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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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  • Global Health Diplomacy: Advancing Foreign Policy and Global Health Interests

    Issue Brief

    This article examines the growing attention to global health diplomacy and its future outlook as donor nations continue to face tight budgetary conditions. Authored by Joshua Michaud and Jennifer Kates of the Kaiser Family Foundation, the article was published in the inaugural issue of the Global Health: Science and Practice journal in March 2013.

  • 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.

  • New Analysis Examines the $1.9 Billion Committed By the U.S. Government for the International Ebola Response To Date

    News Release

    A new Kaiser Family Foundation analysis finds government agencies so far report spending approximately $1.9 billion in funding to respond to the Ebola outbreak internationally. The majority of this spending was by USAID (49%), followed by the Department of Defense (33%), and the Centers for Disease Control and Prevention (18%). The U.S. government enacted $5.

  • The U.S. Response to Ebola: Status of the FY2015 Emergency Ebola Appropriation

    Issue Brief

    This issue brief reviews where the U.S. response to Ebola stands, asking: What specifically was funding provided for and what is its current status? How is U.S. funding being used to address the outbreak and its aftermath, and prepare for future health threats? How available and transparent is information about these activities?

  • The U.S. Global Health Budget: Analysis of the Fiscal Year 2017 Budget Request

    Issue Brief

    The President’s Fiscal Year 2017 (FY17) budget request, which was released on February 9, 2016, included $10.3 billion in total funding for global health programs. This marks the first time in three years that the request for global health is higher than the previous year enacted level, and represents the largest request since FY12. If enacted by Congress, it would represent the highest level of global health funding to date (excluding emergency funding for Ebola provided in FY15).

  • Web Briefing for Media: What Do The Sustainable Development Goals Mean for Global Health?

    Event Date:
    Event

    In late September, the United Nations General Assembly will discuss and adopt a plan for international development for the next 15 years. This new plan, called the Sustainable Development Goals (SDGs), could have important implications for global health policy. On September 9, the Kaiser Family Foundation held an interactive web briefing exclusively for journalists to examine these key issues ahead of the United Nations General Assembly.

  • One Year Later, Where Does the U.S. Response to Ebola Stand?

    Event Date:
    Event

    The Ebola outbreak of 2014 was a global wake-up call regarding the ongoing threat of emerging infectious diseases.  The U.S. government’s response included dispatching the military and Congress appropriating $5.4 billion in emergency funding, the majority of which was for international activities.