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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

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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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  • The President’s Budget Request: What Does It Mean For U.S. Global Health Efforts?

    Event Date:
    Event

    On Tuesday, February 21, the Kaiser Family Foundation held a live webcast to assess President Obama's fiscal year 2013 budget proposal and potential implications for global health. The webcast featured a panel of global health policy experts who analyzed the Administration's proposal and how it compares to current funding levels, what may happen as the budget winds its way through Congress, and the implications for the future of U.S. global health programs. Panelists: Ambassador Mark…

  • Exploring HHS’ Role in Global Health & New Global Health Strategy

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    Event

    This Kaiser Family Foundation and U.S. Department of Health and Human Services briefing explores the Department's role in global health and its Global Health Strategy. The event features opening remarks by HHS Secretary Kathleen Sebelius.

  • Pulling It Together: Bono, Jon Stewart and the HIV/AIDS Message

    Perspective

    One of the most interesting conversations on a health topic happened recently on The Daily Show between Bono and Jon Stewart. Bono told Stewart that we were "at the beginning of the end of the AIDS epidemic," promising an announcement the next day that would explain how a combination of early treatment, treatment for pregnant women, and circumcision, would turn the epidemic around if the American people would continue to put money into the cause.…

  • Health and Development Outcomes of the G-20 Summit

    Event Date:
    Event

    This November 9, 2011 webcast features an expert panel discussing the outcomes of the Cannes G-20 Summit and implications for global health. It is part of the Foundation's "U.S. Global Health Policy: In Focus" series.

  • 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,…

  • Financing the Response to AIDS in Low- and MiddleIncome Countries: International Assistance from Donor Governments in 2010

    Report

    This report provides an analysis of donor government funding to address the HIV response in low- and middle-income countries in 2010, 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).

  • 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…

  • Global Health Interventions: A Review of the Evidence

    Interactive

    Global Health Interventions: A Review of Evidence (GHIR) provides policy-relevant and accessible information on the efficacy (the "what works") of key global health interventions, including the strength of the evidence.

  • The Women, Girls, and Gender Equality Principle of the U.S. Global Health Initiative (GHI): Assessment of the GHI Plus Country Strategies

    Report

    This report assesses how countries are responding to a U.S. Global Health Initiative (GHI) principle to address women, girls and gender equality. The report examines country strategies for seven of the eight "GHI Plus" nations: Bangladesh, Ethiopia, Guatemala, Kenya, Mali, Malawi, and Nepal. (The eighth, Rwanda, had not yet completed its strategy.) Each country strategy was developed by interagency U.S. government teams in consultation with host country representatives. All seven strategies addressed the health of…

  • The U.S. Government’s Global Health Policy Architecture: Structure, Programs and Funding

    Report

    This report provides the first comprehensive look at the U.S. government agencies and programs involved in the nation’s global health response, including their funding and their approaches. The report also provides overviews of the large-scale global health initiatives of the U.S. government, information on which countries receive support from the U.S., and a review of the key laws governing U.S. global health policy and relevant Congressional committees.