On May 30, 2025, the administration released additional details of its Fiscal Year 2026 budget request, including more specific information on funding for global health activities at the State Department, U.S. Agency for International Development (USAID), Centers for Disease Control and Prevention (CDC), and the National Institutes of Health (NIH). The proposed budget includes significant reductions in global health funding including the elimination of some programs and activities as follows:
State/USAID:
- Global Health Programs (GHP) Account: The main account that supports global health programs totals $3.8 billion in the request, $6.2 billion below the FY 2025 amount ($10.0 billion).
- Funding for Bilateral Programs:
- Reducing Funding: The request provides funding for HIV/AIDS, tuberculosis (TB), malaria, polio, and global health security (GHS), but at significantly reduced levels (see table below), except for polio, which is maintained at the prior year level.
- Eliminated Funding: The request eliminates bilateral funding for family planning & reproductive health (FP/RH), the Global Health Workforce Initiative (GHWI), maternal and child health (MCH; except for polio), neglected tropical diseases (NTDs), nutrition, and vulnerable children.
- Funding for Multilateral Organizations:
- The Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund): The request does not include a specific funding amount for the Global Fund in FY 2026, but states that funding can be provided through either the GHP account or the newly created “America First Opportunity Fund” (A1OF) and that the amount provided cannot exceed 20% of total contributions during the 8th Replenishment for a total of up to $2.4 billion over the three year period.
- Eliminated Multilateral Funding: The request eliminates funding for Gavi, the Vaccine Alliance (Gavi), the Pan American Health Organization (PAHO), the United Nations Children’s Fund (UNICEF), the United Nations Population Fund (UNFPA), and the World Health Organization.
Centers for Disease Control and Prevention (CDC):
- CDC’s Global Health Center: The request eliminates CDC’s Global Health Center and funding for most of its bilateral programs.
- Maintained Programs & Funding: The request maintains funding for “Disease Detection & Emergency Response” at the prior year level ($293 million), but places it under CDC’s “Crosscutting Activities and Program Support”. The request also continues support for “Parasitic Diseases and Malaria,” placing it under “Emerging and Zoonotic Infectious Diseases,” but does not specify a funding amount.
- Eliminated Funding: The request eliminates funding for global HIV/AIDS, global tuberculosis, global immunizations (which includes polio), and parasitic diseases.
National Institutes of Health (NIH):
- Fogarty International Center (FIC): Eliminates FIC, which was funded at $95 million in FY2025.
- Global Research: While detailed funding amounts are not yet available, the request proposes significant cuts to NIH research funding, which will likely affect global research.
Additional Resources:
- White House – Office of Management and Budget (OMB): “The President’s FY 2026 Discretionary Budget Request”
- Department of State/USAID: “Fiscal Year 2026 International Affairs Budget”
- Department of Health & Human Services (HHS): “Fiscal Year 2026 – Budget in Brief”
