The Global Gag Rule has devastating effects on GlobalHealth. In Uganda, it has forced a trusted provider to end a contraceptive program to 6,000 youth. Noncompliance with the expanded Global Gag Rule comes at a steep cost to organizations and the communities in which they operate, with critical services being lost or scaled back. Trump’s expanded policy not only undermines the effectiveness and efficiency of U.S. investments in global health, but it has the potential to roll back progress made in improving health outcomes for women, girls and communities in Uganda.