The United States’ withdrawal of around $12 billion in federal COVID-19 immunization funding has had a significant impact on various states in India. This decision has resulted in substantial budget cuts in health services, affecting areas such as infectious disease control and mental health support. Medical experts are expressing concerns about the potential increase in daily HIV infections and related fatalities due to this move. The reduction in funding for COVID-19 immunization could have serious consequences for public health in the affected states.