Abortion is Health Care Everywhere Act would repeal the Helms Amendment, which bars U.S. foreign assistance funding for abortion, expanding abortion access globally.
Rep. Jan Schakowsky (D-IL), a Senior Chief Deputy Whip and Chair of the Congressional Pro-Choice Caucus Providers and Clinics Task Force, today introduced the Abortion is Health Care Everywhere Act. The Abortion is Health Care Everywhere Act is the first-ever legislation to repeal the Helms Amendment, a 47-year-old policy rooted in racism that bans the use of any U.S. foreign assistance funds for abortion, putting an arbitrary line between abortion and all other global health services. Reps. Nita Lowey (D-NY), Barbara Lee (D-CA), Jackie Speier (D-CA), Ayanna Pressley (D-MA), Diana DeGette (D-CO), and Norma Torres (D-CA) signed on as original co-sponsors.
Rep. Schakowsky announced the new legislation on a virtual press conference with reporters on Wednesday morning, discussing the Helms Amendment’s harmful history, its burden on global reproductive and economic freedom, and the impact of the COVID-19 pandemic on access to reproductive health care around the world. Joining her on the call were Dr. Ernest Nyamato, a Kenyan doctor and Quality of Care global team lead at Ipas, an international reproductive health and human rights organization, and former director of the Ipas Africa Alliance in Kenya; and Lienna Feleke-Eshete, public policy associate at CHANGE, a U.S. nongovernmental organization that advocates for sexual and reproductive health and rights for women and girls and others who face stigma and discrimination.
As the United States grapples with racism and barriers to racial justice, the Helms Amendment is yet another example of a systemic policy that has become commonplace in society.
“The Helms Amendment is a policy deeply rooted in racism. It imposes our arbitrary and medically unnecessary abortion restrictions on international communities, allowing the United States to control the health care and bodily autonomy of billions Black and brown people around the world. Just like the Hyde Amendment, the Helms Amendment puts reproductive and economic freedom out of reach for women of color. But enough is enough, and both amendments must fall if we want to realize true health equity and reproductive justice,” said Congresswoman Jan Schakowsky. “I am proud that my sisters, Representatives Lowey, Lee, Speier, Pressley, DeGette, and Torres, are joining me to introduce the Abortion is Health Care Everywhere Act of 2020, which will finally repeal the Helms Amendment. Comprehensive reproductive health care, including safe, legal, and accessible abortion, is a human right.”
Dr. Nyamato explained how the Helms Amendment puts reproductive and economic freedom out of reach for millions around the world, including in Kenya and other African nations. He also discussed the impact of the restrictions on Kenyans who may already have limited access to critical health care services, noting the disconnect between the Helms Amendment and the needs of communities receiving U.S. foreign aid.
“While U.S. foreign aid has been critical for communities across Kenya, restricting funds for abortion has been harmful to the health and autonomy of people across the country. Because of these restrictions, too often, an unsafe abortion from someone without training becomes the only option,” said Dr. Ernest Nyamato, a Kenyan doctor and Ipas quality of care lead. “As someone who has worked in multiple roles in health and human rights, I see just how critical comprehensive health care, including abortion is, for people, their families, and their communities. Unfortunately, we are already seeing health inequities grow due to COVID-19 and people using the crisis to try to eliminate abortion access. Global support must help prioritize health care, not perpetuate barriers that make it harder for people to get the health care they need.”
Health systems worldwide are already overwhelmed due to the COVID-19 pandemic, leading to a reduction in access to sexual and reproductive health care in many countries, despite the fact that abortion care is time sensitive. The Helms Amendment is poised to further exacerbate these disparities and put critical health care out of reach for millions across the globe. “Having lived through other health crises, I know that women and girls often suffer disproportionately. COVID-19 has devastated many of the communities where I work, and now is not the time to further limit people’s options,” said Monica Oguttu, an international women’s rights advocate, Kenyan midwife with decades of experience, founder of Kisumu Medical and Education Trust in Kenya, and an Ipas board member. “My patients can’t afford more red tape right now, and I ask that the U.S. government help, not harm Kenyan people.”
“For more than four decades, the Helms Amendment has perpetuated and exacerbated health inequities around the world and compromised the effectiveness of the U.S.’ global health investments. Along with the Global Gag Rule, funding restrictions that impede access to essential health care—including abortion—and prevent individuals from exercising their rights have no place in U.S. foreign policy. The repeal of the Helms Amendment is long overdue and we thank our Congressional leaders for clearing a path toward safe, legal and accessible abortion everywhere.”
– Elisha Dunn-Georgiou, interim co-CEO, PAI
Enacted in 1973, the Helms Amendment is housed in the Foreign Assistance Act and has been passed as part of Congressional appropriations bills every year for nearly five decades. The legislation was introduced by then Sen. Jesse Helms (R-NC), who was known for his anti-rights, racist efforts throughout his career. The amendment is related to, but distinct from, the Global Gag Rule (also known as the ‘Mexico City policy’), an executive order that prohibits foreign organizations that receive U.S. global health assistance from using non-U.S. funding to provide abortion services, information, counseling or referrals and from engaging in advocacy to expand abortion access. Both policies are discriminatory and deeply unjust.
While this is the first introduction of a repeal bill, a broad coalition of global reproductive health and rights advocacy, research, and service delivery organizations has been working to mitigate and address the harms caused by Helms for years. Coalition members include Advocates for Youth, American Jewish World Service, Catholics for Choice, Center for Reproductive Rights, CHANGE (Center for Health and Gender Equity), Guttmacher, International Center for Research on Women, Ipas, International Women’s Health Coalition, NARAL Pro-Choice America, Open Society Policy Center, PAI, Population Connection Action Fund, Population Institute, and Planned Parenthood Federation of America. Additionally, the Abortion is Health Care Everywhere Act is endorsed by more than 115 organizations and quotes from several groups can be found below for inclusion in media coverage. More information can be found at repealhelms.org.
PAI Resources on the Helms Amendment
Time Is Up for the Helms Amendment
Helms Amendment and the Global Gag Rule — What’s the Difference?
The Ins and Outs of U.S. Abortion-related Restrictions Abroad and at Home
PAI champions policies that put women in charge of their reproductive health. We work with policymakers in Washington and our network of partners in developing countries to remove roadblocks between women and the services and supplies they need. For 50 years, we’ve helped women succeed by upholding their basic rights. To learn more, visit pai.org