SEC. 2. AUTHORITIES RELATING TO UNITED STATES POPU-
LATION ASSISTANCE.
Part I of the Foreign Assistance Act of 1961 is
amended—
(1) in section 104(b), by striking ‘‘on such
terms and conditions as he may determine’’ and in-
serting ‘‘in accordance with the provisions of chapter
12’’; and
(2) by adding at the end the following new
chapter:
‘‘CHAPTER 12—UNITED STATES
POPULATION ASSISTANCE
‘‘SEC. 499. DEFINITION.—For purposes of this chap-
ter, the term ‘United States population assistance’ means
assistance provided under section 104(b) of this Act.
‘‘SEC. 499A. CONGRESSIONAL FINDINGS.—The Con-
gress makes the following findings:
‘‘(1) Throughout much of the developing world,
the inability of women and couples to exercise choice
over childbearing undermines the role of women in
economic development, contributes to death and suf-
fering among women and their children, puts pres-
sure on the environment and the natural resources
on which many poor families depend for their sur-
vival, and in other ways vitiates the efforts of fami-
lies to lift themselves out of the poverty in which
more than one billion of the world’s 5.6 billion peo-
ple live.
‘‘(2) Through 2015, the world’s population will
continue to grow, with annual population increments
predicted to be above 86 million. This will lead to a
tripling of the world’s population before stabilization
can occur.
‘‘(3) As the population within individual coun-
tries grows, cities grow rapidly, movement in and be-
tween countries increases, and regional distributions
of population become unbalanced.
‘‘(4) After more than a quarter century of expe-
rience and research, a global consensus is emerging
on the need for increased international cooperation
in regard to population in the context of sustainable
development.
‘‘(5) To act effectively on this consensus, the
ability to exercise reproductive choice should be ex-
panded through broader dissemination of fertility
regulation services that involve women, couples, and
the community and which are competent in meeting
individual, family, and community needs and values.
‘‘(6) Although a number of barriers to family
planning remain, in many countries a large and
growing unmet desire exists for fertility regulation
among women and men who are too poor to pay the
full cost of services or for whom services are other-
wise inaccessible. Worldwide, estimates are that
more than 350 million couples want to space or pre-
vent another pregnancy, but lack access to family
planning methods.
‘‘(7) Millions of women, most of them mothers,
are killed or injured each year as a result of unsafe
abortions. The availability of safe and effective fer-
tility regulation methods and services and increased
access to quality reproductive health care can help
prevent many of these tragedies.
‘‘(8) In addition to the personal toll on families,
the impact of human population growth and wide-
spread poverty is evident in mounting signs of stress
on the world’s environment, particularly in tropical
deforestation, erosion of arable land and watersheds,
extinction of plant and animal species, global climate
change, waste management, and air and water pollu-
tion.
‘‘(9) Traditionally, United States population as-
sistance has not focused on achieving specific goals
with respect to international population stabilization
or the expansion of reproductive choice. The absence
of clear goals in those areas has led to a lack of cri-
teria for allocating funds and evaluating program
success.
‘‘SEC. 499B. DECLARATION OF POLICY. (a) IN GEN-
ERAL.—Congress declares that to reduce population
growth and stabilize world population at the lowest level
feasible and thereby improve the health and well-being of
the world’s families, to ensure the role of women in the
development process, and to protect the global environ-
ment, an important objective of the foreign policy of the
United States shall be to assist the international commu-
nity to achieve universal availability of quality fertility reg-
ulation services through a wide choice of safe and effective
means of family planning, including programs of public
education and other health and development efforts in
support of smaller families.
‘‘(b) FINANCIAL TARGETS.—The Congress endorses
a target for global expenditures in developing countries of
at least $17,000,000,000 by the year 2000 for population
programs described in section 499C, and establishes a goal
for United States population assistance by the year 2000
of $1,850,000,000 in constant 1993 dollars.
‘‘SEC. 499C. AUTHORIZED
ACTIVITIES.—United
States population assistance is authorized to provide—
‘‘(1) support for the expansion of quality, af-
fordable, voluntary family planning services, which
emphasize informed choice among a variety of safe
and effective fertility regulation methods and closely
related reproductive health care services, including
the prevention and control of HIV–AIDS, sexually
transmitted diseases, and reproductive tract infec-
tions;
‘‘(2) support for adequate and regular supplies
of quality contraceptives, quality family planning
counseling, information, education, communication,
and services emphasizing the use of the mass media
to improve public knowledge of fertility regulation
and related disease prevention methods and where
they may be obtained and to promote the benefits of
family planning and reproductive health to individ-
uals, families, and communities;
‘‘(3) support to United States and foreign re-
search institutions and other appropriate entities for
biomedical research to develop and evaluate im-
proved methods of safe fertility regulation and relat-
ed disease control, with particular emphasis on
methods which—
‘‘(A) are likely to be safer, easier to use,
easier to make available in developing country
settings, and less expensive than current meth-
ods;
‘‘(B) are controlled by women, including
barrier methods and vaginal microbicides;
‘‘(C) are likely to prevent the spread of
sexually transmitted diseases; and
‘‘(D) encourage and allow men to take
greater responsibility for their own fertility;
‘‘(4) support for field research on the character-
istics of programs most likely to result in sustained
use of effective family planning in meeting each indi-
vidual’s lifetime reproductive goals, with particular
emphasis on the perspectives of family planning
users, including support for relevant social and be-
havioral research focusing on such factors as the
use, nonuse, and unsafe or ineffective use of various
fertility regulation and related-disease control meth-
ods;
‘‘(5) support for the development of new evalua-
tion techniques and performance criteria for family
planning programs, emphasizing the family planning
user’s perspective and reproductive goals;
‘‘(6) support for research and research dissemi-
nation related to population policy development, in-
cluding demographic and health surveys to assess
population trends, measure unmet needs, and evalu-
ate program impact, and support for policy-relevant
research on the relationships between population
trends, poverty, and environmental management, in-
cluding implications for sustainable agriculture,
agroforestry, biodiversity, water resources, energy
use, and local and global climate change;
‘‘(7) support for prevention of unsafe abortions
and management of complications of unsafe abor-
tions, including research and public information dis-
semination on the health and welfare consequences;
‘‘(8) support for special programs to reach ado-
lescents and young adults before they begin child-
bearing, including health education programs which
stress responsible parenthood and the health risks of
unprotected sexual intercourse, as well as service
programs designed to meet the information and con-
traception needs of adolescents;
‘‘(9) support for a broad array of governmental
and nongovernmental communication strategies de-
signed—
‘‘(A) to create public awareness worldwide;
‘‘(B) to generate a consensus on the need
to address reproductive health issues and the
problems associated with continued world popu-
lation growth;
‘‘(C) to emphasize the need to educate men
as well as women and mobilize their support for
reproductive rights and responsibilities; and
‘‘(D) to remove all major remaining bar-
riers to family planning use, including unneces-
sary legal, medical, clinical, and regulatory bar-
riers to information and methods, and to make
family planning an established community
norm;
‘‘(10) support for programs and strategies that
actively discourage harmful practices such as female
genital mutilation; and
‘‘(11) support for prenatal, safe delivery pro-
grams and postnatal care programs that include
breastfeeding as a child survival strategy and means
for enhancing birth spacing.
‘‘SEC. 499D. TERMS
AND CONDITIONS.—United
States population assistance is authorized to be provided
subject to the following conditions:
‘‘(1) Such assistance may only support, directly
or through referral, those activities which provide a
broad range of fertility regulation methods permitted
by individual country policy and a broad choice of
public and private family planning services, includ-
ing networks for community-based and subsidized
commercial distribution of high quality contracep-
tives.
‘‘(2) No program supported by United States
population assistance may deny an individual family
planning services because of such individual’s inabil-
ity to pay all or part of the cost of such services.
‘‘(3) In each recipient country, programs sup-
ported by United States population assistance shall,
to the extent possible, support an integrated ap-
proach, consistent with respect for the rights of
women as decisionmakers in matters of reproduction
and sexuality, for the provision of public and private
reproductive health services.
‘‘(4) Family planning services and related re-
productive health care services supported by United
States population assistance shall ensure—
(A) privacy and confidentiality and main-
tain the highest medical standards possible
under local conditions; and
(B) regular oversight of the quality of
medical care and other services offered, includ-
ing followup care such as care for the side ef-
fects of contraceptive use.
‘‘(5) United States population assistance pro-
grams shall furnish only those contraceptive drugs
and devices which have received approval for mar-
keting in the United States by the Food and Drug
Administration or which have been tested and deter-
mined to be safe and effective under research proto-
cols comparable to those required by the Food and
Drug Administration or have been determined to be
safe by an appropriate international organization or
the relevant health authority in the country to which
they are provided.
‘‘(6) Family planning services supported by
United States population assistance shall be de-
signed to take into account the needs of the family
planning user, including the constraints on women’s
time, by involving members of the community, in-
cluding both men and women, in the design, man-
agement, and ongoing evaluation of the services
through appropriate training and recruitment ef-
forts. The design of services shall stress easy acces-
sibility, by locating services as close as possible to
potential users, by keeping hours of service conven-
ient, and by improving communications between
users and providers through community outreach
and involvement. Related services shall be included,
either on site or through referral.
‘‘(7) United States population assistance to ad-
olescent fertility programs shall be provided in the
context of prevailing norms and customs in the re-
cipient country.
‘‘(8)(A) Programs supported by United States
population assistance shall—
‘‘(i) support the prevention of the spread
of HIV–AIDS infection;
‘‘(ii) raise awareness regarding HIV–AIDS
prevention and consequences; and
‘‘(iii) provide quality counselling, medical
care and support services to HIV–AIDS in-
fected individuals in a manner which respects
individual rights and confidentiality.
‘‘(B) Responsible sexual behavior, including vol-
untary abstinence, for the prevention of HIV infec-
tion should be promoted and included in education
and information programs.
‘‘(9) None of the funds made available by the
United States Government to foreign governments,
international organizations, or nongovernmental or-
ganizations may be used to coerce any person to un-
dergo contraceptive sterilization or involuntary abor-
tion or to accept any other method of fertility regu-
lation.
‘‘SEC. 499E. ELIGIBILITY FOR POPULATION ASSIST-
ANCE. (a) ELIGIBLE COUNTRIES.—Notwithstanding any
other provision of law, United States population assistance
shall be available, directly or through intermediary organi-
zations, to any country which the President determines
has met one or more of the following criteria:
‘‘(1) The country accounts for a significant pro-
portion of the world’s annual population increment.
‘‘(2) The country has significant unmet needs
for fertility regulation and requires foreign assist-
ance to implement, expand, or sustain quality family
planning services for all its people.
‘‘(3) The country demonstrates a strong policy
commitment to population stabilization through the
expansion of reproductive choice.
‘‘(b) ELIGIBILITY OF NONGOVERNMENTAL AND MUL-
TILATERAL ORGANIZATIONS.—In determining eligibility
for United States population assistance, the President
shall not subject nongovernmental and multilateral organi-
zations to requirements which are more restrictive than
requirements applicable to foreign governments for such
assistance.
‘‘SEC. 499F. PARTICIPATION IN MULTILATERAL OR-
GANIZATIONS. (a) FINDING.—The Congress recognizes
that the recent attention, in government policies toward
population stabilization owes much to the efforts of the
United Nations and its specialized agencies and organiza-
tions, particularly the United Nations Population Fund.
‘‘(b) AVAILABILITY OF FUNDS.—United States popu-
lation assistance shall be available for contributions to the
United Nations Population Fund in such amounts as the
President determines would be commensurate with United
States contributions to other multilateral organizations
and with the contributions of other donor countries.
‘‘(c) PROHIBITIONS.—(1) The prohibitions contained
in section 104(f) of this Act shall apply to the funds made
available for the United Nations Population Fund.
‘‘(2) No United States population assistance may be
available to the United Nations Population Fund unless
such assistance is held in a separate account and not com-
mingled with any other funds.
‘‘(3) No funds may be available for the United Na-
tions Population Fund unless the Fund agrees to prohibit
the use of those funds to carry out any program, project,
or activity that involves the use of coerced abortion or in-
voluntary sterilization.
‘‘(d) ALLOCATION OF FUNDS.—Of the funds made
available for United States population assistance, the
President shall make available for the Special Programme
of Research, Development and Research Training in
Human Reproduction for each of the fiscal years 1996 and
1997 an amount commensurate with the contributions of
the other donor countries for the purpose of furthering
international cooperation in the development and evalua-
tion of fertility regulation technology.
‘‘SEC. 499G. SUPPORT FOR NONGOVERNMENTAL OR-
GANIZATIONS. (a) FINDING.—Congress finds that in many
developing countries, nongovernmental entities, including
private and voluntary organizations and private sector en-
tities, such as the International Planned Parenthood Fed-
eration and the Planned Parenthood Federation of Amer-
ica, are the most appropriate and effective providers of
United States assistance to population and family plan-
ning activities.
‘‘(b) PROCEDURES.—The President shall establish
simplified procedures for the development and approval of
programs to be carried out by nongovernmental organiza-
tions that have demonstrated—
‘‘(1) a capacity to undertake effective popu-
lation and family planning activities which encourage
significant involvement by private health practition-
ers, employer-based health services, unions, and co-
operative health organizations; and
‘‘(2) a commitment to quality reproductive
health care for women.
‘‘(c) PRIORITY FOR NONGOVERNMENTAL ORGANIZA-
TIONS.—The largest share of United States population as-
sistance made available for any fiscal year shall be made
available through United States and foreign nongovern-
mental organizations.
‘‘SEC. 499H. REPORTS TO CONGRESS.—The Presi-
dent shall prepare and submit to the Congress, as part
of the annual presentation materials on foreign assistance,
a report on world progress toward population stabilization
and universal reproductive choice. The report shall in-
clude—
‘‘(1) estimates of expenditures on the popu-
lation activities described in section 499C by na-
tional governments, donor agencies, and private sec-
tor entities;
‘‘(2) an assessment by country, of the availabil-
ity and use of all methods of fertility regulation and
abortion, whether lawful or unlawful in that country;
‘‘(3) an analysis by country and region of the
impact of population trends on a set of key social,
economic, political, and environment indicators,
which shall be identified by the President in the first
report submitted pursuant to this section and ana-
lyzed in that report and each subsequent report; and
‘‘(4) a detailed statement of prior year and pro-
posed direct and indirect allocations of population
assistance, by country, which describes how each
country allocation meets the criteria set forth in this
section.’’.
SEC. 3. AUTHORIZATIONS OF APPROPRIATIONS.
Section 104(g)(1) of the Foreign Assistance Act of
1961 (22 U.S.C. 2151b(g)(1) is amended by amending
subparagraph (A) to read as follows:
‘‘(A) $635,000,000 for fiscal year 1996 and
$695,000,000 for fiscal year 1997 to carry out sub-
section (b) of this section; and’’.
SEC. 4. OVERSIGHT OF MULTILATERAL DEVELOPMENT
BANKS.
(a) FINDINGS.—The Congress finds that—
(1) multilateral development banks have an im-
portant role to play in global population efforts;
(2) although the increased commitment by mul-
tilateral development banks to population-related ac-
tivities is encouraging, together the banks provided
less than $200,000,000 in 1994 in assistance for
core population programs, and their overall lending
for population, health, and nutrition decreased by
more than one-half between 1993 and 1994; and
(3) the banks themselves have recognized a
need to improve oversight of programs, strengthen
the technical skills of their personnel, and improve
their capacity to work with borrowers, other donors,
and nongovernmental organizations in formulating
creative population projects to meet diverse borrower
needs.
(b) SENSE OF CONGRESS.—It is the sense of the
Congress that the multilateral development banks should
increase their annual support for the population activities
described in section 499C of the Foreign Assistance Act
of 1961, as added by this Act, to not less than a total
of $1,000,000,000 by December 31, 2000.
(c) REPORT REQUIRED.—Not later than July 31 of
each year, the Secretary of the Treasury shall prepare and
transmit to Congress a report which includes, with respect
to the preceding calendar year—
(1) information on the resources made available
by each multilateral development bank for the popu-
lation activities described in section 499C of the
Foreign Assistance Act of 1961, as added by this
Act;
(2) 
if 
such 
resources 
total 
less 
than
$1,000,000,000, any specific actions taken by the
United States executive directors to the banks to en-
courage increases in such resources and in policy-
level discussions with donor and developing country
governments; and
(3) an analysis of the progress made by the
banks towards—
(A) meeting the objectives of the popu-
lation activities which are supported by the
banks;
(B) increasing their in-country manage-
ment staff;
(C) improving the technical skills of their
personnel; and
(D) assuring their responsiveness to bor-
rower needs.
(d) DEFINITION.—As used in this section, the term
‘‘multilateral development banks’’ means the International
Bank for Reconstruction and Development, the Inter-
national Development Association, the African Develop-
ment Bank, the Asian Development Bank, the Inter-
American Development Bank, and the European Bank for
Reconstruction and Development.
SEC. 5. REPORT ON WORLD CONFERENCE ON WOMEN.
(a) REPORT.—Not later than August 1, 1995, the
Secretary shall submit to the Congress a public report on
preparations for United States participation in the 1995
World Conference on Women, including information on
public hearings and conferences to be held in relation to
the Conference. The report, which should be made avail-
able for consideration at the 1995 World Conference on
Women, shall specify, among other things—
(1) modifications in policy and financial com-
mitments required by United States and foreign gov-
ernments to achieve universal reproductive choice
and early population stabilization;
(2) information on the burden of poverty on
women, including international statistics on women
in poverty and female-headed households;
(3) current data on gender inequality in access
to education and health care services;
(4) information on violence against women, in-
cluding current data on causes and incidence, new
methods for addressing violence against women, and
proposals for preventing and eradicating violence
against women;
(5) information on women’s access to and par-
ticipation in the development of economic structures
and policies and in local and national economies in
general, including current data on occupational seg-
regation, wage inequality, and access to credit and
technology; and
(6) current comparative data on men and
women in political positions, legislative bodies, and
decisionmaking positions at all levels, and informa-
tion on the structural and attitudinal barriers
women face in these areas.
SEC. 6. ECONOMIC AND SOCIAL DEVELOPMENT INITIA-
TIVES TO STABILIZE WORLD POPULATION.
(a) 
CONGRESSIONAL
FINDINGS.—The 
Congress
makes the following findings:
(1) Women represent 50 percent of the world’s
human resource potential. Therefore, improving the
health, social, and economic status of women and in-
creasing their productivity are essential for economic
progress in all countries. Improving the status of
women also enhances their decisionmaking capacity
at all levels in all spheres of life, including in the
area of reproductive health.
(2) Throughout the world, women who partici-
pate in the social, economic, and political affairs of
their communities are more likely to exercise their
choice about childbearing than women who do not
participate in such activities.
(3) Effective economic development strategies
address issues such as infant and child survival
rates, educational opportunities for girls and women,
and gender equality in development.
(4) Comprehensive population stabilization ef-
forts which include both family planning services
and economic development activities achieve lower
birth rates and stimulate more development than
those which pursue these objectives independently.
(5) The most powerful, long-term influence on
birthrates is education, especially educational attain-
ment among women. Education is one of the most
important means of empowering women with the
knowledge, skills and self confidence necessary to
participate in their communities.
(6) In most societies, men traditionally have ex-
ercised preponderant power in nearly all spheres of
life. Therefore, improving communication between
men and women on reproductive health issues and
increasing their understanding of joint responsibil-
ities are essential to ensuring that men and women
are equal partners in public and private life.
(7) In addition to enabling women to partici-
pate in the development of their societies, edu-
cational attainment has a strong influence on all
other aspects of family welfare, including child sur-
vival. However, of the world’s 130 million children
who are not enrolled in primary school, 70 percent
are girls.
(8) In a number of countries, lower rates of
school enrollment among girls, the practice of pre-
natal sex selection, and higher rates of mortality
among very young girls suggest that ‘‘son pref-
erence’’ is curtailing the access of girl children to
food, health care, and education.
(9) Each year, nearly 15 million children under
the age of 5 die, most from preventable causes.
Wider availability of vaccines, simple treatments for
diarrheal disease and respiratory infections, and im-
proved nutrition could prevent many of these deaths.
(10) Each year, 500,000 or more women world-
wide die from complications related to pregnancy,
childbirth, illegal abortion, or inadequate or inacces-
sible reproductive health care services. Another 10
million women annually suffer long-term illness or
permanent physical impairment from such causes.
(11) Malnutrition and anemia are widespread
among poor women in their childbearing years, yet
the worldwide campaign to encourage breastfeeding
has devoted little attention to the nutritional needs
of nursing mothers.
(12) By mid-1993, the cumulative number of
AIDS cases since the pandemic began was estimated
at 2.5 million, and an estimated 14 million people
had been infected with HIV. By year 2000, esti-
mates are that 40 million people will be HIV in-
fected.
(13) As of mid-1993, four-fifths of all persons
ever infected with HIV lived in developing countries.
Women are the fastest growing group of new cases.
(b) DECLARATION OF POLICY.—Congress declares
that, to further the United States foreign policy objective
of assisting the international community in achieving uni-
versal availability of quality fertility regulation services
and stabilizing world population, additional objectives of
the foreign policy of the United States shall be—
(1) to help achieve universal access to basic
education for women and men, with particular prior-
ity being given to primary and technical education
and job training;
(2) to increase understanding of the con-
sequences of population growth through effective
education strategies that begin in primary school
and continue through all levels of formal and
nonformal education and which take into account
the rights and responsibilities of parents and the
needs of children and adolescents;
(3) to reduce the gap between male and female
levels of literacy and between male and female levels
of primary and secondary school enrollment;
(4) to help ensure that women worldwide have
the opportunity to become equal partners with men
in the development of their societies;
(5) to help eliminate all forms of discrimination
against girl children and the root causes of son pref-
erence, which result in harmful and unethical prac-
tice such as female infanticide and prenatal sex se-
lection;
(6) to increase public awareness of the value of
girl children through public education that promotes
equal treatment of girls and boys in health, nutri-
tion, education, socioeconomic and political activity,
and equitable inheritance rights;
(7) to promote gender equality in all spheres of
life, including family and community life, and to en-
courage and enable men to take responsibility for
their sexual and reproductive behavior and their so-
cial and family roles;
(8) to help ensure that women and men have
the information and means needed to achieve good
reproductive health and to exercise their reproduc-
tive rights through responsible sexual behavior and
equity in gender relations;
(9) to reduce global maternal and infant mor-
tality rates; and
(10) to improve worldwide maternal and child
health status and quality of life.
(c) AUTHORIZED ACTIVITIES.—United States devel-
opment assistance shall be available, on a priority basis,
for—
(1) countries which either have adopted and im-
plemented, or have agreed to adopt and implement,
strategies to help ensure—
(A) before 2015, the achievement of the
goal of universal primary education for girls
and boys in all countries and access to second-
ary and higher levels of education, including vo-
cational education and technical training, for
girls and women;
(B) by 2005, the reduction of adult illit-
eracy by at least one-half the country’s 1990
level;
(C) by 2005, the elimination of the gap be-
tween male and female levels of literacy and be-
tween male and female levels of primary and
secondary school enrollment; and
(D) the establishment of programs de-
signed to meet adolescent health needs, which
include services and information on responsible
sexual behavior, family planning practice, repro-
ductive health and sexually transmitted dis-
eases, and HIV–AIDS prevention;
(2) governmental and nongovernmental pro-
grams which, with respect to a targeted country, are
intended—
(A) by 2005, to increase life expectancy at
birth to greater than 70 years of age and by
2015, to 75 years of age;
(B) by 2005, to reduce by one-third the
country’s mortality rates for infants and chil-
dren under 5 years of age, or to 50 per 1,000
live births for infants and 70 per 1,000 for chil-
dren under 5 years of age, whichever is less;
and by 2015, to reduce the country’s infant
mortality rate below 35 per 1,000 births and
the under-5 mortality rate below 45 per 1,000;
(C) by 2005, to reduce maternal mortality
by one-half of the 1990 level and by a further
one-half by 2015;
(D) by 2005, to reduce significantly mal-
nutrition among the country’s children under 5
years of age;
(E) to maintain immunizations against
childhood diseases for significant segments of
the country’s children; and
(F) to reduce the number of childhood
deaths in the country which result from diar-
rheal disease and acute respiratory infections;
(3) governmental and nongovernmental pro-
grams which are intended to increase women’s pro-
ductivity and ensure equal participation and equi-
table representation at all levels of the political proc-
ess and public life in each community and society
through—
(A) improved access to appropriate labor-
saving technology, vocational training, and ex-
tension services and access to credit and child
care;
(B) equal participation of women and men
in all areas of family and household responsibil-
ities, including family planning, financial sup-
port, child rearing, children’s education, and
maternal and child health and nutrition;
(C) fulfillment of the potential of women
through education, skill development and em-
ployment, with the elimination of poverty, illit-
eracy and poor health among women being of
paramount importance; and
(D) recognition and promotion of the equal
value of children of both sexes;
(4) governmental and nongovernmental pro-
grams which are intended to increase the access of
girls and women to comprehensive reproductive
health care services pursuant to subsection (d); and
(5) governmental and nongovernmental pro-
grams which are intended to eliminate all forms of
exploitation, abuse, harassment, and violence against
women, adolescents, and children.
(d) SAFE MOTHERHOOD INITIATIVE.—(1)(A) The
President is authorized to establish a grant program, to
be known as the Safe Motherhood Initiative, to help im-
prove the access of girls and women worldwide to com-
prehensive reproductive health care services.
(B) Such program shall be carried out in accordance
with this section and shall be subject to the same terms,
conditions, prohibitions, and restrictions as are applicable
to assistance made available under sections 499D, 499E,
and 499F of the Foreign Assistance Act of 1961, as added
by this Act.
(2) Comprehensive reproductive health care programs
which are eligible for assistance under this section in-
clude—
(A) fertility regulation services;
(B) prenatal care and screening for high risk
pregnancies and improved access to safe delivery
services for women with high risk pregnancies;
(C) supplemental food programs for pregnant
and nursing women;
(D) child survival and other programs that pro-
mote birth spacing through breastfeeding;
(E) expanded and coordinated programs that
support responsible sexual behavior, including vol-
untary abstinence, and which prevent, detect, and
treat sexually transmitted diseases, including HIV–
AIDS, reproductive tract infections, and other
chronic reproductive health problems;
(F) programs intended to eliminate traditional
practices injurious to women’s health, including fe-
male genital mutilation;
(G) improvements in the practice of midwifery,
including outreach to traditional birth attendants;
and
(H) expanded and coordinated programs to pre-
vent, detect, and treat cancers of the reproductive
system.
(e) REPORTS TO CONGRESS.—(1) Not later than De-
cember 31, 1995, the President shall prepare and submit
to Congress a report which includes—
(A) estimates of the total financial resources
needed to achieve, by the year 2005, the specific ob-
jectives set forth in subsection (c) with respect to
education, rates of illiteracy, malnutrition, immuni-
zation, maternal and child mortality and morbidity,
and improvements in the economic productivity of
women;
(B) an analysis of such estimates which sepa-
rately lists the total financial resources needed from
the United States, other donor nations, and non-
governmental organizations;
(C) an analysis, by country, which—
(i) identifies the legal, social, economic,
and cultural barriers to women’s self-determina-
tion and to improvements in the economic pro-
ductivity of women in traditional and modern
labor sectors; and
(ii) describes initiatives needed to develop
appropriate technologies for use by women,
credit programs for low-income women, ex-
panded child care, vocational training, and ex-
tension services for women; and
(D) a comprehensive description of—
(i) new and expanded initiatives to ensure
safe motherhood worldwide;
(ii) findings on the major causes of mortal-
ity and morbidity among women of childbearing
age in various regions of the world;
(iii) actions needed to reduce, by the year
2005, world maternal mortality by one-half of
the worldwide 1990 level and a further one-half
by 2015; and
(iv) the financial resources needed to meet
this goal from the United States, other donor
nations, and nongovernmental organizations.
(2) In each annual country human rights report, the
Secretary of State shall include—
(A) information on any patterns within the
country of discrimination against women in inherit-
ance laws, property rights, family law, access to
credit and technology, hiring practices, formal edu-
cation, and vocational training; and
(B) an assessment which makes reference to all
significant forms of violence against women, includ-
ing rape, domestic violence, and female genital muti-
lation, the extent of involuntary marriage and child-
bearing, and the prevalence of marriage among
women under 18 years of age.
(f) AUTHORIZATION OF APPROPRIATIONS.—(1) Of
the aggregate amounts available for United States devel-
opment and economic assistance programs for education
activities, $165,000,000 for fiscal year 1996 and
$200,000,000 for fiscal year 1997 shall be available only
for programs in support of increasing primary and second-
ary school enrollment and equalizing levels of male and
female enrollment.
(2) There are authorized to be appropriated
$330,000,000 for fiscal year 1996 and $380,000,000 for
fiscal year 1997 to the Child Survival Fund under section
104(c)(2) of the Foreign Assistance Act of 1961, which
amounts shall be available for child survival activities only,
including the Children’s Vaccine Initiative, the worldwide
immunization effort, and oral rehydration programs.
(3) There are authorized to be appropriated
$100,000,000 for the Safe Motherhood Initiative for each
of fiscal years 1995 and 1996.
(g) DEFINITIONS.—For purposes of this section—
(1) the term ‘‘annual country human rights re-
port’’ refers to the report required to be submitted
pursuant to section 502B(b) of the Foreign Assist-
ance Act of 1961 (22 U.S.C. 2304(b)); and
(2) the term ‘‘United States development and
economic assistance’’ means assistance made avail-
able under chapter 1 of part I and chapter 4 of part
II of the Foreign Assistance Act of 1961.
SEC. 7. AIDS PREVENTION AND CONTROL FUND.
(a) IN GENERAL.—Section 104(c) of the Foreign As-
sistance Act of 1961 (22 U.S.C. 2151b(c)) is amended by
adding at the end the following new paragraph:
‘‘(4)(A)(i) The President is authorized to provide as-
sistance, under such terms and conditions as he may de-
termine, with respect to activities relating to research on,
and the treatment and control of, acquired immune defi-
ciency syndrome (AIDS) in developing countries.
‘‘(ii) Assistance provided under clause (i) shall in-
clude—
‘‘(I) funds made available directly to the World
Health Organization for its use in financing the
Global Program on AIDS (including activities imple-
mented by the Pan American Health Organization);
and
‘‘(II) funds made available to the United Na-
tions Children’s Fund (UNICEF) for AIDS-related
activities.
‘‘(B) Appropriations pursuant to subparagraph (A)
may be referred to as the ‘AIDS Prevention and Control
Fund’.’’.
(b) AUTHORIZATION OF APPROPRIATIONS.—Section
104(g)(1) of the Foreign Assistance Act of 1961 (22
U.S.C. 2151b(g)) is amended—
(1) by striking ‘‘and’’ at the end of subpara-
graph (A);
(2) in subparagraph (B), by striking ‘‘sub-
section (c) of this section.’’ and inserting ‘‘sub-
section (c) of this section (other than paragraph (4)
thereof); and’’; and
(3) by adding at the end thereof the following
new subparagraph:
‘‘(C) $125,000,000 for fiscal year 1996
and $145,000,000 for fiscal year 1997 to carry
out subsection (c)(4) of this section.’’.
(c) EFFECTIVE DATE.—The amendments made by
this section shall take effect October 1, 1995.
SEC. 8. SUPPORT FOR UNITED NATIONS FORWARD LOOK-
ING STRATEGIES FOR THE ADVANCEMENT OF
WOMEN.
(a) IN GENERAL.—The President shall direct the
United States representatives to the United Nations Com-
mission on the Status of Women to take all actions nec-
essary to ensure the rapid implementation of the United
Nations Forward Looking Strategies for the Advancement
of Women, as adopted in 1985 at the United Nations Con-
ference ending the Decade for Women.
(b) REVIEW AND ANNUAL REPORTS.—Not later than
December 31, 1995, the Secretary of State shall submit
the 5-year review of the status of United States women,
as called for at the conference, and shall submit such an-
nual reports as are requested by the United Nations Com-
mission on the Status of Women.
SEC. 9. SUPPORT FOR THE CONVENTION ON THE ELIMI-
NATION OF ALL FORMS OF DISCRIMINATION
AGAINST WOMEN.
The President shall promptly complete the review of
the United Nations Convention on the Elimination of All
Forms of Discrimination Against Women, which was
signed by the United States on July 17, 1980, and submit
to the Senate any reservations, understandings, or dec-
larations that the President considers necessary in order
that the Senate may give its advice and consent to ratifica-
tion, or report to the Congress why he is unable or unwill-
ing to do so.
Æ
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