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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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  • “Seryozha” A Documentary on Children and HIV/AIDS in Russia

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    Event

    "Seryozha" is a documentary film about orphans living on the streets of St. Petersburg, Russia, some of whom are HIV-positive or have lost parents to AIDS. Filmmaker Denis Kuzmin follows the life of one orphan and through him tells the larger story of "street kids" exposed to drugs, sex and illnesses, including HIV/AIDS.

  • U.S. Global Health Policy: In Focus “IOM Final Report on the U.S. Commitment to Global Health”

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    During this webcast, members of the Institute of Medicine's committee on the U.S. Commitment to Global Health discussed the committee's final report that concluded that the U.S. government and U.S.-based foundations, universities, nongovernmental organizations, and commercial entities have an opportunity to improve global health and provided specific recommendations for how these groups should proceed.

  • Interview with Former Sen. Bill Frist

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    Senator Frist, currently a member of the Foundation's Board of Trustees, has published a memoir, A Heart to Serve in
    which he describes how "medicine can truly be a currency for peace in our world."

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

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    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?

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    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.