This bill would restrict United States nonmilitary foreign assistance to organizations that the bill says provide or promote abortion, gender ideology, or what it calls discriminatory equity ideology. Foreign organizations receiving such assistance would be prohibited from engaging in these activities anywhere, while U.S. organizations would be restricted only within the scope of their federally funded programs and must maintain physical and financial separation between their foreign assistance work and other activities. The bill establishes detailed definitions for terms like abortion, gender ideology, and equity-related practices, and applies these restrictions to grants, cooperative agreements, and contributions to international organizations across global health, humanitarian, economic development, and civil society programs. The Secretary of State can waive these restrictions if doing so serves national security or foreign policy interests and the affected organization is the only provider of necessary services. The bill includes an exception allowing U.S. nongovernmental organizations to engage in restricted activities outside their federally funded programs and protects their First Amendment rights when using non-federal funds.