Whereas the President's Emergency Plan for AIDS Relief (referred to in this preamble as PEPFAR ), launched 20 years ago by President George W. Bush and supported by every President and Congress since, has proven to be one of the most successful health programs in modern history; Whereas private organizations, including the ONE Campaign and the Elton John AIDS Foundation, like many others, have been indispensable partners in supporting PEPFAR and advancing its causes; Whereas PEPFAR has been a critical tool in the global fight against HIV/AIDS, providing vital resources and support to countries most affected by the HIV/AIDS epidemic and saving more than 25,000,000 lives; Whereas PEPFAR has supported HIV/AIDS prevention, treatment, and care programs in more than 50 countries and currently provides life-saving antiretroviral treatment to 20,100,000 individuals; Whereas, since 2010, PEPFAR has achieved a 50 percent reduction in new HIV cases in young women between 15 and 24 years of age and a 65 percent reduction in new HIV cases in young men between 15 and 24 years of age; Whereas PEPFAR has contributed to progress in reducing mother-to-child transmission of HIV, with more than 5,500,000 babies born HIV-free to mothers who have HIV and who received antiretroviral medication through PEPFAR-supported programs; Whereas, as of September 30, 2022, 1,500,000 individuals are receiving antiretroviral pre-exposure prophylaxis (referred to in this clause as PrEP ) to prevent HIV infection, and access to PrEP programs must be expanded; Whereas PEPFAR has supported the expansion of HIV/AIDS services for children, adolescents, and young people, including for the more than 1,500,000 children receiving HIV treatment through PEPFAR-supported programs; Whereas PEPFAR has dramatically reduced the stigma and discrimination associated with HIV/AIDS