With his signature Monday on a Presidential Memorandum Regarding the Mexico City Policy, President Donald Trump instructed the yet-to-be installed heads of the departments of State, Health and Human Services and of USAID to ensure that no health provider funded with any form of support from the United States offer counseling, referrals or services to terminate a pregnancy. With that he returned a policy long criticized by advocates and providers of global maternal and reproductive health care, HIV treatment access, and infectious diseases responses — while extending its impacts.