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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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  • The Public’s Awareness Of and Concerns About Coronavirus

    Issue Brief

    The February 2020 KFF Health Tracking Poll examines the public's awareness of and concerns about the Coronavirus, following its spread across China and around the globe. The public is concerned about the potential economic and health impacts of the virus on the U.S. and on them and their families. A majority of the public and majorities across partisans say the U.S. is currently doing enough to prevent the spread of the virus.

  • White House Releases FY21 Budget Request

    Fact Sheet

    The White House released its FY 2021 budget request to Congress on February 10, 2020, which includes significant cuts to global health programs compared to the FY 2020 enacted levels. In addition, in some cases, these cuts are steeper than those proposed by the Administration in last year’s request.

  • Testimony: The U.S. Government Role in Women’s Global Health and Key Challenges

    Issue Brief

    Jennifer Kates, Senior Vice President and Director of KFF’s Global Health & HIV Policy program, testified before the U.S. House of Representatives’ Committee on Foreign Affairs as part of a hearing on Unique Challenges Women Face in Global Health. Her testimony describes the role of the U.S. government in women’s global health and highlights challenges and opportunities to strengthen these efforts.

  • Analysis: Global Health Funding in the FY15 Omnibus Appropriations Act 

    News Release

    The FY15 Omnibus Appropriations Act contains $5.4 billion in emergency funding to address the Ebola crisis – a significant increase in total U.S. support for global health. Aside from the additional funding for Ebola, global health funding remained essentially flat at $9.2 billion, according to a new Kaiser Family Foundation funding analysis.

  • Kaiser Health Policy News Index: November 2014

    Feature

    The Kaiser Health Policy News Index is designed to help journalists and policymakers understand which health policy-related news stories Americans are paying attention to, and what the public understands about health policy issues covered in the news. According to this month’s index, the public remains captivated by news coverage of the Ebola virus. Fewer, but still substantial shares, report following the conflicts in Iraq and Syria and the results of the midterm elections.

  • Donor Government Assistance for Family Planning in 2013

    Report

    This report finds that donor governments provided US$1.3 billion in bilateral funding for family planning programs in low and middle income countries in 2013 – a 19 percent increase from 2012. Donor governments also gave an additional $454 million in core contributions to the United Nations Population Fund (UNFPA), the primary multilateral organization addressing family planning. Funding has risen since the London Summit on Family Planning in 2012, although most of the increase was driven by a small number of donors.

  • Ebola: Five Key Questions

    Other Post

    Ebola virus has a unique set of characteristics that determine how and why its spreads, and how deadly it can be. To better understand Ebola, this infographic compares it to twelve other infectious diseases that continue to represent public health challenges today and asks and answers five key questions about the disease.

  • Data Note: Update On Public Confidence In U.S. Health Institutions To Deal With Ebola

    Feature

    The October Kaiser Health Tracking Poll found that majorities of the public said that if a case of Ebola were diagnosed in their area, they would have a “great deal” or a “fair amount” of confidence in state, local, and federal health authorities to contain the disease and prevent it from spreading. Given the evolving news story, we re-surveyed the public from October 17-19 to determine whether confidence in health authorities to prevent the spread of Ebola has changed in light of more recent developments.