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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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  • Senate Appropriations Committee approves FY 2018 State & Foreign Operations (SFOPs) and Health & Human Services (HHS) Appropriations Bills

    Fact Sheet

    On September 7, 2017, the Senate Committee on Appropriations approved both the FY 2018 State & Foreign Operations (SFOPs) and  the FY 2018 Labor, Health & Human Services (LHHS) appropriations bills. The SFOPs bill includes funding for U.S. global health programs at the State Department and the U.S. Agency for International Development (USAID), while the LHHS appropriations bill includes funding for global health programs at the Centers for Disease Control and Prevention (CDC) and the…

  • Health Affairs Blog: What US Budget Cuts To Global Health Could Mean For Future Funding

    Perspective

    In a Health Affairs blog post, Jen Kates and Adam Wexler of the Kaiser Family Foundation and Nafis Sadat and Joseph Dieleman of the Institute for Health Metrics and Evaluation assess what cuts to U.S. global health funding as proposed in the Trump Administration FY 2018 budget request might mean in the larger context of development assistance for health.

  • What Could U.S. Budget Cuts Mean for Global Health?

    Issue Brief

    President Trump’s fiscal year 2018 budget request would cut global health programs by approximately $2.5 billion. This analysis models the potential impact of the Administration’s proposed budget, as well as two budget scenarios with more modest decreases.

  • Kaiser/UNAIDS Study Finds Donor Government Funding for HIV Declined by 7% in 2016, Falling to Lowest Level Since 2010

    News Release

    Donor government funding to support HIV efforts in low- and middle-income countries decreased by US$511 million from US$7.5 billion in 2015 to US$7 billion in 2016, finds a new report from the Kaiser Family Foundation and the Joint United Nations Programme on HIV/AIDS (UNAIDS). This marks the second successive year of declines, and is the lowest level since 2010. The decrease stems from actual cuts in funding (accounting for an approximate net 50% of the decline),…

  • Donor Government Funding for HIV in Low- and Middle-Income Countries in 2016

    Report

    This report provides an analysis of donor government funding to address the HIV response in low- and middle-income countries in 2016, the latest year available, as well as trends over time. It includes both bilateral funding from donors and their multilateral contributions to the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund), UNITAID, and Joint United Nations Programme on HIV/AIDS (UNAIDS).

  • House Appropriations Subcommittees approve FY 2018 State & Foreign Operations (SFOPs) and Health & Human Services (HHS) Appropriations Bills

    Fact Sheet

    On July 19, 2017, the House Committee on Appropriations approved both the FY 2018 State & Foreign Operations (SFOPs) and the FY 2018 Labor, Health & Human Services (LHHS) appropriations bills. The SFOPs bill includes funding for U.S. global health programs at the State Department and the U.S. Agency for International Development (USAID), while the LHHS appropriations bill includes funding for global health programs at the Centers for Disease Control and Prevention (CDC) and the…

  • Modeling the Impact of Global Health Budget Cuts on HIV, TB, Family Planning, and Maternal, Newborn, and Child Health

    News Release

    President Trump’s fiscal year 2018 budget request would cut global health programs by approximately $2.5 billion. As Congress begins considering the Administration’s request, a new Kaiser Family Foundation analysis models the potential impact of the Administration’s proposed budget, as well as two budget scenarios with more modest decreases. Among the findings, the impact of global health budget reductions, depending on the size of the cuts, could range from: 49,100 to 198,700 additional new HIV infections…

  • White House Releases FY18 Budget Request

    Fact Sheet

    The White House released its FY 2018 budget request to Congress on May 23, 2017, which includes significant cuts to global health funding. It seeks to shift the U.S. approach to development, stating that, the request “prioritizes and focuses foreign assistance in regions and on programs that advance U.S. national security by helping countries of strategic importance meet near- and long-term political, economic, development, and security needs.”  It further states that “While the United States…

  • What Is the Scope of the Mexico City Policy: Assessing Abortion Laws in Countries That Receive U.S. Global Health Assistance

    Issue Brief

    This data note assesses how the Mexico City Policy affects the provision of legal abortion services in U.S. assisted countries. The policy requires foreign NGOs to certify that they will not “perform or actively promote abortion as a method of family planning” using funds from any source (including non-U.S. funds) as a condition for receiving most U.S. government global health assistance.

  • Congress Releases FY17 Omnibus

    Fact Sheet

    On May 1, 2017, Congress released the FY 2017 Omnibus bill (and explanatory statements), which provides funding for the U.S. government through the rest of the fiscal year including for U.S. global health programs at the U.S. Agency for International Development (USAID), the Department of State, and the Centers for Disease Control and Prevention (CDC). Total known* funding for U.S. global health programs in the FY 2017 Omnibus is $9.4 billion, which is approximately $235…