H.R. 5302 prohibits the United States from providing foreign aid to any foreign government, nongovernmental organization, or international entity that uses public funds to perform abortions, promote abortion services, coerce people into abortions or sterilizations, or fund abortion-related research. The bill applies regardless of whether U.S. money directly funds these activities, capturing indirect support through intermediaries, contractors, or budget assistance. It codifies the Mexico City Policy and includes exceptions only for abortions resulting from rape or incest, which require documented evidence. The legislation requires the Secretary of State to certify annually that aid recipients comply with these restrictions, establishes monitoring and audit procedures, and imposes penalties for violations including fund termination, repayment requirements, three-year eligibility bans, and potential criminal referrals to the Attorney General. All compliance records must be maintained for at least ten years and made available to Congress.
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