In Seattle, more people than ever know their status, most people with HIV are on treatment, and HIV transmission rates are going down. We now know that HIV meds can prevent infections. Making sure HIV positive people get treatment, and people who want PrEP can get it, can stop the spread of HIV. Healthcare reform, and greater access to healthcare, means that many more people can access a wider array of treatment and prevention options. This is a moment where we can all make a difference and take steps to further reduce the impact of HIV.