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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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  • The U.S. Government’s Global Health Policy Architecture: Structure, Programs and Funding

    Report

    This report provides the first comprehensive look at the U.S. government agencies and programs involved in the nation’s global health response, including their funding and their approaches. The report also provides overviews of the large-scale global health initiatives of the U.S. government, information on which countries receive support from the U.S., and a review of the key laws governing U.S. global health policy and relevant Congressional committees.

  • Taking the Temperature: The Future of Global Health Journalism

    Report

    Aiming to take a snapshot of the state of global health journalism, a report produced for the Kaiser Family Foundation found that shrinking newsroom budgets and the closing of many foreign bureaus are curtailing global health coverage within traditional news media outlets.

  • Mapping the United States Government Engagement in Global Public Health

    Report

    This background report lays out the United States government’s engagement in global health activities in order to provide a basis for analysis and to help decision makers understand the scope and organization of programs, policies, authorities, funding and coordinating mechanisms that comprise U.S. support for public health abroad.

  • CANCELLED: March 17 Event: U.S. Global Health Diplomacy and the Role of Ambassadors

    Event Date:
    Event

    The Kaiser Family Foundation is hosting a panel discussion of U.S. Ambassadors to look at how diplomacy intersects with global health, how the U.S. government's new focus on global health diplomacy is reshaping the work of U.S. Ambassadors with partner countries, and how the new Office of Global Health Diplomacy relates to and coordinates with other parts of the U.S. government's global health architecture and foreign policy.

  • TB Silent Killer: FRONTLINE Documentary and Panel Discussion

    Event Date:
    Event

    The Kaiser Family Foundation convened a public forum to take stock of the global health challenge presented by TB, to examine the limitations and challenges of current treatment options, their limitations and challenges, and to discuss the search for new and better TB drugs and other tools. The event began with a screening of a short segment of a new FRONTLINE television documentary, TB Silent Killer, which focuses on the Southern African nation of Swaziland, the country with the world's highest incidence of TB, and delivers a portrait of the people living at the pandemic's epicenter.