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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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  • AIDS at 25

    Report

    June 5, 2006, marks twenty-five years since the U.S. Centers for Disease Control and Prevention issued its first warning about an emerging illness that soon became known as AIDS. In recognition of this day, the Kaiser Family Foundation is releasing several new and updated resources: Evolution of an Epidemic: 25 Years of HIV/AIDS Media Campaigns in the U.S. AIDS at 25: An Overview of Major Trends in the U.S. Epidemic The Global HIV/AIDS Timeline is…

  • Toplines: 2006 Survey of Americans on HIV/AIDS

    Poll Finding

    These toplines provide the complete survey questions and responses to the Survey of Americans on HIV/AIDS conducted between March 24 and April 18, 2006. The survey covers a variety of topics including HIV/AIDS as a problem for our nation, knowledge and perceptions about HIV/AIDS, domestic HIV spending and program priorities, views on the global HIV epidemic, and African Americans and HIV. Toplines (.pdf)

  • Chartpack: 2006 Survey of Americans on HIV/AIDS

    Poll Finding

    Chartpack: 2006 Survey of Americans on HIV/AIDS These charts highlight data from the Survey of Americans on HIV/AIDS conducted between March 24 and April 18, 2006. The survey covers a variety of topics including HIV/AIDS as a problem for our nation, knowledge and perceptions about HIV/AIDS, domestic HIV spending and program priorities, views on the global HIV epidemic, and African Americans and HIV. Chartpack (.pdf)

  • Survey of Americans on HIV/AIDS

    Poll Finding

    This national survey released by the Kaiser Family Foundation finds that Americans increasingly believe the U.S. should be a global leader on HIV/AIDS, including spending more money to fight the epidemic abroad and at home. This comes despite an American characteristic distaste for foreign aid and at a time when there is a growing budget deficit. Six in ten Americans agree that the U.S. is a global leader and has a responsibility to help fight…

  • HIV Prevention in Complex, Macro-scale Societies — A Report of the CSIS Task Force on HIV/AIDS Working Committee on Prevention

    Other Post

    HIV Prevention in Complex, Macro-scale SocietiesA Report of the CSIS Task Force on HIV/AIDS Working Committee on Prevention This report from The Center for Strategic and International Studies (CSIS) Task Force on HIV/AIDS Working Committee on Prevention, in collaboration with the Kaiser Family Foundation, provides an overview of the opportunities and challenges for HIV prevention efforts in "second wave" countries - countries that currently have low- to mid-level HIV prevalence but stand on the brink…

  • Financing the Response to HIV/AIDS in Low and Middle Income Countries: Funding for HIV/AIDS from the G7 and the European Commission, 2004

    Report

    This report provides an analysis of donor government funding to address the HIV response in low- and middle-income countries in 2004, 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).

  • Post G8 Briefing: Future Financing to Address the Global HIV/AIDS Epidemic

    Event Date:
    Event

    The Kaiser Family Foundation has issued a report that provides a detailed look at funding for the global HIV/AIDS epidemic by major donors. The report, Financing the Response to HIV/AIDS in Low and Middle Income Countries: Funding for HIV/AIDS from the G7 and the European Commission, examines funding from countries in the Group of 7 and European Commission, which provide the bulk of donor assistance for HIV/AIDS through bilateral programs and contributions to the Global…

  • Survey of G7 Nations on HIV Spending in Developing Countries – Survey Toplines

    Poll Finding

    Kaiser has prepared this survey of more than 7,000 people in G7 nations in advance of the Group of 8 meeting in Gleneagles, Scotland. Public opinion in the countries (Canada, France, Germany, Great Britain, Italy, Japan, and the United States) shows similarities among the nations on whether progress is being made on HIV/AIDS, if other countries are spending too little, and whether spending will lead to meaningful progress in slowing the epidemic. The survey was…

  • Survey of G7 Nations on HIV Spending in Developing Countries – Chartpack

    Report

    Kaiser has prepared this survey of more than 7,000 people in G7 nations in advance of the Group of 8 meeting in Gleneagles, Scotland. Public opinion in the countries (Canada, France, Germany, Great Britain, Italy, Japan, and the United States) shows similarities among the nations on whether progress is being made on HIV/AIDS, if other countries are spending too little, and whether spending will lead to meaningful progress in slowing the epidemic. The survey was…

  • Survey of G7 Nations on HIV Spending in Developing Countries

    Poll Finding

    Kaiser has prepared this survey of more than 7,000 people in G7 nations in advance of the Group of 8 meeting in Gleneagles, Scotland. Public opinion in the countries (Canada, France, Germany, Great Britain, Italy, Japan, and the United States) shows similarities among the nations on whether progress is being made on HIV/AIDS, if other countries are spending too little, and whether spending will lead to meaningful progress in slowing the epidemic. The survey was…