The Mexico City policy, sometimes referred to by its critics as the global gag rule,[1] is a former United States government policy that blocked U.S. federal funding for non-governmental organizations (NGOs) that provided abortion counseling or referrals, advocated to decriminalize abortion, or expanded abortion services. When in effect, the Mexico City policy is a U.S. government policy that requires foreign non-governmental organizations to certify that they will not "perform or actively promote abortion as a method of family planning" with non-U.S. funds as a condition for receiving U.S. global family planning assistance, and during its January 23, 2017 implementation any other U.S. global health assistance, including U.S. global HIV (under PEPFAR) and maternal and child health (MCH) assistance.
The Mexico City policy was first implemented on January 20, 1985, by the second Reagan administration. Since that time, the United States Agency for International Development (USAID) has enforced the policy during all subsequent Republican administrations and has rescinded the policy at the direction of all Democratic administrations.[2] After its initial implementation by Republican President Ronald Reagan in 1985,[3] the policy was rescinded in 1993 by Democratic President Bill Clinton,[4] reinstated in 2001 by Republican President George W. Bush,[5] rescinded in 2009 by Democratic President Barack Obama,[6][7] reinstated in 2017 by Republican President Donald Trump,[8][9][10] and rescinded in 2021 by Democratic President Joe Biden.[11]
Research shows that by reducing funding for family planning organizations that use abortion as one of many methods of family planning, the Mexico City policy has had the impact of increasing unintended pregnancies and abortions.[12][13][14] By reducing access to modern contraception and information about family planning and sexual transmitted disease, the policy has been linked to higher maternal and infant mortality rates, as well as higher incidence rates of HIV.[15]