HR 2764 RH 
$374,150,000 for child survival and maternal health; 
$15,000,000 for vulnerable children; $350,000,000 for 
HIV/AIDS; $591,000,000 for other infectious diseases; 
and $375,000,000 for family planning/reproductive health, 
including in areas where population growth threatens bio-
diversity or endangered species: Provided further, That of 
the funds appropriated under this heading, and in addition 
to funds allocated under the previous proviso, not less 
than $250,000,000 shall be made available, notwith-
standing any other provision of law, except for the United 
States Leadership Against HIV/AIDS, Tuberculosis and 
Malaria Act of 2003 (Public Law 108–25), for a United 
States contribution to the Global Fund to Fight AIDS, 
Tuberculosis and Malaria (the ‘‘Global Fund’’), and shall 
be expended at the minimum rate necessary to make time-
ly payment for projects and activities: Provided further, 
That of the funds appropriated under this heading, 
$70,000,000 should be made available for a United States 
contribution to The GAVI Fund, and up to $6,000,000 
may be transferred to and merged with funds appropriated 
by this Act under the heading ‘‘Operating Expenses of the 
United States Agency for International Development’’ for 
costs directly related to international health, but funds 
made available for such costs may not be derived from 
amounts made available for contributions under this and 
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preceding provisos: Provided further, That none of the 
funds made available in this Act nor any unobligated bal-
ances from prior appropriations may be made available to 
any organization or program which, as determined by the 
President of the United States, supports or participates 
in the management of a program of coercive abortion or 
involuntary sterilization: Provided further, That any deter-
mination made under the previous proviso must be made 
no later than six months after the date of enactment of 
this Act, and must be accompanied by a comprehensive 
analysis as well as the complete evidence and criteria uti-
lized to make the determination: Provided further, That 
none of the funds made available under this Act may be 
used to pay for the performance of abortion as a method 
of family planning or to motivate or coerce any person 
to practice abortions: Provided further, That nothing in 
this paragraph shall be construed to alter any existing 
statutory prohibitions against abortion under section 104 
of the Foreign Assistance Act of 1961: Provided further, 
That none of the funds made available under this Act may 
be used to lobby for or against abortion: Provided further, 
That in order to reduce reliance on abortion in developing 
nations, funds shall be available only to voluntary family 
planning projects which offer, either directly or through 
referral to, or information about access to, a broad range 
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of family planning methods and services, and that any 
such voluntary family planning project shall meet the fol-
lowing requirements: (1) service providers or referral 
agents in the project shall not implement or be subject 
to quotas, or other numerical targets, of total number of 
births, number of family planning acceptors, or acceptors 
of a particular method of family planning (this provision 
shall not be construed to include the use of quantitative 
estimates or indicators for budgeting and planning pur-
poses); (2) the project shall not include payment of incen-
tives, bribes, gratuities, or financial reward to: (A) an indi-
vidual in exchange for becoming a family planning accep-
tor; or (B) program personnel for achieving a numerical 
target or quota of total number of births, number of fam-
ily planning acceptors, or acceptors of a particular method 
of family planning; (3) the project shall not deny any right 
or benefit, including the right of access to participate in 
any program of general welfare or the right of access to 
health care, as a consequence of any individual’s decision 
not to accept family planning services; (4) the project shall 
provide family planning acceptors comprehensible infor-
mation on the health benefits and risks of the method cho-
sen, including those conditions that might render the use 
of the method inadvisable and those adverse side effects 
known to be consequent to the use of the method; and 
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(5) the project shall ensure that experimental contracep-
tive drugs and devices and medical procedures are pro-
vided only in the context of a scientific study in which 
participants are advised of potential risks and benefits; 
and, not less than 60 days after the date on which the 
Administrator of the United States Agency for Inter-
national Development determines that there has been a 
violation of the requirements contained in paragraph (1), 
(2), (3), or (5) of this proviso, or a pattern or practice 
of violations of the requirements contained in paragraph 
(4) of this proviso, the Administrator shall submit to the 
Committees on Appropriations a report containing a de-
scription of such violation and the corrective action taken 
by the Agency: Provided further, That in awarding grants 
for natural family planning under section 104 of the For-
eign Assistance Act of 1961 no applicant shall be discrimi-
nated against because of such applicant’s religious or con-
scientious commitment to offer only natural family plan-
ning; and, additionally, all such applicants shall comply 
with the requirements of the previous proviso: Provided 
further, That for purposes of this or any other Act author-
izing or appropriating funds for foreign operations, export 
financing, and related programs, the term ‘‘motivate’’, as 
it relates to family planning assistance, shall not be con-
strued to prohibit the provision, consistent with local law, 
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of information or counseling about all pregnancy options: 
Provided further, That to the maximum extent feasible, 
taking into consideration cost, timely availability, and best 
health practices, funds appropriated in this Act or prior 
appropriations Acts that are made available for condom 
procurement shall be made available only for the procure-
ment of condoms manufactured in the United States: Pro-
vided further, That information provided about the use of 
condoms as part of projects or activities that are funded 
from amounts appropriated by this Act shall be medically 
accurate and shall include the public health benefits and 
failure rates of such use. 
DEVELOPMENT ASSISTANCE 
For necessary expenses to carry out the provisions 
of sections 103, 105, 106, and sections 251 through 255, 
and chapter 10 of part I of the Foreign Assistance Act 
of 1961, $1,733,760,000, to remain available until Sep-
tember 30, 2009: Provided, That $519,000,000 shall be 
allocated for basic education: Provided further, That of the 
funds appropriated under this heading and managed by 
the United States Agency for International Development 
Bureau of Democracy, Conflict, and Humanitarian Assist-
ance, not less than $35,000,000 shall be made available 
only for programs to improve women’s leadership capacity 
in recipient countries: Provided further, That such funds 
may not be made available for construction: Provided fur-
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