; 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