Principles for Ending Human Immunodeficiency Virus as an Epidemic in the United States: A Policy Paper of the Infectious Diseases Society of America and the HIV Medical Association.

This article focuses on policy reforms necessary to end the human immunodeficiency virus (HIV) epidemic in the United States, emphasizing the goal set by the National HIV/AIDS Strategy (NHAS) and the federal Ending the HIV Epidemic (EHE) initiative to reduce new HIV infections by 90% by 2030. It outlines ten key policy principles addressing barriers such as healthcare access, social determinants of health (SDoH), stigma, criminalization of people with HIV (PWH), and the need for a culturally responsive clinical and research workforce. Recommendations include ensuring universal, affordable healthcare coverage; integrating harm reduction and mental health services; reforming drug pricing and criminal laws; promoting evidence-based sexual health education; and strengthening the infectious diseases workforce to better serve populations disproportionately affected by HIV, including Black, Indigenous, and people of color (BIPOC), Hispanic/Latino, and LGBTQ+ communities. The article underscores that achieving these reforms requires coordinated action by federal, state, and local policymakers alongside sustained funding and political commitment.