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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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  • Data Note: Update On Public Confidence In U.S. Health Institutions To Deal With Ebola

    Feature

    The October Kaiser Health Tracking Poll found that majorities of the public said that if a case of Ebola were diagnosed in their area, they would have a “great deal” or a “fair amount” of confidence in state, local, and federal health authorities to contain the disease and prevent it from spreading. Given the evolving news story, we re-surveyed the public from October 17-19 to determine whether confidence in health authorities to prevent the spread of Ebola has changed in light of more recent developments.

  • Kaiser Health Policy News Index October 2014: Ebola In U.S. And Africa Top Public Attention To Health News

    Kaiser Health Policy News Index: Special Focus On Ebola

    Feature

    With the Ebola outbreak in West Africa and individual cases in the U.S. and Europe making international headlines, the latest Kaiser Health Policy News Index examines Americans’ attention to the Ebola crisis, awareness of key facts about the disease, and views of the U.S. role in addressing Ebola in Africa and at home.

  • White House Releases FY18 Budget Request

    Fact Sheet

    The White House released its FY 2018 budget request to Congress on May 23, 2017, which includes significant cuts to global health funding.

  • The Future of U.S. Global Health Policy & Programs

    Event Date:
    Event

    As the U.S. enters a Presidential election year and the larger global health and development landscape changes, U.S. global health programs face a key moment of transition. The prior decade saw unprecedented attention to and funding for global health by the U.S. government.

  • UNFPA Funding and Kemp-Kasten: An Explainer

    Issue Brief

    This fact sheet provides an overview of the history of the Kemp-Kasten amendment, which states that no U.S. funds may be made available to “any organization or program which, as determined by the president of the United States, supports or participates in the management of a program of coercive abortion or involuntary sterilization,” and examines its current application. Since enacted in 1985, Kemp-Kasten has often been used to withhold funding from the United Nations Population Fund (UNFPA).

  • The Outlook for PEPFAR in 2025 and Beyond

    Policy Watch

    PEPFAR, the U.S. global HIV/AIDS program, is - for the first time in its two-decade history - facing significant challenges that could impede its ability to fulfill its mission. This policy brief provides an overview of recent events and ongoing challenges facing the program.

  • 10 Things to Know About U.S. Funding for Global Health

    Issue Brief

    This KFF brief provides key facts about U.S. funding for global health, including the range of efforts the U.S. supports, U.S. agencies/departments involved in global health activities, funding trends, and more.

  • Donor Government Funding for HIV in Low- and Middle-Income Countries in 2020

    Report

    This report provides an analysis of donor government funding to address the HIV response in low- and middle-income countries in 2020, 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).