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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 USG International Family Planning Landscape: Defining Approaches to Address Uncertainties in Funding and Programming – Discussion Summary

    Issue Brief

    This brief summarizes a discussion held in January 2018 to discuss international family planning efforts in the context of funding and policy uncertainty. Convened by the Center for Global Development and the Kaiser Family Foundation, the discussion brought together a range of stakeholders including US government officials, other donors and international organizations, NGOs, and the private sector.

  • Where Does Public Opinion Stand on the U.S. Role in Global Health?

    Poll Finding

    More than two years into President Trump administration's promotion of an "America First" approach to international affairs, the April 2019 KFF Health Tracking Poll examines the public's attitudes toward key global health issues, including views on the U.S. role in world affairs and global health, and support for global health spending.

  • COVID-19 & PEPFAR: Implications for the Future

    Issue Brief

    The potential for the COVID-19 pandemic to significantly affect the health and development of low- and middle-income countries (LMICs), particularly those in sub-Saharan Africa, has serious implications for PEPFAR, the President’s Emergency Plan for AIDS Relief (PEPFAR). This issue brief examines the steps PEPFAR has taken to respond to the outbreak and the issues at stake.

  • Ask KFF: Josh Michaud Answers 3 Questions on the Coronavirus and U.S. Response

    Issue Brief

    This weekend, the Centers for Disease Control and Prevention confirmed more U.S. cases of the latest international outbreak – coronavirus – which started in Wuhan, China. Josh Michaud, an Associate Director for Global Health Policy at KFF, offers perspective on the U.S. role and how response to this outbreak compares to others, such as SARS and the Ebola epidemic.

  • 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.

  • 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.

  • Key Questions about the U.S. Military and the Domestic Coronavirus Response

    News Release

    A new KFF brief answers key questions about potential U.S. military engagement in the domestic response to the novel coronavirus. With concerns that local response capabilities could become overwhelmed in the coming weeks,  there have been increasing calls to have the U.S. military play a greater role in support of civilian response.