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KFF Tracker: America First MOU Bilateral Global Health Agreements

On September 18, 2025, the U.S. government released its new America First Global Health Strategy, which details how the U.S. will engage in global health efforts moving forward. As part of this new strategy, the U.S. has announced that it will be establishing bilateral health cooperation agreements with countries that receive U.S. global health assistance. This tracker provides an overview of Memorandums of Understanding (MOUs), between the U.S. and partner countries, signed to date. The tracker will be updated as needed.

KFF Health Tracking Poll: Public Views on Foreign Aid and Global Health Spending

The Trump Administration’s Latest Expansion of the Mexico City Policy: A Funding Analysis

The Mexico City Policy: An Explainer

Questions for the America First Global Health Strategy

selected resources

Global Health Aid Cuts

This collection of resources chronicles what recent Trump administration global health aid cuts mean for the future of global health programs and the people who rely on them.

A promotional image for the the KFF Health Policy 101 U.S. Government and Global Health

The U.S. Government and Global Health

In this Health Policy 101 chapter, investigate the U.S. role in global health, including the major initiatives the United States supports, funding levels, and agencies involved in implementing program area efforts.

the essentials

Global Health Trackers

U.S. Global Health Budget Tracker

This tracker provides regularly updated information on U.S. government funding for global health. It includes historical trends and tracks funding levels for U.S. global health efforts through bilateral and multilateral contributions and by program area and agency.

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  • House Passes Minibus That Includes Global Health Funding In FY 2020 State & Foreign Operations (SFOPs) and Health & Human Services (HHS) Appropriations Bills

    Fact Sheet

    On June 19, 2019, the House passed a package of FY 2020 appropriations bills (minibus), which included global health funding for the U.S. Department of State, U.S. Agency for International Development (USAID), and U.S. Department of Health and Human Services (HHS). Global health funding amounts in the minibus bill matched those provided in FY 2020 appropriations bills previously passed by the House Appropriations Committee. Please see the KFF summaries on the House Appropriations Committee approval…

  • House Appropriations Committee Approves FY 2020 State & Foreign Operations (SFOPs) Appropriations Bill

    Fact Sheet

    The House Appropriations Committee approved the FY 2020 State & Foreign Operations (SFOPs) appropriations bill (and accompanying report) on May 16, 2019. The SFOPs bill includes funding for U.S. global health programs at the State Department and the U.S. Agency for International Development (USAID).[i] Funding for these programs, through the Global Health Programs (GHP) account, which represents the bulk of global health assistance, totaled $9.3 billion, an increase of $459 million above the FY 2019…

  • House Appropriations Committee Approves FY 2020 Health and Human Services (HHS) Appropriations Bill

    Fact Sheet

    The House Appropriations Committee approved the FY 2020 Labor, Health and Human Services, and Education (LHHS) appropriations bill (and accompanying report) on May 8, 2019. The LHHS appropriations bill, which provides funding for U.S. global health programs, includes funding at the Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH).[i] Key highlights are as follows (see table for additional detail): Funding provided to CDC for global health totaled $524 million, an increase of $35…

  • Poll Finds Most Americans Oppose the Trump Administration’s Changes to Restrict Title X Family Planning Funds from Clinics that also Provide or Refer for Abortion

    News Release

    A new KFF poll of the public’s views on reproductive health issues finds most Americans, including majorities of women of reproductive age, are concerned that access to women’s reproductive health and preventive care services may be limited by the Trump administration’s changes to Title X, the nation’s federal family planning program. The poll examines the public’s views of major regulatory changes to the Title X program, which funds nearly 4,000 clinics nationally to pay for…

  • KFF Poll: Public Opinion and Knowledge on Reproductive Health Policy

    Poll Finding

    The latest KFF Poll examines the public’s attitudes towards different facets of reproductive health care in light of recent policy changes made by the Trump administration. This poll examines attitudes towards major changes to the Title X program and attitudes toward state-level laws restricting abortions after a fetal heartbeat has been detected. The poll also looks at public awareness of provisions related to women’s health that are part of the 2010 Affordable Care Act.

  • The Future of Global Health Financing: Hope vs. Reality in the Push for Universal Health Coverage

    Event Date:
    Event

    On Thursday, April 25, the Kaiser Family Foundation and the CSIS Global Health Policy Center held a policy roundtable on the latest data on funding for global health, including from the U.S. government. It began with a brief presentation by Joseph Dieleman of the Institute for Health Metrics and Evaluation on the annual Financing Global Health report, which this year includes new data on trends in HIV and malaria funding. WHO Director-General Tedros Adhanom Ghebreyesus…

  • Where Does Public Opinion Stand on the U.S. Role in Global Health?

    Poll Finding

    More than two years into President Trump administration's promotion of an "America First" approach to international affairs, the April 2019 KFF Health Tracking Poll examines the public's attitudes toward key global health issues, including views on the U.S. role in world affairs and global health, and support for global health spending.

  • Poll: Most Americans Say HIV Is Serious Issue for the Country as Trump Administration Rolls Out New Plan to End HIV by 2030; Black and Hispanic Adults Report More Personal Concern than White Adults

    News Release

    Support for Medicare-for-all Holds Steady With the Trump administration launching a new domestic HIV effort, the latest KFF Health Tracking Poll finds a large majority of Americans (80%) view the HIV epidemic as a serious national issue, including a third (34%) who view it as “very serious.” Nearly half (46%) view it as a serious concern for people they know, including a quarter (24%) who view it as “very serious.” The poll is the first to…

  • White House Releases FY20 Budget Request

    Fact Sheet

    The White House released its FY 2020 budget request to Congress on March 11, 2019, which includes significant cuts to global health programs compared to FY 2019 enacted levels (the overall levels in the request are similar to the FY 2019 budget request). Key highlights are as follows (see table for additional detail): Funding provided to the State Department and the U.S. Agency for International Development (USAID) (through the Global Health Programs account), which represents…