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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 FY 2019 Budget Request

    Fact Sheet

    The White House released its FY 2019 budget request to Congress on February 12, 2018, which includes significant cuts to global health programs compared to FY 2017 enacted levels (the overall levels in the request are similar to the FY 2018 budget request).

  • New Interactive Tool Tracks the U.S. Global Health Budget in Real Time

    News Release

    The Kaiser Family Foundation has launched a new interactive tool designed to provide the latest data on the U.S. government's global health budget in an easy-to-access form. The U.S. Global Health Budget Tracker lets users follow the budget from the President's budget request through the appropriations process in Congress, as well as see trends over time.

  • Donor Government Funding for Family Planning in 2018

    Report

    Donor government support for global family planning efforts totaled US$1.50 billion in 2018, up 19% from 2017 (US$1.26 billion) – and the highest level since tracking efforts began following the London Summit on Family Planning in 2012.

  • Global COVID-19 Vaccine Equity: U.S. Policy Options and Actions to Date

    Issue Brief

    This brief examines U.S. policy options for helping expand global access to COVID-19 vaccines, focusing on four main areas: in-kind donations of vaccine doses, additional funding for global access mechanisms like COVAX, helping expand global vaccine manufacturing, and relaxing or waiving intellectual property protections on vaccine technologies. We summarize what the administration has done to date in these areas and policy issues related to each.

  • National Survey of the Public’s Attitudes towards HIV/AIDS

    Poll Finding

    WP/Harvard/KFF National Survey of the Public s Attitudes towards HIV/AIDS The Washington Post/Kaiser Family Foundation/Harvard University Survey Project's latest findings appeared in articles in The Washington Post on July 6 and July 7, 2002. This survey explores the public s attitudes towards HIV/AIDS in the US and the World.

  • Fact Sheet: World AIDS Day 1998 – Youth And AIDS

    Other Post

    World AIDS Day 1998: An Update On Youth And HIV New Survey Data On Teens In November 1998, the Kaiser Family Foundation conducted a survey of 517 teens between the ages of 12 and 17.* The results...

  • Kaiser Poll Finds Bipartisan Support For Spending On Global Health

    News Release

    Public Believes Much Aid Is Lost To Corruption MENLO PARK, Calif. – Two-thirds of Americans say that the U.S. is spending too little or about the right amount on global health with one in five saying spending is too high, according to a new Kaiser Family Foundation survey on the public's views of global health issues.

  • Kaiser/CSIS Forum with South African Minister of Health

    Event Date:
    Event

    This forum featuring the South African Minister of Health, The Hon. Dr. Aaron Motsoaledi, examines the South African government's efforts to more effectively manage the HIV/AIDS epidemic, as well as other systems-wide management and financing reforms underway to achieve greater affordability, improved efficiency and better health outcomes. The forum was co-sponsored by the Henry J.

  • Foreign Policy and Global Health Experts on the USG’s Role in Global Health

    Issue Brief

    While global health has enjoyed significant bipartisan support among US policymakers over the past 15 years, the potential for changes in the political landscape in 2016 makes this an opportune time to assess the USG’s position relative to global health needs and funding. With this in mind, the Kaiser Family Foundation’s Global Health Policy Program asked Hart Research Associates and Public Opinion Strategies to solicit the views of specialists in foreign policy and global health.