The North Carolina Global Health Alliance Urges North Carolina's Congressional Delegation to Advocate for the Reversal of the Stop Work Order The North Carolina Global Health Alliance urges members of the North Carolina Congressional Delegation to immediately advocate for the reversal of the State Department's recent Stop Work Order, which freezes all existing foreign assistance programming and pauses new aid, with limited exceptions. It is critical that policymakers act swiftly to reverse this decision. Read the North Carolina Global Health Alliance's full statement on this issue below. January 27, 2025 The North Carolina Global Health Alliance (NCGHA) expresses deep concerns regarding the State Department’s recently issued “Stop Work Order,” which freezes existing foreign assistance programming and pauses new aid, with very limited exceptions. This action follows the President’s Executive Order on Reevaluating and Realigning United States Foreign Aid mandating a review of U.S. foreign assistance programs, yet the Stop Work Order goes beyond this mandate, jeopardizing the health, security, and prosperity of both our nation and North Carolina. The North Carolina Global Health Alliance supports efforts to enhance the efficiency and effectiveness of foreign assistance programs. However, this important review must not come at the cost of interrupting critical ongoing initiatives. On behalf of the many North Carolinians dedicated to advancing U.S. foreign assistance efforts, the NCGHA urges North Carolina’s Congressional Delegation to take action to halt this order and advocate for the continuation of essential foreign assistance programs. The USAID-supported work happening here in North Carolina directly contributes to making America safer, stronger, and more prosperous and any interruption to funding and implementation puts the livelihoods of thousands of North Carolinians at risk. Economic Impact on North Carolina Foreign assistance programs, particularly those funded by USAID, significantly benefit North Carolina’s economy and communities. The 2022 report, “The Global Health Sector’s Contributions to North Carolina’s Economy ,” published by the NCGHA and RTI International, highlights how global health investments generate billions of dollars annually in economic activity for our state. The more than 900 global health institutions operating in North Carolina in 2021 sustained 170,000 jobs in our state across multiple sectors, and these institutions contributed $31.9 billion in total value added to North Carolina’s economy. According to data from USA Spending , North Carolina implementers have received the fourth-largest amount of USAID obligations nationwide, trailing only Virginia, Maryland, and Massachusetts. This almost $1 billion in USAID funding to North Carolina institutions has supported thousands of high-quality jobs across sectors, from research and innovation to health systems strengthening, positioning our state as a global leader in foreign assistance implementation. Risks of the Stop Work Order The critical work conducted by USAID-funded non-profits, universities, and businesses headquartered in our state serve to both mitigate threats to our national security and foster economic growth that benefits North Carolinians and Americans nationwide. The indiscriminate implementation of the Stop Work Order undermines these benefits and jeopardizes national security, economic stability, and government efficiency. Specifically: National Security Risks: Foreign assistance programs address root causes of instability, such as poverty, disease, and conflict. Pausing these initiatives creates a vacuum that strategic competitors can exploit, undermining U.S. influence and destabilizing regions vital to our interests. Economic Disruption: Halting foreign assistance programs disrupts funding streams to North Carolina-based institutions, leading to immediate job losses and economic instability. Restarting these programs later will incur higher costs and delays, compounding inefficiencies. Public Health Threats: Interrupting health programs risks the resurgence of diseases and the unchecked spread of infectious pathogens. This threatens global health security and, ultimately, the safety of Americans at home. Advancing American Strength and Prosperity USAID-funded programs are strategic investments that promote stability, expand markets for U.S. goods and services, and build goodwill abroad. North Carolinians engaged in this work take immense pride in representing American interests globally, serving as front-line diplomats who foster alliances, counter extremism, and advance health and prosperity. By ensuring the continuation of these programs, the United States strengthens its global leadership and reaffirms its commitment to security, economic growth, and humanitarian values—principles that resonate deeply with North Carolinians. Call to Action North Carolina’s leadership is critical in addressing this urgent matter. The NCGHA urges our Congressional Delegation to: Advocate for the immediate reversal of the Stop Work Order to prevent unnecessary disruptions to vital foreign assistance programs. Support efforts to establish a transparent and efficient review process that allows development institutions to demonstrate compliance with America First principles without undermining their ability to deliver impactful programming. Emphasize the critical role North Carolina implementers play in advancing national security, driving economic growth, and promoting global stability in your discussions with State Department and Congressional colleagues.

Resources 01. North Carolina Global Health Economic Impact Report Our 2022 Economic Impact Report has been released. This report highlights North Carolina's leadership in global health. Read the full report to learn more! Read All 03. The Global Goals - Bill & Melinda Gates Foundation The Global Goals (known as the Sustainable Development Goals) are the solution to end poverty, and inequality, and reverse climate change Read All 05. KFF Health Tracking Poll – March 2022 This poll finds the public’s health care priorities for Congress focus on reducing out-of-pocket costs Read All 07. USAID Vision for Health System Strengthening 2030 USAID’s ten-year vision is rooted in health system strengthening (HSS) approaches that are based on whole-of-society engagement Read All 09. National Climate Assessment (NCA) - Volume II The full report of the National Climate Assessment provides an in-depth look at climate change impacts on the U.S. Read All 02. COVID-19 Issue Briefs - U.S. Global Leadership Coalition The USGLC takes an in-depth look at the global pandemic response and COVID-19’s impacts on vulnerable populations, global development and policy change Read All 04. Global Health Legislation Tracker - Kaiser Family Foundation This tracker provides a listing of global health-related legislation being considered by the 117th Congress (Jan. 3, 2021 – Jan. 3, 2023) Read All 06. 2021 Global Health Council Briefing Book This is a resource for well-informed decision-making on issues involving U.S. engagement in global health Read All 08. Duke-Margolis White Paper This white paper evaluates current challenges in collecting and using such data for AI-enabled clinical decision and diagnostic support tools Read All 10. Centers for Disease Control and Prevention CDC’s Climate and Health Program provides resources for public health professionals Read All COVID-19 Find global COVID-19 information as well as guidance on what prevention steps you should take in your community. LEARN MORE

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