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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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  • Russian Media Partnership to Combat HIV/AIDS Announces $26 Million in Media Commitments for Year One, Issues Challenge to Partners to Join the Effort

    Other Post

    Embargoed for release until:July 13, 2004 For further information contact: Stephen MasseyVice President for Programs Program AssociateTransatlantic Partners Against AIDSTel: +1 (212) 228.8940Bangkok Mobile: 250.0419Email: smassey@tpaa.net Natalya Katsap Vice President for Programs Program AssociateTPAA/Moscow Tel: +7 (095) 956.0578Bangkok Mobile: 250.0426Email: nkatsap@tpaa.

  • World AIDS Day 2004

    Other Post

    World AIDS Day began in 1988 to focus global attention on the HIV/AIDS epidemic across countries, organizations and governments. The theme of focuses on women, girls, and HIV and AIDS and seeks to explore how gender inequality fuels the AIDS epidemic.

  • AIDS at 25

    Report

    June 5, 2006, marks twenty-five years since the U.S. Centers for Disease Control and Prevention issued its first warning about an emerging illness that soon became known as AIDS.

  • 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 foster sustainability. The hour-long session will be moderated by Jen Kates, a Foundation Vice President and Director of Global Health and HIV Policy.

  • Americans Remain Wary of “Foreign Aid” But Are More Supportive of Spending to Improve Health Abroad

    News Release

    Latest Survey Probes Public’s Knowledge and Views of U.S. Role in Global Health MENLO PARK, Calif. – While many Americans hold misconceptions and negative views of “foreign aid” in general, they are more supportive of such efforts when described more specifically as “improving health in developing countries,” according to a new survey by the Kaiser Family Foundation.

  • Africa CDC: Its Evolution and Key Issues for its Future

    Issue Brief

    This Issue Brief reviews the history of Africa CDC, describing its structure, funding and operations to date, including U.S. government engagement, as well as challenges and opportunities for the institution moving forward.

  • The New Pandemic Fund: Overview and Key Issues for the U.S.

    Issue Brief

    This brief offers an overview of the new multilateral global health financing mechanism known as the Pandemic Fund, which is housed at the World Bank. The brief reviews the evolution of the Fund, its current financial status and donors, U.S. engagement, and policy issues going forward.