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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

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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.

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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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  • 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.

  • HIV Prevention in Complex, Macro-scale Societies — A Report of the CSIS Task Force on HIV/AIDS Working Committee on Prevention

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    HIV Prevention in Complex, Macro-scale SocietiesA Report of the CSIS Task Force on HIV/AIDS Working Committee on Prevention This report from The Center for Strategic and International Studies (CSIS) Task Force on HIV/AIDS Working Committee on Prevention, in collaboration with the Kaiser Family Foundation, provides an overview of the opportunities and challenges for HIV prevention…

  • International Assistance for HIV/AIDS and Global Health in the Developing World

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    International Assistance for Global Health and HIV/AIDS in the Developing World The Foundation produces two separate annual reports that help to track funding from the G8, European Commission and other donor governments who collectively provide the bulk of international assistance for global health priorities, including HIV/AIDS, through bilateral programs and contributions to multilateral organizations, including…

  • Global Spending on HIV/AIDS in Resource-Poor Settings

    Issue Brief

    This policy brief presents data on the range of resources currently being expended to address the HIV/AIDS epidemic in resource-poor settings, including bilateral, multilateral, and private sector support, as well as domestic spending by recipient country governments. For purposes of this policy brief, resource-poor countries include developing countries and countries in transition.

  • World AIDS Day 2004

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    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.