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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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  • How is the U.S. Global Health Initiative Changing What Happens in the Field?

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    Event

    The Kaiser Family Foundation held a May 25 briefing to explore the rollout of the U.S. government's Global Health Initiative (GHI) on the ground, with a particular focus on the recently released GHI country-level strategies. The briefing examined progress and challenges in translating the GHI in the field and next steps moving forward. Panelists are: Lois Quam, Executive Director of the U.S. Global Health Initiative Mamadi Yilla, former PEPFAR Country Coordinator and GHI Planning lead…

  • Congress and Global Health: What Lies Ahead?

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    This April 21 In Focus webcast features an expert panel examining the new legislative landscape of the 112th Congress and what the current budget battles mean for U.S. global health programs.

  • Kaiser/CSIS Forum with South African Minister of Health

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    This forum featuring the South African Minister of Health, The Hon. Dr. Aaron Motsoaledi, examines the South African government's efforts to more effectively manage the HIV/AIDS epidemic, as well as other systems-wide management and financing reforms underway to achieve greater affordability, improved efficiency and better health outcomes. The forum was co-sponsored by the Henry J. Kaiser Family Foundation and the Center for Strategic and International Studies (CSIS). Participants include:Ambassador Eric Goosby, U.S. Global AIDS CoordinatorJennifer…

  • Town Hall Forum: GHI Executive Director Lois Quam on the Future of the Global Health Initiative

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    On March 1, 2011, the Kaiser Family Foundation hosted a town hall-style forum with Lois Quam, the newly appointed Executive Director of the Global Health Initiative (GHI), to listen to global health community perspectives on the progress of the initiative to date and discuss what the future of the U.S. global health policy might look like. The hour-long session was moderated by Jen Kates, Vice President and Director, Global Health & HIV Policy, Kaiser Family…

  • Kaiser Media Fellowships Program/Columbia Journalism School: Global Health Dinner

    Report

    This note summarizes a forum held by the Foundation on February 9, 2011 examining the state of global health journalism. The discussion included a group of senior editors and reporters, as well as other stakeholders in the world of media. The discussion centered on the challenges and opportunities faced by global health journalists outlined in a recent report produced for the Foundation by journalists Nellie Bristol and John Donnelly. The questions raised during the discussion…

  • The U.S. Global Health Initiative’s Women, Girls, and Gender Equality Principle: A Roundtable Discussion

    Issue Brief

    This document summarizes the discussion of a roundtable that took place at the Foundation in November 2010 examining the women, girls and gender equality principle of the U.S. Global Health Initiative (GHI). This principle, the first of seven core principles of the GHI, aims to sharpen the focus on women and girls across U.S. government global health efforts. The roundtable included experts from a variety of organizations, including officials from the U.S. government, and gender…

  • Taking the Temperature: The Future of Global Health Journalism

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    Aiming to take a snapshot of the state of global health journalism, a report produced for the Kaiser Family Foundation found that shrinking newsroom budgets and the closing of many foreign bureaus are curtailing global health coverage within traditional news media outlets. Advocacy and nongovernmental organizations are increasingly bypassing news outlets and producing their own content, leading to questions about how global health news will evolve. In addition, with outside sources now funding some global…

  • The U.S. Global Health Initiative: A Country Analysis

    Report

    A new report from the Kaiser Family Foundation examines funding and demographic data for countries receiving support under the U.S. Global Health Initiative (GHI), the Obama Administration's six-year effort aimed at improving the health and lives of people in the developing world. The new analysis evaluates data from fiscal year 2010 for six programs in the GHI: HIV/AIDS; tuberculosis; malaria; maternal, newborn, and child health; family planning and reproductive health; and nutrition. These six program…

  • A Global Perspective on Women’s Health Tutorial

    Interactive

    This tutorial was produced for kaiserEDU.org, a Kaiser Family Foundation website that ceased production in September 2013. The kaiserEDU.org tutorials are no longer being updated but have been made available on kff.org due to demand by professors who are using the tutorials in class assignments. You may search for other tutorials to view on kff.org. Slides for this presentation are available for download here. [kff-youtube video="FPwzZzk0WmY" type="float"]

  • Global Health 101 Tutorial

    Interactive

    This tutorial was produced for kaiserEDU.org, a Kaiser Family Foundation website that ceased production in September 2013. The kaiserEDU.org tutorials are no longer being updated but have been made available on kff.org due to demand by professors who are using the tutorials in class assignments. You may search for other tutorials to view on kff.org. Slides for this presentation are available for download here. [kff-youtube video="fXTwtCohgaY" type="float"]