President Donald Trump reinstated the global gag rule in the first days of his presidency and expanded the restriction to all recipients of U.S. global health funds. Under the global gag rule, recipients of U.S. funds cannot provide abortion services, information, or referrals and are not allowed to advocate for abortion law reform. The impact of Trump’s uniquely restrictive global gag rule on women’s health and rights will be greater than the gag rule in the past.