Politics

The Trump administration is diverting billions in health funding away from low-income countries, defying Congress’ plans

The Trump administration is diverting billions in health funding away from low-income countries, defying Congress’ plans

(CNN) — The Trump administration plans to redirect or withhold nearly all funding that Congress had slated for international family planning aid this year – about $605 million – according to an internal US State Department budget report and a memo to lawmakers that were obtained by CNN.

The budget plans also involve an effort to move nearly a billion dollars into a global health innovation fund benefiting US corporations, while sharply cutting global health funding for low- and middle-income countries.

The actions have drawn criticism from nonprofit organizations and lawmakers who argue it represents overreach by the administration, given that Congress holds the power to decide how money is spent.

A copy of the budget report – called the preliminary Fiscal Year 2026 allocation – reveals plans to divert or repurpose almost all of the $607.5 million in funding that Congress had allocated to supply contraception and other reproductive health services to women overseas.

Tens of millions of that funding will be diverted to support the “energy security needs” of US partners facing market disruptions amid the wars in Iran and Ukraine, according to a separate memo signed by Secretary of State Marco Rubio in September. The memo offered few additional details on how that money would be spent.

For decades, US family planning aid has provided millions of women overseas with modern contraceptives to give them the ability to prevent or space out pregnancies, which research shows improves maternal mortality rates, family incomes and babies’ health.

In fiscal year 2024 – before Trump came back to office – US investment in global family planning is estimated to have prevented 34,000 maternal deaths, according to the Guttmacher Institute.

The budget plans also reveal steep reductions in US health assistance for most countries when compared to 2024 funding levels, according to an analysis of the leaked budget document conducted by Public Citizen, a nonprofit consumer advocacy organization. Their analysis, which was shared exclusively with CNN ahead of its publication Saturday, was conducted in conjunction with the nonprofit organizations Partners In Health (PIH) and Population Action International (PAI), a reproductive rights advocacy organization.

The countries with the largest funding decreases for health programs are South Africa, Tanzania and Zimbabwe, which have all been hit with more than $100 million in cuts. Eight countries – Afghanistan, Central African Republic, Gambia, South Africa, Somalia, Sudan, Timor-Leste and Yemen – have had their health funding cut to zero since 2024.

Asked about the funding diversions, a State Department spokesman told CNN that “the administration is consistently evaluating the use of foreign assistance to ensure it is used to meet critical needs, including unanticipated contingencies such as the current global energy crisis, within the context of its annual appropriated budget and the authorities available to the president and the secretary.”