These included: an executive order which called for a 90-day review of foreign aid; a subsequent “stop-work order” that froze all payments and services for work already underway; the dissolution of USAID, including the reduction of most staff and contractors; and the cancellation of most foreign assistance awards. Although a waiver to allow life-saving humanitarian assistance was issued, it was limited to certain services only and difficult for program implementers to obtain. Changes to the Department of Health and Human Services, including proposed cuts and reorganization, are also likely to affect these programs.