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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.

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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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  • NGO Engagement in U.S. Global Health Efforts: U.S.-Based NGOs Receiving USG Support Through USAID

    Report

    This report provides an analysis of U.S.-based non-governmental organizations (NGOs) that received global health funding from the U.S. government (USG) during FY 2013. It specifically focuses on funding provided to NGOs by the U.S. Agency for International Development (USAID), the largest implementer of global health activities among USG agencies and departments.

  • Global Financing for Malaria: Trends & Future Status

    Report

    This report finds that funding for global malaria control and elimination activities has risen from US$871 million in 2005 to US$2.6 billion in 2013. However, total funding is significantly below US$5.1 billion, the goal set by the Global Malaria Action Plan, which is a framework endorsed by world leaders in 2008 to reach global malaria reduction targets.
    Additionally, support for malaria research and development (R&D) activities in 2013 was estimated to be US$549 million, below the estimated annual need of US$750-900 million and the lowest level of funding since 2007, the first year of available data.

  • New Report Examines NGO Engagement in U.S. Global Health Efforts

    News Release

    A new Kaiser Family Foundation report finds 135 different U.S.-based non-governmental organizations (NGOs) received U.S. Agency for International Development (USAID) funding in 2013 to implement U.S. global health programs on the ground. The report aims to shed light on the extent of the role of NGOs in carrying out U.S. global health programs.

  • Where Do We Stand in The Fight Against Ebola? A Conversation with CDC Director Tom Frieden

    Event Date:
    Event

    On Tuesday, January 13, the Kaiser Family Foundation and the Center for Strategic and International Studies (CSIS) held a conversation with Tom Frieden, M.D., M.P.H., director of the Centers for Disease Control and Prevention (CDC), to discuss his recent trip to assess the Ebola outbreak in Sierra Leone, Liberia and Guinea.

  • FY15 Health & Human Services Appropriations Bill Introduced in House

    Fact Sheet

    The Democratic (minority) members of the House Appropriations Labor, Health & Human Services, Education, and Related Agencies Subcommittee announced the introduction of the “Departments of Labor, Health & Human Services, Education, and Related Agencies Appropriations Act, 2015” (H.R. 5464).

  • FY14 Omnibus Appropriations Act Released

    Fact Sheet

    The House and Senate Committees on Appropriations announced the release of the “Consolidated Appropriations Act, 2014” (H.R. 3547), which includes funding for U.S. global health programs.