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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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  • Global Health Funding in the FY 2022 Omnibus

    Fact Sheet

    The FY 2022 omnibus appropriations bill (and accompanying reports), released by Congress on March 9, 2022 and yet to be finalized, includes funding for U.S. global health programs at the State Department, the U.S. Agency for International Development (USAID), the Centers for Disease Control and Prevention (CDC), and the National Institutes of Health (NIH).[i] Key highlights from the FY22 omnibus appropriations bill are as follows (see table for additional detail): State Department & USAID: Funding…

  • White House Releases FY16 Budget Request

    Fact Sheet

    The White House released the FY 2016 budget request on February 2, 2015, which includes funding for U.S. global health programs. A significant portion of U.S. funding for global health, including funding at the U.S. Agency for International Development (USAID) and the Department of State, is outlined in the State & Foreign Operations (SFOPs) Congressional Budget Justification (CBJ), however, total funding for global health is not currently available as some funding provided through USAID, Health…

  • White House releases FY 2014 Budget Request

    Fact Sheet

    The White House released the FY 2014 budget request, which included funding for U.S. global health activities.  Overall, funding for global health programs (at USAID and the State Department combined) increased in the FY 2014 request as compared to FY12 actual and FY13 estimated levels. This varied by specific global health program area (see below).  State Department & USAID - Global Health Programs (GHP) Area FY12 Actual FY13 CR Estimated*(millions) FY14 Request(millions) Difference:FY14 - FY13 CR(millions) Difference: FY14 - FY12(millions) State Department…

  • Senate Appropriations Committee approves FY14 Health & Human Services Appropriations Bill

    Fact Sheet

    The Senate Committee on Appropriations approved the FY 2013 Labor, Health & Human Services, Education and Related Agencies appropriations bill (S. 1284) by a vote of 16-14. A report (113-71) released by the committee provided the funding levels for global health programs at the Centers for Disease Control and Prevention (CDC) and the John E. Fogarty International Center. Additional funding for global health programs and research conducted by the National Institutes of Health (NIH) is…

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

    Fact Sheet

    The House Committee on Appropriations approved, by a voice vote, the FY 2014 State and Foreign Operations Appropriations bill (.pdf), 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). According to a Committee Report accompanying…

  • White House releases FY15 Budget Request

    Fact Sheet

    The White House released the FY 2015 budget request on March 4, 2014, which includes funding for U.S. global health programs. A significant portion of U.S. funding for global health, including funding at the U.S. Agency for International Development (USAID) and the Department of State, is outlined in the State & Foreign Operations (SFOPs) Congressional Budget Justification (CBJ) and associated appendix (the SFOPs appendix was released on April 18, 2014). Additional funding for global health programs through…

  • Senate Appropriations Committee approves FY 2015 State and Foreign Operations Appropriations Bill

    Fact Sheet

    The Senate Committee on Appropriations, approved the FY 2015 State and Foreign Operations Appropriations bill, 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). According to the committee report,…

  • Senate Appropriations Committee releases FY15 Health & Human Services Appropriations Bill

    Fact Sheet

    The Senate Committee on Appropriations released the FY 2015 Departments of Labor, Health & Human Services, Education and Related Agencies appropriations bill. A draft report released by the committee provided funding levels for global health programs at the Centers for Disease Control and Prevention (CDC) and the John E. Fogarty International Center. Additional funding for global health programs and research conducted by the National Institutes of Health (NIH) is not yet available. Note: The majority…

  • House Appropriations Committee approves FY2015 State and Foreign Operations Appropriations Bill

    Fact Sheet

    The House Committee on Appropriations approved the FY 2015 State and Foreign Operations Appropriations bill (also see the associated report), 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). Funding through the…

  • Congress Releases FY15 Omnibus

    Fact Sheet

    Congress released the FY 2015 Omnibus bill (H.R. 83) on December 9, 2014, which includes funding 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), as well as agency-wide emergency funding to address the Ebola crisis. Excluding the emergency Ebola funding, total known* funding for U.S. global health programs in the FY 2015 Omnibus is $9.1 billion, which…