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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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  • The U.S. Response to Ebola: Status of the FY2015 Emergency Ebola Appropriation

    Issue Brief

    This issue brief reviews where the U.S. response to Ebola stands, asking: What specifically was funding provided for and what is its current status? How is U.S. funding being used to address the outbreak and its aftermath, and prepare for future health threats? How available and transparent is information about these activities?

  • The Future of U.S. Global Health Policy & Programs

    Event Date:
    Event

    As the U.S. enters a Presidential election year and the larger global health and development landscape changes, U.S. global health programs face a key moment of transition. The prior decade saw unprecedented attention to and funding for global health by the U.S. government. Although funding has flattened in recent years, global health has generally enjoyed significant bipartisan support in Congress and the Administration, at a level not seen in most other non-entitlement or discretionary spending…

  • As Congress Considers Reauthorization of PEPFAR, KFF Examines the Role of Abortion

    News Release

    As Congress considers reauthorization of the President’s Emergency Plan for AIDS Relief (PEPFAR) for a fourth time, KFF explores the debate over abortion policy that has stalled the legislation and the potential implications if Congress does not reauthorize the program. PEPFAR spans more than 50 countries and has been reported to have saved 25 million lives since President George W. Bush created it in 2003. Funding for the program in FY 2023 was $6.9 billion,…

  • Assessing PEPFAR’s Economic and Educational Spillover Effects: An Update

    Issue Brief

    This analysis updates prior work that assessed the association between PEPFAR investments and economic and educational outcomes. It finds that PEPFAR continues to be associated with significant improvement in these broader areas, suggesting a spillover effect beyond the program's HIV and health focus.

  • Is The U.S. Stepping Up In The Fight Against Ebola?

    Policy Watch

    This policy watch looks at the major new Ebola outbreak in DRC, discusses how the U.S. government has responded so far, and describes how the current situation compares to prior U.S. Ebola responses.

  • House Committee on Appropriations Releases FY 2024 Labor, Health and Human Services, Education, and Related Agencies (Labor HHS) Appropriations Bill & Accompanying Report

    Fact Sheet

    The House Committee on Appropriations released its FY 2024 Labor, Health and Human Services, Education, and Related Agencies (Labor HHS) appropriations bill on July 13, 2023 and accompanying report on November 3, 2023. The Labor HHS appropriations bill includes funding for U.S. global health programs provided to the Centers for Disease Control and Prevention (CDC) and funding for global health research activities provided to the National Institutes of Health (NIH). Total global health funding at…