I 
119TH CONGRESS 
1ST SESSION H. R. 4888 
To amend the Foreign Assistance Act of 1961 to require a section on 
reproductive rights in the Annual Country Reports on Human Rights 
Practices, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
AUGUST 5, 2025 
Ms. JOHNSON of Texas (for herself, Ms. JACOBS, Ms. MCCOLLUM, Mr. DOG-
GETT, Mr. QUIGLEY, Mr. PETERS, Ms. VELA´ZQUEZ, Ms. NORTON, Mr. 
AUCHINCLOSS, Ms. BROWNLEY, Mr. MOULTON, Ms. MOORE of Wis-
consin, Mr. TORRES of New York, Ms. BUDZINSKI, Ms. WASSERMAN 
SCHULTZ, Ms. ELFRETH, Mr. TAKANO, Ms. TOKUDA, Mrs. TORRES of 
California, Mr. POCAN, Ms. ROSS, Mrs. CHERFILUS-MCCORMICK, Mr. 
WHITESIDES, Ms. CRAIG, Ms. JAYAPAL, Ms. DEGETTE, Mr. COHEN, Ms. 
STANSBURY, Ms. TLAIB, Mr. KRISHNAMOORTHI, Mr. JOHNSON of Geor-
gia, Ms. DELBENE, Mrs. FLETCHER, Ms. CROCKETT, Mr. NORCROSS, 
Ms. SIMON, Mr. SOTO, Ms. CLARKE of New York, Mr. DESAULNIER, Mr. 
MCGOVERN, Mr. THANEDAR, Ms. BALINT, Ms. WILLIAMS of Georgia, 
Ms. DAVIDS of Kansas, Mrs. MCCLAIN DELANEY, Mr. AMO, Ms. 
MCBRIDE, and Mr. GARCI´A of Illinois) introduced the following bill; 
which was referred to the Committee on Foreign Affairs 
A BILL 
To amend the Foreign Assistance Act of 1961 to require 
a section on reproductive rights in the Annual Country 
Reports on Human Rights Practices, and for other pur-
poses. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Reproductive Rights 
are Human Rights Act of 2025’’. 
SEC. 2. FINDINGS. 
Congress finds the following: 
(1) The United States has joined the inter-
national community in identifying reproductive 
rights as human rights, including in connection with 
the 1994 International Conference on Population 
and Development, the 1995 Beijing World Con-
ference on Women, and through its ratification of 
the International Covenant on Civil and Political 
Rights, done at New York December 19, 1966 (re-
ferred to in this Act as ‘‘ICCPR’’), the International 
Convention on the Elimination of All Forms of Ra-
cial Discrimination, done at New York December 21, 
1965, and the Convention against Torture and 
Other Cruel, Inhuman or Degrading Treatment or 
Punishment, done at New York December 10, 1984. 
(2) General comment No. 36 (2018) on article 
6 of the ICCPR, which was adopted by the Human 
Rights Committee on October 30, 2018, asserts that 
States parties— 
(A) should ensure access for all persons to 
quality and evidence-based information and 
education about sexual and reproductive health 
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and to a wide range of affordable contraceptive 
methods; 
(B) must provide safe, legal, and effective 
access to abortion where the life and health of 
the pregnant woman or girl is at risk, or where 
carrying a pregnancy to term would cause the 
pregnant woman or girl substantial pain or suf-
fering, most notably where pregnancy is the re-
sult of rape or incest or is not viable; 
(C) ensure the availability of, and effective 
access to, quality prenatal and post-abortion 
health care for women and girls; and 
(D) must not impose restrictions on the 
ability of women or girls to seek abortion in a 
manner that jeopardizes their lives, subjects 
them to physical or mental pain or suffering, 
discriminates against them, arbitrarily inter-
feres with their privacy, or places them at risk 
of undertaking unsafe abortions. 
(3) The World Health Organization (WHO) 
Abortion Care Guidelines (2022) asserts comprehen-
sive abortion care includes the provision of informa-
tion, abortion management (including induced abor-
tion), and care related to pregnancy loss/sponta-
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neous abortion and post-abortion care, and requires 
supportive law and policy including— 
(A) full decriminalization of abortion; 
(B) repeal of laws and regulations that re-
strict abortion by reasons, prohibit abortion 
based on gestational limits, and require manda-
tory waiting periods; 
(C) availability of abortion on the request 
of the woman, girl or other pregnant person 
and without the need for authorization from 
any other person, body, or institution; 
(D) ending regulations that limit who can 
provide and manage abortion care that are in-
consistent with WHO guidance; and 
(E) protection of abortion access from bar-
riers created by conscientious refusal. 
(4) Reproductive coercion, which is any behav-
ior that interferes with autonomous decision making 
about reproductive health outcomes, is a violation of 
human rights. 
(5) Lesbian, gay, bisexual, transgender, queer, 
and intersex persons (LGBTQI+) face stigma and 
discrimination in accessing reproductive health serv-
ices, and barriers, including anti-LGBTQI+ laws, 
policies, and gender norms in countries. The denial 
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of access to sexual and reproductive health care and 
associated human rights violations due to these bar-
riers should be reported in relevant Department of 
State Annual Country Reports on Human Rights 
Practices. 
(6) People with disabilities have historically 
been subjected to forced sterilization and coercive 
abortion practices, eugenics, institutionalization or 
guardianship practices that stripped them of their 
right to autonomy, and barriers to comprehensive re-
productive care, including denial of fertility care, ac-
cess to comprehensive sex education, contraception, 
and abortion care, and often face disrespect during 
pregnancy and birth. The denial of access to sexual 
and reproductive health care and associated human 
rights violations due to these barriers should be re-
ported in relevant Department of State Annual 
Country Reports on Human Rights Practices. 
(7) Human rights are grounded in international 
standards. The Department of State’s deletion of 
the reproductive rights subsection from its 2017, 
2018, 2019, and 2024 Country Reports on Human 
Rights Practices inappropriately politicized human 
rights of people around the world. 
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(8) The dismantling of the United States Agen-
cy for International Development (USAID) will se-
verely undermine global reproductive health out-
comes by disrupting funding for contraception, ma-
ternal healthcare, and safe childbirth services. 
USAID’s programs are critical in reducing maternal 
and infant mortality, preventing unintended preg-
nancies, 
and 
ensuring 
access 
to 
care 
for 
marginalized communities worldwide. 
(9) Limiting reproductive rights also limits 
pathways to economic, social, and political empower-
ment. Sexual and reproductive health and rights are 
essential for sustainable economic development, are 
intrinsically linked to gender equality and women’s 
well-being, and are critical to community health. 
SEC. 3. ANNUAL COUNTRY REPORTS ON HUMAN RIGHTS 
PRACTICES. 
(a) IN GENERAL.—The Foreign Assistance Act of 
1961 (22 U.S.C. 2151 et seq.) is amended— 
(1) in section 116(d) (22 U.S.C. 2151n(d)), by 
amending paragraph (2) to read as follows: 
‘‘(2) the status of reproductive rights in each 
country, including— 
‘‘(A) whether such country has adopted 
and enforced policies— 
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‘‘(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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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: 
‘‘(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-
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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; 
‘‘(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-
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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; 
‘‘(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, age, marital status, disability, 
sexual orientation and gender identity, or other 
marginalized identity; and 
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‘‘(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 
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-
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volved in the monitoring of reproductive and sexual 
health around the world. 
Æ 
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