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Lawmakers, aid groups warn PEPFAR stop‑work orders and waiver process have disrupted treatments and services

2907877 · April 9, 2025
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Summary

Witnesses and members of the House Appropriations subcommittee said a recent stop‑work order, delayed waiver implementations and some contract terminations have interrupted HIV testing, antiretroviral delivery and community services in multiple countries including Eswatini and Lesotho.

Chairman (name not specified), Ranking Member Kathy Frankel, Ambassador Mark Dybul and Catherine Connor told the House Appropriations Subcommittee on National Security, Department of State and Related Programs that recent administrative actions halted or delayed PEPFAR-funded activities, creating gaps in testing, treatment and community support.

Committee members and witnesses said the administration’s initial stop‑work orders for foreign assistance and the subsequent waiver process were handled in ways that made it hard for implementing partners to restart services quickly. Catherine Connor, vice president for public policy and advocacy at the Elizabeth Glaser Pediatric AIDS Foundation, said the waivers that permitted “life‑saving” activities were not applied automatically and required project‑level reviews before work could resume. “There was a process that had to go through once the waivers…

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