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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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  • New Resource Explains the Impact of the Mexico City Policy

    News Release

    On January 23, President Donald Trump reinstated the Mexico City Policy, which stipulates that in order to receive U.S. global health funding, foreign non-governmental organizations (NGOs) must certify that they will not perform or actively promote abortion as a method of family planning using funds from any source.

  • President Signs FY18 Omnibus Bill

    Fact Sheet

    On March 23, 2018, the President signed the FY 2018 Omnibus bill, which provides funding for the U.S. government through the rest of the 2018 fiscal year including for U.S. global health programs.

  • Congress Releases FY16 Omnibus

    Fact Sheet

    Congress released the FY 2016 Omnibus bill on December 16, 2015, which includes funding for U.S. global health programs at the U.S. Agency for International Development (USAID), the Department of State, and the Centers for Disease Control and Prevention (CDC). Total known* funding for U.S. global health programs in the FY 2016 Omnibus is $9.

  • Donor Government Assistance for Family Planning in 2014

    Report

    This report finds that donor governments provided US$1.4 billion in bilateral funding for family planning programs in low- and middle-income countries in 2014 – a 9 percent increase above 2013 and 32% above 2012 levels.

  • Updated: House Appropriations Committee releases FY16 Health & Human Services Appropriations Bill

    Fact Sheet

    The House Committee on Appropriations released the FY 2016 Departments of Labor, Health & Human Services, Education and Related Agencies appropriations bill and associated committee report, which provides global health funding through the Centers for Disease Control and Prevention (CDC) and for research activities at the National Institutes of Health (NIH). The bill specifies $426.

  • U.S. Global Health Funding in Draft FY18 Budget Request

    Fact Sheet

    As reported in Foreign Policy, a draft of the Trump administration’s FY18 budget request for the State Department and USAID, expected to be submitted in full to Congress in May, proposes significant cuts to global health funding. According to a document obtained by Foreign Policy, funding for global health programs would total $6.