Mark Alford will ensure partner nations increase their cost-sharing for foreign assistance and health policy programs.

Provisions to advance President Trump’s America First Health Policy to ensure partner nations are increasing their cost-sharing

Alford cited a provision pushing partner nations to share more of the costs.

Alford Highlights America First Wins in FY27 National Security Appropriations Bill | Congressman Mark Alford
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The Clerk lists Mark Alford as Missouri's 4th District Republican representative, with oath of office Jan. 03, 2025, and assigns him to the Committee on Appropriations, including the National Security, Department of State, and Related Programs subcommittee.

Alford has current committee jurisdiction relevant to State Department and foreign assistance appropriations, giving him a venue to pursue the promise during the 119th Congress, but this profile alone does not show the promise was fulfilled.

unresolved later_term

Office of the Clerk, U.S. House of Representatives: Mark Alford Member Profile
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Congress.gov says H.R.8771 was a FY2025 State Department, foreign operations, and related programs appropriations bill; it passed the House 212-200 on June 28, 2024, but its latest action was Senate placement on the legislative calendar, not enactment.

Alford supported a House-passed State/Foreign Operations appropriations bill, but the bill did not become law, so it cannot prove delivery of increased partner-country cost-sharing.

partial same_term A for effort

H.R.8771 - Department of State, Foreign Operations, and Related Programs Appropriations Act, 2025
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The Clerk recorded Roll Call 335 on passage of H.R.8771. The measure passed 212-200, and Rep. Alford, Republican of Missouri, voted Yea.

Alford voted for the FY2025 State/Foreign Operations appropriations bill. This is concrete legislative effort, but not evidence of final enactment or broad cost-sharing delivery.

partial same_term A for effort

Roll Call 335 | H.R.8771
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The House Appropriations report recognized the Inter-American Foundation's record of achieving cost-share from new grantees greater, on average by 20 percent, than IAF's initial support, and encouraged USAID to learn best practices from IAF.

The House report tied H.R.8771 to cost-share practices in foreign assistance programming, but the language was encouragement in a House report and the underlying bill was not enacted.

partial same_term A for effort

H. Rept. 118-554 - State, Foreign Operations, and Related Programs Appropriations Bill, 2025
secondary · model gpt-5.5 · confidence 82%

Congress.gov summarizes H.R.8035 as requiring the President to enter into an agreement with Ukraine regarding repaying the United States for economic assistance and requiring certain Ukraine funds to be matched by other donors.

This was a concrete foreign-assistance cost-sharing and repayment provision, but it concerned Ukraine supplemental aid rather than health programs and Alford did not support passage.

partial same_term

H.R.8035 - Ukraine Security Supplemental Appropriations Act, 2024
secondary · model gpt-5.5 · confidence 84%

The Clerk recorded Roll Call 151 on passage of H.R.8035, the Ukraine Security Supplemental Appropriations Act, 2024. The bill passed 311-112, and Rep. Alford voted Nay.

Alford voted against a bill containing donor-match and repayment provisions for Ukraine assistance, which weighs against crediting him with delivery of that cost-sharing measure.

never same_term

Roll Call 151 | H.R.8035
secondary · model gpt-5.5 · confidence 90%

The Financial Times reported that more than 30 nations signed health-related memorandums of understanding with a commitment to co-invest, and that recipient countries promised $7.8 billion, about one third of the total.

By 2026, the Trump administration had reportedly secured co-investment commitments in foreign health aid agreements. This suggests partial policy delivery, but the evidence attributes the action to the administration, not to Alford personally.

partial later_term

Donald Trump reboots foreign aid with cash-for-data strategy
secondary · model gpt-5.5 · confidence 76%

The Washington Post reported that the administration negotiated 28 mostly African health agreements seeking to reduce U.S. funding while pushing recipient nations to increase their own contributions.

This supports that cost-sharing pressure in health aid was pursued by the executive branch in 2025-2026, but it does not show Alford introduced, passed, or secured the policy through Congress.

partial later_term

Trump administration's secrecy on health deals alarms experts, governments
secondary · model gpt-5.5 · confidence 75%