Global Health Funding in the FY 2027 President’s Budget Request

On April 3, 2026, the administration released its Fiscal Year 2027 budget request. The budget request includes discretionary funding for U.S. global health programs at the State Department, Centers for Disease Control and Prevention (CDC), and the National Institutes of Health (NIH). The proposed budget includes significant reductions in and restructuring of global health funding, including the elimination of some programs and activities as follows:

State:

• Global Health Programs (GHP) account: The main account that supports global health programs totals $5.1 billion in the request, $4.3 billion below the FY 2026 amount ($9.4 billion).
• Bilateral Funding:
  • Program areas: The FY27 request proposes to “eliminate disease-specific accounts and provide the Department crucial agility to address the actual needs of each recipient country—across HIV/AIDS and other infectious diseases such as Malaria, Tuberculosis, and Polio—to strengthen global health security and protect Americans from disease.”
  • Eliminated funding: Funding for family planning and reproductive health (FP/RH) is specifically eliminated in the FY27 request. The request does not mention funding for nutrition, the vulnerable children program, or neglected tropical diseases (NTDs), so it is possible funding for these programs is also eliminated.
• Multilateral Funding:
  • The Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund): Does not include a specific funding amount for the Global Fund in FY 2027 but commits to “leveraging $2 from other donors for every $1 from the United States.” It also states that funds may not exceed 33% of the total amount contributed to the Global Fund.
  • Gavi, the Vaccine Alliance (Gavi): Does not provide funding for Gavi and states that any future FY 2027 funding for Gavi is “contingent on the organization making necessary reforms and meeting certain benchmarks on vaccine safety.”
  • Eliminated funding: Eliminates funding for the Pan American Health Organization (PAHO), the United Nations Population Fund (UNFPA), and the World Health Organization. Funding for the United Nations Children’s Fund (UNICEF) was not specifically mentioned in the request. UNICEF and UNFPA have historically been provided through the International Organizations and Programs (IO&P) account, and the request states that “Authorities under IO&P were requested under the America First Opportunity Fund.”
• Policy Provisions:
  • Period of availability: Proposes “aligning all Global Health Program accounts into 3-year period of availability.” Historically, funding has been available for 5-years for HIV and 2-years for other disease areas.
  • Promoting Human Flourishing in Foreign Assistance (PHFFA): Includes language to apply the PHFFA policy to all applicable foreign assistance accounts, including the GHP account.

Centers for Disease Control and Prevention (CDC):

• CDC’s Global Health Center: Funding for CDC’s Global Health Center totals $663.8 million, and funding for all program areas remained level with FY 2026. This amount does not include funding for Parasitic Diseases & Malaria, which is proposed to be moved to another part of CDC, Emerging Infectious Diseases, without specifying an amount. FY 2027 global health funding at CDC is flat when Parasitic Diseases & Malaria funding is removed from the FY 2026 total.
• CDC’s role in global health: The request states that “CDC serves as the nation’s first line of defense against emerging infectious diseases, protecting American communities, U.S. businesses, and the broader economy. CDC will play a key role in implementing an America First approach to global health to replace the functions of the World Health Organization.”

National Institutes of Health (NIH):

• NIH funding: The FY 2027 request proposes reforms to the NIH, including overall funding decreases (while the NIH budget justification has not yet been released, the HHS Budget in Brief states that the overall decrease is approximately $5 billion). The budget does propose to eliminate funding for the Fogarty International Center (FIC), which was funded at $95 million in FY 2026.

See the table below for additional detail on global health funding. See other budget summaries (including the summary on FY 2026 Labor, Health and Human Services, Education, and Related Agencies [Labor HHS] and FY 2026 National Security, Department of State and Related Programs [NSRP] global health funding) and the KFF budget tracker for details on historical annual appropriations for global health programs.

Resources:

• White House budget resources
• State Department, FY 2027 International Affairs Budget
• Centers for Disease Control and Prevention, FY 2027 CDC Congressional Justification
• National Institutes of Health, HHS Budget in Brief Fiscal Year 2027