For the first time in 20 years, Congress did not reauthorize the President’s Emergency Plan for AIDS Relief (PEPFAR), a global initiative started under former President George W. Bush to help combat the global HIV epidemic. PEPFAR reauthorization, which is typically reapproved every five years, was left out of appropriations legislation that passed this past September, and its absence meant that parts of the PEPFAR program expired on Sept. 30. Democrats, including the Biden administration, were largely opposed to the lack of reapproved funding. “The fact that Congress did not reauthorize the program sends a message to partners around the…