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    Why PEPFAR has bigger problems than reauthorization

    Even if its authorization is allowed to expire tomorrow, PEPFAR will survive. Instead, the program faces a much bigger problem as a result of cuts to USAID, which administered the majority of PEPFAR services.

    By Andrew Green // 24 March 2025

    Congressional authorization for the U.S. President’s Emergency Plan for AIDS Relief, or PEPFAR, is all but certain to expire tomorrow. But that is far from the main threat to PEPFAR’s survival.

    Because the program is written into federal law, “actual permission for the program to exist doesn’t expire,” even if PEPFAR’s authorization does, Katie Coester, the associate director of public policy and advocacy at the Elizabeth Glaser Pediatric AIDS Foundation, told Devex. In addition, the U.S. Congress allocated money to PEPFAR in the budget it adopted earlier this month to keep it funded through the end of the fiscal year.

    “As long as there is funding appropriated for the program, it can technically and legally continue,” Jennifer Kates, the director of the global health and HIV policy program at KFF, told Devex.

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    Read more:

    ► Exclusive: Some PEPFAR programs get waiver to restart operations

    ► Opinion: The case for PEPFAR to push for country ownership in HIV response

    ► Scoop: USAID Kenya partner has ‘no funds’ to carry out PEPFAR waiver

    • Global Health
    • Trade & Policy
    • Funding
    • U.S. President's Emergency Plan for AIDS Relief (PEPFAR)
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    About the author

    • Andrew Green

      Andrew Green@_andrew_green

      Andrew Green, a 2025 Alicia Patterson Fellow, works as a contributing reporter for Devex from Berlin.

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