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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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  • CSIS Task Force on HIV/AIDS

    Report

    The Center for Strategic and International Studies (CSIS) Task Force on HIV/AIDS, co-chaired by Senators Bill Frist (R-TN) and Russell Feingold (D-WI), outlines strategic choices that the United States faces in fighting the global HIV/AIDS pandemic.

  • Voices from Puerto Rico: Reflections Two Months After Maria (Video)

    Video

    Residents of Puerto Rico discuss their daily lives and their views on recovery efforts two months after Hurricane Maria. In this video, they describe job loss and continuing economic disruption, a lack of basic services such as electricity and a rising toll on the population's mental and physical health.

  • Poll: Most Americans Positive About Ebola Response

    From Drew Altman

    In this column for The Wall Street Journal’s Think Tank, Drew Altman looks at public confidence in the Centers for Disease Control and Prevention (CDC) amid the response to Ebola in the U.S. based on two Foundation polls taken over the past two weeks.

  • U.S. Government Funding for HIV/AIDS in Resource Poor Settings

    Issue Brief

    This updated policy brief examines federal funding for the global HIV/AIDS epidemic, with a primary emphasis on funding and activities that benefit resource poor countries. United States funding for international HIV/AIDS activities in resource poor countries began in the mid-1980s; and in FY 2003, the U.S. Congress appropriated close to $1.5 billion globally.

  • World AIDS Day 2004

    Other Post

    World AIDS Day began in 1988 to focus global attention on the HIV/AIDS epidemic across countries, organizations and governments. The theme of focuses on women, girls, and HIV and AIDS and seeks to explore how gender inequality fuels the AIDS epidemic.

  • 2008 Presidential Election Issue Spotlight: Global Health and HIV/AIDS

    Issue Brief

    During the 2008 Presidential campaign, now President Barack Obama and Republican presidential nominee Sen. John McCain announced a number of policy proposals and positions related to global health and the HIV/AIDS epidemic, both globally and domestically. This document summarizes those positions as staked out during the presidential campaign.

  • International Assistance for HIV/AIDS in the Developing World: Taking Stock of the G8, Other Donor Governments and the European Commission

    Other Post

    A new report from the Kaiser Family Foundation, , provides a detailed overview of how donors finance the international response to HIV/AIDS and presents the latest data on G8 and EC funding commitments and disbursements. The report also discusses the concept of "fair share" and examines different methodologies for assessing fair share among donors.