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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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  • Kaiser Health Tracking Poll: August 2016

    Feature

    In advance of the 2016 presidential election, the August Kaiser Health Tracking Poll examines what health care issues voters would most like to hear the presidential candidates talk about during their campaigns and which candidate voters trust to do a better job of dealing with certain health care issues. In addition, the August Tracking Poll continues KFF’s analysis on attitudes related to the Zika virus outbreak as well as provides an update on attitudes towards electronic health records.

  • Congress Releases FY16 Omnibus

    Fact Sheet

    Congress released the FY 2016 Omnibus bill on December 16, 2015, which includes funding for U.S. global health programs at the U.S. Agency for International Development (USAID), the Department of State, and the Centers for Disease Control and Prevention (CDC). Total known* funding for U.S. global health programs in the FY 2016 Omnibus is $9.

  • Donor Government Assistance for Family Planning in 2014

    Report

    This report finds that donor governments provided US$1.4 billion in bilateral funding for family planning programs in low- and middle-income countries in 2014 – a 9 percent increase above 2013 and 32% above 2012 levels.

  • 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).

  • 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.