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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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  • The Latest Ebola Outbreak: What’s Different about the U.S. and International Response?

    News Release

    The United States played a leading role in the international response to the 2014 Ebola outbreak in West Africa, providing the most financial support, mobilizing U.S. staff across the federal government, and jumpstarting international efforts to strengthen global health security. As this month’s new outbreak unfolds in the Democratic Republic of Congo (DRC), the U.S. so far is playing a more limited role. A new Kaiser Family Foundation brief examines key differences and changes since…

  • The U.S. Global Health Initiative: A Country Analysis

    Report

    A new report from the Kaiser Family Foundation examines funding and demographic data for countries receiving support under the U.S. Global Health Initiative (GHI), the Obama Administration's six-year effort aimed at improving the health and lives of people in the developing world. The new analysis evaluates data from fiscal year 2010 for six programs in the GHI: HIV/AIDS; tuberculosis; malaria; maternal, newborn, and child health; family planning and reproductive health; and nutrition. These six program…

  • A Brief Look at Americans’ Perceptions of the Global HIV/AIDS Epidemic

    Poll Finding

    This Data Note, using data from a national survey of Americans on HIV/AIDS released in June 2011, examines trends in the public's perception of HIV/AIDS as a global problem. Overall, survey trends show that Americans view HIV/AIDS as a more pressing health problem for the world than for the U.S., although the perceived sense of urgency has been on the decline for both the global and domestic epidemics. The sense of urgency about the global…

  • The U.S. Department of Defense & Global Health

    Report

    This report provides the first comprehensive look at the role of the Department of Defense (DoD) in global health, examining its organizational structure, activities, strategy, policy, and budget for activities related to global health.

  • Survey of Americans on HIV/AIDS

    Poll Finding

    This national survey released by the Kaiser Family Foundation finds that Americans increasingly believe the U.S. should be a global leader on HIV/AIDS, including spending more money to fight the epidemic abroad and at home. This comes despite an American characteristic distaste for foreign aid and at a time when there is a growing budget deficit. Six in ten Americans agree that the U.S. is a global leader and has a responsibility to help fight…

  • Global Funding for HIV/AIDS in Resource-Poor Settings

    Issue Brief

    This updated policy brief presents data on the range of resources currently directed to address the HIV/AIDS epidemic in resource poor settings, including bilateral, multilateral, and private sector support, as well as domestic funding by affected country governments. Issue Brief (.pdf)  

  • Innovative Financing Mechanisms for Global Health: Overview & Considerations for U.S. Government Participation

    Report

    When leaders from the world's 20 major economies gather for the upcoming G-20 Summit in France, one of their priorities will be finding new ways to maintain and expand the impact of global development programs in the wake of an international financial crisis and mounting efforts to control public spending and debt. The previous decade saw significant increases in support for global health, but there is growing pressure on traditional funding channels. As a result,…

  • Pulling it Together: What We Know about Making the Case to the Public for Global Health

    From Drew Altman

    Former Senate Majority Leader Bill Frist, who is a member of our Board, recently published a column making the case very effectively for continued investments in global health.  Today we released our latest national survey on attitudes towards global health, which uncovered important nuances about the argument for foreign aid and global health. When it comes to helping other countries with health, younger people are much more likely to be supportive than older people.  Perhaps…

  • Issue Brief: Trends in U.S. Government Funding for HIV/AIDS–Fiscal Years 1981 to 2004

    Issue Brief

        This updated issue brief, Trends in U.S. Government Funding for HIV/AIDS: Fiscal Years 1981 to 2004, provides an analysis of U.S. federal funding for HIV/AIDS since fiscal year (FY) 1981. It presents data and trends in the major categories of funding -- care, cash and housing assistance, research, prevention, and global/international -- over time. Cumulatively through its FY 2004, the US government has invested approximately $150 billion for domestic and international HIV/AIDS programs.…

  • The Future of Global Health Financing Amid a Changing Policy Landscape

    Event Date:
    Event

    Global humanitarian crises, new political leadership in the U.S. and elsewhere, and a climate of fiscal austerity are reshaping the landscape for global health financing. In this context, it faces a challenging and uncertain future. On Thursday, April 20, the Kaiser Family Foundation and the Center for Strategic and International Studies hosted a policy briefing to discuss the current state of global health financing and the future landscape, with a panel of leading experts. Joseph Dieleman,…