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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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  • What Does the Public Know and Think About Zika?

    Feature

    This slideshow provides an aggregated summary of Kaiser Family Foundation’s latest poll findings on the Zika virus. Results include how much Americans know about the virus, how worried they are about it, and what role they believe the government should be playing to fight its spread.

  • A Little-Noticed Win in Global HIV Treatment

    From Drew Altman

    This was published as a Wall Street Journal Think Tank column on Jul7 27, 2015. Many Americans are skeptical about foreign aid because they believe a large share of U.S. assistance is lost to corruption.

  • Web Briefing for Media: What Do The Sustainable Development Goals Mean for Global Health?

    Event Date:
    Event

    In late September, the United Nations General Assembly will discuss and adopt a plan for international development for the next 15 years. This new plan, called the Sustainable Development Goals (SDGs), could have important implications for global health policy. On September 9, the Kaiser Family Foundation held an interactive web briefing exclusively for journalists to examine these key issues ahead of the United Nations General Assembly.

  • Civil Society Inclusion in a New Financial Intermediary Fund: Lessons from Current Multilateral Initiatives

    Issue Brief

    To help inform ongoing global discussions about the creation of a new financing mechanism for pandemic preparedness and response, including questions about its governance and operations and the extent to which civil society will be formally included, we analyzed 14 major multilateral global health and related institutions to assess how civil society has been engaged in their governance, implementation/programming, and monitoring.

  • The Helms Amendment and Abortion Laws in Countries Receiving U.S. Global Health Assistance

    Issue Brief

    This brief examines abortion laws in countries that received certain U.S. foreign assistance to better understand the implications of the Helms Amendment (which prohibits the use of foreign assistance to pay for the performance of abortion as a method of family planning or to motivate or coerce any person to practice abortion) for abortion access globally.

  • Tracking U.S. COVID-19 Vaccine Donations

    Issue Brief

    This analysis assesses U.S. COVID-19 vaccine dose donations in order to gauge progress towards meeting stated global vaccination goals.

  • KFF Global COVID-19 Vaccine Coverage Tool: Current and Projected Coverage

    Interactive

    This interactive tool, which will be updated regularly, shows the share of the population that has received at least one dose of a COVID-19 vaccine by income-level, region, country, and globally. Additionally, using current rates of first dose administration, the tool estimates whether projected coverage levels will meet certain global targets.

  • Calling in the Military to Fight Ebola

    From Drew Altman

    In this column for The Wall Street Journal’s Think Tank, Drew Altman discusses the President’s commitment of troops to combat the Ebola outbreak and explains the Department of Defense’s widespread role in global health activities.