An unidentified speaker at the meeting criticized U.S. funding practices that put American and international nongovernmental organizations in charge of health services in other countries, saying those programs can run "parallel and sometimes in conflict with the health care systems of the host country." The speaker called for assistance to be delivered through partner countries rather than through third parties.

"Why are we hiring American and international NGOs to go into other countries and run health care systems that are parallel and sometimes in conflict with the health care systems of the host country?" the speaker asked. The speaker added: "If we're trying to help countries, help the country. Don't help the NGO to go in and find a new line of business."

The speaker framed the remarks as a change in approach: "That's what the model that we're breaking. We're not doing this anymore." They also said the United States should stop large-scale funding of NGOs, stating, "We are not going to spend billions of dollars funding the NGO industrial complex," and arguing that close partners such as Kenya have had limited roles or influence over how health-care funds are spent.

The remarks did not include a formal motion, vote, or recorded policy directive in the transcript. The speaker presented a prescription — route assistance through host-country systems and limit third-party imposition — but the meeting record does not show any official vote or implementation steps tied to that statement.

Without additional documentation or formal action in the record, it is not possible to verify whether the claimed shift in funding policy represents an announced administrative directive, an intention by an individual speaker, or an adopted government policy. The record cited Kenya as an example of a partner with limited influence; no further details about specific programs, contracts, or budget line items were provided in the transcript.

Next steps were not recorded in the transcript: no department, office, or timetable for implementation was named, and no statutory or regulatory citations were offered to support an immediate policy change.