The Trump administration released its Fiscal Year 2027 Budget request, a symbolic document detailing funding proposals for the federal government. This non-binding recommendation from the White House’s Office of Management and Budget, led by Russell Vought, is sent annually to Congress as it begins the appropriations process.

Overview

Notable implications for reproductive health and rights

• Elimination of all funding for Title X 

• Elimination of critical CDC programs for maternal health 

• Elimination of all foreign assistance for contraception 

• Codification of the expanded global gag rule 

• Defunding of certain abortion providers from Medicaid 

• Inclusion of harmful anti-abortion federal appropriations riders (Hyde, Weldon, Kemp-Kasten, Helms, and Siljander Amendments) 

The $2.2 trillion budget includes a “historic” 42% increase in defense spending ($1.5 trillion), 10% cut in non-defense spending, and allocates $30 million to support the newly established National Fraud Division. Notably, the administration proposes the elimination of funding for programs and organizations promoting or encouraging DEI principles and LGBTQ+ people.

Despite requesting a 12.5% ($15.8 billion) cut to the Department of Health and Human Services’ (HHS’) overall budget, the administration requests funding to form the Administration for a Healthy America (AHA) within HHS (also requested in the Fiscal Year 2026 budget). AHA would combine the Office of the Assistant Secretary for Health, the Health Resources and Services Administration (HRSA), the Substance Abuse and Mental Health Services Administration (SAMHSA), and several centers and programs from the Centers for Disease Control and Prevention (CDC) into one entity. AHA would eliminate critical programs like the Pregnancy Risk Assessment Monitoring System (PRAMS), federal funding support for Maternal Mortality Review Committees (MMRCs), and others. The budget also cuts $5 billion from the National Institutes of Health and eliminates the National Institute on Minority Health and Health Disparities.

Additional details on key reproductive rights and health programs can be found below.

Abortion

Abortion

• Defunds certain abortion providers from Medicaid under the “prohibited entity restriction” because of its funding threshold (applies to entities that received more than $23 million in Title X funding).
• Includes harmful anti-abortion federal appropriations riders (Hyde, Weldon, Kemp-Kasten, Helms, and Siljander Amendments). The Hyde Amendment bars people using federal health programs from receiving coverage for abortion care, and the Weldon Amendment emboldens providers to deny abortion and other reproductive health services, even in medical emergencies.
• Creates the “Office of the Assistant Secretary for Civil Rights and Appeals,” which combines the Office for Civil Rights (which enforces anti-abortion riders), the Office of Medicare Hearings and Appeals, the Departmental Appeals Board, the Office for Human Research Protections, and the Office for Research Integrity.

Contraception

Contraception

• Eliminates all funding for Title X, the nation’s only federal program dedicated solely to providing affordable family planning.
• Eliminates all funding for the Teen Pregnancy Prevention program, which supports young people with information and resources related to pregnancy.

Maternal health

Maternal health

• Cuts $51.45 million in funding to the Special Projects of Regional and National Significance portion of the Title V Maternal and Child Health Services Block Grant, a critical grant program that provides services to an estimated 59 million people through a range of programs including the State Maternal Health Innovation program. The funding cuts include eliminations for major maternal health programs that address disparate outcomes and the maternal health crisis including:
  • Healthy Start (HRSA)
  • Safe Motherhood/Infant Health Portfolio (CDC)
    • PRAMS
    • Support for MMRCs
    • Perinatal Quality Collaboratives
  •  Infant and Early Childhood Mental Health (SAMHSA). 

Global health

Global health

• Cuts $4.3 billion in funding to global health programs.
  • Explicitly states that the Budget would “ensure no funding supports abortion, nor unfettered access to birth control.”
• Eliminates foreign assistance funding for contraceptives.
• Requires compliance with the new expanded Global Gag Rule, a harmful and regressive anti-abortion policy that was broadened by the Trump administration to block foreign non-governmental organizations, international organizations, and foreign governments that receive U.S. funding from mentioning abortion, gender identity, or DEI.

This budget request is symbolic and will need Congressional approval for any specific funding change for next fiscal year.