washington two president donald trump fellow republicans join four democrats monday demand white house provide information executive order sow confusion among international organizations involve family plan aid treatment healthcare issue one first action president trump sign executive order jan. 23 reinstate so-called mexico city policy know critics global gag rule withhold u.s. fund international organizations perform abortions provide information abortion although republican presidents also adopt policy trump broaden scope global health assistance may encompass much fifteen time federal fund previous republican administrations versions policy six senators write letter see reuters order withhold half billion dollars u.s. fund aid group say issue little guidance scramble figure proceed letter senators say trump broad order include president emergency plan aid relief pepfar global health program fund department state agency international development department health human service pepfar enjoy broad bipartisan support congress large provider aids-fighting medicine world credit save millions live directive ... cause mass confusion among federal agencies international relief organizations wait clarity administration global chill effect life-saving work say democratic senator jeanne shaheen organize letter among things senators ask trump administration conduct cost-benefit assessment policy whether determine many live might save lose whether research transmission diseases hiv/aids zika might affect besides shaheen letter sign republican senators susan collins lisa murkowski democrats ben cardin richard blumenthal angus king independent caucus democrats trump administration plan submit budget propose steep cut spend u.s. state department foreign aid several republican members congress express reservations plan republicans join democratic call clarity trump abortion order