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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 Appropriations Committee Approves the FY 2026 National Security, Department of State, and Related Programs (NSRP) Appropriations Bill

    Fact Sheet

    The House Committee on Appropriations approved the FY 2026 National Security, Department of State, and Related Programs (NSRP) appropriations bill and accompanying report on July 23, 2025. The NSRP bill includes funding for U.S. global health programs at the State Department through the Global Health Programs (GHP) account, which represents the bulk of global health assistance. Global health funding in the bill totaled $9.5 billion, a decrease of $512 million (-5%) below the FY 2025…

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

    Poll Finding

    This poll finds that less than half of the public now wants the U.S. to play at least a major role in improving the health of people in developing countries. When asked about the administration’s changes to foreign aid and global health, more people perceive a negative impact than a positive one.

  • Majorities Across Party Lines Support Investing More Money in Zika Research and Preventing the Virus’ Spread

    News Release

    Democrats More Favorable to ACA in June, Leading to 44% Unfavorable, 42% Favorable Overall Split Majorities of the public say the United States should invest more money in Zika research and in preventing its spread in this country, the latest Kaiser Health Tracking Poll finds. More than seven in 10 people, including majorities of Democrats, Republicans, and independents, say they support investing in Zika research and to prevent its spread. About two thirds of the…

  • Kaiser/UNAIDS Study Finds Donor Government Funding for HIV Fell in 2015 for First Time in 5 Years

    News Release

    Donor government funding to support HIV efforts in low- and middle-income countries fell for the first time in five years in 2015, decreasing from US$8.6 billion in 2014 to US$7.5 billion, finds a new report from the Kaiser Family Foundation and the Joint United Nations Programme on HIV/AIDS (UNAIDS) released in advance of the 2016 International AIDS Conference. Funding for HIV declined for 13 of 14 donor governments assessed in the analysis, in part due to…

  • FY15 Health & Human Services Appropriations Bill Introduced in House

    Fact Sheet

    The Democratic (minority) members of the House Appropriations Labor, Health & Human Services, Education, and Related Agencies Subcommittee announced the introduction of the “Departments of Labor, Health & Human Services, Education, and Related Agencies Appropriations Act, 2015” (H.R. 5464). The bill specifies funding levels for global health programs at the Centers for Disease Control and Prevention (CDC) and the John E. Fogarty International Center (see table below). Additional funding for global health programs and research…

  • Senate Appropriations Committee approves FY 2014 State and Foreign Operations Appropriations Bill

    Fact Sheet

    The Senate Committee on Appropriations approved, by a vote of 23-7, the FY 2014 State and Foreign Operations Appropriations bill (S.1372), which includes funding for U.S. global health programs at the U.S. Agency for International Development (USAID) and the State Department (see table below) comprising a significant portion of U.S. funding for global health (total funding for global health is not currently available as some funding provided through USAID, HHS, and DoD is not yet available).…

  • American Views on Ebola Response and U.S. Global Health Efforts

    News Release

    A new Kaiser Family Foundation survey about the U.S. role in global health finds the public puts meeting basic needs such as improving access to clean water and food and helping children at the top of the priority list for U.S. global health spending. Addressing the Ebola outbreak in West Africa is also a top priority. Some high profile issues such as malaria and reproductive health rank further down the list. About 7 in 10…

  • Measuring the Impact of Ebola: Will it Reach 1.4 Million?

    Perspective

    This Policy Insight take a deeper look at several key measures of the impact of the current Ebola epidemic in West Africa, including estimates of current cases, prevalence and death rates, as well as a consideration of the future projections of Ebola’s burden in the months to come.