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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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  • Donor Government Assistance for Family Planning in 2015

    Report

    A new Kaiser Family Foundation report finds that donor governments provided US$1.3 billion in bilateral funding for family planning programs in low- and middle-income countries in 2015, essentially matching 2014 levels in real terms (after accounting for exchange rate fluctuations and inflation). In current U.S. dollars, however, 2015 funding was 6 percent below the 2014 level, largely due to the appreciation of the U.S. dollar.

  • 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.

  • A Town Hall Forum with Ambassador Deborah L. Birx

    Event Date:
    Event

    The Kaiser Family Foundation hosted a town hall forum with Ambassador Deborah L. Birx, M.D. the new U.S. Global AIDS Coordinator, in which she shared her vision for the next phase of the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) in supporting efforts to achieve an AIDS-free generation.

  • 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.

  • 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.