The Trump Administration’s Latest Expansion of the Mexico City Policy: A Funding Analysis Authors: Kellie Moss, Jennifer Kates, Anna Rouw, and Stephanie Oum Published: Jan 28, 2026

https://www.kff.org/global-health-policy/the-trump-administrations-latest-expansion-of-the-mexico-city-policy-a-funding-analysis/?utm_campaign=KFF-Global-Health-Policy&utm_medium=email&_hsenc=p2ANqtz-_18qJTrcDGu48AzUwxm73Elu9Fa5RT1KQ24KmnHhoWgDBLBeVF6lXrQ46cOzZFsYTfgf7Dyr4c7KP4UjDIRfNOEo4xOw&_hsmi=401039135&utm_content=401039135&utm_source=hs_email Nearly $40 Billion in U.S. Foreign Aid Could Be Subject to Mexico City Policy Expansion Following the Trump administration’s release of an expanded Mexico City Policy (MCP) on January 23 (as part of its new Promoting Human Flourishing in Foreign Assistance Policy (PHFFA), a new KFF analysis reveals that nearly $40 billion in U.S. foreign aid, spanning 160 countries, could be subject to the latest expansion. Notably, this figure is tens of billions more than the amount of global assistance subject to the policy under the previous Trump administration (about $7.3 billion in FY 2020) and significantly more than the amount of family planning assistance subject to the policy during earlier administrations (between $300-600 million). The analysis examines U.S. government foreign assistance obligations data for FY 2024 (the most recent year for which complete obligations data by sector are available) to quantify the amount of funding and the number and types of prime recipients that could be affected. The MCP 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. The PHFFA has broadened the MCP significantly to include more organizations (not just foreign NGOs) and most non-military U.S. foreign aid, resulting in more foreign aid being subject to the policy. In addition, the policy now prohibits activities related to diversity, equity, and inclusion as well as support for gender-affirming care and services, and legal protections based on gender identity, among other activities. https://www.kff.org/event/abortion-policy-on-the-global-stage-unpacking-the-trump-administrations-newly-expanded-mexico-city-policy/?utm_campaign=KFF-Global-Health-Policy&utm_medium=email&_hsenc=p2ANqtz-82OxjCbcEgvAMvj_4rOWj6aUkLTiXmN0LilKRaiaEfsxd37Qh2X9U5JtKK99VQR_a5qFOimJxVVt3ulroVg6P9kS1a8Q&_hsmi=401039135&utm_content=401039135&utm_source=hs_email