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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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  • Zika Virus: The Challenge for Women

    Perspective

    In the latest post in the Policy Insights series, Jen Kates, Josh Michaud, and Allison Valentine examine how rapid emergence of Zika virus in the Americas, and its association with a severe birth defect, impact women as some health officials are calling for women to avoid pregnancy even though they have limited reproductive health access in some of the affected countries. They also examine the role of the U.S. government in addressing Zika and its impact on women in Latin America and the Caribbean.

  • Web Briefing for Media – The Zika Virus: What’s Next in the U.S. and Abroad?

    Event Date:
    Event

    The rapid spread of the Zika virus in the Latin America and the Caribbean region, the appearances of cases of Zika in the United States, and the association between Zika infection and serious birth defects has generated attention and concern among the public, policymakers, and the media.

  • Public Split On What to Do About the Health Care System, Though More Support Building on ACA Than Repealing It, Replacing with a GOP Alternative, or Creating a Single Payer Plan

    News Release

    Following Flint Water Crisis, Nearly Half Worry about Their Community's Water Supply Almost Half of Public is Concerned about a Widespread Zika Outbreak in U.S. This Year The latest Kaiser Health Tracking Poll finds the public as divided as the remaining presidential candidates over their vision for the future of the nation's health care system.

  • The U.S. Global Health Budget: Analysis of the Fiscal Year 2017 Budget Request

    Issue Brief

    The President’s Fiscal Year 2017 (FY17) budget request, which was released on February 9, 2016, included $10.3 billion in total funding for global health programs. This marks the first time in three years that the request for global health is higher than the previous year enacted level, and represents the largest request since FY12. If enacted by Congress, it would represent the highest level of global health funding to date (excluding emergency funding for Ebola provided in FY15).

  • The 2015-2016 Zika Outbreak

    Other Post

    This infographic offers key facts about the Zika virus, tracks the increasing number of countries reporting local transmission over the past year, and breaks down how key U.S. government agencies are responding to Zika.

  • FY15 Health & Human Services Appropriations Bill Introduced in House

    Fact Sheet

    The Democratic (minority) members of the House Appropriations Labor, Health & Human Services, Education, and Related Agencies Subcommittee announced the introduction of the “Departments of Labor, Health & Human Services, Education, and Related Agencies Appropriations Act, 2015” (H.R. 5464).

  • 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.

  • 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.

  • August 7 Event: AIDS 2014: What Happened and What’s Next?  

    News Release

    The Kaiser Family Foundation and the Center for Strategic and International Studies (CSIS) held a briefing to assess the major outcomes of the 2014 International AIDS Conference (AIDS 2014), held from July 20-25 in Melbourne, Australia.