, Asian Americans, American Indians,
Alaska Natives, 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 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 needs of racial and ethnic minorities
living with HIV;
Whereas, since 2016, the historic U=U (Undetectable=Untransmittable) movement
has positively impacted the lives of people living with HIV by promoting
the scientific facts;
Whereas when people living with HIV are on treatment and have an undetectable
viral load, they protect their own health and they cannot transmit HIV;
Whereas, in 2022, the Federal Government across sectors (including the White
House, the Department of Health and Human Services, and the Centers for
Disease Control and Prevention (``CDC'')) has publicly announced support
for the U=U movement in hopes of positively changing the trajectory of
HIV in the United States;
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 (PEPFAR);
Whereas the 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
approximately 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 people;
Whereas sustained bipartisan commitment is essential for PEPFAR to continue
saving lives, preventing new HIV infections, and accelerating progress
toward controlling the global HIV/AIDS pandemic;
Whereas the Global Fund to Fight AIDS, Tuberculosis and Malaria, launched in
2002, has helped provide antiretroviral therapy to approximately
24,500,000 people living with HIV/AIDS and to 710,000 pregnant women to
prevent the transmission of HIV/AIDS to their children, saving an
estimated 59,000,000 lives, as of 2022;
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 40-percent reduction in new HIV transmissions, a
nearly 60-percent reduction in new HIV transmissions among children, and
a reduction of over 50 percent 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 not only that
HIV treatment 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 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 4,000,000 people globally had started taking PrEP by the end of
2022;
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 diagnoses 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 CDC 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 the CDC has found that men who have sex with men, particularly young
Black Americans and Hispanics, are the population most affected by HIV
in the United States;
Whereas southern areas of the United States bear the greatest burden of HIV,
accounting for 52 percent of new infections in 2021;
Whereas globally transgender feminine individuals are 66 times more likely and
transgender masculine individuals are 6.8 times more likely to be
diagnosed with HIV compared to the general adult population;
Whereas one in two people living with HIV in the United States is over 50;
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
transmissions among people who inject drugs, and the crisis has
disproportionately affected nonurban areas, where HIV prevalence rates
have been low historically and there are limited services for HIV
prevention, treatment, and substance use disorder treatment;
Whereas December 1 of each year is internationally recognized as ``World AIDS
Day'';
Whereas 2023 marked the 20th anniversary of the PEPFAR program, an initiative
launched by President George W. Bush with bipartisan support that has
become the primary policy instrument of the United States to address
HIV/AIDS globally; 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 House of Representatives--
(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) encourages Federal, State, and local governments,
including their public health agencies, and community-based
organizations to share and disseminate U=U (Undetectable equals
Untransmittable) information;
(3) 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 Program, 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;
(4) commends the efforts and achievements in combating HIV/
AIDS made by the President's Emergency Plan for AIDS Relief
(``PEPFAR''), the Global Fund to Fight AIDS, Tuberculosis and
Malaria, and the Joint United Nations Programme on HIV/AIDS;
(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 resources
for all people at risk of contracting HIV, especially in
communities disproportionately impacted as these groups make up
the majority of new HIV diagnoses in the United States and
prevention efforts should specifically reach these groups;
(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, such as through the
implementation of layered prevention programming through
PEPFAR's DREAMS (Determined, Resilient, Empowered, AIDS-free,
Mentored, and Safe) public-private partnership to reduce
structural and individual vulnerabilities to HIV;
(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 with specific measures for
transparency and accountability;
(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 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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