The United States and Kenya have signed a five-year, $2.5 billion Health Cooperation Framework in Washington, D.C., led by Kenyan Prime Cabinet Secretary Musalia Mudavadi and U.S. Secretary of State Marco Rubio, with President William Ruto present. The agreement consolidates previously fragmented health assistance—formerly delivered through agencies such as USAID—into a unified bilateral program. The U.S. will provide roughly $1.6–1.7 billion, while Kenya will contribute about $850 million (KSh 110 billion). Funding will flow directly through Kenya’s national systems, including the Social Health Authority, Digital Health Authority, Kenya Medical Supplies Authority, and the Ministry of Health, with the goal of strengthening service delivery, supply chains, and digital health infrastructure.