On January 27, 2026, the Trump administration announced what it called “a historic expansion” of the Mexico City Policy, a longstanding U.S. rule restricting foreign aid funding related to abortion. The expansion extends the policy beyond abortion to include activities related to diversity, equity, and inclusion (DEI) and gender‑affirming care. Effective February 26, 2026, the change represents the most significant revision to the policy in its 40‑year history and could substantially reshape the distribution of U.S. foreign assistance worldwide.

Although Venezuela remains subject to sanctions targeting the Government of Venezuela (GoV) and entities in which it holds a 50% or greater ownership interest, the U.S. Department of the Treasury’s Office of Foreign Assets Control (OFAC) has issued a series of General Licenses (GLs) representing the broadest easing of Venezuela-related sanctions in years.

Recent developments at the federal legislative and regulatory levels signal a significant shift toward greater transparency requirements in the pharmacy benefit management (PBM) industry.