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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

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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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  • August 3 Event: Outcomes from the Durban International AIDS Conference

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    Event

    On August 3, the Kaiser Family Foundation and the Center for Strategic and International Studies (CSIS) hosted a briefing to assess the major outcomes of the 2016 International AIDS Conference (AIDS 2016), held from July 18-22 in Durban, South Africa.

  • Snapshot of Where Hillary Clinton and Donald Trump Stand on Seven Health Care Issues

    Issue Brief

    Where do the 2016 Presidential candidates, Hillary Clinton and Donald Trump, stand on key health care issues? This snapshot outlines the candidates' positions and policy statements on issues such as health insurance, the ACA, Medicaid, Medicare, the opioid epidemic, prescription drug costs, women's reproductive health, and Zika.

  • 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.

  • Mapping the Donor Landscape in Global Health: HIV/AIDS

    Report

    This report maps the complex network of international assistance aimed at addressing the global impact of HIV/AIDS, looking both at donor governments and multilateral organizations. It seeks to provide perspective on the geographic presence of global health donors and to enable more effective coordination and delivery of services globally and within individual recipient nations. This report is the first in a series that will examine donor presence and magnitude of assistance by issue area, region and country.

  • The U.S. Global Health Initiative: Issues and Perspectives

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    This April 2010 webcast features a discussion of issues and challenges for the Obama Administration's Global Health Initiative and features three senior-level officials involved in the initiative, as well as outside perspectives of the challenges it faces.

  • Kaiser/CSIS Forum with South African Minister of Health

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    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.

  • The New Pandemic Fund: Overview and Key Issues for the U.S.

    Issue Brief

    This brief offers an overview of the new multilateral global health financing mechanism known as the Pandemic Fund, which is housed at the World Bank. The brief reviews the evolution of the Fund, its current financial status and donors, U.S. engagement, and policy issues going forward.

  • Why Global Health Matters to California

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    This public forum held by the Center for Strategic and International Studies (CSIS) and the University of California, San Francisco (UCSF), Global Health Sciences, showcased and celebrated California and the Bay Area as a center of excellence in global health.

  • Alliances for Global Health Education: Learning from South-South Collaboration — Building Capacity for Women’s and Maternal/Child Health

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    Track D: Education and Human Resources Development Title: Building Capacity for Women's and Maternal/Child Health Moderator: Sandra Garcia, Country Director, Population Council, Mexico Abstract Presenters: S340 Medical Education in Guyana: Lessons learned using a public health collaborative model in obstetrics and gynecology Deborah Landis Lewis, University of Pittsburgh Medical College Margaret Larkins-Pettigrew, University of Pittsburgh…