KFF Tracker: America First MOU Bilateral Global Health Agreements
Under the America First Global Health Strategy, the U.S. government is establishing bilateral health agreements, via memoranda of understanding (MOUs), with countries that receive U.S. global health assistance. Each sets out a multi-year plan, generally covering 2026–2030, in which U.S. assistance declines while the partner country pledges to raise its own domestic health spending. This tracker also offers a downloadable fact sheet sharing the latest status updates on America First Bilateral Global Health Agreements.


