Ending the HIV Epidemic in the United States: A Roadmap for Federal Action

For the first time since the National HIV Strategy in 2010, the domestic HIV community has come together to call on the U.S. government to declare an official goal of ending the domestic HIV epidemic. We are urging them to enact legislative and regulatory policies and sufficient appropriations to achieve this goal.

AIDS United, in partnership with the Act Now: End AIDS Coalition, solicited input from the larger HIV, public health and reproductive health communities to develop a policy paper. This document, Ending the HIV Epidemic in the United States: A Roadmap for Federal Action, was released on Nov. 30, 2018. To date, 250 HIV and community organizations from across the U.S. have provided their endorsement.

The 95/95/95 framework

0 %

of people living with HIV are aware of their status.

0 %
of diagnosed individuals are retained in care.
0 %

of individuals on antiretroviral therapy are virally suppressed.

Our roadmap to ending the epidemic is based on these six pillars:


Commit to end the U.S HIV epidemic and eliminate health disparities.

  • Set public health goals to end the U.S HIV epidemic.
  • Eliminate U.S HIV-related health disparities.


Ensure broad and equitable access to eective HIV care and treatment.
  • Sustain and expand vital health insurance programs.
  • Enhance the Ryan White HIV/AIDS Program.
  • Protect the 340B Drug Pricing Program.
  • Adopt national strategies to eliminate viral hepatitis and tuberculosis.


Prevent new HIV transmissions.

  • Reduce new HIV cases through evidence-based combination HIV prevention strategies, including spreading the message that undetectable equals untransmittable, or U=U. 
  • Stop the opioid and injection drug use crises.
  • Reduce the syndemic of sexually transmitted infections.


Address social and structural barriers to effective HIV prevention and care.

  • Ensure availability of essential services that support health, prevention, and retention in care.
  • Provide federal leadership to end HIV criminalization.


Maintain U.S leadership in lifesaving research.


Support the meaningful involvement of people living with and vulnerable to HIV.