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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.

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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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  • Donor Government Assistance for Family Planning in 2014

    Report

    This report finds that donor governments provided US$1.4 billion in bilateral funding for family planning programs in low- and middle-income countries in 2014 – a 9 percent increase above 2013 and 32% above 2012 levels.

  • One Year Later, Where Does the U.S. Response to Ebola Stand?

    Event Date:
    Event

    The Ebola outbreak of 2014 was a global wake-up call regarding the ongoing threat of emerging infectious diseases.  The U.S. government’s response included dispatching the military and Congress appropriating $5.4 billion in emergency funding, the majority of which was for international activities.

  • 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.

  • 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.

  • A Little-Noticed Win in Global HIV Treatment

    News Release

    In his latest column for The Wall Street Journal's Think Tank, Drew Altman discusses a recent success in global HIV treatment and how successes may get less attention than they deserve because of prevailing attitudes about the corruption in foreign aid. All previous columns by Drew Altman are available.

  • The Role of NGOs in the U.S. Global Health Response

    Issue Brief

    This data note helps shed light on the role of non-governmental organizations (NGOs) in the U.S. global health response. Using updated data and building on earlier Kaiser Family Foundation reports, it paints a fuller picture of the role of these key implementers of U.S. global health programs and discusses key policy questions going forward.

  • Financing the Response to HIV in Low- and Middle-Income Countries: International Assistance from Donor Governments in 2014

    Report

    This report provides an analysis of donor government funding to address the HIV response in low- and middle-income countries in 2014, 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).

  • Updated: House Appropriations Committee releases FY16 Health & Human Services Appropriations Bill

    Fact Sheet

    The House Committee on Appropriations released the FY 2016 Departments of Labor, Health & Human Services, Education and Related Agencies appropriations bill and associated committee report, which provides global health funding through the Centers for Disease Control and Prevention (CDC) and for research activities at the National Institutes of Health (NIH). The bill specifies $426.