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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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  • Financing the Response to AIDS in Low- and MiddleIncome Countries: International Assistance from Donor Governments in 2011

    Report

    This report provides an analysis of donor government funding to address the HIV response in low- and middle-income countries in 2011, the latest year available, as well as trends over time. It includes both bilateral funding from donors and their multilateral contributions to the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund), UNITAID, and Joint United Nations Programme on HIV/AIDS (UNAIDS).

  • Responding to AIDS at Home and Abroad: How the U.S. and Other High Income Countries Compare

    Report

    This report examines the United States' response to HIV over the last 30 years compared to that of other high-income countries. The report compares the U.S. to seven other similarly situated nations – Australia, Canada, France, the Netherlands, Sweden, Switzerland and the United Kingdom – noting patterns and themes that have emerged from their experiences. Key areas examined include governance of the national responses, the roles of affected communities and non-governmental actors, policies relating to…

  • U.S. Global AIDS Efforts to Help Orphans & Vulnerable Children

    Event Date:
    Event

    On June 26, the Kaiser Family Foundation held a briefing examining the role and policies of the U.S. government and faith-based organizations in helping children orphaned or made vulnerable by the AIDS epidemic. The event featured John Donnelly, global health journalist with GlobalPost and author of the forthcoming book, A Twist of Faith:  An American Christian's Quest to Help Orphans in Africa, which provides a perspective on efforts by faith-based groups to effectively help improve the…

  • The Global Fund Reorganization: What are the Implications?

    Event Date:
    Event

    On Wednesday, June 13, at 12:00 p.m. ET (noon), the Foundation held a live, interactive webcast to examine recent changes at the Global Fund to Fight AIDS, Tuberculosis and Malaria and the implications for U.S. global health policy. A panel of experts discussed the Global Fund's recent funding challenges and reorganization, how the U.S. and other donor nations are responding to these changes, and the future outlook for the Fund’s efforts to address HIV, TB, and…

  • Kaiser Poll Finds Bipartisan Support For Spending On Global Health

    News Release

    Public Believes Much Aid Is Lost To Corruption MENLO PARK, Calif. – Two-thirds of Americans say that the U.S. is spending too little or about the right amount on global health with one in five saying spending is too high, according to a new Kaiser Family Foundation survey on the public's views of global health issues. Americans overall are divided on whether or not more spending by the U.S. and other major donors would lead to meaningful progress in…

  • 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…

  • Lancet Commentary: The U.S. Global Health Initiative: Where Does It Stand?

    Issue Brief

    This article explores the current state of the U.S. Global Health Initiative (GHI). The GHI, announced by President Obama shortly after taking office, represents the bulk of the U.S. global health budget for activities in more than 80 countries. It examines the successes and challenges experienced by the GHI in the three years since it was announced, including issues with its funding and leadership structure, as well as difficulties posed by the global economic crisis.…

  • 2012 Survey of Americans on the U.S. Role in Global Health

    Report

    The 2012 Survey of Americans on the U.S. Role in Global Health is the fourth in a series that aims to examine the American public’s views, knowledge and opinions of U.S. efforts to improve health for people in developing countries.

  • Statutory Requirements & Policies Governing U.S. Global Family Planning and Reproductive Health Efforts

    Issue Brief

    This issue brief provides a summary of the major policies and statutory requirements governing U.S. participation in international family planning and reproductive health efforts. These laws and policies collectively direct how funds are spent, which organizations receive funds and generally shape U.S. family planning and reproductive health activities around the world.