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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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  • Militaries and Global Health: Peace, Conflict, and Disaster Response

    Perspective

    In this article for The Lancet, KFF's Joshua Michaud and Kellie Moss, and 11 co-authors examine the varied roles, responsibilities, and approaches of militaries in global health, drawing on examples and case studies across peacetime, conflict, and disaster response environments.

  • Where Does Public Opinion Stand on the U.S. Role in Global Health?

    Poll Finding

    More than two years into President Trump administration's promotion of an "America First" approach to international affairs, the April 2019 KFF Health Tracking Poll examines the public's attitudes toward key global health issues, including views on the U.S. role in world affairs and global health, and support for global health spending.

  • Donor Government Funding for Family Planning in 2017

    Report

    This analysis finds that donor government support for global family planning efforts totaled US$1.27 billion in 2017, up 6 percent from 2016 but still below its 2014 peak. Funding from the United States, the world’s largest donor, declined in 2017, largely due to a delay in the disbursement of funds as U.S. appropriations have been holding steady in recent years. Increases in other countries offset the U.S. lag

  • The Current Ebola Outbreak and the U.S. Role: An Explainer

    Issue Brief

    An outbreak of Ebola is currently ongoing in the Democratic Republic of Congo (DRC), now the second largest Ebola epidemic ever recorded. This Issue Brief gives an overview of the current situation, explains the U.S. role in responding to the outbreak, and answers key questions about the broader global response.

  • PEPFAR’s Short-Term Reauthorization Sets an Uncertain Course for Its Long-Term Future

    Policy Watch

    With the new omnibus bill, PEPFAR has been reauthorized until March 25, 2025, without the inclusion of any controversial provisions or changes related to abortion, sought by some. Still, while this latest step provides the program with some short-term certainty, including signaling bipartisan support (albeit limited), it marks a significant departure from PEPFAR’s past.

  • International Assistance for HIV/AIDS in the Developing World: Taking Stock of the G8, Other Donor Governments and the European Commission

    Other Post

    A new report from the Kaiser Family Foundation, , provides a detailed overview of how donors finance the international response to HIV/AIDS and presents the latest data on G8 and EC funding commitments and disbursements. The report also discusses the concept of "fair share" and examines different methodologies for assessing fair share among donors.