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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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  • Global COVID-19 Vaccine Equity: U.S. Policy Options and Actions to Date

    Issue Brief

    This brief examines U.S. policy options for helping expand global access to COVID-19 vaccines, focusing on four main areas: in-kind donations of vaccine doses, additional funding for global access mechanisms like COVAX, helping expand global vaccine manufacturing, and relaxing or waiving intellectual property protections on vaccine technologies. We summarize what the administration has done to date in these areas and policy issues related to each.

  • Latinos  Views of the HIV/AIDS Epidemic at 20 Years:  Findings from a National Survey

    Poll Finding

    This report, Latinos Views of the HIV/AIDS Epidemic at 20 Years: Findings from a National Survey, examines Latinos views and knowledge of HIV/AIDS, including analysis by race/ethnicity, of trends over time, and among Latino subgroups. The report is based a nationally representative survey of 2,683 adults, ages 18 and older, including 549 Latinos.

  • Covering the Epidemic: AIDS in the News Media, 1985-1996

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    Other Post

    HIV Prevention in Complex, Macro-scale SocietiesA Report of the CSIS Task Force on HIV/AIDS Working Committee on Prevention This report from The Center for Strategic and International Studies (CSIS) Task Force on HIV/AIDS Working Committee on Prevention, in collaboration with the Kaiser Family Foundation, provides an overview of the opportunities and challenges for HIV prevention…

  • International Assistance for HIV/AIDS and Global Health in the Developing World

    Other Post

    International Assistance for Global Health and HIV/AIDS in the Developing World The Foundation produces two separate annual reports that help to track funding from the G8, European Commission and other donor governments who collectively provide the bulk of international assistance for global health priorities, including HIV/AIDS, through bilateral programs and contributions to multilateral organizations, including…