US Secretary of State Marco Rubio speaks during a Health Framework of Cooperation signing ceremony with Kenyan President William Ruto and Prime Cabinet Secretary Musalia Mudavadi at the State Department in Washington, DC on December 4, 2025. The United States on Thursday signed a $2.5 billion health aid deal with Kenya, the first such bilateral agreement after President Donald Trump tore down the historic US aid agency and sidelined NGOs. Trump administration officials said the agreement would be the first in a series of agreements with developing countries' governments, which will be asked to share the bill and cooperate with Washington on other priorities.