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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.

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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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  • House Appropriations Committee Releases FY 2023 Labor, Health and Human Services, Education, and Related Agencies (Labor HHS) Appropriations Bill

    Fact Sheet

    The House Appropriations Committee released the FY 2023 Labor, Health and Human Services, Education, and Related Agencies (Labor HHS) appropriations bill on June 23, 2022 and accompanying report on June 29, 2022. The Labor HHS appropriations bill includes funding for U.S. global health programs provided to the Centers for Disease Control and Prevention (CDC) and funding for global health research activities provided to the National Institutes of Health (NIH). Total global health funding at CDC…

  • House Appropriations Committee Releases the FY23 State and Foreign Operations (SFOPs) Appropriations Bill

    Fact Sheet

    The House Committee on Appropriations released its FY 2023 State, Foreign Operations, and Related Programs (SFOPs) appropriations bill on June 21, 2022 and accompanying report on June 28, 2022. The SFOPs bill includes funding for U.S. global health programs at the State Department and the U.S. Agency for International Development (USAID). Funding for these programs, through the Global Health Programs (GHP) account, which represents the bulk of global health assistance, totaled nearly $11 billion, an…

  • Global Health Funding in the FY 2022 Omnibus

    Fact Sheet

    The FY 2022 omnibus appropriations bill (and accompanying reports), released by Congress on March 9, 2022 and yet to be finalized, includes funding for U.S. global health programs at the State Department, the U.S. Agency for International Development (USAID), the Centers for Disease Control and Prevention (CDC), and the National Institutes of Health (NIH).[i] Key highlights from the FY22 omnibus appropriations bill are as follows (see table for additional detail): State Department & USAID: Funding…

  • White House Releases FY16 Budget Request

    Fact Sheet

    The White House released the FY 2016 budget request on February 2, 2015, which includes funding for U.S. global health programs. A significant portion of U.S. funding for global health, including funding at the U.S. Agency for International Development (USAID) and the Department of State, is outlined in the State & Foreign Operations (SFOPs) Congressional Budget Justification (CBJ), however, total funding for global health is not currently available as some funding provided through USAID, Health…

  • White House releases FY 2014 Budget Request

    Fact Sheet

    The White House released the FY 2014 budget request, which included funding for U.S. global health activities.  Overall, funding for global health programs (at USAID and the State Department combined) increased in the FY 2014 request as compared to FY12 actual and FY13 estimated levels. This varied by specific global health program area (see below).  State Department & USAID - Global Health Programs (GHP) Area FY12 Actual FY13 CR Estimated*(millions) FY14 Request(millions) Difference:FY14 - FY13 CR(millions) Difference: FY14 - FY12(millions) State Department…

  • Senate Appropriations Committee approves FY14 Health & Human Services Appropriations Bill

    Fact Sheet

    The Senate Committee on Appropriations approved the FY 2013 Labor, Health & Human Services, Education and Related Agencies appropriations bill (S. 1284) by a vote of 16-14. A report (113-71) released by the committee provided the funding levels for global health programs at the Centers for Disease Control and Prevention (CDC) and the John E. Fogarty International Center. Additional funding for global health programs and research conducted by the National Institutes of Health (NIH) is…

  • House Appropriations Committee approves FY 2014 State and Foreign Operations Appropriations Bill

    Fact Sheet

    The House Committee on Appropriations approved, by a voice vote, the FY 2014 State and Foreign Operations Appropriations bill (.pdf), which includes funding for U.S. global health programs at the U.S. Agency for International Development (USAID) and the State Department (see table below) comprising a significant portion of U.S. funding for global health (total funding for global health is not currently available as some funding provided through USAID, HHS, and DoD is not yet available). According to a Committee Report accompanying…

  • White House releases FY15 Budget Request

    Fact Sheet

    The White House released the FY 2015 budget request on March 4, 2014, which includes funding for U.S. global health programs. A significant portion of U.S. funding for global health, including funding at the U.S. Agency for International Development (USAID) and the Department of State, is outlined in the State & Foreign Operations (SFOPs) Congressional Budget Justification (CBJ) and associated appendix (the SFOPs appendix was released on April 18, 2014). Additional funding for global health programs through…

  • Senate Appropriations Committee approves FY 2015 State and Foreign Operations Appropriations Bill

    Fact Sheet

    The Senate Committee on Appropriations, approved the FY 2015 State and Foreign Operations Appropriations bill, which includes funding for U.S. global health programs at the U.S. Agency for International Development (USAID) and the State Department (see table below) comprising a significant portion of U.S. funding for global health (total funding for global health is not currently available as some funding provided through USAID, HHS, and DoD is not yet available). According to the committee report,…