Updated on April 4, 2025:
As the original 90-day review deadline of April 24 approaches, it is clear that the Trump administration’s “freeze” on US foreign assistance is not temporary. The administration has fully dismantled the US Agency for International Development (USAID) and terminated all family planning grants the agency administered—although Congress has not approved USAID’s closure and has continued to appropriate funds for international assistance, including for family planning.
Please see Just the Numbers for an analysis of the impact of US investment in family planning—impact that has been lost with the termination of funding. Guttmacher will continue to pressure Congress to act to save this vital investment in people’s lives.
Updated on March 7, 2025:
On March 5, the US Supreme Court upheld a lower court order that required the Trump administration to unfreeze payments for foreign assistance work that has already been completed. The payments have not yet been made, and the lower court continues to deliberate on the case. Also in recent days, the State Department terminated more than 90% of USAID contracts and grants, including nearly all for family planning. Family planning programs funded by USAID have not resumed providing services.
Guttmacher joined a letter to Congress urging policymakers to preserve foreign assistance for global health, including family planning.
Updated on February 14, 2025:
In response to a court challenge from several organizations that deliver foreign aid, a US district court judge has issued a temporary restraining order on the Trump administration’s freeze on all US foreign assistance funding and work. The order bars the administration from canceling contracts related to USAID, freezing funds or implementing stop-work orders that have been in place since last month; it will remain in place while the full case makes its way through the courts. We will update this page as more information becomes available on how this will affect family planning programs that had to close in recent weeks, including whether or when they will be able to resume providing services.
For the last nine years, Congress has consistently appropriated $607.5 million annually in foreign aid for family planning, including $32.5 million for UNFPA. This funding is estimated to provide 47.6 million women and girls with modern contraceptive care in 2025.
This critical service—which saves lives and gives people control over whether and when to build their families—is currently blocked by the Trump administration’s stop-work order on all foreign assistance. On average, 130,390 women get contraceptive care each day under US-funded programs, so the total number of women denied care will increase by that number every day of this callous withholding of funding that has been lawfully appropriated by Congress.
After one week of the freeze, 912,720 women and girls will have been denied care, and after one month, the figure will reach about four million. Over the course of the full 90-day review period, 11.7 million women and girls will be denied this essential care.
When people are not able to access contraceptive care, they are put at risk of unintended pregnancy.
If 11.7 million women and girls are denied access to contraceptive care in 2025, 4.2 million will experience unintended pregnancies, and 8,340 will die from complications during pregnancy and childbirth.
We call on the Trump administration to end its harmful and unlawful withholding of funds appropriated by Congress. These funds are essential to protecting the rights, dignity and lives of women and girls around the world.