(11) promote the constructive engagement of 
men and boys, the empowerment of women and 
girls, and more equitable gender norms in order to 
improve health outcomes and support the adoption 
of healthy reproductive behaviors; 
(12) prevent and mitigate gender-based vio-
lence; 
(13) provide comprehensive sexuality education 
for young people; 
(14) prevent, diagnose, and treat, where appro-
priate, infertility and cancers of the reproductive 
system and refer as appropriate; 
(15) develop improved methods of safe and ef-
fective contraception and related disease control 
through investments in biomedical research, with 
particular emphasis on methods which— 
(A) are likely to be safer, easier to use, 
more efficient to make available in developing 
country settings, and less expensive than cur-
rent methods; 
(B) are controlled by women, including 
barrier methods and microbicides; 
(C) are likely to prevent the spread of 
STIs; and 
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(D) encourage and enable men to take 
greater responsibility for their own fertility and 
the protection of their partner; 
(16) support an enabling environment for 
women to access sexual and reproductive health care 
services by working with communities to identify and 
lower or remove barriers to access, including finan-
cial, gender, socio-cultural, and transportation bar-
riers; 
(17) train health care professionals on edu-
cating individuals, including young people, about 
their sexual and reproductive health care options, in-
cluding family planning options; and 
(18) foster conditions to create favorable policy 
environments, improve quality, strengthen systems, 
and contribute to the sustainability of family plan-
ning and other reproductive health programs. 
SEC. 5. ASSISTANCE TO REDUCE THE INCIDENCE OF UN-
SAFE ABORTION AND ITS CONSEQUENCES. 
(a) ASSISTANCE AUTHORIZED.—The President is au-
thorized to provide assistance to reduce the incidence of 
unsafe abortion in developing countries and provide care 
for women experiencing injury or illness from complica-
tions of unsafe abortion in developing countries. 
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(b) ACTIVITIES SUPPORTED.—Assistance provided 
under subsection (a) shall be used to— 
(1) ensure access to family planning services to 
prevent unintended pregnancies; 
(2) ensure that women who experience an unin-
tended pregnancy have access to reliable information 
and compassionate counseling on all of their options, 
including access to antenatal care and safe abortion 
when permitted by the laws of the recipient country; 
(3) where local laws permit abortion, support 
safe abortion services, including referrals, and sup-
port the training of abortion providers and the nec-
essary equipment and commodities for surgical and 
medical abortion; and 
(4) support emergency treatment for complica-
tions of induced or spontaneous abortion, including 
provision of services and training and equipping of 
providers. 
(c) ELIGIBILITY FOR ASSISTANCE.—Notwithstanding 
any other provision of law, regulation, or policy, in deter-
mining eligibility for assistance authorized under this sec-
tion, sections 104, 104A, 104B, and 104C of the Foreign 
Assistance Act of 1961 (22 U.S.C. 2151b, 2151b–2, 
2151b–3, and 2151b–4), foreign nongovernmental organi-
zations— 
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(1) shall not be ineligible for such assistance 
solely on the basis of health or medical services, in-
cluding counseling and referral services, provided by 
such organizations with non-United States Govern-
ment funds if such services are permitted in the 
country in which they are being provided and would 
not violate United States Federal law if provided in 
the United States; and 
(2) shall not be subject to requirements relating 
to the use of non-United States Government funds 
for advocacy and lobbying activities other than those 
that apply to United States nongovernmental organi-
zations receiving assistance under part I of the For-
eign Assistance Act of 1961. 
SEC. 6. ASSISTANCE TO PROVIDE SEXUAL AND REPRODUC-
TIVE 
HEALTH 
SERVICES 
DURING 
EMER-
GENCY SITUATIONS. 
(a) ASSISTANCE AUTHORIZED.—The President is au-
thorized to provide assistance, including through inter-
national organizations, national governments, and inter-
national and local nongovernmental organizations, to en-
sure that sexual and reproductive health services are pro-
vided in developing countries at every phase of a humani-
tarian emergency, including early recovery. 
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(b) PRIORITY.—In providing assistance authorized 
under subsection (a), the President shall give priority to— 
(1) those reproductive health services that are 
essential in emergencies, whether they are conflict or 
natural disaster settings, to save lives and help sur-
vivors fulfill their potential even under the most dif-
ficult circumstances; and 
(2) building local capacity and improving na-
tional systems whenever possible during displace-
ment and early recovery. 
(c) ACTIVITIES SUPPORTED.—Assistance provided 
under subsection (a) shall be used to— 
(1) direct the Secretary of State and the Ad-
ministrator of the United States Agency for Inter-
national Development to implement the Minimum 
Initial Services Package (MISP), a set of life-saving 
priority activities that must be put in place in the 
earliest days of an emergency and that is set out in 
the Sphere Project’s Humanitarian Charter and 
Minimum Standards in Disaster Response; 
(2) among other activities, establish critical re-
productive health coordination mechanisms, prevent 
sexual violence and assist survivors by providing es-
sential medical care including psychosocial services, 
prevent transmission of HIV and other sexually 
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transmitted infections (STIs), ensure access to 
emergency obstetric and newborn care, to contracep-
tive methods, and to treatment of STIs, continue 
antiretroviral treatment, and lay the groundwork for 
comprehensive reproductive health care; and 
(3) as soon as conditions permit, ensure that 
comprehensive reproductive health care programs, 
including comprehensive family planning, are put in 
place for the duration of displacement and are main-
tained as the relief phase ends and communities 
transition to early recovery. 
(d) COORDINATION.—Assistance authorized under 
subsection (a) shall be coordinated in terms of policy, 
practice, and funding across and within relevant United 
States Government departments and agencies involved in 
emergency situations. 
SEC. 7. ASSISTANCE TO PROMOTE SEXUAL AND REPRODUC-
TIVE HEALTH CARE FOR YOUNG PEOPLE. 
(a) ASSISTANCE AUTHORIZED.—The President is au-
thorized to provide assistance to ensure access to sexual 
and reproductive health care for young people in devel-
oping countries. 
(b) PRIORITY.—In providing assistance authorized 
under subsection (a), the President shall prioritize a plan 
to increase comprehensive knowledge about sexuality 
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among young people and improve sexual and reproductive 
health outcomes among young people, while improving co-
ordination and implementation of host country and United 
States Government activities focused on adolescent and 
youth sexual and reproductive health. 
(c) ACTIVITIES SUPPORTED.—Assistance provided 
under subsection (a) shall be used, among other things, 
to— 
(1) provide universal and affordable access to— 
(A) evidence-based comprehensive sexuality 
education and reproductive health education, in 
consultation with local communities, in and out-
side schools to ensure young people can delay 
sexual debut and make informed decisions 
about their sexual and reproductive health; and 
(B) youth-friendly comprehensive sexual 
and reproductive health care, including activi-
ties described in section 4(b), as appropriate; 
(2) coordinate the achievement of the goals of 
sexual and reproductive health programming for 
young people in United States Government-funded 
programs; 
(3) educate implementers on best practices in 
adolescent and youth programming and delivery and 
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for effective dissemination of policy guidelines re-
garding adolescent and youth programming; and 
(4) incorporate the recommendations of young 
people in program design and service delivery ori-
ented for young people. 
SEC. 8. STRATEGY TO INTEGRATE AND LINK SEXUAL AND 
REPRODUCTIVE HEALTH SERVICES. 
(a) STRATEGY REQUIRED.— 
(1) IN GENERAL.—The President shall develop 
and implement a strategy to improve and create 
linkages among the various components of sexual 
and reproductive health with each other and with 
other global health care services, delivery, and poli-
cies in order to meet the goal described in paragraph 
(2). 
(2) GOAL DESCRIBED.—The goal of better link-
ages and integration referred to in paragraph (1) is 
to ensure that individual men and women are pro-
vided with a continuum of sexual and reproductive 
health services that meet their needs. Integration 
does not require that all of these services should be 
provided by the same clinician or even in the same 
setting; rather, there should be a mechanism in 
place, so that every person has access to the sexual 
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and reproductive health services he or she needs, ei-
ther directly or by referral. 
(b) ELEMENTS.—The strategy required by subsection 
(a) shall include the following: 
(1) In general, at the program level, supporting 
health systems to link the various components of 
sexual and reproductive health services both in terms 
of health system management, such as integrating 
commodity and supply systems, training, super-
vision, data collection and analysis, and service pro-
vision, to ensure that people have access to a full 
range of services in their community. 
(2) In general, such services should include pre-
vention of ill-health, provision of information and 
counseling, screening, diagnosis and curative care 
and referral for a full range of sexual and reproduc-
tive health and other health and social services. 
(3) With respect to linkages and program inte-
gration of sexual and reproductive health services, 
such services shall include activities described in sec-
tion 4(b). 
(4) With respect to linkages of sexual and re-
productive health services with other global health 
services, such services shall include— 
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(A) counseling about and referrals to other 
related health services such as addressing new-
born, infant, and child health (including edu-
cating families about proper antenatal and de-
livery care, breastfeeding, hygiene, and inter-
ventions for neonatal infections and life-threat-
ening childhood illnesses), malaria, tuberculosis, 
neglected tropical diseases, and proper nutrition 
for all ages; and 
(B) referrals to nearby, quality services 
that cannot be provided by the primary provider 
and other social services. 
SEC. 9. COORDINATION; RESEARCH, MONITORING, AND 
EVALUATION. 
(a) COORDINATION.—Assistance authorized under 
this Act shall promote coordination between and among 
donors, the private sector, nongovernmental and civil soci-
ety organizations, and governments in order to support 
comprehensive and responsive sexual and reproductive 
health programs in developing countries. 
(b) RESEARCH, MONITORING, AND EVALUATION.— 
(1) IN GENERAL.—Assistance authorized under 
this Act shall be used for the conduct of formative 
research and to monitor and evaluate the effective-
ness and efficiency of programs. 
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(2) REQUIREMENTS.—In carrying out para-
graph (1), the President shall ensure that there is— 
(A) support for formative research on the 
determinants of accessing sexual and reproduc-
tive health products and services, and adopting 
healthy behaviors related to sexuality and re-
production, to inform program design; 
(B) support for the ongoing, regular, and 
systematic collection of information to serve as 
the basis for monitoring change in population- 
based outcomes; 
(C) 
support 
for 
evaluations 
of 
pro-
grammatic effectiveness by measuring the ex-
tent to which change in population-based out-
comes can be attributed to program interven-
tions or environmental factors; 
(D) support for operations research that 
uses appropriate scientific methods to compare 
different interventions with the objective of in-
creasing the efficiency, effectiveness, and qual-
ity of programs; 
(E) support for field research on the char-
acteristics of programs most likely to result in 
sustained use of effective family planning in 
meeting each individual’s lifetime reproductive 
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goals, with particular emphasis on the perspec-
tives of family planning users, including support 
for relevant social and behavioral research fo-
cusing on such factors as the use, nonuse, and 
unsafe or ineffective use of various contracep-
tive and related-disease control methods; and 
(F) support for the development of new 
evaluation techniques and performance criteria 
for sexual and reproductive health programs, 
emphasizing the user’s perspective and repro-
ductive goals. 
SEC. 10. DEFINITIONS. 
In this Act: 
(1) ADOLESCENT.—The term ‘‘adolescent’’ 
means an individual who has attained the age of 10 
years but not 20 years. 
(2) COMPREHENSIVE SEXUALITY EDUCATION.— 
The term ‘‘comprehensive sexuality education’’ 
means helping young people develop the inter-
personal skills necessary for the formation of caring, 
supportive, and non-coercive relationships and the 
ability to exercise responsibility regarding sexual re-
lationships by addressing such issues as sexual di-
versity, abstinence, and the use of condoms, contra-
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ceptives, and other protective sexual health meas-
ures. 
(3) INTEGRATION.—The term ‘‘integration’’ 
means joining together different kinds of services or 
operational programs, either directly or by referral, 
to ensure more comprehensive services, promote a 
continuum of care, and to maximize health out-
comes. 
(4) LINKAGES.—The term ‘‘linkages’’ means— 
(A) the bi-directional synergies in policy, 
programs, services, and advocacy related to sex-
ual and reproductive health, including HIV/ 
AIDS; and 
(B) refers to a broader human rights based 
approach, of which service integration is a sub-
set. 
(5) REPRODUCTIVE HEALTH.—The term ‘‘re-
productive health’’— 
(A) means a state of complete physical, 
mental, and social well-being and not merely 
the absence of disease or infirmity, in all mat-
ters relating to the reproductive system and to 
its functions and processes; and 
(B) implies that an individual is able to 
have a satisfying and safe sex life and that such 
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individual has the capability to reproduce and 
the freedom to decide if, when, and how often 
to do so, including the right of men and women 
to be informed and to have access to safe, effec-
tive, affordable, and acceptable methods of fam-
ily planning of their choice, as well as other 
methods of their choice for regulation of fer-
tility which are not against the law, and the 
right of access to appropriate health-care serv-
ices that will enable women to go safely through 
pregnancy and childbirth and provide couples 
with the best chance of having a healthy infant. 
(6) REPRODUCTIVE RIGHTS.—The term ‘‘repro-
ductive rights’’— 
(A) means those rights that embrace cer-
tain human rights that are already recognized 
in national laws, international human rights 
documents, and other consensus documents; 
(B) includes the recognition of the basic 
right of all couples and individuals to decide 
freely and responsibly the number, spacing, and 
timing of their children and to have the infor-
mation and means to do so, and the right to at-
tain the highest standard of sexual and repro-
ductive health; and 
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(C) further includes the right of all couples 
and individuals to make decisions concerning 
reproduction free of discrimination, coercion, 
and violence, as expressed in human rights doc-
uments. 
(7) SEXUAL
HEALTH.—The term ‘‘sexual 
health’’— 
(A) means a state of physical, emotional, 
mental, and social well-being in relation to sex-
uality and not merely the absence of disease, 
dysfunction, or infirmity; 
(B) includes a positive and respectful ap-
proach to sexuality and sexual relationships, as 
well as the possibility of having pleasurable and 
safe sexual experiences, free of coercion, dis-
crimination, and violence; and 
(C) further includes the sexual rights of all 
persons to be respected, protected, and fulfilled. 
(8) UNMET NEED.—The term ‘‘unmet need’’ 
refers to nonuse of a modern contraceptive method 
by an individual who is married or unmarried and 
sexually active, is able to become pregnant, and 
wants to stop childbearing or to wait at least 2 years 
before having a child. 
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(9) YOUNG PEOPLE.—The term ‘‘young people’’ 
means those individuals who have attained the age 
of 10 years but not 25 years. 
(10) YOUTH.—The term ‘‘youth’’ means an in-
dividual who has attained the age of 15 years but 
not 25 years. 
Æ 
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