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1 1 (October 20, 2022)

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October 20, 2022
Abortion Funding Restrictions in Foreign Assistance Legislation

For nearly five decades, Congress has enacted abortion-
related funding restrictions in U.S. foreign assistance
legislation. Many of the restrictions were adopted against
the backdrop of the Supreme Court's 1973 Roe v. Wade
ruling, which held that the Constitution protected a
woman's decision to terminate her pregnancy. Foremost
among these is the Helms amendment, first enacted in
1973, which requires that certain foreign assistance funds
may not be used to pay for the performance of abortion.
Over the years, Congress has considered bills to amend,
expand, or overturn some of these restrictions. Some
Members have demonstrated an increased interest in these
restrictions and their impacts in the wake of the Supreme
Court's 2022 ruling Dobbs v. Jackson Women's Health
Organization, which broadly overruled Roe.
Background and Legislatve Vehicles
Debates over abortion in U.S. foreign assistance often
reflect broader domestic disagreements on abortion,
including the federal government's role, if any, in funding
abortion. Foreign assistance restrictions on abortion are
generally included in two legislative vehicles: (1)
authorization legislation, mainly the Foreign Assistance
Act of 1961 (FAA) (P.L. 87-195; 22 U.S.C. 2151 et seq.);
and (2) appropriations legislation, such as the annual
Department of State, Foreign Operations, and Related
Programs (SFOPS) appropriations acts.
The FAA and SFOPS Appropriations Acts
The FAA is the foundation of permanent foreign assistance
authorization law. It is divided into several parts that
authorize different types of foreign assistance, including
development assistance (part I); military and security
assistance (part II); general, administrative, and miscellaneous
provisions (part Ill); the Enterprise for the Americas Initiative
(part IV); and debt reduction for developing countries with
tropical forests (part V). Some legislative restrictions on
abortion apply specifically to programs authorized under part
I. Congress is required to enact both an authorization and
appropriation in order to fund foreign assistance programs
(22 U.S.C. 2412). Most foreign assistance is appropriated in
Titles 3 through 6 of annual SFOPS legislation.
These provisions are often controversial. At times, the
presence (or absence) of abortion restrictions in legislation
has played a role in delaying or halting the enactment of
certain bills, including annual appropriations acts. Some
proposed legislation addressing global women's issues has
similarly been affected, including bills on violence against
women, and on women's global development and
prosperity.

Abortion restrictions in foreign assistance are part of
broader U.S. efforts to prohibit federal funding for
abortions. In addition to legislative restrictions on U.S.
foreign assistance funding of abortions, Presidents have
periodically, since 1985, used executive authorities to
prohibit abortion funding. For example, the Mexico City
Policy, as it is often called, requires foreign
nongovernmental organizations (NGOs) that receive U.S.
federal funds to certify that they do not perform or actively
promote abortion as a method of family planning, even
using non-U.S. funds. The policy is typically instated by
Republican Presidents and rescinded by Democratic
Presidents. (See CRS Report R41360, Abortion and Family
Planning-Related Provisions in U.S. Foreign Assistance
Law and Policy.)
Domestically, the Hyde amendment (named for
Representative Henry Hyde), which is included in annual
Department of Labor-Health and Human Services (HHS)
appropriations acts, prohibits HHS from using appropriated
funds to pay for abortions, except when a pregnancy is the
result of rape or incest, or the mother's life would be
endangered if an abortion were not performed. In addition,
the Department of Defense is prohibited from using funds
or facilities to perform an abortion, subject to similar
exceptions. (See CRS In Focus IF12167, The Hyde
Amendment: An Overview, and CRS Insight IN11960,
FY2023 NDAA: Military Abortion Policies.)
Overview of Key Restrictions
Helms Amendment. The Helms amendment, introduced by
Senator Jesse Helms in 1973, is included in both
authorization and appropriations legislation. In the FAA,
the provision, at Section 104(f) (22 U.S.C. 215lb(f)), states
that none of the funds to carry out part I of the act
(development assistance) may be used to pay for the
performance of abortions as a method of family planning or
to motivate or coerce any person to practice abortions.
Since FY1980, the Helms amendment has also been stated
in most of the annual SFOPS bills. In the FY2022 SFOPS
Act (Division K of P.L. 117-103), Helms language is
included in Section 7018 to apply to all activities in the act
authorized under part I of the FAA. Similar language is
found under the Global Health Programs heading in Title
III, Bilateral Economic Assistance, and applies to all
funding provided in the act.
Peace Corps. Since FY1979, annual SFOPS appropriations
have included an abortion restriction on Peace Corps
funding due to concerns that U.S. funding might be used to
provide abortions for Peace Corps volunteers. The
restriction states that none of the funds appropriated under
this heading shall be used to pay for abortions. As in some
previous fiscal years, the FY2022 SFOPS Act includes

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