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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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  • 2016 Survey of Americans on the U.S. Role in Global Health

    Poll Finding

    The 2016 Survey of Americans on the U.S. Role in Global Health is the latest in a series of surveys designed, conducted, and analyzed by the Kaiser Family Foundation in order to shed light on the American public’s perceptions, knowledge, and attitudes about the role of the United States in efforts to improve health for people in developing countries. This most recent survey updates trends on Americans’ perceptions of the most urgent problems facing developing countries, views on U.S. spending on health, and U.S. priorities for women’s health in developing countries. It also explores new questions on Americans’ awareness of the Zika virus outbreak and recent U.S. efforts to combat the outbreak both at home and in developing countries.

  • U.S. Funding for International Nutrition Programs

    Issue Brief

    The U.S. government has a long history of supporting global efforts to improve nutrition and is the largest donor to nutrition efforts in the world. This brief provides an overview of U.S. support for nutrition, including trends in funding and top country recipients and places the U.S. within the larger context of overall donor support for the sector.

  • U.S. Government Funding for Women and Family Health

    Issue Brief

    The U.S. government has a long history of supporting efforts to improve the health of women and families around the world. While many U.S. programs address women and family health generally, several are focused on them directly, including: maternal and child health (MCH), which includes immunization activities; family planning and reproductive health (FP/RH); and nutrition. This overview paper presents key findings for accompanying papers examining U.S funding for each of these sectors. They look at funding trends over time, the top country recipients of aid, the share of funding provided to the sector within the larger U.S. global health funding portfolio, and the role of the U.S. as a donor in the context of overall donor support.

  • Poll: Most Americans Positive About Ebola Response

    From Drew Altman

    In this column for The Wall Street Journal’s Think Tank, Drew Altman looks at public confidence in the Centers for Disease Control and Prevention (CDC) amid the response to Ebola in the U.S. based on two Foundation polls taken over the past two weeks.

  • August 10 Event – AIDS 2018: What Happened and What’s Next?

    Event Date:
    Event

    On Friday, August 10, the Kaiser Family Foundation and the Global Health Policy Center at the Center for Strategic and International Studies (CSIS) held a briefing to assess the major outcomes of the 2018 International AIDS Conference (AIDS 2018), held from July 23-27 in Amsterdam, the Netherlands.