FY2026 NSRP Conference Bill & Statement: Global Health Funding Analysis

Summary of FY26 National Security, Department of State and Related Programs Appropriations bill – Global Health Funding

Here’s a breakdown of the key details regarding global health funding in the FY26 appropriations bill:

Overall Funding:

* Total funding for Global Health Programs (GHP) at the State Department: $9.4 billion

* This is a $615 million (-6%) decrease compared to FY25 ($10 billion).

Funding Changes by Programme Area:

* Decreased: Global Fund, bilateral HIV, tuberculosis (TB), global health security, neglected tropical diseases (NTDs), and vulnerable children. The Global Fund saw the largest decrease (-$400 million or -24%).
* Remained Flat: Malaria, maternal and child health (MCH), nutrition, and family planning and reproductive health (FP/RH).

Key Provisions & Requirements:

* Specific Funding Amounts: The bill requires the management to provide funding at the amounts specifically designated in the explanatory statement, preventing deviations.
* Funding Availability:

* PEPFAR (HIV/AIDS) funding: 5 years

* Most other programs: 2 years

* Gavi & CEPI: 1 year

* Reporting & Briefings: The administration must provide updates on various global health areas, including PEPFAR transition, market access, and funding status.
* Coordination & Initiatives:

* Coordination with the CDC on global health activities is required.
* Establishment of the Prevention, Treatment, and Response Initiative to support vaccine research and delivery.

Resources for Further Information:

* Bill: https://www.appropriations.senate.gov/imo/media/doc/fy26_fsgg_bill.pdf

* Explanatory Statement: https://www.appropriations.senate.gov/imo/media/doc/fy26_sfops_jes.pdf

* KFF Budget Summaries: https://www.kff.org/series/global-health-budget-summaries/

* KFF Budget Tracker: https://www.kff.org/interactive/u-s-global-health-budget-tracker/