I
103D CONGRESS
1ST SESSION
H. R. 2447
To amend the Foreign Assistance Act of 1961 to establish and strengthen
policies and programs for the early stabilization of world population
through the global expansion of reproductive choice, and for other pur-
poses.
IN THE HOUSE OF REPRESENTATIVES
JUNE 17, 1993
Mr. BEILENSON (for himself and Mrs. MORELLA) introduced the following
bill; which was referred to the Committee on Foreign Affairs
A BILL
To amend the Foreign Assistance Act of 1961 to establish
and strengthen policies and programs for the early sta-
bilization of world population through the global expan-
sion of reproductive choice, and for other purposes.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ‘‘International Popu-
lation Stabilization and Reproductive Health Act’’.
SEC. 2. AUTHORITIES RELATING TO UNITED STATES POPU-
LATION ASSISTANCE.
Part I of the Foreign Assistance Act of 1961 is
amended—
(1) in section 104(b), by striking ‘‘on such
terms and conditions as he may determine’’ and in-
serting ‘‘in accordance with the provisions of chapter
12’’; and
(2) by adding at the end the following new
chapter:
‘‘CHAPTER 12—UNITED STATES
POPULATION ASSISTANCE
‘‘SEC. 499. DEFINITION.
‘‘For purposes of this chapter, the term ‘United
States population assistance’ means assistance provided
under section 104(b) of this Act.
‘‘SEC. 499A. CONGRESSIONAL FINDINGS.
‘‘The Congress makes the following findings:
‘‘(1) Throughout much of the world, the lack of
access of women, particularly poor women, to basic
reproductive health services and information under-
mines women’s struggle for self-determination, con-
tributes to death and suffering among women and
their children, puts pressure on the land, forests,
and other natural resources on which many poor
families depend for their survival, and in other ways
vitiates the efforts of families to lift themselves out
of the poverty in which over 1,000,000,000 of the
world’s more than 5,000,000,000 people live.
‘‘(2) During the 1980s, nearly 800,000,000
people, a number three times greater than the popu-
lation of the United States, were added to the
world’s population.
‘‘(3) Birthrates in many developing countries
are declining too slowly to prevent a near tripling of
the world’s population before stabilization can occur,
and although birthrates in some countries have de-
clined faster in recent years than anticipated, world
progress toward stabilization was noticeably slower
in the 1980s than in the 1970s.
‘‘(4) After more than a quarter century of expe-
rience and research, the actions needed to bring
about a rapid decline in birthrates are well docu-
mented. The ability to exercise reproductive choice
must be expanded, and such expansion should occur
through broader dissemination and choice of contra-
ceptive services that involve the community and are
sufficient to meet the needs and values of those who
use them.
‘‘(5) Although a number of religious and cul-
tural barriers to family planning remain, attitudes
toward modern contraception have changed over the
last decade, and in many countries a large and
growing unmet desire exists for deferring or prevent-
ing pregnancy among women and men who are too
poor to pay the full cost of services.
‘‘(6) Although many social and economic factors
affect desired family size, organized, accessible, and
affordable family planning programs have the most
rapid and strongest effect on birthrate because they
enable women and their families to determine the
timing and number of their children. Widespread
voluntary adoption of modern family planning meth-
ods and their successful long-term use depend on the
quality of reproductive health care services offered
and their responsiveness to individual and commu-
nity needs and values.
‘‘(7) Millions of women, most of them mothers,
are killed or injured each year as a result of unsafe
abortions. The availability of safe and effective fam-
ily planning methods and services can help prevent
many of these tragedies.
‘‘(8) The impact of human population growth,
combined with widespread poverty and unsustainable
patterns of natural resource consumption, is evident
in mounting signs of stress on the world’s environ-
ment, particularly in tropical deforestation, erosion
of arable land and watersheds, extinction of plant
and animal species, global climate change, waste
management, and air and water pollution.
‘‘(9) Traditionally, United States population as-
sistance has not focused on achieving specific goals
with respect to international population stabilization
or the expansion of reproductive choice. The absence
of clear goals in those areas has led to a lack of cri-
teria for allocating funds and evaluating program
success.
‘‘SEC. 499B. DECLARATION OF POLICY.
‘‘(a) IN GENERAL.—The Congress declares that to
reduce population growth and stabilize world population
at the lowest level feasible and thereby protect the global
environment, to provide greater self-determination for
women, and to improve the health and well-being of the
world’s families, a principal objective of the foreign policy
of the United States shall be to assist the international
community to—
‘‘(1) achieve universal availability of high qual-
ity family planning services through a wide choice of
safe and effective means of contraception, including
programs of public education and other health and
development efforts that enable individuals to choose
smaller families;
‘‘(2) ensure that all individuals and couples, re-
gardless of age or marital status, are able to exercise
their right to decide whether and how many children
to have and their right to reproductive health by im-
proving the quality and accessibility of accountable
family planning and reproductive health programs;
‘‘(3) improve reproductive health, especially of
women and young people, through maternal and
child health and nutrition services, and through sex-
uality and gender education services, especially for
young people; and
‘‘(4) achieve population stabilization at a level
consistent with the maintenance of the natural re-
source base and with investment in human re-
sources, within a broad strategy to adjust consump-
tion levels and patterns in all countries.
‘‘(b) FINANCIAL TARGETS.—The Congress estab-
lishes a target for global expenditures in developing coun-
tries from all domestic and international sources by the
year 2000 of at least $11,000,000,000 for population pro-
grams described in section 499C, and establishes a goal
for United States population assistance by the year 2000
of $1,400,000,000 in constant 1990 dollars, not including
funds available for other reproductive health programs.
‘‘SEC. 499C. AUTHORIZED ACTIVITIES.
‘‘United States population assistance is authorized to
provide—
‘‘(1) support for the expansion of quality, af-
fordable, voluntary family planning services, which
emphasize informed choice among a variety of safe
and effective family planning methods and closely re-
lated reproductive health care services, including the
prevention and control of sexually transmitted dis-
eases and reproductive tract infections;
‘‘(2) support for adequate and regular supplies
of quality contraceptive and other commodities, com-
prehensive counseling, appropriate followup, and
support for programs that emphasize the use of the
mass media to improve public knowledge of contra-
ceptive methods and related disease prevention
methods and where they may be obtained and to
promote the benefits of family planning and repro-
ductive health to individuals, families, and commu-
nities;
‘‘(3) support to United States and foreign re-
search institutions and other appropriate entities for
biomedical research to develop and evaluate im-
proved methods of safe and effective contraception
and related disease control, with particular emphasis
on methods which—
‘‘(A) are likely to be safer, easier to use,
easier to make available in developing country
settings, and less expensive than current
methods;
‘‘(B) are controlled by women, including
barrier methods and vaginal microbicides;
‘‘(C) are likely to prevent the spread of
sexually transmitted diseases; and
‘‘(D) encourage and enable men to take
greater responsibility for their own fertility;
‘‘(4) support for field research on the character-
istics of programs most likely to result in sustained
use of effective family planning in meeting each indi-
vidual’s lifetime reproductive goals, with particular
emphasis on the perspectives of family planning
users, including support for relevant social and be-
havioral research focusing on such factors as the
use, non-use, and unsafe or ineffective use of various
contraceptive and related-disease control methods;
‘‘(5) support for the development of new evalua-
tion techniques and performance criteria for family
planning programs, emphasizing the family planning
user’s perspective and reproductive goals;
‘‘(6) support for research and research dissemi-
nation related to population policy development, in-
cluding demographic and health surveys to assess
population trends, measure unmet needs, and evalu-
ate program impact, and support for policy-relevant
research on the relationships between population
trends, poverty, and environmental management, in-
cluding implications for sustainable agriculture,
agroforestry, biodiversity, water resources, energy
use, and local and global climate change;
‘‘(7) support for research and public informa-
tion dissemination on the health and welfare con-
sequences of unsafe abortions and for the equipment
and training necessary for the medical treatment of
the complications of unsafe abortions;
‘‘(8) support for special programs to reach ado-
lescents and young adults, regardless of marital sta-
tus, before they begin childbearing, including health
education programs which stress responsible parent-
hood and the health risks of unprotected sexual
intercourse, as well as service programs designed to
meet the information and contraception needs of
adolescents and young adults; and
‘‘(9) support for a broad array of governmental
and nongovernmental communication strategies de-
signed—
‘‘(A) to create public awareness worldwide;
‘‘(B) to generate a consensus on the need
to address reproductive health issues and the
problems associated with continued world popu-
lation growth;
‘‘(C) to emphasize the need to educate men
as well as women and mobilize their support for
reproductive rights and responsibilities; and
‘‘(D) to make family planning an estab-
lished community norm.
‘‘SEC. 499D. TERMS AND CONDITIONS.
‘‘United States population assistance is authorized to
be provided subject to the following conditions:
‘‘(1) Such assistance may only support, directly
or through referral, those activities which provide a
broad range of contraceptive methods permitted by
individual country policy and a broad choice of pub-
lic and private family planning services, including
networks for community-based and subsidized com-
mercial distribution of contraceptives.
‘‘(2) No program supported by United States
population assistance may deny an individual family
planning services because of such individual’s inabil-
ity to pay all or part of the cost of such services.
‘‘(3) Family planning services and related re-
productive health care services supported by United
States population assistance shall maintain the high-
est medical standards possible under local conditions
and shall ensure regular oversight of the quality of
medical care and other services offered.
‘‘(4) 
United 
States-supported 
reproductive
health programs shall in each recipient country sup-
port to the extent possible an integrated approach,
consistent with respect for the rights of women as
decisionmakers in matters of reproduction and sexu-
ality, for the provision of public and private repro-
ductive health services.
‘‘(5) United States population assistance pro-
grams shall furnish only those contraceptive drugs
and devices which have received approval for mar-
keting in the United States by the Food and Drug
Administration or which have been tested and deter-
mined to be safe and effective under research proto-
cols comparable to those required by the Food and
Drug Administration or have been determined to be
safe by an appropriate international organization or
the relevant health authority in the country to which
they are provided.
‘‘(6) Reproductive health services supported by
the United States shall be designed to take into ac-
count the needs of individuals and couples, including
the constraints on women’s time, by involving com-
munities, particularly representatives of women,
through appropriate training and recruitment ef-
forts, in the design, management, and ongoing eval-
uation of services. The design of such services shall
stress easy accessibility, by locating services as close
as possible to potential users, by keeping hours of
service convenient, and by improving communica-
tions between users and providers through commu-
nity outreach and involvement. The evaluation of re-
productive health services also shall not use as a
measure of program success the degree of longevity
or permanency of any contraceptive method.
‘‘(7) United States population assistance to ad-
olescent fertility programs shall be provided in the
context of prevailing norms and customs in the re-
cipient country.
‘‘(8) None of the funds made available by the
United States Government to foreign governments,
international organizations, or nongovernmental or-
ganizations may be used to coerce any person to un-
dergo contraceptive sterilization or involuntary abor-
tion or to accept any other method of fertility
control.
‘‘SEC. 499E. ELIGIBILITY FOR POPULATION ASSISTANCE.
‘‘(a) ELIGIBLE COUNTRIES.—Notwithstanding any
other provision of law, United States population assistance
shall be available, directly or through intermediary organi-
zations, to any country which the President determines
has met one or more of the following criteria:
‘‘(1) The country accounts for a significant pro-
portion of the world’s annual population increment.
‘‘(2) The country has significant unmet needs
for methods of contraception, prevention and treat-
ment of sexually transmitted diseases and acquired
immune deficiency syndrome (AIDS), and obstetric
and gynecological care, and requires foreign assist-
ance to directly implement, expand, or sustain qual-
ity reproductive health services for all its people.
‘‘(3) The country demonstrates a strong com-
mitment to population stabilization and to com-
prehensive 
reproductive 
health 
care 
strategies
through policies, programs and the commitment of
domestic funds to improve service and make services
more widely available.
‘‘(b) ELIGIBILITY OF NONGOVERNMENTAL AND MUL-
TILATERAL ORGANIZATIONS.—In determining eligibility
for United States population assistance, the President
shall not subject nongovernmental and multilateral organi-
zations to requirements which are more restrictive than
requirements applicable to foreign governments for such
assistance.
‘‘SEC. 499F. PARTICIPATION IN MULTILATERAL ORGANIZA-
TIONS.
‘‘(a) FINDING.—The Congress recognizes that the re-
cent attention in government policies toward population
stabilization owes much to the efforts of the United Na-
tions and its specialized agencies and organizations, par-
ticularly the United Nations Population Fund.
‘‘(b) AVAILABILITY OF FUNDS.—United States popu-
lation assistance shall be available for contributions to the
United Nations Population Fund in such amounts as the
President determines would be commensurate with United
States contributions to other multilateral organizations
and with the contributions of other donor countries.
‘‘(c) PROHIBITIONS.—(1) The prohibitions contained
in section 104(f) of this Act shall apply to the funds made
available for the United Nations Population Fund.
‘‘(2) No United States population assistance may be
available to the United Nations Population Fund unless
such assistance is held in a separate account and not com-
mingled with any other funds.
‘‘(3) No funds may be available for the United Na-
tions Population Fund unless the Fund agrees to prohibit
the use of those funds to carry out any program, project,
or activity that involves the use of coerced abortion or in-
voluntary sterilization.
‘‘(d) ALLOCATION OF FUNDS.—Of the funds made
available for United States population assistance, the
President shall make available for the Special Programme
of Research, Development and Research Training in
Human Reproduction for each of the fiscal years 1994 and
1995 an amount commensurate with the contributions of
the other donor countries for the purpose of furthering
international cooperation in the development and evalua-
tion of contraceptive technology.
‘‘SEC. 499G. SUPPORT FOR NONGOVERNMENTAL ORGANIZA-
TIONS.
‘‘(a) FINDINGS.—The Congress finds that—
‘‘(1) in many developing countries, nongovern-
mental entities, including private and voluntary or-
ganizations and private sector entities, such as the
International Planned Parenthood Federation and
the Planned Parenthood Federation of America, are
the most appropriate and effective providers of Unit-
ed States assistance to population and family plan-
ning activities; and
‘‘(2) in particular, organizations and groups
founded by women or in which women have signifi-
cant and meaningful participation, and which are
committed to promoting women’s reproductive health
rights through client-oriented programs and activi-
ties, have proven the most effective of all.
‘‘(b) PROCEDURES.—The President shall establish
simplified procedures for the development and approval of
programs to be carried out by nongovernmental organiza-
tions that have demonstrated—
‘‘(1) a capacity to undertake quality, effective,
client-oriented reproductive health and population
activities which encourage significant involvement by
private health practitioners, employer-based health
services, unions, and cooperative health organiza-
tions; and
‘‘(2) a commitment to quality, client-oriented
reproductive health care for women.
‘‘(c) PRIORITY FOR NONGOVERNMENTAL ORGANIZA-
TIONS.—The largest share of United States population as-
sistance made available for any fiscal year shall be made
available through United States and foreign nongovern-
mental organizations.
‘‘SEC. 499H. REPORTS TO CONGRESS.
‘‘The President shall prepare and submit to the Con-
gress, as part of the annual presentation materials on for-
eign assistance, a report on world progress toward popu-
lation stabilization and universal reproductive choice. The
report shall include—
‘‘(1) estimates of expenditures on the popu-
lation activities described in section 499C by na-
tional governments, donor agencies, and private sec-
tor entities;
‘‘(2) an assessment by country of the availabil-
ity and use of all methods of contraception and
abortion, whether lawful or unlawful in that country;
‘‘(3) an analysis by country and region of the
impact of population trends on a set of key social,
economic, political, and environmental indicators,
which shall be identified by the President in the first
report submitted pursuant to this section and ana-
lyzed in that report and each subsequent report; and
‘‘(4) a detailed statement of prior year and pro-
posed direct and indirect allocations of population
assistance, by country, which describes how each
country allocation meets the criteria set forth in this
section.’’.
SEC. 3. AUTHORIZATIONS OF APPROPRIATIONS.
Section 104(g)(1) of the Foreign Assistance Act of
1961 (22 U.S.C. 2151b(g)(1) is amended by amending
subparagraph (A) to read as follows:
‘‘(A) $725,000,000 for fiscal year 1994 and
$800,000,000 for fiscal year 1995 to carry out sub-
section (b) of this section; and’’.
SEC. 4. ECONOMIC AND SOCIAL DEVELOPMENT INITIA-
TIVES TO STABILIZE WORLD POPULATION.
(a) 
CONGRESSIONAL
FINDINGS.—The 
Congress
makes the following findings:
(1) Women represent 50 percent of the world’s
human resource potential. Therefore, improving the
health, social, and economic status of women and in-
creasing their productivity are essential for economic
progress in all countries.
(2) Throughout the world, women who partici-
pate in the social, economic, and political affairs of
their communities are more likely to exercise their
choice about childbearing than women who do not
participate in such activities.
(3) Effective economic development strategies
address issues such as infant and child survival
rates, educational opportunities, especially literacy
programs, for girls and women, and gender equality
in development.
(4) Comprehensive population stabilization ef-
forts which include both family planning services
and economic development activities achieve lower
birth rates and stimulate more development than
those which pursue these objectives independently.
(5) The most powerful, long-term influence on
birthrates is education, especially educational attain-
ment among women. The education of women also
has a strong influence on other aspects of family
welfare, including child survival. World-wide statis-
tics, however, indicate that the number of school-age
children, especially girls, not attending school is
growing annually.
(6) Each year, nearly 15,000,000 children
under the age of 5 die, most from preventable
causes. Wider availability of vaccines, simple treat-
ments for diarrheal disease and respiratory infec-
tions, and improved nutrition could prevent many of
these deaths.
(7) Each year, 500,000 or more women world-
wide die from complications related to pregnancy,
childbirth, or illegal abortion. Another 10 million
women annually suffer long-term illness or perma-
nent physical impairment from such causes.
(8) In many countries, high levels of mortality
and morbidity among women of childbearing age are
directly related to inadequate or inaccessible repro-
ductive health care services.
(9) Many women are their family’s principal
caregiver and chief source of economic support. The
death of a mother substantially increases the risk of
neglect, abandonment, or death for her young
children.
(10) Malnutrition and anemia are widespread
among poor women in their childbearing years, yet
the worldwide campaign to encourage breastfeeding
has devoted little attention to the nutritional needs
of nursing mothers, or in the improvement of nutri-
tional and health levels of women in general.
(11) During the 1990s, women, especially in
Africa, face substantially increased risks of death or
disability from sexually transmitted diseases. During
the 1990s, more than 3,000,000 women in Africa
will die of the acquired immune deficiency syndrome
(AIDS), leaving more than 5,000,000 orphans.
(b) DECLARATION OF POLICY.—Congress declares
that, in order to further the United States foreign policy
objective of assisting the international community in
achieving universal availability of quality family planning
services and stabilizing world population, additional objec-
tives of the foreign policy of the United States shall be—
(1) to expand basic education opportunities for
girls and women;
(2) to reduce the gap between male and female
levels of literacy and between male and female levels
of primary and secondary school enrollment;
(3) to help ensure that women worldwide have
the opportunity to become equal partners with men
in the development of their societies;
(4) to reduce global maternal and infant mor-
tality rates; and
(5) to improve worldwide overall reproductive
health, maternal and child health status, and quality
of life.
(c) AUTHORIZED ACTIVITIES.—United States devel-
opment assistance shall be available, on a priority basis,
for—
(1) countries which either have adopted and im-
plemented, or have agreed to adopt and implement,
strategies to help ensure, by the year 2000—
(A) the completion of primary school edu-
cation by no less than 80 percent of the coun-
try’s primary school-age children;
(B) the reduction of adult illiteracy by at
least one-half the country’s 1990 level; and
(C) the elimination of the gap between
male and female levels of literacy and between
male and female levels of primary and second-
ary school enrollment;
(2) governmental and nongovernmental pro-
grams which, with respect to a targeted country, are
intended—
(A) to reduce significantly malnutrition
among the country’s children under 5 years of
age;
(B) to maintain immunizations against
childhood diseases for significant segments of
the country’s children; and
(C) to reduce the number of childhood
deaths in the country which result from diar-
rheal disease and acute respiratory infections;
(3) governmental and nongovernmental pro-
grams which are intended to increase women’s pro-
ductivity through improved access to appropriate
labor-saving technology, vocational training, and ex-
tension services and access to credit and child care;
and
(4) governmental and nongovernmental pro-
grams which are intended to increase the access of
girls and women to comprehensive reproductive
health care services pursuant to subsection (d).
(d) SAFE MOTHERHOOD INITIATIVE.—(1)(A) The
President is authorized to establish a grant program, to
be known as the Safe Motherhood Initiative, to help im-
prove the access of girls and women worldwide to com-
prehensive reproductive health care services.
(B) Such program shall be carried out in accordance
with this section and shall be subject to the same terms,
conditions, prohibitions, and restrictions as are applicable
to assistance made available under sections 499D, 499E,
and 499F of the Foreign Assistance Act of 1961.
(2) Eligible for assistance under this section are com-
prehensive reproductive health programs which empha-
size—
(A) contraceptive services;
(B) prenatal care and screening for high risk
pregnancies, and improved access to safe delivery
services for women with high risk pregnancies;
(C) supplemental food programs for pregnant
and nursing women;
(D) expanded and coordinated programs to pre-
vent, detect, and treat sexually transmitted diseases,
including acquired immune deficiency syndrome
(AIDS), reproductive tract infections, and other
chronic reproductive health problems;
(E) programs to eliminate traditional practices
injurious to women’s health, including female genital
mutilation; and
(F) improvements in the practice of midwifery,
including outreach to traditional birth attendants.
(e) REPORTS TO CONGRESS.—(1) Not later than De-
cember 31, 1994, the President shall prepare and submit
to the Congress a report which includes—
(A) estimates of the total financial resources
needed to achieve, by the year 2000, the specific ob-
jectives set forth in subsection (c) with respect to
education, rates of illiteracy, malnutrition, immuni-
zation, maternal and child mortality and morbidity,
and improvements in the economic productivity of
women;
(B) an analysis of such estimates which sepa-
rately lists the total financial resources needed from
the United States, other donor nations, and non-gov-
ernmental organizations;
(C) an analysis, by country, which—
(i) identifies the legal, social, economic,
and cultural barriers to women’s self-determina-
tion and to improvements in the economic pro-
ductivity of women in traditional and modern
labor sectors; and
(ii) describes initiatives needed to develop
appropriate technologies for use by women,
credit programs for low-income women, ex-
panded child care, vocational training, and ex-
tension services for women; and
(D) a comprehensive description of—
(i) new and expanded initiatives to ensure
safe motherhood worldwide;
(ii) findings on the major causes of mortal-
ity and morbidity among women of childbearing
age in various regions of the world;
(iii) actions needed to reduce, by the year
2000, world maternal mortality by one-half of
the worldwide 1990 level; and
(iv) the financial resources needed to meet
this goal from the United States, other donor
nations, and nongovernmental organizations.
(2) In each annual country human rights report, the
Secretary of State shall include—
(A) information on any patterns within the
country of discrimination against women in in-
heritance laws, property rights, family law, ac-
cess to credit and technology, hiring practices,
formal education, and vocational training; and
(B) an assessment which makes reference
to all significant forms of violence against
women, including rape, domestic violence, and
female genital mutilation, the extent of involun-
tary marriage and childbearing, and the preva-
lence of marriage among women under the age
of 18 years.
(f) AUTHORIZATION OF APPROPRIATIONS.—(1) Of
the aggregate amounts available for United States devel-
opment and economic assistance programs for education
activities, $350,000,000 for fiscal year 1994 and
$350,000,000 for fiscal year 1995 shall be available only
for programs in support of equalizing male and female lev-
els of primary and secondary school enrollment.
(2) There are authorized to be appropriated
$405,000,000 for fiscal year 1994 and $490,000,000 for
fiscal year 1995 to the Child Survival Fund under section
104(c)(2) of the Foreign Assistance Act of 1961, which
amounts shall be available for child survival activities only,
including the Children’s Vaccine Initiative, the worldwide
immunization effort, and oral rehydration programs.
(3) There are authorized to be appropriated
$100,000,000 for the Safe Motherhood Initiative for each
of fiscal years 1994 and 1995.
(g) DEFINITIONS.—For purposes of this section—
(1) the term ‘‘annual country human rights re-
port’’ refers to the report required to be submitted
pursuant to section 502B(b) of the Foreign Assist-
ance Act of 1961 (22 U.S.C. 2304(b)); and
(2) the term ‘‘United States development and
economic assistance’’ means assistance made avail-
able under chapter 1 of part I and chapter 4 of part
II of the Foreign Assistance Act of 1961.
SEC. 5. AIDS PREVENTION AND CONTROL FUND.
(a) IN GENERAL.—Section 104(c) of the Foreign As-
sistance Act of 1961 (22 U.S.C. 2151b(c)) is amended by
adding at the end the following new paragraph:
‘‘(4)(A)(i) The President is authorized to provide as-
sistance, under such terms and conditions as he may de-
termine, with respect to activities relating to research on,
and the treatment and control of, acquired immune defi-
ciency syndrome (AIDS) in developing countries.
‘‘(ii) Assistance provided under clause (i) shall in-
clude—
‘‘(I) funds made available directly to the World
Health Organization for its use in financing the
Global Program on AIDS (including activities imple-
mented by the Pan American Health Organization);
and
‘‘(II) funds made available to the United Na-
tions Children’s Fund (UNICEF) for AIDS-related
activities.
‘‘(B) Appropriations pursuant to subparagraph (A)
may be referred to as the ‘AIDS Prevention and Control
Fund’.’’.
(b) AUTHORIZATION OF APPROPRIATIONS.—Section
104(g)(1) of the Foreign Assistance Act of 1961 (22
U.S.C. 2151b(g)) is amended—
(1) by striking ‘‘and’’ at the end of subpara-
graph (A);
(2) in subparagraph (B), by striking ‘‘sub-
section (c) of this section.’’ and inserting ‘‘sub-
section (c) of this section (other than paragraph (4)
thereof); and’’; and
(3) by adding at the end thereof the following
new subparagraph:
‘‘(C) $100,000,000 for fiscal year 1994
and $165,000,000 for fiscal year 1995 to carry
out subsection (c)(4) of this section.’’.
(c) EFFECTIVE DATE.—The amendments made by
this section shall take effect October 1, 1993.
SEC. 6. OVERSIGHT OF MULTILATERAL DEVELOPMENT
BANKS.
(a) FINDING.—The Congress considers insufficient
the role currently played in global population efforts by
the International Bank for Reconstruction and Develop-
ment, the Asian Development Bank, the Inter-American
Development Bank and the African Development Bank.
Although these multilateral development banks are sin-
gularly important sources of support for development ac-
tivities, together they provided less than $200,000,000 in
1990 in assistance for core population programs. Nor have
these institutions consistently encouraged appropriate
population and reproductive health care policies.
(b) REPORT REQUIRED.—(1) The Congress believes
that the multilateral development banks should together
increase their support for the population activities de-
scribed in section 499C of the Foreign Assistance Act of
1961 to no less than $1,000,000,000 by the end of 1999.
(2) Not later than July 31 of each year, the United
States Executive Directors of the International Bank for
Reconstruction and Development, the Asian Development
Bank, the Inter-American Development Bank and the Af-
rican Development Bank shall prepare and transmit to
Congress a report which sets forth information on alloca-
tions by each of these institutions to the population activi-
ties described in section 499C of the Foreign Assistance
Act of 1961 and, if such allocations total less than
$1,000,000,000, set forth any specific actions taken by the
Executive Directors to encourage increases in such alloca-
tions and in policy level discussions with donor and devel-
oping country governments.
SEC. 7. COMMISSION ON WORLD POPULATION STABILIZA-
TION AND REPRODUCTIVE HEALTH.
(a) ESTABLISHMENT OF COMMISSION.—There is es-
tablished the Commission on World Population Stabiliza-
tion and Reproductive Health for the purpose of coordi-
nating United States preparation for, and participation in,
the 1994 International Conference on Population and De-
velopment and for other purposes.
(b) COMPOSITION OF COMMISSION.—The Commis-
sion shall be composed of—
(1) the Under Secretary of State for Global
Population, Environment and National Resources;
(2) the Administrator of the Agency for Inter-
national Development;
(3) the Deputy Assistant Secretary for Popu-
lation Affairs of the Department of Health and
Human Services;
(4) the Assistant Administrator for Inter-
national Activities of the Environmental Protection
Agency;
(5) the Director of the Congressional Office of
Technology Assessment; and
(6) three individuals appointed by the Presi-
dent, by and with the advice and consent of the Sen-
ate, one of whom the President shall designate as
Chairman.
(c) PERIOD OF APPOINTMENT; VACANCIES.—Mem-
bers shall be appointed for the life of the Commission. Any
vacancy in the Commission shall not affect its powers, but
shall be filled in the same manner as the original appoint-
ment.
(d) QUORUM.—A majority of the members of the
Commission shall constitute a quorum, but a lesser num-
ber of members may hold hearings.
(e) HEARINGS.—The Commission may hold such
hearings, sit and act at such times and places, take such
testimony, and receive such evidence as the Commission
considers advisable to carry out the purposes of this sec-
tion.
(f) INFORMATION FROM FEDERAL AGENCIES.—The
Commission may secure directly from any Federal depart-
ment or agency such information as the Commission con-
siders necessary to carry out the provisions of this Act.
Upon request of the Chairman of the Commission, the
head of such department or agency shall furnish such in-
formation to the Commission.
(g) POSTAL SERVICES.—The Commission may use
the United States mails in the same manner and under
the same conditions as other departments and agencies of
the Federal Government.
(h) GIFTS.—The Commission may accept, use, and
dispose of gifts or donations of services or property.
(i) COMPENSATION OF MEMBERS.—Each member of
the Commission who is not an officer or employee of the
Federal Government shall be compensated at a rate equal
to the daily equivalent of the annual rate of basic pay pre-
scribed for level IV of the Executive Schedule under sec-
tion 5315 of title 5, United States Code, for each day (in-
cluding travel time) during which such member is engaged
in the performance of the duties of the Commission. All
members of the Commission who are officers or employees
of the United States shall serve without compensation in
addition to that received for their services as officers or
employees of the United States.
(j) TRAVEL EXPENSES.—The members of the Com-
mission shall be allowed travel expenses, including per
diem in lieu of subsistence, at rates authorized for employ-
ees of agencies under subchapter I of chapter 57 of title
5, United States Code, while away from their homes or
regular places of business in the performance of services
for the Commission.
(k) STAFF COMPENSATION.—The Chairman of the
Commission may fix the compensation of personnel with-
out regard to the provisions of chapter 51 and subchapter
III of chapter 53 of title 5, United States Code, relating
to classification of positions and General Schedule pay
rates, except that the rate of pay for the executive director
and other personnel may not exceed the rate payable for
level V of the Executive Schedule under section 5316 of
such title.
(l) DETAIL
OF GOVERNMENT EMPLOYEES.—Any
Federal Government employee may be detailed to the
Commission without reimbursement, and such detail shall
be without interruption or loss of civil service status or
privilege.
(m) PROCUREMENT OF TEMPORARY AND INTERMIT-
TENT SERVICES.—The Chairman of the Commission may
procure temporary and intermittent services under section
3109(b) of title 5, United States Code, at rates for individ-
uals which do not exceed the daily equivalent of the annual
rate of basic pay prescribed for level V of the Executive
Schedule under section 5316 of such title.
(n) REPORT.—Not later than June 30, 1994, the
Commission shall submit to the President a public report
on national and international population trends and the
probable impact of such trends on efforts to alleviate pov-
erty and protect the environment. The report, which
should be made available for consideration at the 1994
International Conference on Population and Development,
shall specify, among other things, modifications in policy
and financial commitments required by foreign govern-
ments to achieve universal reproductive choice and early
population stabilization.
(o) TERMINATION OF THE COMMISSION.—The Com-
mission shall terminate 90 days after the date on which
the Commission submits its report under subsection (n).
(p) AUTHORIZATION OF APPROPRIATIONS.—To carry
out this section, there are authorized to be appropriated
to the Commission $1,000,000 for fiscal year 1994.
SEC. 8. SUPPORT FOR UNITED NATIONS FORWARD LOOK-
ING STRATEGIES FOR THE ADVANCEMENT OF
WOMEN.
(a) IN GENERAL.—The President shall direct the
United States representatives to the United Nations Com-
mission on the Status of Women to take all actions nec-
essary to ensure the rapid implementation of the United
Nations Forward Looking Strategies for the Advancement
of Women, as adopted in 1985 at the United Nations Con-
ference ending the Decade for Women.
(b) REVIEW AND ANNUAL REPORTS.—Not later than
December 31, 1993, the Secretary of State shall submit
the 5-year review of the status of United States women,
as called for at the conference, and shall submit such an-
nual reports as are requested by the United Nations Com-
mission on the Status of Women.
SEC. 9. SUPPORT FOR THE CONVENTION ON THE ELIMI-
NATION OF ALL FORMS OF DISCRIMINATION
AGAINST WOMEN.
The President shall promptly complete the review of
the United Nations Convention on the Elimination of All
Forms of Discrimination Against Women, which was
signed by the United States on July 17, 1980, and submit
to the Senate any reservations, understandings, or dec-
larations that the President considers necessary in order
that the Senate may give its advice and consent to ratifica-
tion, or report to the Congress why he is unable or unwill-
ing to do so.
Æ
HR 2447 IH——2
HR 2447 IH——3