By 2010, Hillary Clinton was entering her second year as secretary of state and the Clinton Health Access Initiative had just split off from the Clinton Foundation as part of an agreement with the Obama administration. The separation was intended to help bring "greater transparency" to the Clinton charities during her tenure at the State Department, according to a memorandum of understanding with President Obama's transition team.
That year,
CHAI reported only $242,099 in “Total Government Contributions” to New York regulators, and that number included only domestic grants. But for the same time period in 2010 it
told the IRS it received $26,740,319 in foreign and domestic government grants.
By not telling New York about millions in foreign government grants it received that year, CHAI avoided the state’s more stringent disclosure rules that would have required the charity to itemize publicly each domestic and foreign government donation.
In a letter written in November 2014, as Clinton began eyeing a run for the White House, CHAI itemized domestic government grants but told the New York attorney general’s office it “also received foreign government contributions and can provide those in more details if needed.”