This study assessed the impacts of the Protecting Life through Global Health Assistance policy (otherwise known as the expanded global gag rule (GGR)) on women’s sexual and reproductive health (SRH) in Ethiopia. The GGR prohibits all non-US non-governmental organizations (NGOs) receiving US Government global health funding from providing, referring or advocating for abortion. We assessed the impacts of the GGR on contraceptive use, pregnancies, births, and abortions.