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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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  • Health Care and the 2004 Elections: HIV/AIDS

    Issue Brief

    HIV/AIDS Download a printable .pdf of Health Care and the 2004 Elections: HIV/AIDS. IssueBackgroundPolicy Challenges Facing the Response to HIV/AIDSAssessing Candidate Positions Issue HIV/AIDS is a critical issue to many who may have questions for candidates concerning their positions on the U.S. response to the epidemic at home and abroad.

  • “Seryozha” A Documentary on Children and HIV/AIDS in Russia

    Event Date:
    Event

    "Seryozha" is a documentary film about orphans living on the streets of St. Petersburg, Russia, some of whom are HIV-positive or have lost parents to AIDS. Filmmaker Denis Kuzmin follows the life of one orphan and through him tells the larger story of "street kids" exposed to drugs, sex and illnesses, including HIV/AIDS.

  • Responding to AIDS at Home and Abroad: How the U.S. and Other High Income Countries Compare

    Report

    This report examines the United States' response to HIV over the last 30 years compared to that of other high-income countries. The report compares the U.S. to seven other similarly situated nations – Australia, Canada, France, the Netherlands, Sweden, Switzerland and the United Kingdom – noting patterns and themes that have emerged from their experiences.

  • The XIII International AIDS Conference

    Other Post

    , July 9-14, 2000 In Durban, South Africa, more than 10,000 delegates gathered to discuss critical HIV/AIDS issues such as progress in medical research, access to treatment and care, HIV prevention, and governmental and private sector support for the fight against AIDS.

  • U.S. Government Funding for HIV/AIDS in Resource Poor Settings

    Issue Brief

    This updated policy brief examines federal funding for the global HIV/AIDS epidemic, with a primary emphasis on funding and activities that benefit resource poor countries. United States funding for international HIV/AIDS activities in resource poor countries began in the mid-1980s; and in FY 2003, the U.S. Congress appropriated close to $1.5 billion globally.

  • The U.S. Global Health Initiative: A Country Analysis

    Report

    A new report from the Kaiser Family Foundation examines funding and demographic data for countries receiving support under the U.S. Global Health Initiative (GHI), the Obama Administration's six-year effort aimed at improving the health and lives of people in the developing world.

  • Survey of Americans on HIV/AIDS

    Poll Finding

    This national survey released by the Kaiser Family Foundation finds that Americans increasingly believe the U.S. should be a global leader on HIV/AIDS, including spending more money to fight the epidemic abroad and at home.