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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

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Global Health Aid Cuts

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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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  • Alliances for Global Health Education: Learning from South-South Collaboration — Innovations in Teaching

    Event Date:
    Event

    Track E: Current Issues in Global Health: Teaching and learning Title: Innovations in Teaching Moderators: Robin Paetzold, Carver College of Medicine at University of Iowa; Jessica Evert, Global Health Education Consoritum, University of California at San Francisco, Department of Family & Community Medicine Speaker: Global Health Education: Integrating competencies in the curriculum Laura Magana Valladares,…

  • How is the U.S. Global Health Initiative Changing What Happens in the Field?

    Event Date:
    Event

    The Kaiser Family Foundation held a May 25 briefing to explore the rollout of the U.S. government's Global Health Initiative (GHI) on the ground, with a particular focus on the recently released GHI country-level strategies. The briefing examined progress and challenges in translating the GHI in the field and next steps moving forward.

  • Poll: Ebola Was a Bigger Story Than the Midterms

    From Drew Altman

    For The Wall Street Journal’s Think Tank, Drew Altman discusses what the public was more concerned about in November: Ebola or the results of the midterm elections.

  • Poll: Ebola Was a Bigger Story Than the Midterms

    News Release

    In his latest column for The Wall Street Journal’s Think Tank, Drew Altman discusses what the public was more concerned about in November, Ebola or the results of the midterm elections. All previous columns by Drew Altman are available online.

  • The U.S. Government and Global Health

    Feature

    This Health Policy 101 chapter outlines the U.S. government's historical efforts in global health, which aim to improve health in low- and middle-income countries. While the U.S. has been engaged in international health activities for over a century and has historically been the largest funder and implementer of global health programs worldwide, it is currently undergoing a fundamental shift, with a significantly reduced footprint and role. Key issues addressed include the future direction of U.S. global health leadership, the ability of global health implementers and other donors to continue efforts, and the future role of multilateral institutions in global health.

  • Assessing the Role of Treaties, Conventions, Institutions, and Other International Agreements in the Global COVID-19 Response: Implications for the Future

    Issue Brief

    This issue brief examines existing treaties and other global health agreements to assess whether they have been utilized for the COVID-19 pandemic response and whether they contain pandemic preparedness and response components in their mandates. The COVID-19 pandemic challenged and revealed gaps in global health governance systems, prompting stakeholders to reevaluate existing frameworks and discuss new agreements aimed at addressing future pandemics. To help inform these discussions, we evaluate existing global health agreements to assess their role in pandemic preparedness and response efforts, including the COVID-19 pandemic.

  • 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.

  • The U.S. Congress and Global Health: A Primer

    Report

    This primer provides an overview of congressional engagement in global health. It examines the structure of Congress and its role and key activities in global health. It then illustrates these by examining two global health examples: the creation and evolution of PEPFAR and the 2014/2015 Ebola outbreak in West Africa.