HR 8771 PCS
ing, equipment, and technical assistance to build the ca-
pacity of public health institutions and organizations in 
developing countries, and for such activities as: (1) child 
survival and maternal health programs; (2) immunization 
and oral rehydration programs; (3) other health, nutrition, 
water and sanitation programs which directly address the 
needs of mothers and children, and related education pro-
grams; (4) assistance for children displaced or orphaned 
by causes other than AIDS; (5) programs for the preven-
tion, treatment, control of, and research on HIV/AIDS, 
tuberculosis, polio, malaria, and other infectious diseases 
including neglected tropical diseases, and for assistance to 
communities severely affected by HIV/AIDS, including 
children infected or affected by AIDS; (6) disaster pre-
paredness training for health crises; (7) programs to pre-
vent, prepare for, and respond to unanticipated and 
emerging global health threats; and (8) family planning/ 
reproductive health: Provided further, That funds appro-
priated under this paragraph may be made available for 
a United States contribution to The GAVI Alliance: Pro-
vided further, That none of the funds made available in 
this Act nor any unobligated balances from prior appro-
priations Acts may be made available to any organization 
or program which, as determined by the President of the 
United States, supports or participates in the manage-
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ment of a program of coercive abortion or involuntary 
sterilization: Provided further, That any determination 
made under the previous proviso must be made not later 
than 6 months after the date of enactment of this Act, 
and must be accompanied by the 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 
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 
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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 
(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 
USAID Administrator determines that there has been a 
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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 the Department of State, 
foreign operations, and related programs, the term ‘‘moti-
vate’’, as it relates to family planning assistance, shall not 
be construed to prohibit the provision, consistent with 
local law, of information or counseling about all pregnancy 
options: Provided 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. 
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In addition, for necessary expenses to carry out the 
provisions of the Foreign Assistance Act of 1961 for the 
prevention, treatment, and control of, and research on, 
HIV/AIDS, $5,645,000,000, to remain available until 
September 30, 2029, which shall be apportioned directly 
to the Department of State: Provided, That funds appro-
priated under this paragraph may be made available, not-
withstanding any other provision of law, except for the 
United States Leadership Against HIV/AIDS, Tuber-
culosis, and Malaria Act of 2003 (Public Law 108–25), 
for a United States contribution to the Global Fund to 
Fight AIDS, Tuberculosis and Malaria (Global Fund): 
Provided further, That the amount of such contribution 
shall be $1,250,000,000: Provided further, That up to 5 
percent of the aggregate amount of funds made available 
to the Global Fund in fiscal year 2025 may be made avail-
able to USAID for technical assistance related to the ac-
tivities of the Global Fund, subject to the regular notifica-
tion procedures of the Committees on Appropriations: Pro-
vided further, That of the funds appropriated under this 
paragraph, up to $22,000,000 may be made available, in 
addition to amounts otherwise available for such purposes, 
for administrative expenses of the United States Global 
AIDS Coordinator, which, consistent with prior years, 
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