The U.S. State Department clarified on Saturday that the President's Emergency Plan for AIDS Relief (PEPFAR)—the world’s largest HIV initiative—is exempt from the 90-day pause on foreign aid ordered by President Donald Trump.
Shortly after taking office on January 20, Trump halted all foreign aid contributions for review under his "America First" policy. While emergency food aid was granted an exemption earlier, the lack of clarity left aid organizations uncertain about which programs could continue.
The State Department's Bureau of Global Health Security and Diplomacy issued a formal memo confirming that PEPFAR remains operational, allowing for:
HIV care and treatment, including testing and counseling
Prevention and treatment of infections such as tuberculosis (TB)
Laboratory services and medicine supply chains
Mother-to-child HIV transmission prevention
The memo stated that all other activities not explicitly mentioned require express approval.
PEPFAR directly supports over 20 million people living with HIV worldwide, accounting for two-thirds of all those receiving treatment.
Meanwhile, the wider foreign aid freeze remains in place. As of Tuesday, all U.S. Agency for International Development (USAID) payments were suspended, marking the first halt in funding since October 1.
Additionally, sources indicate that the Trump administration is considering placing USAID under direct State Department control, a move that would significantly reshape U.S. foreign aid policy.
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