The 2024 State, Foreign Operations, and Related Programs (SFOPS) appropriations bill includes flat funding for the President’s Emergency Plan for AIDS Relief at $4.395 billion, and $1.65 billion for the Global Fund to Fight AIDS, Tuberculosis and Malaria. In an extremely challenging funding environment, this was not entirely unexpected. However, it does create further challenges in meeting the goal of ending HIV as a public health threat by 2030. 

The legislation also includes a one-year extension of the expired authorization for PEPFAR. Though not the multi-year reauthorization that advocates have been pushing for, it demonstrates continued bipartisan support for the program. Advocates vow to redouble efforts to secure a five year reauthorization, which is essential to partners relying on the U.S.’s commitment and to maintain fragile gains in the fight against HIV. 

PEPFAR is a shining example of U.S. global health leadership and remains the largest commitment by any nation to address a single disease in history. It supports life-saving antiretroviral treatment for nearly 20.5 million people and ensures 7 million orphans, vulnerable children, and their caregivers have access to critical care and support services. Since its inception, more than 5.5 million new infections have been averted in children. 

By working hand in hand with countries and partners like PEPFAR, the Global Fund’s efforts have saved more than 59 million lives since 2002. As of 2022, the Global Fund supported 24.5 million people on antiretroviral treatment for HIV, treated 6.7 million people for TB, and distributed 219.7 million insecticide-treated bed nets for malaria prevention. Despite the tremendous progress made on HIV globally, every week nearly 4,000 young women aged 15-24 are infected with HIV worldwide. Global Fund investments in programs that support adolescent girls and young women in 13 priority countries have led to a 67% decrease in the HIV incidence rate amongst that population since 2010.

PEPFAR and the Global Fund are saving lives, but they require sustained funding and political will to do so. As FY25 budget discussions begin, the Global AIDS Policy Partnership calls on Congress to continue strong U.S. leadership and support to end the global HIV epidemic.