This story was updated July 18, 2025 after the votes in the U.S. Senate and House of Representatives had been passed. A previous version was reported prior to the vote. Additionally, a comment by Anne Neilan, MD, MPH, was added.
The United States President’s Emergency Plan for AIDS Relief (PEPFAR)—the HIV/AIDS prevention and care program that has saved more than 26 million lives around the world since its launch under President George W. Bush in 2003—was spared from