WASHINGTON (AP) — Secretary of State Mike Pompeo on Tuesday expanded the Trump administration’s ban on U.S. aid to groups that promote or provide abortions to include organizations that comply with the rules but give money to others that don’t.

Pompeo also said the U.S. would cut some funding for the Organization of America States because at least one of its affiliated institutions has lobbied for abortion availability in the Western Hemisphere.

Pompeo said the administration was committed to protecting “the sanctity of life” in the United States and abroad and would enforce the policy “to the broadest extent possible”

by not allowing foreign non-governmental organizations to skirt the ban.

“We will refuse to provide assistance to foreign NGOs that give financial support to other foreign groups in the global abortion industry,” Pompeo told reporters at the State Department. “We will enforce a strict prohibition on backdoor funding schemes and end runs around our policy. American taxpayer dollars will not be used to underwrite abortions.”

Abortion rights advocates slammed the decision as dangerous to women’s health while abortion opponents welcomed it. The move is an expansion of the so-called “Mexico City policy” first established under President Ronald Reagan but rescinded by subsequent Democratic administrations. Just days after taking office in 2017, President Donald Trump reinstated the policy and then expanded it to include all health programs not just reproductive health ones.

Critics of the policy that has been a hallmark of Republican administrations call it the “global gag rule.” They say it hurts reproductive and maternal health care in developing nations by cutting funds to groups that offer critical non-abortion related services to women and children, including birth control and nutritional support for infants and HIV/AIDS treatment.

Pompeo denied that and said the U.S. would continue to be a leader in such aid. The U.S. spends some $9 billion to support global health programs.

Critics, however, expressed outrage. “This is unethical, dangerous, and unaccept able,” said Dr. Leana Wen, the president of the Planned Parenthood Federation of America. “Two years into the sweeping expansion of the global gag rule, there are countless examples around the world of patients losing access to health care, especially in places where maternal deaths, HIV rates, and unmet need for contraception are unacceptably high.”

Sen. Jean Shaheen, D-N.H., who has pushed for legislation to permanently repeal the Mexico City policy, called the move “unconscionable.”

“This administration’s obsession with attacking women’s reproductive health is egregious and dangerous,” she said. “Further expanding the global gag rule puts international organizations in an impossible position: provide women the full scope of reproductive health care services or deny critical funding that saves lives.”

Brian Dixon of the Population Connection Action Fund said Pompeo’s decision was “repulsive.”

“The global gag rule has been an unmitigated disaster for people throughout the developing world,” he said. “It is undermining progress on maternal and child health. It is leaving millions of people without access to health care.” Abortion foes, meanwhile, hailed the step as a victory.

The Susan B. Anthony Fund, an anti-abortion group, issued a statement praising the step, saying it was “excited to see Secretary Pompeo taking additional steps to ensure that Americans’ hard-earned dollars are actually used for health assistance, not funneled to groups that push abortion.”

Jeanne Mancini, the president of March for Life, another anti-abortion group, said Pompeo’s “courageous leadership on the implementation of this policy will assure its proper oversight and help advance the protection and empowerment of human persons at all stages in our international global health assistance initiatives.”

And, Lila Rose, the founder of Live Action, said it was “a human rights win for the preborn child deserving of legal and societal protections.”

In addition to the revision of the Mexico City rule, Pompeo said the administration would also start to enforce legislation that bars all U.S. funds from being used to lobby for or against abortion.

As a first step in enforcement, support for the Organization of American States would be reduced by $210,000, State Department spokesman Robert Palladino told reporters later.

Pompeo said the step came as a result of some OAS institutions promoting greater access to abortion in the Americas. He did not identify them but some Republican lawmakers have urged Pompeo to take action over calls from the Inter-American Commission on Human Rights and the Inter-American Commission on Women for countries in the hemisphere to ease laws restricting abortion.

“The institutions of the OAS should be focused on the crises in Cuba, Nicaragua and in Venezuela and not advancing the pro-abortion cause,” Pompeo said.