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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.

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

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    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?

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    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.

  • Kaiser/UNAIDS Study Finds No Real Change In Donor Funding For HIV

    News Release

    This report from the Kaiser Family Foundation and the Joint United Nations Programme on HIV/AIDS (UNAIDS) evaluates international efforts to finance the response to the AIDS epidemic. The annual funding analysis finds donor governments disbursed US$7.86 billion toward the AIDS response in low-and middle-income countries in 2012, essentially unchanged from the US$7.63 billion level in 2011 after adjusting for inflation.

  • U.S. Humanitarian Assistance and Global Health Policy: Opportunities and Barriers for More Effective Coordination

    Issue Brief

    This brief presents key findings from a Kaiser Family Foundation review and analysis of the policy and financing landscape where U.S. humanitarian assistance and global health assistance meet. It also summarizes a July 2013 roundtable discussion convened by the Foundation focusing on opportunities, challenges, and potential next steps for more effective coordination between humanitarian assistance and global health programs.

  • What’s Next for U.S. Global Health Diplomacy? A Town Hall Forum with Ambassador Eric Goosby

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    At 9:30 a.m. ET on Thursday, Feb. 28, the Kaiser Family Foundation will host a town hall-style forum with Ambassador Eric Goosby, the newly named head of the State Department's new Office of Global Health Diplomacy as well as U.S. Global AIDS Coordinator, to explore the goals and objectives of the new office. The office is intended to guide diplomatic efforts to advance the United States' global health mission to improve and save lives and foster sustainability. The hour-long session will be moderated by Jen Kates, a Foundation Vice President and Director of Global Health and HIV Policy.

  • Americans Remain Wary of “Foreign Aid” But Are More Supportive of Spending to Improve Health Abroad

    News Release

    Latest Survey Probes Public’s Knowledge and Views of U.S. Role in Global Health MENLO PARK, Calif. – While many Americans hold misconceptions and negative views of “foreign aid” in general, they are more supportive of such efforts when described more specifically as “improving health in developing countries,” according to a new survey by the Kaiser Family Foundation.

  • Distribution of U.S. Global Health Funding, by Sector, FY 2006-FY 2021 Request

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    Distribution-of-US-Global-Health-Funding-by-Sector-FY06-FY21Request Download Source KFF analysis of data from the Office of Management and Budget, Agency Congressional Budget Justifications, Congressional Appropriations Bills, and U.S. Foreign Assistance Dashboard [website], available at: www.foreignassistance.gov.

  • U.S. Global Health Policy: In Focus “IOM Final Report on the U.S. Commitment to Global Health”

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    During this webcast, members of the Institute of Medicine's committee on the U.S. Commitment to Global Health discussed the committee's final report that concluded that the U.S. government and U.S.-based foundations, universities, nongovernmental organizations, and commercial entities have an opportunity to improve global health and provided specific recommendations for how these groups should proceed.

  • Learning to Live in a World with the H1N1 Pandemic

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    On June 30, 2009, the CSIS Global Health Policy Center and the Henry J. Kaiser Family Foundation, in partnership with the Congressional Global Health Caucus, sponsored a briefing on the current H1N1 flu outbreak.