This document is a comprehensive proposal by the North Dakota Department of Health and Human Services outlining their strategic response to HIV prevention and care. It adopts the national framework of Diagnosing, Treating, Preventing, and Responding to HIV, while adapting it to North Dakota’s unique demographic and geographic challenges. The state's approach includes high-impact prevention strategies aiming to enhance early diagnosis, improve treatment outcomes, and expand access to preventive measures such as PrEP and syringe services programs. Key strategies involve community-driven initiatives, increased awareness campaigns, and collaboration with the CDC to ensure the alignment of state efforts with national goals. The proposal details expected outcomes such as increased knowledge of HIV status and improved viral suppression rates. Additionally, it emphasizes community engagement and the importance of addressing health disparities through a holistic approach to health equity.