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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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  • 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.

  • Foreign NGO Engagement in U.S. Global Health Efforts: Foreign NGOs Receiving USG Support Through USAID

    Report

    This report provides an analysis of foreign (non-U.S.-based) non-governmental organizations (NGOs) that received global health funding from the U.S. government (USG) during FY 2013. It specifically focuses on funding provided to NGOs by the U.S. Agency for International Development (USAID), the largest implementer of global health activities among USG agencies and departments.

  • Corruption and Global Health: Summary of a Policy Roundtable

    Issue Brief

    Global health efforts, like all development programs, are vulnerable to corruption. The Kaiser Family Foundation convened a roundtable of experts for a policy discussion on the topic of corruption and global health. The roundtable discussion focused on the magnitude of the problem corruption represents for global health, if current anti-corruption policies and programs are adequate, and how stakeholders can communicate more effectively about corruption to policymakers and the public.

  • 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.

  • American Views on Ebola Response and U.S. Global Health Efforts

    News Release

    A new Kaiser Family Foundation survey about the U.S. role in global health finds the public puts meeting basic needs such as improving access to clean water and food and helping children at the top of the priority list for U.S. global health spending.

  • 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.