The future of PEPFAR, a global HIV/AIDS program that has saved millions of lives, faces uncertainty as funding cuts under the Trump administration threaten essential services. Despite a recent congressional decision to restore $400 million, advocacy groups warn that proposed shifts in focus and additional budget cuts could dismantle vital HIV treatment and prevention initiatives. Experts predict devastating effects, particularly in regions like Africa, where access to medication and care is critical. Activists are calling for urgent action to protect HIV funding, emphasizing that without sustained support, the efforts to end the AIDS crisis may be severely undermined.