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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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  • Ebola in West Africa: Four Questions for the U.S. Response Going Forward

    Perspective

    As of August 14, 2014, the Ebola virus has infected an estimated 1,975 individuals across four countries in West Africa, leading to 1,069 deaths (including three Americans). The official reported numbers, frightening as they are, likely vastly underestimate the true magnitude of the outbreak.

  • Measuring the Impact of Ebola: Will it Reach 1.4 Million?

    Perspective

    This Policy Insight take a deeper look at several key measures of the impact of the current Ebola epidemic in West Africa, including estimates of current cases, prevalence and death rates, as well as a consideration of the future projections of Ebola’s burden in the months to come.

  • Measuring the Impact of Ebola: Will it Reach 1.4 Million?

    News Release

    In the latest post in the Policy Insights series, Jen Kates and Josh Michaud take a look at several key measures of the Ebola epidemic’s impact and assess future projections of Ebola’s burden in the months to come. Previous columns in the Policy Insights series are also available kff.org.

  • Poll: Most Americans Positive About Ebola Response

    News Release

    In his latest column for The Wall Street Journal’s Think Tank, Drew Altman releases new Foundation polling data on the public’s confidence in the Centers for Disease Control and Prevention (CDC) and local health authorities amid the response to Ebola in the

  • New Infographic Compares Ebola To Other Infectious Diseases

    News Release

    Ebola virus has a unique set of characteristics that determine how and why its spreads, and how deadly it can be. To better understand Ebola, a new Kaiser Family Foundation infographic compares it to twelve other infectious diseases that continue to represent public health challenges today and offers five key takeaways about the disease.

  • FY15 Health & Human Services Appropriations Bill Introduced in House

    Fact Sheet

    The Democratic (minority) members of the House Appropriations Labor, Health & Human Services, Education, and Related Agencies Subcommittee announced the introduction of the “Departments of Labor, Health & Human Services, Education, and Related Agencies Appropriations Act, 2015” (H.R. 5464).

  • Data Note: Americans’ Views On The U.S. Role In Global Health

    Poll Finding

    This survey about the U.S. role in global health finds.Americans’ top priorities for global health funding focus on meeting basic human needs such as improving access to clean water and food and helping children. Addressing the Ebola outbreak in West Africa is also a top priority. Some high profile issues such as malaria and reproductive health rank further down the list.. A large majority of the public overestimates the share of the U.S. federal budget spent on foreign aid.