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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 U.S. Military and the Domestic Coronavirus Response: Key Questions

    Issue Brief

    Governors, presidential candidates, and others have asked for military assistance for domestic coronavirus response, and President Trump has stated he is working with states and the Department of Defense to have the military provide additional resources and assets. This brief answers key questions about potential U.S. military engagement in the domestic response to the coronavirus.

  • The U.S. Government and Global LGBT Health: Opportunities and Challenges in the Current Era

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    In recent years, the U.S. government has paid increasing attention to the health and human rights of lesbian, gay, bisexual and transgender (LGBT) individuals around the world, utilizing both multilateral and bilateral channels. Still, however, many LGBT individuals continue to face stigma, discrimination, and violence, both within and outside of the health sector, which compromise their ability to access needed health services and can adversely affect health status. Moreover, in many countries, the barriers faced by LGBT individuals include discriminatory laws and policies. To explore opportunities and challenges facing the U.S. government in this arena, the Kaiser Family Foundation convened two roundtable discussions of high-level experts working on global LGBT health and rights as well as those working more broadly on global health. This issue brief summarizes the main points of discussion raised by roundtable participants, focusing on opportunities, challenges, and potential next steps for the U.S. government to consider in addressing the health needs of LGBT individuals around the world. It also provides an overview of global LGBT health issues, and reviews U.S. government efforts to address global LGBT health to date.

  • Poll: 8 in 10 Americans Favor Strict Shelter-in-Place Orders To Limit Coronavirus’ Spread, and Most Say They Could Continue to Obey Such Orders for Another Month or Longer

    News Release

    With President Trump and some Republican governors pushing to restart the nation’s economy, most of the public (80%) supports strict shelter-in-place policies to limit the coronavirus’ spread compared to just one in five (19%) who say these measures pose unnecessary burdens and cause more harm than good, the latest KFF Health Tracking Poll finds.

  • Online Event: Highlights from the Virtual AIDS 2020 Conference

    Event Date:
    Event

    Earlier this month, the International AIDS Conference – the world's largest conference on HIV and AIDS – took place on a virtual stage. Over five days, the conference showcased the latest research and analysis by leaders in the HIV sector.

  • Comparing Trump and Biden on COVID-19

    Issue Brief

    This issue brief compares President Trump and Democratic nominee Joe Biden on their records, actions and proposals related to the COVID-19 pandemic. It includes a general overview of their respective approaches, followed by a detailed side-by-side.

  • President Trump’s Record on Health Care

    Issue Brief

    This issue brief provides a detailed overview of the Trump Administration’s record on health care issues relating to: the Administration’s response to the COVID-19 pandemic, the ACA and private insurance markets, Medicaid, Medicare, reducing prescription drug and other health care costs, sexual and reproductive health, mental health and substance use, immigration and health, long-term care, HIV/AIDS policy, and LGBTQ health.

  • Taking Stock of Essential Workers

    Policy Watch

    The COVID-19 outbreak has changed the reality of working life for most of the U.S. workforce, with essential workers at the forefront of performing crucial services for the public in the midst of the pandemic. This post examines who essential workers are and what challenges they are facing in light of coronavirus.