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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.

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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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  • Funding for Key HIV Commodities in PEPFAR Countries

    Issue Brief

    In many low- and middle-income countries, PEPFAR and the Global Fund are significant funders of commodities to diagnose, treat, and prevent HIV, along with country governments. But, information on their relative contributions, which is important for assessing the HIV response, is not readily available. We analyzed data from PEPFAR documents on funding for key HIV commodities in 34 PEPFAR countries to better understand the funding landscape.

  • U.S. Global Health Budget Tracker

    Feature

    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.

  • Donor Government Funding for Family Planning in 2019

    Report

    Donor government support for global family planning efforts totaled US$1.50 billion in 2018, up 19% from 2017 (US$1.26 billion) – and the highest level since tracking efforts began following the London Summit on Family Planning in 2012.

  • Visualizing Health Policy Infographic: A Snapshot of US Global Health Funding  

    News Release

    This month's Visualizing Health Policy infographic shows global health funding's share of the US federal budget, the flattening of US funds for global health during the 21st century, where US dollars for global health are spent, the major areas receiving US global health funding, and how the US public overestimates the percentage of the federal…

  • Calling in the Military to Fight Ebola

    From Drew Altman

    In this column for The Wall Street Journal’s Think Tank, Drew Altman discusses the President’s commitment of troops to combat the Ebola outbreak and explains the Department of Defense’s widespread role in global health activities.

  • Web Briefing for Media: The Response to the Ebola Outbreak in West Africa

    Event Date:
    Event

    President Obama announced an increased effort by the United States to respond to the spread of Ebola in West Africa as the scale of the outbreak continues to grow. What has the global response been so far? How has the United States contributed? What will the response be going forward, in the coming weeks and months? What key lessons can be learned from this outbreak, and what can be learned by comparing the outbreak to other large-scale disasters?