The President's Emergency Plan for AIDS Relief (PEPFAR) was announced by President Bush in his 2003 State of the Union address. The plan was introduced as a five-year, $15 billion initiative to combat global HIV/AIDS. Widely successfully, it was reauthorized in 2008 for $39 billion to fight HIV/AIDS and another $9 billion for tuberculosis and malaria. PEPFAR has supported care for more than 10.1 million people worldwide and is one of the largest international health initiatives in history. It has helped revolutionize the global understanding of tackling epidemics and health inequity.