Tipping point ratios <1 with fewer annual HIV infections than persons initiating HIV treatment indicate favorable epidemiologic situations to reduce HIV incidence. Using HIV surveillance data on persons newly diagnosed and virally suppressed in 2011 for 10 US jurisdictions, the tipping point ratio was 1.5 overall and ranged from 0.6 to 2.7. This indicates some jurisdictions have reached the point where the number of persons achieving viral suppression outpaces the number diagnosed with HIV. Expansion of treatment for all persons diagnosed with HIV as indicated in current treatment guidelines will benefit people living with HIV as well as prevention.