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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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  • Survey of Americans on the U.S. Role in Global Health

    Poll Finding

    This report is based on a survey of Americans on the U.S. role in global health and was designed and analyzed by public opinion researchers at the Kaiser Family Foundation. It was conducted January 26 through March 8, 2009 (before the international outbreak of the H1N1 influenza A virus), among a nationally representative random sample of 2,554 adults ages 18 and older. Telephone interviews conducted by landline (N=1,951) and cell phone (N=603, including 214 who…

  • Survey about U.S. Role in Global Health Reports That Americans Want Take Care of Problems at Home First in a Recession, But Say Don’t Cut Funding For Global Health and Development

    Poll Finding

    Two-thirds of the public supports maintaining (39%) or increasing (26%) U.S. government funding to improve health in developing countries, while fewer than a quarter (23%) say the government is spending too much on global health, according to this survey of the American people’s attitudes towards U.S. global health and development assistance. Levels of support are similar for spending to fight HIV/AIDS in developing countries, although the public’s sense of urgency about the HIV/AIDS epidemic around…

  • Addressing the HIV/AIDS Epidemic at Home and Abroad: Short-Term Policy Options Under Consideration by the New Administration and Congress

    Issue Brief

    This past summer, the United States government’s global HIV/AIDS program was reauthorized and the U.S. Centers for Disease Control and Prevention (CDC) released new data indicating that the epidemic at home was worse than previously thought. These events called significant attention to HIV/AIDS and together present the new Administration and Congress with an opportunity to address the epidemic at home and abroad. Several short-term HIV-specific policy options have already been proposed for consideration, or are…

  • 2008 Presidential Election Issue Spotlight: Global Health and HIV/AIDS

    Issue Brief

    During the 2008 Presidential campaign, now President Barack Obama and Republican presidential nominee Sen. John McCain announced a number of policy proposals and positions related to global health and the HIV/AIDS epidemic, both globally and domestically. This document summarizes those positions as staked out during the presidential campaign. It is adapted from the side-by-side comparisons examining the positions of the presidential candidates on these issues. Issue Spotlight (.pdf)

  • Behavior Change for HIV Prevention: (Re) Considerations for the 21st Century

    Report

    The Global HIV Prevention Working Group issued a report, "Behavior Change for HIV Prevention: (Re) Considerations for the 21st Century." The Global HIV Prevention Working Group is a panel of nearly 50 leading public health experts, clinicians, biomedical, and behavioral researchers, and people affected by HIV/AIDS, convened by the Bill & Melinda Gates Foundation and the Kaiser Family Foundation. Executive Summary (.pdf) Final Report (.pdf)

  • Financing the response to AIDS in low- and middle-income countries: International assistance from the G8, European Commission and other donor Governments, 2007

    Report

    This report provides an analysis of donor government funding to address the HIV response in low- and middle-income countries in 2007, the latest year available, as well as trends over time. It includes both bilateral funding from donors and their multilateral contributions to the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund), UNITAID, and Joint United Nations Programme on HIV/AIDS (UNAIDS).

  • “Seryozha” A Documentary on Children and HIV/AIDS in Russia

    Event Date:
    Event

    "Seryozha" is a documentary film about orphans living on the streets of St. Petersburg, Russia, some of whom are HIV-positive or have lost parents to AIDS. Filmmaker Denis Kuzmin follows the life of one orphan and through him tells the larger story of "street kids" exposed to drugs, sex and illnesses, including HIV/AIDS. Kuzmin received financial support through a fellowship program created by the Kaiser Family Foundation and Transatlantic Partners Against AIDS (TPAA) to produce…

  • A Global Look at Public Perceptions of Health Problems, Priorities, and Donors: The Kaiser/Pew Global Health Survey

    Poll Finding

    This survey, conducted jointly by the Kaiser Family Foundation and the Pew Global Attitudes Project, examines how people around the world perceive and prioritize health in their countries and gauge the efforts of donor nations. People in 47 countries were polled on a series of health questions, giving them an opportunity to share their views on health as a priority for their government and in their own lives. Specifically, the survey looks at what people…