washington trump administration say monday vastly expand scope policy block u.s. assistance foreign group perform provide information abortions move critics say hind women access critical care new policy mean 8.8 billion u.s. assistance array program fight hiv/aids malaria maternal child health subject so-called mexico city policy policy introduce 1984 hold u.s. government fund family plan service give foreign clinics group offer abortion service discuss abortion even fund activities come non-u.s. government source policy previously apply much narrow stream 600 million u.s. government fund since unveil mexico city rule routinely rescind democratic administrations reinstate republican ones use presidents signal stand abortion right critics policy call global gag rule say hurt vulnerable women worldwide depend aid group healthcare even mexico city policy place federal law prevent use u.s. fund abortions abroad president donald trump republican reinstate policy january days take office go direct government agencies figure plan apply policy global health assistance furnish departments agencies u.s. secretary state rex tillerson approve plan expand policy provision fund hiv/aids maternal child health malaria health program state department say monday include billion fund president emergency plan aid relief pepfar world large provider aids-fighting medicine pepfar launch 2003 republican president george w. bush administration credit save millions live enjoy bipartisan support program affect expand policy call protect life global health assistance include president malaria initiative receive 621 million fund 2016 accord website state department say statement protect life global health assistance reduce amount global health assistance u.s. government make available fund previously obligate affect result policy u.s. officials say malaria hiv/aids program would resilient even unite state deny fund exist healthcare providers diversity partner provide service would available continue service senior administration official tell reporters condition anonymity new policy apply fund provide foreign non-governmental organizations aid provide governments multilateral organizations state department say expand policy also apply humanitarian assistance disaster relief u.n. fund program democratic senator jeanne shaheen sit senate foreign relations committee say expand policy would severe consequences millions vulnerable women children anti-abortion group praise decision say merely represent realignment fund trump administration vastly expand global anti-abortion policy