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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

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Global Health Aid Cuts

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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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  • White House releases FY 2014 Budget Request

    Fact Sheet

    The White House released the FY 2014 budget request, which included funding for U.S. global health activities.  Overall, funding for global health programs (at USAID and the State Department combined) increased in the FY 2014 request as compared to FY12 actual and FY13 estimated levels. This varied by specific global health program area (see below).  State Department & USAID - Global Health Programs (GHP) Area FY12 Actual FY13 CR Estimated*(millions) FY14 Request(millions) Difference:FY14 - FY13 CR(millions) Difference: FY14 - FY12(millions) State Department…

  • Global Health Diplomacy: Advancing Foreign Policy and Global Health Interests

    Issue Brief

    This article examines the growing attention to global health diplomacy and its future outlook as donor nations continue to face tight budgetary conditions. Authored by Joshua Michaud and Jennifer Kates of the Kaiser Family Foundation, the article was published in the inaugural issue of the Global Health: Science and Practice journal in March 2013. Article

  • What’s Next for U.S. Global Health Diplomacy? A Town Hall Forum with Ambassador Eric Goosby

    Event Date:
    Event

    At 9:30 a.m. ET on Thursday, Feb. 28, the Kaiser Family Foundation will host a town hall-style forum with Ambassador Eric Goosby, the newly named head of the State Department's new Office of Global Health Diplomacy as well as U.S. Global AIDS Coordinator, to explore the goals and objectives of the new office. The office is intended to guide diplomatic efforts to advance the United States' global health mission to improve and save lives and…

  • The Women, Girls, and Gender Equality Principle of the U.S. Global Health Initiative: How Have USG Programs Responded?

    Report

    This report examines how countries are responding to and implementing the women, girls, and gender equality principle of the U.S. Global Health Initiative (GHI). This principle, one of seven core principles of the GHI, aims to sharpen the focus on women and girls across U.S. government global health efforts. Based on interviews conducted by the Foundation with representatives from 15 GHI country teams, this report identifies nine key themes and trends that could help inform…

  • 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.

  • Raising the Profile of Diplomacy in the U.S. Global Health Response: A Backgrounder on Global Health Diplomacy

    Issue Brief

    The United States recently announced plans to create an Office of Global Health Diplomacy at the State Department, designed to promote the use of diplomacy to advance U.S. global health efforts and support the next phase of the U.S. Global Health Initiative (GHI) in the diplomatic arena. While the office will be new, and there are outstanding questions about its role, it joins a much longer history of diplomatic engagement on international health issues by…

  • Pulling it Together: As The International AIDS Conference Convenes, Some Positive News About Public Opinion and HIV

    From Drew Altman

    The American people are busy trying to make ends meet and take care of their families and they are constantly bombarded by messaging and spin. They rarely have a full understanding of policy issues and debates. Often it is their strongly held beliefs, whether based on accurate or inaccurate perceptions, which color what they think about issues.  The classic case is the public’s perception of foreign aid, something they don’t like and that they believe…