,,ii  #aai? ,,congress  #a/ ,session    
,s4 #bfga  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #a1 #bjbe ,mr4  
,s*atz 7= himself1 ,ms4 ,duckwor?1 ,mrs4
 ,%ahe51 ,mr4 ,blum5?al1 ,ms4 ,klobu*>1 
,mrs4 ,gillibr&1 ,ms4 ,hirono1 ,mr4     
,m]kley1 ,ms4 ,ros51 ,mr4 ,wyd51 ,mr4   
,padilla1 ,mrs4 ,murray1 ,mr4 ,m>key1   
,mr4 ,wel*1 ,mr4 ,coons1 ,mr4 ,book]1 & 
,mr4 ,van ,holl57 introduc$ ! foll[+    
bill2 :i* 0 read twice & ref]r$ to !    
,committee on ,=eign ,relations  ,a     
,,bill  ,to am5d ! ,=eign ,assi/ance    
,act ( #aifa to require a section on    
reproductive rights 9 ! ,annual ,c\ntry 
,reports on ,human ,rights ,practices1 &
 = o!r purposes4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,reproductive      
,rights ,are ,human ,rights ,act (      
#bjbe4  #b4 ,f9d+s2 s5se ( ,congress    
7a7 ,f9d+s ,congress f9ds ! foll[+3     
7#a7 ,! ,unit$ ,/ates has jo9$ !        
int]national community 9 id5tify+       
reproductive rights z human rights1     
includ+ 9 connection )-- 7,a7 !         

,int]national ,conv5tion on !           
,elim9ation ( ,all ,=ms ( ,racial       
,discrim9ation1 done at ,new ,york      
,decemb] #ba1 #aife2  7,b7 !            
ratification ( ! ,int]national ,cov5ant 
on ,civil & ,political ,rights1 done at 
,new ,york ,decemb] #ai1 #aiff 7ref]r$  
to 9 ?is ,act z ,,iccpr72  7,c7 !       
,conv5tion aga9/ ,torture & ,o!r ,cruel1
 ,inhuman or ,degrad+ ,treatm5t or      
,puni%m5t1 done at ,new ,york ,decemb]  
#aj1 #aihd2  7,d7 ! #aiid ,int]national 
,conf]5ce on ,population & ,developm5t2 
&  7,e7 ! #aiie ,beij+ ,_w ,conf]5ce on 
,wom54  7#b7 ,g5]al comm5t ,no4 #cf     
7#bjah7 on article #f ( ! ,,iccpr1 :i* 0
 adopt$ by ! ,human ,rights ,committee  
on ,octob] #cj1 #bjah1 ass]ts t ,/ates  
p>ties-- 7,a7 %\ld ensure access = all  
p]sons to quality & evid5ce-bas$        
in=mation & education ab\t sexual &     
reproductive heal? & to a wide range (  
af=dable contraceptive me?ods2  7,b7 mu/
 provide safe1 legal1 & effective access
 to abortion :]e ! life & heal? ( !     

pregnant woman or girl is at risk1 or   
:]e c>ry+ a pregnancy to t]m w\ld cause 
! pregnant woman or girl sub/antial pa9 
or suff]+1 mo/ notably :]e pregnancy is 
! result ( rape or ince/ or :]e !       
pregnancy is n viable2  7,c7 ensure !   
availability (1 & effective access to1  
quality pr5atal & po/-abortion heal? c>e
 = wom5 & girls2 &  7,d7 mu/ n impose   
re/rictions on ! ability ( wom5 or girls
 to seek abortion 9 a mann] t jeop>dizes
 _! lives1 subjects !m to physical or   
m5tal pa9 or suff]+1 discrim9ates aga9/ 
!m or arbitr>ily int]f]es ) _! privacyto
 ensure t wom5 & girls d n h to resort  
to unsafe abortions4  7#c7 ,! ,_w ,heal?
 ,organization ,abortion ,c>e ,guidel9es
 7#bjbb7 ass]ts compreh5sive abortion   
c>e includes ! provision ( in=mation1   
abortion managem5t 7includ+ induc$      
abortion71 & c>e relat$ to pregnancy    
loss_/spontane\s abortion & po/-abortion
 c>e1 & requires supportive law &       
policy1 includ+--  7,a7 full            
decrim9alization ( abortion2  7,b7      

repeal ( laws & regulations t re/rict   
abortion by reasons1 prohibit abortion  
bas$ on ge/ational limits1 & require    
m&atory wait+ p]iods2  7,c7 availability
 ( abortion on ! reque/ ( ! woman1 girl 
or o!r pregnant p]son & )\t ! ne$ =     
au?orization f any o!r p]son1 body1 or  
in/itution2  7,d7 end+ regulations t    
limit :o c provide & manage abortion c>e
 t are inconsi/5t ) ,_w ,heal?          
,organization guidance2 &  7,e7         
protection ( abortion access f b>ri]s   
creat$ by consci5ti\s refusal4  7#d7    
,reproductive co]cion1 :i* is any       
behavior t int]f]es ) autonom\s decision
 mak+ ab\t reproductive heal? outcomes1 
is a violation ( human rights4  7#e7    
,lesbian1 gay1 bisexual1 transg5d]1     
que]1 & int]sex p]sons 7,,lgbtqi7 face  
/igma & discrim9ation 9 access+         
reproductive heal? s]vices & b>ri]s1    
includ+ anti-,,lgbtqi laws1 policies1 & 
g5d] norms 9 _m c\ntries4  7#f7 ,p )    
disabilities h hi/orically be5 subject$ 
to =c$ /]ilization & co]cive abortion   

practices1 eug5ics1 in/itutionalization1
 or gu>dian%ip practices t /ripp$ !m (  
_! "r to autonomy1 & b>ri]s to          
compreh5sive reproductive c>e1 includ+  
d5ial ( f]tility c>e1 access to         
compreh5sive sex education1             
contraception1 & abortion c>e1 & (t5    
face disrespect dur+ pregnancy & bir?4  
7#g7 ,human rights are gr\nd$ 9         
int]national /&>ds4 ,! ,dep>tm5t (      
,/ate's deletion ( ! reproductive rights
 subsection f its #bjag1 #bjah1 #bjai1 &
 #bjbd ,c\ntry ,reports on ,human       
,rights ,practices inappropriately      
politiciz$ human rights ( p ar\nd ! _w4 
7#h7 ,! dismantl+ ( ! ,unit$ ,/ates     
,ag5cy = ,int]national ,developm5t      
7,,usaid7 w sev]ely und]m9e global      
reproductive heal? outcomes by disrupt+ 
fund+ = contraception1 mat]nal heal?c>e1
 & safe *ildbir? s]vices4 ,,usaid's     
programs are critical 9 r$uc+ mat]nal & 
infant mortality1 prev5t+ un9t5d$       
pregnancies1 & ensur+ access to c>e =   
m>g9aliz$ communities worldwide4  7#i7  

,limit+ reproductive rights also limits 
pa?ways to economic1 social1 & political
 emp[]m5t4 ,sexual & reproductive heal? 
& rights are ess5tial = su/a9able       
economic developm5t1 are intr9sically   
l9k$ to g5d] equality & wom5's well-be+1
 & are critical to community heal?4  7b7
 ,s5se ( ,congress ,x is ! s5se (       
,congress t ! d5ial ( access to sexual &
 reproductive heal? c>e & associat$     
human rights violations due to ! b>ri]s 
describ$ 9 p>agraphs 7#e7 & 7#f7 (      
subsection 7a7 %\ld be report$ 9        
relevant ,dep>tm5t ( ,/ate ,annual      
,c\ntry ,reports on ,human ,rights      
,practices4  #c4 ,annual ,c\ntry        
,reports on ,human ,rights ,practices   
7a7 ,9 g5]al ,! ,=eign ,assi/ance ,act (
 #aifa 7#bb ,u4,s4,c4 #baea et seq47 is 
am5d$-- 7#a7 9 section #aaf7;d7 7#bb    
,u4,s4,c4 #baean7d771 by am5d+ p>agraph 
7#b7 to read z foll[s3  7#b7 ! /atus (  
reproductive rights 9 ea* c\ntry1       
includ+-- 7,a7 :e!r su* c\ntry has      
adopt$ & en=c$ policies--  7i7 to       

promote access to safe1 effective1 &    
af=dable me?ods ( contraception &       
compreh5sive1 accurate1 nondiscrim9atory
 family plann+ & sexual heal? in=mation2
  7ii7 to promote access to a full range
 ( quality heal? c>e s]vices to ensure  
safe & heal?y pregnancy & *ildbir? free 
f viol5ce & discrim9ation2  7iii7 to    
promote ! equitable prev5tion1          
detection1 & treatm5t ( sexually        
transmitt$ infections1 includ+ ,,hiv &  
,,hpv1 & ( reproductive tract infections
 & reproductive canc]s2 &  7iv7 to exp& 
or re/rict access to safe abortion      
s]vices or po/-abortion c>e1 or to      
crim9alize pregnancy-relat$ outcomes1   
includ+ spontane\s misc>riages or       
pregnancies outside ( m>riage2  7,b7 a  
description ( ! rates & causes (        
pregnancy-relat$ injuries & dea?s1      
includ+ dea?s due to unsafe abortions2  
7,c7 a description (--  7i7 ! nature &  
ext5t ( in/ances ( discrim9ation1       
co]cion1 & viol5ce aga9/ wom51 girls1 & 
,,lgbtqi individuals 9 all sett+s :]e   

heal? c>e is provid$1 includ+ 9         
det5tion2  7ii7 ! nature & ext5t (      
in/ances ( discrim9ation1 co]cion1 &    
viol5ce aga9/ p ) disabilities 9 all    
sett+s :]e reproductive heal? c>e is    
provid$1 includ+ 9 in/itutions &        
det5tion sett+s2  7iii7 in/ances (      
ob/etric viol5ce1 involunt>y or co]c$   
abortion1 involunt>y or co]c$ pregnancy1
 co]c$ /]ilization1 use ( inc5tives or  
dis9c5tives to l[] or raise f]tility1   
)hold+ ( in=mation on reproductive heal?
 options1 & o!r =ms ( reproductive &    
sexual co]cion2 &  7iv7 ! actions1 if   
any1 tak5 by ! gov]nm5t ( su* c\ntry to 
respond to su* discrim9ation1 co]cion1 &
 viol5ce1 if applicable2  7,d7 a        
description (-- 7i7 ! proportion (      
individuals ( reproductive age 7#ae     
?r\gh #di ye>s ( age7 ^: ne$ = family   
plann+ is satisfi$ ) mod]n me?ods2  7ii7
 ! b>ri]s su* individuals face 9 access+
 su* s]vices2  7iii7 ! nature & ext5t ( 
in/ances ( d5ial ( compreh5sive &       
accurate family plann+ in=mation &      

s]vices 9 su* c\ntry2 &  7iv7 ! actions1
 if any1 tak5 by ! gov]nm5t ( su* c\ntry
 to address su* d5ials2 &  7,e7 a       
description (--  7i7 disp>ities 9 access
 to family plann+ & reproductive heal?  
s]vices & pregnancy-relat$ heal?        
outcomes1 includ+ pregnancy-relat$      
injuries & dea?s1 bas$ on race1         
e?nicity1 indig5\s /atus1 language1     
religi\s affiliation1 age1 m>ital /atus1
 disability1 sexual ori5tation & g5d]   
id5tity1 or o!r m>g9aliz$ id5tity2 &    
7ii7 any measures tak5 by ! gov]nm5t (  
su* c\ntry to hold heal? sy/ems         
acc\ntable = address+ su* disp>ities2  2
 &  7#b7 9 section #ejb;,b 7#bb         
,u4,s4,c4 #bcjd7-- 7,a7 by r$esignat+ ! 
second subsection 7i7 7relat+ to *ild   
m>riage /atus7 z subsection 7j72 &  7,b7
 by add+ at ! end ! foll[+3  7k7        
,inclusion ( /atus ( reproductive rights
 9 ,annual ,c\ntry ,reports on ,human   
,rights ,practices ,! report requir$ "u 
subsection 7b7 %all include a           
description ( ! /atus ( reproductive    

rights 9 ea* c\ntry1 includ+--  7#a7    
:e!r su* c\ntry has adopt$ & en=c$      
policies-- 7,a7 to promote access to    
safe1 effective1 & af=dable me?ods (    
contraception & compreh5sive1 accurate1 
non-discrim9atory family plann+ & sexual
 heal? in=mation2  7,b7 to promote      
access to a full range ( quality heal?  
c>e s]vices to ensure safe & heal?y     
pregnancy & *ildbir?1 free f viol5ce &  
discrim9ation2  7,c7 to promote !       
equitable prev5tion1 detection1 &       
treatm5t ( sexually transmitt$          
infections1 includ+ ,,hiv & ,,hpv1 & (  
reproductive tract infections &         
reproductive canc]s2 &  7,d7 to exp& or 
re/rict access to safe abortion s]vices 
or po/-abortion c>e1 or crim9alize      
pregnancy-relat$ outcomes1 includ+      
spontane\s misc>riages & pregnancies    
outside ( m>riage2  7#b7 a description (
 ! rates & causes ( pregnancy-relat$    
injuries & dea?s1 includ+ dea?s due to  
unsafe abortions2  7#c7 a description   
(-- 7,a7 ! nature & ext5t ( in/ances (  

discrim9ation1 co]cion1 & viol5ce aga9/ 
wom51 girls & ,,lgbtqi individuals 9 all
 sett+s :]e heal? c>e is provid$1       
includ+ 9 det5tion2  7,b7 in/ances (    
co]c$ abortion1 co]c$ pregnancy1 co]c$  
/]ilization1 use ( inc5tives or         
dis9c5tives to l[] or raise f]tility1   
)hold+ ( in=mation on reproductive heal?
 options1 & o!r =ms ( reproductive &    
sexual co]cion2 &  7,c7 ! actions1 if   
any1 tak5 by ! gov]nm5t ( su* c\ntry to 
respond to su* discrim9ation1 co]cion1 &
 viol5ce1 if applicable2  7#d7 a        
description (-- 7,a7 ! proportion (     
individuals ( reproductive age 7#ae     
?r\gh #di ye>s ( age7 ^: ne$ = family   
plann+ is satisfi$ ) mod]n me?ods2  7,b7
 ! b>ri]s su* individuals face 9 access+
 su* s]vices2  7,c7 ! nature & ext5t (  
in/ances ( d5ial ( compreh5sive &       
accurate family plann+ in=mation &      
s]vices 9 su* c\ntry2 &  7,d7 ! actions1
 if any1 tak5 by ! gov]nm5t ( su* c\ntry
 to respond to su* d5ials2 &  7#e7 a    
description (--  7,a7 disp>ities 9      

access to family plann+ & reproductive  
heal? s]vices & pregnancy-relat$ heal?  
outcomes1 includ+ pregnancy-relat$      
injuries & dea?s1 bas$ on race1         
e?nicity1 indig5\s /atus1 language1     
religi\s affiliation1 age1 m>ital /atus1
 disability1 sexual ori5tation & g5d]   
id5tity1 or o!r m>g9aliz$ id5tity2 &    
7,b7 any measures tak5 by ! gov]nm5t (  
su* c\ntry to hold heal? sy/ems         
acc\ntable = address+ su* disp>ities4  4
  7b7 ,consultation requir$ ,9 prep>+ ! 
,annual ,c\ntry ,reports on ,human      
,rights ,practices requir$ "u sections  
#aaf7;d7 & #ejb;,b ( ! ,=eign ,assi/ance
 ,act ( #aifa1 z am5d$ by subsection    
7a71 ! ,secret>y ( ,/ate1 ! ,assi/ant   
,secret>y ( ,/ate = ,democracy1 ,human  
,rights1 & ,labor1 & o!r relevant       
(ficials1 includ+ human rights (fic]s at
 ,unit$ ,/ates diplomatic & consul>     
po/s1 %all consult )-- 7#a7             
repres5tatives ( ,unit$ ,/ates civil    
society & multilat]al organizations )   
demon/rat$ exp]i5ce & exp]tise 9 sexual 

& reproductive heal? & rights or promot+
 ! human rights ( wom51 girls1 &        
,,lgbtqi p]sons2  7#b7 relevant local   
nongov]nm5tal organizations 9 all       
c\ntries includ$ 9 su* reports1 includ+ 
organizations s]v+ wom51 girls1 &       
,,lgbtqi p]sons t are focus$ on sexual &
 reproductive heal? & rights2 &  7#c7   
relevant ag5cies & (fices ( ! ,unit$    
,/ates ,gov]nm5t t track or are o!rwise 
involv$ 9 ! monitor+ ( reproductive &   
sexual heal? ar\nd ! _w4