As he did in his first term, U.S President-elect Donald Trump is likely in January to invoke the so-called global gag rule, a policy that bars U.S. foreign aid from being used to perform abortions or provide abortion information. The policy cuts off American government funding for services that women around the world rely on to avoid pregnancy or to space out their children, as well as for heath care unrelated to abortion.

The gag rule has a 40-year history of being applied by Republican presidents and rescinded by Democratic presidents. Every GOP president since the mid-1980s has invoked the rule, which is known as the Mexico City Policy for the city where it was first announced.

As one of his first acts as president in 2017, Trump expanded the rule to the extent that foreign NGOs were cut off from about $600 million in U.S. family planning funds and more than $11 billion in U.S. global health aid between 2017 and 2018 alone, according to the U.S. Government Accountability Office, the investigative arm of Congress.