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FY26 State,Foreign Operations,and Related Programs Appropriations Bill: Impact on U.S. Global Health Funding
The Fiscal Year (FY) 2026 State, Foreign Operations, and Related Programs (SFR) appropriations bill, formerly known as State, Foreign Operations, and Related Programs (SFOPs), outlines funding for U.S. global health programs administered by the State Department. Total funding for global Health Programs (GHP), which comprises the majority of global health assistance, is set at $9.4 billion – a 6% decrease from the FY25 level of $10 billion.
Funding Trends Across Program Areas
The bill reflects decreased or flat funding across diffrent program areas. Notable changes include:
- Decreased Funding: Programs experiencing reductions include the Global Fund to Fight AIDS, Tuberculosis and Malaria, bilateral HIV programs, tuberculosis (TB) initiatives, global health security, neglected tropical diseases (NTDs), and programs supporting vulnerable children. The Global Fund faces the largest decrease, a reduction of $400 million (24%), representing the initial installment of the administration’s $4.6 billion pledge for the eighth replenishment. The U.S. has sufficient unobligated balances from prior appropriations to fulfill the seventh replenishment pledge, as stated in the explanatory statement.
- Flat Funding: funding levels remain unchanged for malaria programs, maternal and child health (MCH), nutrition initiatives, and family planning and reproductive health (FP/RH) programs.
Key Provisions and Requirements in the Bill
- Specific Program Area Funding: The explanatory statement specifies funding amounts for many global health programs, a departure from previous years.The bill mandates that funding “shall be made available at not less than the amounts specifically designated” in the explanatory statement, preventing administrative deviation from outlined levels.
- Funding
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