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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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  • Prevention Indicators for the President’s Emergency Plan for AIDS Relief

    Other Post

    This report from the 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 HIV prevention indicators used by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) in 15 focus countries and compares them to those used by other major international initiatives. The overview is designed to inform policymakers and other experts in an area that…

  • CSIS Task Force on HIV/AIDS

    Report

    The Center for Strategic and International Studies (CSIS) Task Force on HIV/AIDS, co-chaired by Senators Bill Frist (R-TN) and Russell Feingold (D-WI), outlines strategic choices that the United States faces in fighting the global HIV/AIDS pandemic. The Task Force seeks to build bipartisan consensus on critical U.S. policy initiatives promoting leadership in strengthening prevention, care, and treatment of HIV/AIDS in affected countries around the world. The Task Force and the Kaiser Family Foundation have collaborated…

  • Health Affairs Article: Leveraging the Power of the Media to Combat HIV/AIDS

    Issue Brief

    Since the mid-1990s the Kaiser Family Foundation has partnered with U.S.-based media companies on comprehensive HIV/AIDS campaigns. This paper, published in Health Affairs, Vol. 24, Issue 3, May/June 2005, outlines the unique public education model that it is using, and how Kaiser is expanding this work globally by working with some of the largest media companies in the world to undertake new initiatives in Russia and India. Health Affairs Article (free access) Abstract Full Article

  • World AIDS Day 2004

    Other Post

    World AIDS Day began in 1988 to focus global attention on the HIV/AIDS epidemic across countries, organizations and governments. The theme of focuses on women, girls, and HIV and AIDS and seeks to explore how gender inequality fuels the AIDS epidemic. The links on this page will connect you to the Foundation's latest research, analysis, and innovative public health campaigns related to HIV/AIDS and to a range of other domestic and international World AIDS Day…

  • Health Care and the 2004 Elections: HIV/AIDS

    Issue Brief

    HIV/AIDS Download a printable .pdf of Health Care and the 2004 Elections: HIV/AIDS. IssueBackgroundPolicy Challenges Facing the Response to HIV/AIDSAssessing Candidate Positions Issue HIV/AIDS is a critical issue to many who may have questions for candidates concerning their positions on the U.S. response to the epidemic at home and abroad. The U.S. is faced with numerous challenges in addressing the epidemic, including: funding levels for global and domestic HIV/AIDS efforts; differing approaches to prevention, care,…

  • Survey of Americans on HIV/AIDs – Part Three: Experiences and Opinions by Race/Ethnicity and Age: Toplines

    Poll Finding

    These findings are the third part of a national survey of Americans’ views on HIV/AIDS, “Survey of Americans on HIV/AIDS,” conducted in spring 2004. It explores the views and experiences of, as well as the key differences among, African Americans, Latinos, Whites, and young people. The first part of the survey, on global HIV/AIDS, was released on June 2, 2004. The second part of the survey, on HIV Testing, was released on June 15, 2004.…

  • Survey of Americans on HIV/AIDS – Part Three: Experiences and Opinions by Race/Ethnicity and Age Summary and Chartpack

    Poll Finding

    These findings are the third part of a national survey of Americans’ views on HIV/AIDS, “Survey of Americans on HIV/AIDS,” conducted in spring 2004. It explores the views and experiences of, as well as the key differences among, African Americans, Latinos, Whites, and young people. The first part of the survey, on global HIV/AIDS, was released on June 2, 2004. The second part of the survey, on HIV Testing, was released on June 15, 2004.…

  • Survey of Americans on HIV/AIDS — Part Three: Experiences and Opinions by Race/Ethnicity and Age

    Poll Finding

    These findings are the third part of a national survey of Americans’ views on HIV/AIDS, “Survey of Americans on HIV/AIDS,” conducted in spring 2004. It explores the views and experiences of, as well as the key differences among, African Americans, Latinos, Whites, and young people. The first part of the survey, on global HIV/AIDS, was released on June 2, 2004. The second part of the survey, on HIV Testing, was released on June 15, 2004.…

  • Russian Media Partnership to Combat HIV/AIDS Announces $26 Million in Media Commitments for Year One, Issues Challenge to Partners to Join the Effort

    Other Post

    Embargoed for release until:July 13, 2004 For further information contact: Stephen MasseyVice President for Programs Program AssociateTransatlantic Partners Against AIDSTel: +1 (212) 228.8940Bangkok Mobile: 250.0419Email: smassey@tpaa.net Natalya Katsap Vice President for Programs Program AssociateTPAA/Moscow Tel: +7 (095) 956.0578Bangkok Mobile: 250.0426Email: nkatsap@tpaa.net Russian Media Partnership to Combat HIV/AIDSAnnounces $26 Million in Media Commitments for Year OneIssues Challenge to Partners to Join the Effort BANGKOK, Tuesday, July 13, 2004 - A group of leading Russian media companies…

  • Satellite Sessions and Press Briefings – XV International AIDS Conference

    Other Post

    Kaiser Family Foundation Sessions and Press Briefings XV International AIDS Conference, 2004 Satellite Session: Resource Tracking and Priority SettingUNAIDS is hosting this panel that will feature the work of the UNAIDS Consortium on Resource Tracking. The session will highlight the importance of tracking global HIV/AIDS financial information, review the methodological approaches used to track HIV/AIDS resource flows; and determine gaps in HIV/AIDS financial information and coverage as well as strategies for moving forward. Jennifer Kates,…