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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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    Feature

    This slideshow provides an aggregated summary of Kaiser Family Foundation’s latest poll findings on the Zika virus. Results include how much Americans know about the virus, how worried they are about it, and what role they believe the government should be playing to fight its spread.

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    This blog examines the role of contact tracing in the U.S. coronavirus response. Contact tracing is going to be a crucial piece of the puzzle for eventually suppressing and containing the virus, allowing people to congregate in public, and letting people go back to work again. But policymakers have, so far, not focused much on scaling up contact tracing capabilities. Capabilities needed include resources and trained staff for traditional contact tracing efforts, which can be supplemented with technological approaches through mobile phones and apps.

  • New Online Resource Tracks Donor Funding for Coronavirus Response

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    While donors have begun providing support to China and other low- and middle-income countries, there is currently no other centralized repository for this information. This tracker provides an accounting of publicly available information on donor funding to date.

  • How Many Adults Are at Risk of Serious Illness If Infected with Coronavirus? Updated Data

    Issue Brief

    About four in ten adults (37.6%) ages 18 and older in the U.S. (92.6 million people) have a higher risk of developing serious illness if they become infected with the novel coronavirus, due to their older age (65 and older) or health condition. The share who have a higher risk varies across the country. An estimated 5.1 million of these adults are uninsured.

  • Zika Virus: The Challenge for Women

    Perspective

    In the latest post in the Policy Insights series, Jen Kates, Josh Michaud, and Allison Valentine examine how rapid emergence of Zika virus in the Americas, and its association with a severe birth defect, impact women as some health officials are calling for women to avoid pregnancy even though they have limited reproductive health access in some of the affected countries. They also examine the role of the U.S. government in addressing Zika and its impact on women in Latin America and the Caribbean.