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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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  • Overview of President Trump’s Executive Actions on Global Health

    Fact Sheet

    This guide provides an overview of executive orders and other executive actions made by the Trump Administration since January 21, 2025 that directly address or affect U.S. global health efforts. This resource identifies each executive action, describes its purpose and actions taken, and outlines the implications and what happens next for each. The resource will be updated as needed.

  • Survey of South Africans at Ten Years of Democracy, Summary and Chartpack

    Poll Finding

    South Africans at Ten Years of Democracy - Summary and Chartpack Summary and chartpack from, "South Africans at Ten Years of Democracy," comprehensive, nationally representative survey of South Africans was conducted by The Washington Post, Kaiser Family Foundation, and Harvard University to examine South Africans’ views about democracy and the challenges facing the country leading…

  • The U.S. Global Health Initiative: Overview & Budget Analysis

    Issue Brief

    In April 2010, the Foundation issued a policy brief examining key issues affecting the U.S. Global Health Initiative (GHI). This policy brief and chartpack provide a detailed breakdown of the U.S. budget for the global health programs in President Obama’s GHI, announced in May 2009.

  • Donor Government Funding for HIV in Low- and Middle-Income Countries in 2018

    Report

    This report provides an analysis of donor government funding to address the HIV response in low- and middle-income countries in 2018, the latest year available, as well as trends over time. It includes both bilateral funding from donors and their multilateral contributions to the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund), UNITAID, and Joint United Nations Programme on HIV/AIDS (UNAIDS).

  • Questions for the America First Global Health Strategy

    Perspective

    Authored by KFF’s Jen Kates and Boston University’s Debbie Stenoien and Allyala Nandakumar as well as independent consultant Michael Ruffner, this post for ThinkGlobalHealth identifies and examines several key issues and questions that lie ahead for the America First Global Health Strategy — the first roadmap for what comes next for the President's Emergency Plan…

  • New Issue Brief Examines Corruption and Global Health

    News Release

    A new Kaiser Family Foundation brief explores what’s known and understood about how corruption overseas affects U.S. global health programs, including the challenges in measuring and quantifying the problem.  The brief summarizes a roundtable discussion of experts convened by the Foundation.