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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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  • The Current State of the Global HIV/AIDS Epidemic Tutorial

    Interactive

    This tutorial was produced for kaiserEDU.org, a Kaiser Family Foundation website that ceased production in September 2013. The kaiserEDU.org tutorials are no longer being updated but have been made available on kff.org due to demand by professors who are using the tutorials in class assignments. You may search for other tutorials to view on kff.org.

  • Congress Releases FY17 Omnibus

    Fact Sheet

    On May 1, 2017, Congress released the FY 2017 Omnibus bill (and explanatory statements), which provides funding for the U.S. government through the rest of the fiscal year including for U.S. global health programs at the U.S. Agency for International Development (USAID), the Department of State, and the Centers for Disease Control and Prevention (CDC).

  • Survey of Americans on HIV/AIDS – Part Two: HIV Testing

    Poll Finding

    These survey findings of Americans’ views on HIV testing are part of Kaiser’s national “Survey of Americans on HIV/AIDS,” conducted in spring 2004. It explores such issues as how many adults report ever having been tested and talk to their doctor about HIV/AIDS, as well as misconceptions and stigma about HIV testing.

  • Trends in U.S. Spending on HIV/AIDS

    Issue Brief

    This policy brief provides an analysis of trends in U.S. federal spending on the HIV/AIDS epidemic since FY 1981, the year in which the epidemic began. To date, the U.S. government has invested more than $100 billion in combating the epidemic.

  • Donor Government Funding for Family Planning in 2017

    Report

    This analysis finds that donor government support for global family planning efforts totaled US$1.27 billion in 2017, up 6 percent from 2016 but still below its 2014 peak. Funding from the United States, the world’s largest donor, declined in 2017, largely due to a delay in the disbursement of funds as U.S. appropriations have been holding steady in recent years. Increases in other countries offset the U.S. lag

  • The U.S. Government’s Global Health Policy Architecture: Structure, Programs and Funding

    Report

    This report provides the first comprehensive look at the U.S. government agencies and programs involved in the nation’s global health response, including their funding and their approaches. The report also provides overviews of the large-scale global health initiatives of the U.S. government, information on which countries receive support from the U.S., and a review of the key laws governing U.S. global health policy and relevant Congressional committees.