U.S. recommits to 1:2 match for Global Fund to Fight AIDS, Tuberculosis and Malaria
Pledge of $4.6 billion must be additional to the funds already owed and approved by Congress
Washington, DC, November 21, 2025 – The U.S. Administration pledged $4.6 billion to the Global Fund to Fight AIDS, Tuberculosis and Malaria, reaffirming the match of $1 from the U.S. for every $2 from other donors.
“This new pledge from the United States builds on a longstanding bipartisan commitment. Members of Congress and advocates across the country have consistently rallied behind the Global Fund, as an extraordinary partnership delivering real results, saving 70 million lives, and creating a healthier world for everyone,” said Dr. Joanne Carter, Executive Director of RESULTS and RESULTS Educational Fund. “The $4.6 billion pledge has powerful potential for the next three years, so long as the U.S. also keeps its past promises.”
“This strong pledge must be on top of what is already owed to the Global Fund” said Carter. “There are still 7th replenishment funds sitting idle in the U.S. Treasury, meant for Global Fund programs now. These funds were already pledged, already matched, and already appropriated. They just need to be sent.”
Recent action by Congress would put the U.S. on track to both deliver its full contribution to the current 7th replenishment, and make good on a full $4.6 billion in new funding for the 8th replenishment.
Earlier this year, the House of Representatives advanced its spending bill for Fiscal Year 2026, including $1.5 billion for the Global Fund. This funding level would pave the way for a full $4.6 billion in new money over the next three years as an 8th replenishment contribution.
This spring, the Global Fund was forced to cut over $1 billion in promised resources for countries for high-impact health programs, jeopardizing lifesaving services across the planet. This marked the first time in its history the partnership was forced to cut funds in this way, because of uncertainty from the U.S. and other donors.
“Congress continues to rally behind the Global Fund in a bipartisan way. And our grassroots advocacy network is committed to working with them and the Administration to deliver past and future funds,” said Carter. “Double counting won’t save lives, but bold investment in the Global Fund partnership will.”