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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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  • Pulling it Together: What We Know about Making the Case to the Public for Global Health

    From Drew Altman

    Former Senate Majority Leader Bill Frist, who is a member of our Board, recently published a column making the case very effectively for continued investments in global health.  Today we released our latest national survey on attitudes towards global health, which uncovered important nuances about the argument for foreign aid and global health.

  • Russian Media Partnership to Combat HIV/AIDS Announces $26 Million in Media Commitments for Year One, Issues Challenge to Partners to Join the Effort

    Other Post

    Embargoed for release until:July 13, 2004 For further information contact: Stephen MasseyVice President for Programs Program AssociateTransatlantic Partners Against AIDSTel: +1 (212) 228.8940Bangkok Mobile: 250.0419Email: smassey@tpaa.net Natalya Katsap Vice President for Programs Program AssociateTPAA/Moscow Tel: +7 (095) 956.0578Bangkok Mobile: 250.0426Email: nkatsap@tpaa.

  • U.S. Spending on Global HIV/AIDS

    Issue Brief

    This policy brief examines federal spending on the global HIV/AIDS epidemic, with a primary emphasis on spending and activities to benefit resource-poor countries. United States spending on international HIV/AIDS activities in resource-poor countries began in the mid-1980s; and in FY 2002, the U.S. will devote $1 billion to combating HIV/AIDS globally.

  • Faces of the AIDS Epidemic in Southern Africa

    Other Post

    A photographic journey One of the world's most celebrated war photographers, Mr. Don McCullin in August last year traveled to southern Africa to see for himself the human devastation of the HIV/AIDS epidemic. "I thought I had seen everything, but really, I was not prepared for this" says McCullin.

  • Congress and Global Health: What Lies Ahead?

    Event Date:
    Event

    This April 21 In Focus webcast features an expert panel examining the new legislative landscape of the 112th Congress and what the current budget battles mean for U.S. global health programs.

  • Health and Development Outcomes of the G-20 Summit

    Event Date:
    Event

    This November 9, 2011 webcast features an expert panel discussing the outcomes of the Cannes G-20 Summit and implications for global health. It is part of the Foundation's "U.S. Global Health Policy: In Focus" series.

  • Exploring HHS’ Role in Global Health & New Global Health Strategy

    Event Date:
    Event

    This Kaiser Family Foundation and U.S. Department of Health and Human Services briefing explores the Department's role in global health and its Global Health Strategy. The event features opening remarks by HHS Secretary Kathleen Sebelius.

  • Distribution of U.S. Global Health Funding, by Sector, FY 2006-FY 2021 Request

    Feature

    Distribution-of-US-Global-Health-Funding-by-Sector-FY06-FY21Request Download Source KFF analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov.