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The Trump Administration’s Latest Expansion of the Mexico City Policy: A Funding Analysis

On Friday, January 23, 2026, the Trump administration released the latest expansion of the Mexico City Policy (MCP). The controversial policy, which had restricted foreign non-governmental organizations (NGOs) from performing or promoting abortion as a method of family planning as a condition of receiving most U.S. global health aid, has been broadened significantly to include more organizations (not just foreign NGOs) and most U.S. foreign aid. Also, the policy now prohibits activities related to diversity, equity, and inclusion (DEI) as well as support for gender-affirming care and services, and legal protections based on gender identity (among other activities). This move marks the most significant expansion of the MCP in more than 40 years — extending its reach far beyond the policy’s expansion during Trump’s first term.

This analysis assesses the potential reach of the latest expansion of the Mexico City Policy, which is now part of the Promoting Human Flourishing in Foreign Assistance (PHFFA) Policy.

The Mexico City Policy: An Explainer

Questions for the America First Global Health Strategy

Global Health Budget Summaries

Overview of President Trump’s Executive Actions on Global Health

selected resources

Global Health Aid Cuts

This collection of resources chronicles what recent Trump administration global health aid cuts mean for the future of global health programs and the people who rely on them.

A promotional image for the the KFF Health Policy 101 U.S. Government and Global Health

The U.S. Government and Global Health

In this Health Policy 101 chapter, investigate the U.S. role in global health, including the major initiatives the United States supports, funding levels, and agencies involved in implementing program area efforts.

the essentials

Global Health Trackers

U.S. Global Health Budget Tracker

This tracker provides regularly updated information on U.S. government funding for global health. It includes historical trends and tracks funding levels for U.S. global health efforts through bilateral and multilateral contributions and by program area and agency.

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  • White House Releases FY18 Budget Blueprint

    Fact Sheet

    The White House released its budget blueprint on March 16, 2017 providing initial information on its budget request for FY18 (the full budget request is expected in May). While detail on funding levels for most global health programs is not specified, the blueprint does include total funding for the U.S. Agency for International Development (USAID) and the Department of State and highlights some specific global health programs and related areas: USAID & State Department and…

  • Kaiser Health Tracking Poll: August 2016

    Feature

    In advance of the 2016 presidential election, the August Kaiser Health Tracking Poll examines what health care issues voters would most like to hear the presidential candidates talk about during their campaigns and which candidate voters trust to do a better job of dealing with certain health care issues. In addition, the August Tracking Poll continues KFF’s analysis on attitudes related to the Zika virus outbreak as well as provides an update on attitudes towards…

  • House Appropriations Committee approves FY 2017 State and Foreign Operations Appropriations Bill

    Fact Sheet

    The House Committee on Appropriations approved the FY 2017 State and Foreign Operations Appropriations bill and associated committee report, which includes funding for U.S. global health programs at the U.S. Agency for International Development (USAID) and the State Department (see table below) comprising a significant portion of U.S. funding for global health (total funding for global health is not currently available as some funding provided through USAID and DoD is not yet available). Funding in the…

  • House Appropriations Committee Approves FY 2020 Health and Human Services (HHS) Appropriations Bill

    Fact Sheet

    The House Appropriations Committee approved the FY 2020 Labor, Health and Human Services, and Education (LHHS) appropriations bill (and accompanying report) on May 8, 2019. The LHHS appropriations bill, which provides funding for U.S. global health programs, includes funding at the Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH).[i] Key highlights are as follows (see table for additional detail): Funding provided to CDC for global health totaled $524 million, an increase of $35…

  • White House Releases FY20 Budget Request

    Fact Sheet

    The White House released its FY 2020 budget request to Congress on March 11, 2019, which includes significant cuts to global health programs compared to FY 2019 enacted levels (the overall levels in the request are similar to the FY 2019 budget request). Key highlights are as follows (see table for additional detail): Funding provided to the State Department and the U.S. Agency for International Development (USAID) (through the Global Health Programs account), which represents…

  • Senate Appropriations Committee Releases Draft FY 2020 Health and Human Services (HHS) Appropriations Bill

    Fact Sheet

    The Senate Appropriations Committee released the draft FY 2020 Labor, Health and Human Services, and Education (LHHS) appropriations bill (and accompanying report) on September 18, 2019. The LHHS appropriations bill includes funding for U.S. global health programs provided to the Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH). Key highlights are as follows (see table for additional detail): Funding provided to CDC for global health totaled $596 million, an…

  • Senate Appropriations Committee Approves FY 2020 State and Foreign Operations (SFOPs) Appropriations Bill

    Fact Sheet

    UPDATED: The Senate Appropriations Committee approved the FY 2020 State & Foreign Operations (SFOPs) appropriations bill (and accompanying report) on September 26, 2018 (a draft version of the bill and report were released on September 18, 2019). The SFOPs bill includes funding for U.S. global health programs at the State Department and the U.S. Agency for International Development (USAID).[i] Funding for these programs, through the Global Health Programs (GHP) account, which represents the bulk of…

  • House Appropriations Committee Approves FY 2021 Health and Human Services (HHS) Appropriations Bill

    Fact Sheet

    The House Appropriations Committee approved the FY 2021 Labor, Health and Human Services, and Education (LHHS) appropriations bill (and accompanying report) on July 13, 2020. The LHHS appropriations bill includes funding for U.S. global health programs provided to the Centers for Disease Control and Prevention (CDC) and some funding for global health research activities provided to the National Institutes of Health (NIH). The bill also includes emergency funding for COVID-19 response efforts. Key highlights are as follows (see…