Global Health Council v. Donald J. Trump

District Court, District of Columbia·Decided September 3, 2025·No. Civil Action No. 2025-0402·Published

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

AIDS VACCINE ADVOCACY COALITION, et al.,

Plaintiffs, Civil Action No. 25-00400 (AHA) v.

UNITED STATES DEPARTMENT OF STATE, et al.,

Defendants.

GLOBAL HEALTH COUNCIL, et al.,

Plaintiffs, Civil Action No. 25-00402 (AHA) v.

DONALD J. TRUMP, et al.,

Defendants.

Memorandum Opinion and Order

This Court previously granted a preliminary injunction based in part on the conclusion that

Defendants violated the separation of powers by unilaterally declining to spend congressionally

appropriated foreign aid funds. On appeal, the D.C. Circuit panel vacated and remanded. The panel

did not express disagreement with the Court’s constitutional analysis, but held Plaintiffs lacked a

cause of action to bring a constitutional claim. Glob. Health Council v. Trump, __ F.4th __, __,

No. 25-5097, 2025 WL 2480618, at *9 (D.C. Cir. Aug. 28, 2025). After a petition for rehearing en

banc and consideration by the full court, the panel amended its opinion to make clear that it did

not preclude Plaintiffs from pursuing statutory claims that Defendants’ unilateral decision not to spend funds as Congress directed in the relevant appropriations acts violated the Administrative

Procedure Act (“APA”). Id. at *11 n.17. The Circuit accordingly remanded for consideration of

those statutory claims.

On remand, the Court is first and foremost obligated to follow the Circuit panel’s mandate.

And the Court is also mindful of statements respecting en banc review recognizing the importance

of expeditious consideration of Plaintiffs’ appropriations-act based APA claims. See Order, Glob.

Health, No. 25-5097, at 6–7 (D.C. Cir. Aug. 28, 2025) (Pan, J., dissenting from the denial of

rehearing en banc) (noting that “the full court’s decision is based, in large part, on the panel’s

revision of its original opinion” and that Plaintiffs “may well secure relief more quickly by

pursuing a new preliminary injunction based on their APA or ultra vires claims”); id. at 8 (Garcia,

J., statement respecting the denial of rehearing en banc) (observing that Plaintiffs’ APA claim

remained a “meaningful avenue to test the legality of the Executive Branch’s unilateral actions”

and “may be litigated expeditiously in the district court”). The Court heeds that mandate, too. This

case raises questions of immense legal and practical importance, including whether there is any

avenue to test the executive branch’s decision not to spend congressionally appropriated funds.

Appreciating that this Court is only one part of a review process that has yet to completely unfold—

and that definitive higher court guidance now will be instructive as funds continue to reach their

expiration dates in the future—the Court endeavors to address the remaining claims with both care

and dispatch, to provide the necessary record and time for further review.

For the reasons described below, the Global Health Plaintiffs’ new motion for a temporary

restraining order, preliminary injunction, and partial summary judgment is granted in part and

denied in part. The AIDS Vaccine Plaintiffs’ motion for a preliminary injunction is granted.

2 I. Background

In March of last year, Congress appropriated over $30 billion to the State Department and

the U.S. Agency for International Development (“USAID”), to be spent on foreign aid. See Further

Consolidated Appropriations Act of 2024, Pub. L. No. 118-47, 138 Stat. 460, 740–49. Congress

specified fifteen categories toward which the funds should be spent. See, e.g., 138 Stat. at 740

(“For necessary expenses to carry out the provisions of chapters 1 and 10 of part I of the Foreign

Assistance Act of 1961, for global health activities, in addition to funds otherwise available for

such purposes, $3,985,450,000, to remain available until September 30, 2025, and which shall be

apportioned directly to the United States Agency for International Development . . . .”). Congress

also stated that “funds appropriated by this Act” under the relevant titles “shall be made available

in the amounts specifically designated in the respective tables included in the explanatory

statement.” Id. at 771; see Glob. Health, ECF No. 125-11 (explanatory statement). The tables

referenced include more specific line items with amounts for particular purposes. Glob. Health,

ECF No. 125-11. Congress provided that, for most line items, State and USAID “may only deviate

up to 10 percent from the amounts specifically designated in the respective tables,” and for global

health programs line items, the agencies may not deviate from the specified amounts at all. 138

Stat. at 772. Defendants have represented that approximately $11.5 billion in appropriated funds

from this act is set to expire on September 30, 2025. Glob. Health, ECF No. 135 at 1. Congress

passed appropriations acts with similar requirements in prior years. See, e.g., Pub. L. No. 116-6,

133 Stat. 13, 307 (2019).

On January 20, 2025, the President signed an executive order titled “Reevaluating and

Realigning United States Foreign Aid.” Exec. Order No. 14169, 90 Fed. Reg. 8619 (Jan. 20, 2025).

The order directed an immediate pause in “United States foreign development assistance.” Id.

§ 3(a). It also directed responsible department and agency heads to review each foreign assistance

3 program and to determine within ninety days of the order “whether to continue, modify, or cease

each foreign assistance program,” in consultation with the Director of the Office of Management

and Budget (“OMB”) and with the concurrence of the Secretary of State. Id. §§ 3(b), (c).

In the days that followed, agency officials took actions to institute an immediate suspension

of all congressionally appropriated foreign aid. On January 24, the Secretary of State issued a

memorandum suspending all new funding obligations, pending a review, for foreign assistance

programs funded by or through the State Department and USAID. Glob. Health, ECF No. 43 at

14. USAID officials also issued instructions to immediately pause all new programs, issue stop-

work orders, and develop appropriate review standards. Glob. Health, ECF Nos. 58-1 to 58-4.

OMB issued a memorandum ordering a temporary pause of all federal financial assistance,

including assistance for foreign aid and nongovernmental organizations. Glob. Health, ECF No. 1

¶ 47.

The Court granted a preliminary injunction to Plaintiffs based principally on two claims.

First, it held Plaintiffs were likely to succeed on the merits of their claim that the agencies’ blanket

freeze of funds was arbitrary and capricious in violation of the APA. AIDS Vaccine Advoc. Coal.

v. U.S. Dep’t of State, 770 F. Supp. 3d 121, 134–40 (D.D.C. 2025). The Court had previously

granted a limited temporary restraining order (“TRO”) on this basis. AIDS Vaccine Advoc. Coal.

v. U.S. Dep’t of State, 766 F. Supp. 3d 74 (D.D.C. 2025). After Defendants indicated they had not

taken any steps to comply with the Court’s TRO, the Court granted in part a motion to enforce

compliance. Defendants sought emergency relief from the Circuit and ultimately the Supreme

Court, claiming for the first time the timeline to comply was not feasible. See Glob. Health, ECF

No. 39. The Supreme Court denied Defendants’ application and, because the deadline to comply

had passed in the interim, directed this Court to “clarify what obligations the Government must

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