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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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  • Making HIV Prevention Paramount in the Next Phase of the U.S. Global HIV/AIDS Response: A Report from the CSIS Task Force on HIV/AIDS

    Other Post

    This report from The Center for Strategic and International Studies (CSIS) Task Force on HIV/AIDS, in collaboration with the Kaiser Family Foundation, examines the current global HIV prevention response by the United States under the President's Emergency Plan for AIDS Relief (PEPFAR) and outlines challenges to opportunities for heightening a focus on HIV prevention in the next phase of the U.S. response. Report (.pdf)

  • The Multisectoral Impact of the HIV/AIDS Epidemic – A Primer

    Other Post

    As the number of people living with HIV/AIDS continues to grow, the pandemic has affected many sectors of society, reaching well beyond its direct human toll. The Kaiser Family Foundation has prepared a primer on The Multisectoral Impact of the HIV/AIDS Epidemic, which explains this concept and summarizes key research assessing impacts to date in many of the worst affected countries, including effects on population structure and demographics, individuals and households, the public and private…

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

    Other Post

    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 the Global Fund to Fight AIDS, Tuberculosis and Malaria. Donor Funding for Health in Low- & Middle- Income Countries: This…

  • Financing the response to AIDS in low- and middle-income countries: International assistance from the G8, European Commission and other donor Governments, 2006

    Report

    This report provides an analysis of donor government funding to address the HIV response in low- and middle-income countries in 2006, 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).

  • June 2007 Report From The Global HIV Prevention Working Group

    Other Post

    The Global HIV Prevention Working Group issued its fifth report, Bringing HIV Prevention to Scale: An Urgent Global Priority. The Global HIV Prevention Working Group is an international panel of more than 50 leading public health experts, clinicians, biomedical, and behavioral researchers, advocates and people affected by HIV/AIDS, convened by the Bill & Melinda Gates Foundation and the Kaiser Family Foundation. This is the fifth report released by the Working Group. News Release Executive Summary…

  • Young South Africans, Broadcast Media, and HIV/AIDS Awareness: Results of a National Survey

    Poll Finding

    To better understand the attitudes of young South Africans towards the media's role in HIV prevention and education, the Kaiser Family Foundation and the South Africa Broadcasting Corporation conducted a survey of nearly 4,000 South Africans ages 15-24 between August and December 2006. The purpose of the current study is to help inform the approach of the national public broadcasters and other broadcasters in South Africa to HIV/AIDS messaging and programming in the future, as…

  • Overview of Kaiser Activities and Resources for the XVI International AIDS Conference

    Other Post

    WEBCASTING In collaboration with the International AIDS Society, the Toronto Local Host and co-organizers of the conference, Kaiser provides free, online access to the archived conference proceedings to NGOs, news organizations, policymakers, researchers and others on kaisernetwork.org. The daily coverage included: Live and tape-delayed webcasts and transcripts of each day's sessions, including the opening and closing sessions, all plenary sessions, and selected other sessions and press conferences. English-, French- and Spanish-language audio podcasts of select…

  • International Assistance for HIV/AIDS in the Developing World: Taking Stock of the G8, Other Donor Governments and The European Commission, 2005

    Report

    This report provides an analysis of donor government funding to address the HIV response in low- and middle-income countries in 2005, 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).

  • International Assistance for HIV/AIDS in the Developing World: Taking Stock of the G8, Other Donor Governments and the European Commission

    Other Post

    A new report from the Kaiser Family Foundation, , provides a detailed overview of how donors finance the international response to HIV/AIDS and presents the latest data on G8 and EC funding commitments and disbursements. The report also discusses the concept of "fair share" and examines different methodologies for assessing fair share among donors. Data for the report were collected through a collaborative effort among UNAIDS, the Kaiser Family Foundation and the Center for Strategic…

  • The G8, Russia’s Presidency and HIV/AIDS in Eurasia

    Other Post

    This report -- coauthored by J. Stephen Morrison (Center for Strategic and International Studies) and Jennifer Kates (Kaiser Family Foundation) -- highlights the potential role of the G8 in addressing the Eurasian HIV/AIDS epidemic and further engaging Russia, China and India in the global HIV/AIDS response. Report -- English Language (.pdf) Report -- Russian Language (.pdf)