Two of the organizations who wouldn't cease committing and promoting abortions were International Planned Parenthood Federation and Marie Stopes International. The names of the other two are not yet public.

Government grants to the 733 organizations were up for renewal, and they had to demonstrate compliance with the Mexico City Policy in order to obtain funding.

"We could never agree to its conditions," the Marie Stopes abortion company explained. But that means "we now face a $30 million annual funding gap ... From 2018, many of our programs are facing a cliff-edge, and the gap will only continue to grow."

The Mexico City Policy, now called the Protecting Life in Global Health Assistance (PLGHA), prevents U.S. aid money from going to organizations that commit or promote abortion abroad.

The first president to rescind the Mexico City Policy, which began under Reagan, was Clinton in 1993. George W. Bush re-established it and Obama rescinded it. One of President Trump's first executive orders immediately after taking office reinstating the pro-life policy.

The U.S. Agency for International Development (USAID) "established a team in Washington with representatives from across the Agency to oversee the proper implementation of the policy," according to the State Department.

The report also says U.S. agencies around the world were trained in implementing the policy.

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