Require country-based exit strategies for humanitarian responses

What has happened

1. Jun 10, 2026 Partially done

   Delivered to Congress as a written strategy. The PEPFAR transition report sets out transitions "over a period of two to five years (and in some cases beyond five years), tailored to each country's readiness and context", through either a bilateral health memorandum of understanding with a multi-year budget and timeline or a multi-year plan revisited annually, with U.S. bilateral budgets decreasing as partner governments increase co-financing. `partial` and not `done`: this is health assistance. The Quote asks for country-based exit strategies that term-limit humanitarian responses and transition funding from emergency to development projects, and no such strategy was found for the humanitarian accounts - State's humanitarian reset consolidates funding into OCHA pooled funds without term limits.

   • Report to Congress on A Multi-Year Structured Transition of Programs Supported by PEPFAR to Country-Led Ownership (SFOAA sec. 7058(d))

     Primary Executive branch Jun 10, 2026

   • Public Law 119-75, Consolidated Appropriations Act, 2026, Division F (National Security, Department of State, and Related Programs Appropriations Act, 2026)

     Primary Congress Feb 3, 2026

2. Sep 18, 2025 Partially done

   The America First Global Health Strategy makes a country-by-country exit plan the organizing instrument of U.S. health assistance: multi-year bilateral memoranda of understanding with each recipient government, carrying budgets, timelines, co-investment commitments and performance benchmarks that move countries "along the path to decreased dependency on foreign assistance", with agreements to be completed with the countries receiving the vast majority of U.S. health assistance by 2025-12-31.

   • America First Global Health Strategy (State Department, Bureau of Global Health Security and Diplomacy)

     Primary Executive branch Sep 18, 2025