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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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  • Mapping the Donor Landscape in Global Health: Malaria

    Report

    This report maps the network of international assistance aimed at addressing the global impact of malaria. The report is part of a series that examines the donor nations and multilateral organizations involved in addressing different global health challenges in recipient countries worldwide.

  • Mapping the Donor Landscape in Global Health: Tuberculosis

    Report

    This report maps the network of international assistance aimed at addressing the global impact of tuberculosis (TB). The report is part of a series that examines the donor nations and multilateral organizations involved in addressing different global health challenges in recipient countries worldwide.

  • Senate Appropriations Committee approves FY 2014 State and Foreign Operations Appropriations Bill

    Fact Sheet

    The Senate Committee on Appropriations approved, by a vote of 23-7, the FY 2014 State and Foreign Operations Appropriations bill (S.1372), which includes funding for U.S. global health programs at the U.S. Agency for International Development (USAID) and the State Department (see table below) comprising a significant portion of U.S. funding for global health (total funding for global health is not currently available as some funding provided through USAID, HHS, and DoD is not yet available).…

  • House Appropriations Committee approves FY 2014 State and Foreign Operations Appropriations Bill

    Fact Sheet

    The House Committee on Appropriations approved, by a voice vote, the FY 2014 State and Foreign Operations Appropriations bill (.pdf), which includes funding for U.S. global health programs at the U.S. Agency for International Development (USAID) and the State Department (see table below) comprising a significant portion of U.S. funding for global health (total funding for global health is not currently available as some funding provided through USAID, HHS, and DoD is not yet available). According to a Committee Report accompanying…

  • Senate Appropriations Committee approves FY14 Health & Human Services Appropriations Bill

    Fact Sheet

    The Senate Committee on Appropriations approved the FY 2013 Labor, Health & Human Services, Education and Related Agencies appropriations bill (S. 1284) by a vote of 16-14. A report (113-71) released by the committee provided the funding levels for global health programs at the Centers for Disease Control and Prevention (CDC) and the John E. Fogarty International Center. Additional funding for global health programs and research conducted by the National Institutes of Health (NIH) is…

  • Mapping the Donor Landscape in Global Health: HIV/AIDS

    Report

    This report maps the complex network of international assistance aimed at addressing the global impact of HIV/AIDS, looking both at donor governments and multilateral organizations. It seeks to provide perspective on the geographic presence of global health donors and to enable more effective coordination and delivery of services globally and within individual recipient nations. This report is the first in a series that will examine donor presence and magnitude of assistance by issue area, region…

  • Getting to Zero: Saving Children’s Lives with Vaccines

    Event Date:
    Event

    As one of the cornerstones of global health, widespread immunization through vaccines is critical to reducing child mortality and eradicating polio, two goals endorsed by the international community and particularly emphasized by the U.S. government. This live, interactive webcast explores the importance of vaccines in global child survival efforts, including the role of the U.S. government, the GAVI Alliance, and NGOs. Panelists discuss the current state of childhood immunization, global investments in vaccines, and the…

  • Links To Other Global Health Glossaries

    Other Post

    Bretton Woods Project CDC, Parasitic Diseases CDC, Reproductive Health CIA, The World Factbook, Notes and Definitions  GAVI International Monetary Fund, Glossary of Selected Financial Terms OECD, DAC Glossary PBS, Rx For Survival, A Global Health Challenge,  Glossary U.S. DHHS, National Vaccine Program Office, Definition of Terms Related to Immunization WHO, Health Systems Performance,  Glossary of Terms WHO, Trade, Foreign Policy, Diplomacy and Health; Glossary of Globalization, Trade and Health Terms World Bank DEPweb, Beyond Economic…