The New York Times published on 23 July 2025 an article titled "U.S. Quietly Drafts Plan to End Program That Saved Millions from AIDS" by Stephanie Nolen.
Planning documents for the President's Emergency Plan for AIDS Relief (PEPFAR) obtained by The New York Times call for changes that would effectively end the program. The planning documents, which have not yet been approved by the senior level of the State Department, would replace PEPFAR by "bilateral relationships" with low-income countries focused on the detection of outbreaks that could threaten the United States and the creation of new markets for American drugs and technologies.