,,ii  #aaith ,,congress  #ast ,session  
,s4 #bfga  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,august #a1    
#bjbe ,mr4 ,schatz 7for himself1 ,ms4   
,duckworth1 ,mrs4 ,shaheen1 ,mr4        
,blumenthal1 ,ms4 ,klobuchar1 ,mrs4     
,gillibrand1 ,ms4 ,hirono1 ,mr4         
,merkley1 ,ms4 ,rosen1 ,mr4 ,wyden1 ,mr4
 ,padilla1 ,mrs4 ,murray1 ,mr4 ,markey1 
,mr4 ,welch1 ,mr4 ,coons1 ,mr4 ,booker1 
and ,mr4 ,van ,hollen7 introduced the   
following bill2 which was read twice and
 referred to the ,committee on ,foreign 
,relations  ,a ,,bill  ,to amend the    
,foreign ,assistance ,act of #aifa to   
require a section on reproductive rights
 in the ,annual ,country ,reports on    
,human ,rights ,practices1 and for other
 purposes4  #a4 ,short title ,this ,act 
may be cited as the ,reproductive       
,rights ,are ,human ,rights ,act of     
#bjbe4  #b4 ,findings2 sense of         
,congress  7a7 ,findings ,congress finds
 the following3  7#a7 ,the ,united      
,states has joined the international    

community in identifying reproductive   
rights as human rights1 including in    
connection with-- 7,a7 the              
,international ,convention on the       
,elimination of ,all ,forms of ,racial  
,discrimination1 done at ,new ,york     
,december #ba1 #aife2  7,b7 the         
ratification of the ,international      
,covenant on ,civil and ,political      
,rights1 done at ,new ,york ,december   
#ai1 #aiff 7referred to in this ,act as 
,,iccpr72  7,c7 the ,convention against 
,torture and ,other ,cruel1 ,inhuman or 
,degrading ,treatment or ,punishment1   
done at ,new ,york ,december #aj1 #aihd2
  7,d7 the #aiid ,international         
,conference on ,population and          
,development2 and  7,e7 the #aiie       
,beijing ,world ,conference on ,women4  
7#b7 ,general comment ,no4 #cf 7#bjah7  
on article #f of the ,,iccpr1 which was 
adopted by the ,human ,rights ,committee
 on ,october #cj1 #bjah1 asserts that   
,states parties-- 7,a7 should ensure    
access for all persons to quality and   

evidence-based information and education
 about sexual and reproductive health   
and to a wide range of affordable       
contraceptive methods2  7,b7 must       
provide safe1 legal1 and effective      
access to abortion where the life and   
health of the pregnant woman or girl is 
at risk1 or where carrying a pregnancy  
to term would cause the pregnant woman  
or girl substantial pain or suffering1  
most notably where pregnancy is the     
result of rape or incest or where the   
pregnancy is not viable2  7,c7 ensure   
the availability of1 and effective      
access to1 quality prenatal and         
post-abortion health care for women and 
girls2 and  7,d7 must not impose        
restrictions on the ability of women or 
girls to seek abortion in a manner that 
jeopardizes their lives1 subjects them  
to physical or mental pain or suffering1
 discriminates against them or          
arbitrarily interferes with their       
privacyto ensure that women and girls do
 not have to resort to unsafe abortions4

  7#c7 ,the ,world ,health ,organization
 ,abortion ,care ,guidelines 7#bjbb7    
asserts comprehensive abortion care     
includes the provision of information1  
abortion management 7including induced  
abortion71 and care related to pregnancy
 loss_/spontaneous abortion and         
post-abortion care1 and requires        
supportive law and policy1 including--  
7,a7 full decriminalization of abortion2
  7,b7 repeal of laws and regulations   
that restrict abortion by reasons1      
prohibit abortion based on gestational  
limits1 and require mandatory waiting   
periods2  7,c7 availability of abortion 
on the request of the woman1 girl or    
other pregnant person and without the   
need for authorization from any other   
person1 body1 or institution2  7,d7     
ending regulations that limit who can   
provide and manage abortion care that   
are inconsistent with ,world ,health    
,organization guidance2 and  7,e7       
protection of abortion access from      
barriers created by conscientious       

refusal4  7#d7 ,reproductive coercion1  
which is any behavior that interferes   
with autonomous decision making about   
reproductive health outcomes1 is a      
violation of human rights4  7#e7        
,lesbian1 gay1 bisexual1 transgender1   
queer1 and intersex persons 7,,lgbtqi7  
face stigma and discrimination in       
accessing reproductive health services  
and barriers1 including anti-,,lgbtqi   
laws1 policies1 and gender norms in many
 countries4  7#f7 ,people with          
disabilities have historically been     
subjected to forced sterilization and   
coercive abortion practices1 eugenics1  
institutionalization1 or guardianship   
practices that stripped them of their   
right to autonomy1 and barriers to      
comprehensive reproductive care1        
including denial of fertility care1     
access to comprehensive sex education1  
contraception1 and abortion care1 and   
often face disrespect during pregnancy  
and birth4  7#g7 ,human rights are      
grounded in international standards4    

,the ,department of ,state's deletion of
 the reproductive rights subsection from
 its #bjag1 #bjah1 #bjai1 and #bjbd     
,country ,reports on ,human ,rights     
,practices inappropriately politicized  
human rights of people around the world4
  7#h7 ,the dismantling of the ,united  
,states ,agency for ,international      
,development 7,,usaid7 will severely    
undermine global reproductive health    
outcomes by disrupting funding for      
contraception1 maternal healthcare1 and 
safe childbirth services4 ,,usaid's     
programs are critical in reducing       
maternal and infant mortality1          
preventing unintended pregnancies1 and  
ensuring access to care for marginalized
 communities worldwide4  7#i7 ,limiting 
reproductive rights also limits pathways
 to economic1 social1 and political     
empowerment4 ,sexual and reproductive   
health and rights are essential for     
sustainable economic development1 are   
intrinsically linked to gender equality 
and women's well-being1 and are critical

 to community health4  7b7 ,sense of    
,congress ,it is the sense of ,congress 
that the denial of access to sexual and 
reproductive health care and associated 
human rights violations due to the      
barriers described in paragraphs 7#e7   
and 7#f7 of subsection 7a7 should be    
reported in relevant ,department of     
,state ,annual ,country ,reports on     
,human ,rights ,practices4  #c4 ,annual 
,country ,reports on ,human ,rights     
,practices  7a7 ,in general ,the        
,foreign ,assistance ,act of #aifa 7#bb 
,u4,s4,c4 #baea et seq47 is amended--   
7#a7 in section #aaf7;d7 7#bb ,u4,s4,c4 
#baean7d771 by amending paragraph 7#b7  
to read as follows3  7#b7 the status of 
reproductive rights in each country1    
including-- 7,a7 whether such country   
has adopted and enforced policies--  7i7
 to promote access to safe1 effective1  
and affordable methods of contraception 
and comprehensive1 accurate1            
nondiscriminatory family planning and   
sexual health information2  7ii7 to     

promote access to a full range of       
quality health care services to ensure  
safe and healthy pregnancy and          
childbirth free from violence and       
discrimination2  7iii7 to promote the   
equitable prevention1 detection1 and    
treatment of sexually transmitted       
infections1 including ,,hiv and ,,hpv1  
and of reproductive tract infections and
 reproductive cancers2 and  7iv7 to     
expand or restrict access to safe       
abortion services or post-abortion care1
 or to criminalize pregnancy-related    
outcomes1 including spontaneous         
miscarriages or pregnancies outside of  
marriage2  7,b7 a description of the    
rates and causes of pregnancy-related   
injuries and deaths1 including deaths   
due to unsafe abortions2  7,c7 a        
description of--  7i7 the nature and    
extent of instances of discrimination1  
coercion1 and violence against women1   
girls1 and ,,lgbtqi individuals in all  
settings where health care is provided1 
including in detention2  7ii7 the nature

 and extent of instances of             
discrimination1 coercion1 and violence  
against people with disabilities in all 
settings where reproductive health care 
is provided1 including in institutions  
and detention settings2  7iii7 instances
 of obstetric violence1 involuntary or  
coerced abortion1 involuntary or coerced
 pregnancy1 coerced sterilization1 use  
of incentives or disincentives to lower 
or raise fertility1 withholding of      
information on reproductive health      
options1 and other forms of reproductive
 and sexual coercion2 and  7iv7 the     
actions1 if any1 taken by the government
 of such country to respond to such     
discrimination1 coercion1 and violence1 
if applicable2  7,d7 a description of-- 
7i7 the proportion of individuals of    
reproductive age 7#ae through #di years 
of age7 whose need for family planning  
is satisfied with modern methods2  7ii7 
the barriers such individuals face in   
accessing such services2  7iii7 the     
nature and extent of instances of denial

 of comprehensive and accurate family   
planning information and services in    
such country2 and  7iv7 the actions1 if 
any1 taken by the government of such    
country to address such denials2 and    
7,e7 a description of--  7i7 disparities
 in access to family planning and       
reproductive health services and        
pregnancy-related health outcomes1      
including pregnancy-related injuries and
 deaths1 based on race1 ethnicity1      
indigenous status1 language1 religious  
affiliation1 age1 marital status1       
disability1 sexual orientation and      
gender identity1 or other marginalized  
identity2 and  7ii7 any measures taken  
by the government of such country to    
hold health systems accountable for     
addressing such disparities2  2 and     
7#b7 in section #ejb;,b 7#bb ,u4,s4,c4  
#bcjd7-- 7,a7 by redesignating the      
second subsection 7i7 7relating to child
 marriage status7 as subsection 7j72 and
  7,b7 by adding at the end the         
following3  7k7 ,inclusion of status of 

reproductive rights in ,annual ,country 
,reports on ,human ,rights ,practices   
,the report required under subsection   
7b7 shall include a description of the  
status of reproductive rights in each   
country1 including--  7#a7 whether such 
country has adopted and enforced        
policies-- 7,a7 to promote access to    
safe1 effective1 and affordable methods 
of contraception and comprehensive1     
accurate1 non-discriminatory family     
planning and sexual health information2 
7,b7 to promote access to a full range  
of quality health care services to      
ensure safe and healthy pregnancy and   
childbirth1 free from violence and      
discrimination2  7,c7 to promote the    
equitable prevention1 detection1 and    
treatment of sexually transmitted       
infections1 including ,,hiv and ,,hpv1  
and of reproductive tract infections and
 reproductive cancers2 and  7,d7 to     
expand or restrict access to safe       
abortion services or post-abortion care1
 or criminalize pregnancy-related       

outcomes1 including spontaneous         
miscarriages and pregnancies outside of 
marriage2  7#b7 a description of the    
rates and causes of pregnancy-related   
injuries and deaths1 including deaths   
due to unsafe abortions2  7#c7 a        
description of-- 7,a7 the nature and    
extent of instances of discrimination1  
coercion1 and violence against women1   
girls and ,,lgbtqi individuals in all   
settings where health care is provided1 
including in detention2  7,b7 instances 
of coerced abortion1 coerced pregnancy1 
coerced sterilization1 use of incentives
 or disincentives to lower or raise     
fertility1 withholding of information on
 reproductive health options1 and other 
forms of reproductive and sexual        
coercion2 and  7,c7 the actions1 if any1
 taken by the government of such country
 to respond to such discrimination1     
coercion1 and violence1 if applicable2  
7#d7 a description of-- 7,a7 the        
proportion of individuals of            
reproductive age 7#ae through #di years 

of age7 whose need for family planning  
is satisfied with modern methods2  7,b7 
the barriers such individuals face in   
accessing such services2  7,c7 the      
nature and extent of instances of denial
 of comprehensive and accurate family   
planning information and services in    
such country2 and  7,d7 the actions1 if 
any1 taken by the government of such    
country to respond to such denials2 and 
7#e7 a description of--  7,a7           
disparities in access to family planning
 and reproductive health services and   
pregnancy-related health outcomes1      
including pregnancy-related injuries and
 deaths1 based on race1 ethnicity1      
indigenous status1 language1 religious  
affiliation1 age1 marital status1       
disability1 sexual orientation and      
gender identity1 or other marginalized  
identity2 and  7,b7 any measures taken  
by the government of such country to    
hold health systems accountable for     
addressing such disparities4  4  7b7    
,consultation required ,in preparing the

 ,annual ,country ,reports on ,human    
,rights ,practices required under       
sections #aaf7;d7 and #ejb;,b of the    
,foreign ,assistance ,act of #aifa1 as  
amended by subsection 7a71 the          
,secretary of ,state1 the ,assistant    
,secretary of ,state for ,democracy1    
,human ,rights1 and ,labor1 and other   
relevant officials1 including human     
rights officers at ,united ,states      
diplomatic and consular posts1 shall    
consult with-- 7#a7 representatives of  
,united ,states civil society and       
multilateral organizations with         
demonstrated experience and expertise in
 sexual and reproductive health and     
rights or promoting the human rights of 
women1 girls1 and ,,lgbtqi persons2     
7#b7 relevant local nongovernmental     
organizations in all countries included 
in such reports1 including organizations
 serving women1 girls1 and ,,lgbtqi     
persons that are focused on sexual and  
reproductive health and rights2 and     
7#c7 relevant agencies and offices of   

the ,united ,states ,government that    
track or are otherwise involved in the  
monitoring of reproductive and sexual   
health around the world4