‘‘(i) to promote access to safe, effec-
tive, and affordable methods of contracep-
tion and comprehensive, accurate, non-
discriminatory family planning and sexual 
health information; 
‘‘(ii) to promote access to a full range 
of quality health care services to ensure 
safe and healthy pregnancy and childbirth 
free from violence and discrimination; 
‘‘(iii) to promote the equitable preven-
tion, detection, and treatment of sexually 
transmitted infections, including HIV and 
HPV, and of reproductive tract infections 
and reproductive cancers; and 
‘‘(iv) to expand or restrict access to 
safe abortion services or post-abortion 
care, or to criminalize pregnancy-related 
outcomes, 
including 
spontaneous 
mis-
carriages or pregnancies outside of mar-
riage; 
‘‘(B) a description of the rates and causes 
of pregnancy-related injuries and deaths, in-
cluding deaths due to unsafe abortions; 
‘‘(C) a description of— 
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‘‘(i) the nature and extent of in-
stances of discrimination, coercion, and vi-
olence 
against 
women, 
girls, 
and 
LGBTQI+ individuals in all settings 
where health care is provided, including in 
detention; 
‘‘(ii) instances of obstetric violence, 
involuntary or coerced abortion, involun-
tary or coerced pregnancy, coerced steri-
lization, use of incentives or disincentives 
to lower or raise fertility, withholding of 
information on reproductive health options, 
and other forms of reproductive and sexual 
coercion; and 
‘‘(iii) the actions, if any, taken by the 
government of such country to respond to 
such discrimination, coercion, and violence, 
if applicable; 
‘‘(D) a description of— 
‘‘(i) the proportion of individuals of 
reproductive age (15 through 49 years of 
age) whose need for family planning is sat-
isfied with modern methods; 
‘‘(ii) the barriers such individuals face 
in accessing such services; 
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‘‘(iii) the nature and extent of in-
stances of denial of comprehensive and ac-
curate family planning information and 
services in such country; and 
‘‘(iv) the actions, if any, taken by the 
government of such country to address 
such denials; and 
‘‘(E) a description of— 
‘‘(i) disparities in access to family 
planning and reproductive health services 
and pregnancy-related health outcomes, in-
cluding pregnancy-related injuries and 
deaths, based on race, ethnicity, indigenous 
status, language, religious affiliation, or 
other marginalized identity; and 
‘‘(ii) any measures taken by the gov-
ernment of such country to hold health 
systems accountable for addressing such 
disparities;’’; and 
(2) in section 502B (22 U.S.C. 2304)— 
(A) by redesignating the second subsection 
(i) (relating to child marriage status) as sub-
section (j); and 
(B) by adding at the end the following: 
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‘‘(k) INCLUSION
OF STATUS
OF REPRODUCTIVE 
RIGHTS
IN ANNUAL COUNTRY REPORTS
ON HUMAN 
RIGHTS PRACTICES.—The report required under sub-
section (b) shall include a description of the status of re-
productive rights in each country, including— 
‘‘(1) whether such country has adopted and en-
forced policies— 
‘‘(A) to promote access to safe, effective, 
and affordable methods of contraception and 
comprehensive, 
accurate, 
non-discriminatory 
family planning and sexual health information; 
‘‘(B) to promote access to a full range of 
quality health care services to ensure safe and 
healthy pregnancy and childbirth, free from vio-
lence and discrimination; 
‘‘(C) to promote the equitable prevention, 
detection, and treatment of sexually transmitted 
infections, including HIV and HPV, and of re-
productive tract infections and reproductive 
cancers; and 
‘‘(D) to expand or restrict access to safe 
abortion services or post-abortion care, or crim-
inalize pregnancy-related outcomes, including 
spontaneous miscarriages and pregnancies out-
side of marriage; 
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‘‘(2) a description of the rates and causes of 
pregnancy-related injuries and deaths, including 
deaths due to unsafe abortions; 
‘‘(3) a description of— 
‘‘(A) the nature and extent of instances of 
discrimination, coercion, and violence against 
women, girls and LGBTQI+ individuals in all 
settings where health care is provided, including 
in detention; 
‘‘(B) instances of coerced abortion, coerced 
pregnancy, coerced sterilization, use of incen-
tives or disincentives to lower or raise fertility, 
withholding of information on reproductive 
health options, and other forms of reproductive 
and sexual coercion; and 
‘‘(C) the actions, if any, taken by the gov-
ernment of such country to respond to such dis-
crimination, coercion, and violence, if applica-
ble; 
‘‘(4) a description of— 
‘‘(A) the proportion of individuals of repro-
ductive age (15 through 49 years of age) whose 
need for family planning is satisfied with mod-
ern methods; 
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‘‘(B) the barriers such individuals face in 
accessing such services; 
‘‘(C) the nature and extent of instances of 
denial of comprehensive and accurate family 
planning information and services in such coun-
try; and 
‘‘(D) the actions, if any, taken by the gov-
ernment of such country to respond to such de-
nials; and 
‘‘(5) a description of— 
‘‘(A) disparities in access to family plan-
ning and reproductive health services and preg-
nancy-related health outcomes, including preg-
nancy-related injuries and deaths, based on 
race, ethnicity, indigenous status, language, re-
ligious affiliation, or other marginalized iden-
tity; and 
‘‘(B) any measures taken by the govern-
ment of such country to hold health systems ac-
countable for addressing such disparities.’’. 
(b) CONSULTATION REQUIRED.—In preparing the 
Annual Country Reports on Human Rights Practices re-
quired under sections 116(d) and 502B of the Foreign As-
sistance Act of 1961, as amended by subsection (a), the 
Secretary of State, the Assistant Secretary of State for 
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Democracy, Human Rights, and Labor, and other relevant 
officials, including human rights officers at United States 
diplomatic and consular posts, shall consult with— 
(1) representatives of United States civil society 
and multilateral organizations with demonstrated ex-
perience and expertise in sexual and reproductive 
health and rights or promoting the human rights of 
women, girls, and LGBTQI+ persons; 
(2) relevant local nongovernmental organiza-
tions in all countries included in such reports, in-
cluding organizations serving women, girls, and 
LGBTQI+ persons that are focused on sexual and 
reproductive health and rights; and 
(3) relevant agencies and offices of the United 
States Government that track or are otherwise in-
volved in the monitoring of reproductive and sexual 
health around the world. 
Æ 
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