During his first term, President Donald J. Trump unveiled a bold initiative to end the H.I.V. epidemic in the United States by 2030 by focusing on 57 jurisdictions with the most urgent needs.

The plan, which Mr. Trump announced in 2019 at a State of the Union address, surprised advocacy groups. But it was widely lauded, and successful.

By 2022, the plan had driven down new infections nationwide by 30 percent in adolescents and young adults, and by roughly 10 percent in most other groups.

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This time around, the Trump administration’s stance on H.I.V. appears to be much the opposite.

This week the National Institutes of Health terminated grants related to PrEP, the regimen of preventive drugs that can thwart H.I.V. infection, according to scientists who were notified that their funding had been discontinued.

The Department of Health and Human Services is also considering shutting down the H.I.V. prevention division of the Centers for Disease Control and Prevention and shifting some of its activities to a different agency,66jogo according to federal officials.

The C.D.C. provides funds to states and territories for detecting and responding to H.I.V. outbreaks, prevention, syringe exchange, expanded testing in emergency rooms and education and awareness. Roughly one in four new diagnoses of H.I.V. is made with agency funds.

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“What he said or didn’t say is between him and the people of North Carolina,” said Mr. Vance, former President Donald J. Trump’s running mate. He added: “I’ve seen some of the statements. I haven’t seen them all. Some of them are pretty gross, to put it mildly. Mark Robinson says that those statements are false, that he didn’t actually speak them. So I think it’s up to Mark Robinson to make his case to the people of North Carolina that those weren’t his statements.”

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