disability for women in developing countries, result-
ing in more than 500,000 deaths each year. Almost 
one-third of maternal deaths and illnesses related to 
pregnancy could be avoided if women in developing 
countries had access to modern, safe, and effective 
contraceptives and other reproductive health care 
services. 
(16) Access to contraceptives and other repro-
ductive health care services are also needed to help 
ease growing population pressures on cropland, 
freshwater, and other finite natural resources. In 
many biologically rich areas, there is little or no ac-
cess to the health services that allow women and 
couples to space or limit births. Consequently, the 
population in these ecologically sensitive areas is 
growing nearly 40 percent faster than that of the 
world as a whole. 
(17) The shortfall in reproductive health care 
services is chronic and growing. The cost of contra-
ceptives needed for family planning and condoms for 
HIV/AIDS prevention in developing countries is pro-
jected to increase from $1.3 billion in 2005 to $1.8 
billion in 2015. In spite of this upward trend, donor 
support for contraceptives in 2005, $213 million, 
was only 16 percent of overall funding needs. 
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(18) The consequences of the shortfall in repro-
ductive health care services are devastating. For 
every shortfall of $1 million in funding for contra-
ceptives, an estimated 360,000 additional unin-
tended pregnancies, 150,000 additional induced 
abortions, 800 additional maternal deaths, and 
11,000 additional infant deaths occur. 
(19) Although the United States should be com-
mended for its leadership role with respect to the 
availability of reproductive health services in devel-
oping countries, United States support for such 
services, including funding, has not kept pace with 
the increase in demand for contraceptives, which has 
resulted from the large number of youth entering re-
productive age and the HIV/AIDS pandemic. Since 
1995, United States bilateral assistance for inter-
national family planning programs has decreased by 
41 percent (adjusted for inflation) despite an in-
crease of more than 275 million women of reproduc-
tive age worldwide. 
(20) In addition to the shortfall in funding by 
the United States for reproductive health care serv-
ices, United States policy restrictions have reduced 
donations of contraceptives for developing countries. 
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(21) Widely shared goals of reducing the need 
for abortion and reducing the spread of HIV/AIDS 
are unlikely to be achieved when United States-do-
nated contraceptives are subject to policy restric-
tions, such as the Mexico City Policy, that limit ac-
cess to such contraceptives. 
(22) The Mexico City Policy, which was rein-
stated in 2001, limits access to contraceptives by 
prohibiting United States family planning assistance 
to foreign nongovernmental organizations that use 
funding from any source to provide abortion serv-
ices, counseling, or referral or to lobby to make 
abortion legal or more available in their own coun-
try. 
(23) The Mexico City Policy has exacerbated 
the existing shortage of contraceptives by ending 
shipments of United States-donated contraceptives 
to 20 developing countries in Africa, Asia, and the 
Middle East. 
(24) As an example, the Mexico City Policy has 
forced eight family planning clinics serving thou-
sands of poor women in Kenya to close. Con-
sequently, 
women’s 
access 
to 
contraceptives, 
gynecologic and obstetric care, screening, and treat-
ment for sexually transmitted infections, and vol-
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untary counseling and testing for HIV/AIDS in 
Kenya has been severely disrupted. 
(b) PURPOSE.—The purpose of this Act is to author-
ize assistance to provide contraceptives in developing coun-
tries in order to prevent unintended pregnancies, abor-
tions, and the transmission of sexually transmitted infec-
tions, including HIV/AIDS. 
SEC. 3. ASSISTANCE TO PROVIDE CONTRACEPTIVES IN DE-
VELOPING COUNTRIES. 
Section 104 of Foreign Assistance Act of 1961 (22 
U.S.C. 2151b) is amended— 
(1) by redesignating subsection (g) as sub-
section (h); and 
(2) by inserting after subsection (f) the fol-
lowing new subsection: 
‘‘(g) ASSISTANCE TO PROVIDE CONTRACEPTIVES IN 
DEVELOPING COUNTRIES.— 
‘‘(1) 
ASSISTANCE.—The 
President, 
acting 
through the Administrator of the United States 
Agency for International Development, shall furnish 
assistance to provide contraceptives in developing 
countries in order to prevent unintended preg-
nancies, abortions, and the transmission of sexually 
transmitted infections, including HIV/AIDS. 
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‘‘(2) ELIGIBILITY OF NONGOVERNMENTAL OR-
GANIZATIONS.—Notwithstanding any other provision 
of law, regulation, or policy, in determining eligi-
bility for assistance to provide contraceptives in de-
veloping countries under this subsection, a non-
governmental organization shall not be subject to re-
quirements relating to the use of non-United States 
Government funds that are more restrictive than re-
quirements relating to the use of non-United States 
Government funds that apply to foreign governments 
with respect to eligibility for assistance under this 
subsection. 
‘‘(3) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(A) IN GENERAL.—There are authorized 
to be appropriated to the President to carry out 
this subsection $150,000,000 for each of the 
fiscal years 2008 and 2009. 
‘‘(B) 
ADDITIONAL
AUTHORITIES.— 
Amounts appropriated pursuant to the author-
ization of appropriations under subparagraph 
(A)— 
‘‘(i) may be referred to as the ‘Repro-
ductive Health Supplies Fund’; 
‘‘(ii) are authorized to remain avail-
able until expended; and 
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‘‘(iii) are in addition to amounts oth-
erwise available for such purposes.’’. 
Æ 
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