,,ii #aac? ,,congress #a/ ,session ,s4 #agij ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,decemb] #aj1 #bjac,mr4 ,coons introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ! ,judici>y ,a ,,bill ,to mod]nize laws1 & elim9ate discrim9ation1 ) respect to p liv+ ) ,,hiv_/,,aids1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,repeal ,exi/+ ,policies t ,enc\rage & ,all[ ,legal ,,hiv ,discrim9ation ,act ( #bjac or ! ,,repeal ,,hiv ,discrim9ation ,act ( #bjac4 #b4 ,f9d+s ,! ,congress makes ! foll[+ f9d+s3 7#a7 ,at pres5t1 #cb ,/ates & #b ,unit$ ,/ates t]ritories h crim9al /atutes bas$ on p]ceiv$ exposure to ,,hiv1 r ?an actual transmission ( ,,hiv to ano!r4 ,?irte5 ,/ates h ,,hiv-specific laws t make spitt+ or bit+ a felony1 ev5 ?\gh x is n possible to transmit ,,hiv via saliva4 7#b7 ,accord+ to ! ,c5t]s = ,disease ,control & ,prev5tion 7,,cdc71 ,,hiv is only transmitt$ ?r\gh blood1 sem51 vag9al fluid1 & brea/ milk4 7#c7 ,prosecutions = p]ceiv$ exposure1 nondisclosure1 or un9t5tional transmission ( ,,hiv h occurr$ 9 at lea/ #ci ,/ates "u g5]al or ,,hiv-specific laws4 7#d7 ,ev5 9 ! abs5ce ( ,,hiv transmission1 p liv+ ) ,,hiv h be5 giv5 s5t5ces ( up to #ce ye>s bas$ on exagg]at$ fe>s ( ,,hiv1 reg>dless ( actual risk ( transmission4 7#e7 ,/ate & ,f$]al crim9al law does n curr5tly reflect ! ?ree decades ( m$ical advances & discov]ies made ) reg>d to transmission & treatm5t ( ,,hiv4 7#f7 ,accord+ to ,,cdc1 correct & consi/5t male or female condom use is v effective 9 prev5t+ ,,hiv transmission4 ,h[ev]1 mo/ ,/ate ,,hiv-specific laws & prosecutions d n treat ! use ( a condom dur+ sexual int]c\rse z a mitigat+ factor or evid5ce t ! def5dant did n int5d to transmit ,,hiv4 7#g7 ,crim9al laws & prosecutions d n take into acc\nt ! b5efits ( effective antiretroviral m$ications1 :i* r$uce ! ,,hiv virus to undetectable levels & fur!r r$uce ! already l[ risk ( transmitt+ ! ,,hiv to ne>-z]o4 7#h7 ,al?\gh ,,hiv_/,,aids curr5tly is view$ z a treatable1 *ronic1 m$ical condition1 p liv+ ) ,,hiv h be5 *>g$ "u aggravat$ assault1 attempt$ murd]1 & ev5 biot]rorism /atutes because prosecutors1 c\rts1 & legislators cont9ue to view & *>act]ize ! blood1 sem51 & saliva ( p liv+ ) ,,hiv z a deadly weapon4 7#i7 ,multiple pe]-review$ /udies demon/rate t ,,hiv-specific laws d n r$uce risk-tak+ behavior or increase disclosure by p liv+ ) or at risk ( ,,hiv1 & !re is increas+ evid5ce t ^! laws r$uce ! will+ness to get te/$4 ,fur!rmore1 plac+ legal responsibility = prev5t+ ! transmission ( ,,hiv & o!r pa?og5s exclusively on p diagnos$ ) ,,hiv1 & )\t consid]ation ( o!r pa?og5s t c be sexually transmitt$1 und]m9es ! public heal? message t all p %\ld practice behaviors t protect !mselves & _! p>tn]s f ,,hiv & o!r sexually transmitt$ diseases4 7#aj7 ,! id5tity ( an individual accus$ ( violat+ exi/+ ,,hiv-specific re/rictions is broadca/ ?r\gh m$ia reports1 pot5tially de/roy+ employm5t opportunities & relation%ips & violat+ ! p]son's "r to privacy4 7#aa7 ,individuals :o are convict$ = ,,hiv exposure1 nondisclosure1 or transmission (t5 mu/ regi/] z sex (f5d]s ev5 9 cases ( cons5sual sexual activity4 ,_! employability is de/roy$ & _! family relation%ips are fractur$4 7#ab7 ,! ,unit$ ,nations1 includ+ ! ,jo9t ,unit$ ,nations ,programme on ,,hiv_/,,aids 7,,unaids71 urges gov]nm5ts to limit crim9alization to cases ( int5tional transmission4 ,su* requirem5t indicates a situation :]e a p]son kn[s 8 or h] ,,hiv-positive /atus1 acts ) ! int5tion to transmit ,,hiv1 & does 9 fact transmit x4 ,,unaids also recomm5ds t crim9al law %\ld n be appli$ to cases :]e !re is no significant risk ( transmission4 7#ac7 ,! ,global ,commission on ,,hiv & ! ,law 0 laun*$ 9 ,june #bjaj to exam9e laws & practices t crim9alize p liv+ ) & vuln]able to ,,hiv & to develop evid5ce-bas$ recomm5dations = effective ,,hiv responses4 ,! ,commission calls = gov]nm5ts1 civil society & int]national bodies to repeal punitive laws & enact laws t facilitate & enable effective responses to ,,hiv prev5tion1 c>e & treatm5t s]vices = all :o ne$ !m4 ,! ,commission recomm5ds aga9/ ! enactm5t ( laws t explicitly crim9alise ,,hiv transmission1 exposure or non-disclosure ( ,,hiv /atus1 :i* are c\nt]productive4 7#ad7 ,9 #bjaj1 ! ,presid5t releas$ a ,national ,,hiv_/,,aids ,/rategy 7,,nhas71 :i* address$ ,,hiv-specific crim9al laws1 /at+3 ,while we und]/& ! int5t beh9d ^! laws1 !y may n h ! desir$ effect & !y may make p less will+ to disclose _! /atus by mak+ p feel at ev5 great] risk ( discrim9ation4 ,9 "s cases1 x may be appropriate = legislators to reconsid] :e!r exi/+ laws cont9ue to fur!r ! public int]e/ & public heal?4 ,9 _m in/ances1 ! cont9u$ exi/5ce & en=cem5t ( ^! types ( laws run c\nt] to sci5tific evid5ce ab\t r\tes ( ,,hiv transmission & may und]m9e ! public heal? goals ( promot+ ,,hiv scre5+ & treatm5t44 ,! ,,nhas also /ates t ,/ate legislatures %\ld consid] review+ ,,hiv-specific crim9al /atutes to ensure t !y are consi/5t ) curr5t k ( ,,hiv transmission & support public heal? approa*es to prev5t+ & treat+ ,,hiv4 7#ae7 ,9 ,febru>y #bjac1 ! ,presid5t's ,advisory ,c\ncil on ,,aids 7,,pa*a7 pass$ a resolution /at+ all ,u4,s4 law %\ld be consi/5t ) curr5t m$ical & sci5tific k & accept$ human rights-bas$ approa*es to disease control & prev5tion & avoid imposition ( unw>rant$ puni%m5t bas$ on heal? & disability /atus4 #c4 ,s5se ( ,congress reg>d+ laws or regulations direct$ at p liv+ ) ,,hiv_/,,aids ,x is ! s5se ( ,congress t ,f$]al & ,/ate laws1 policies1 & regulations reg>d+ p liv+ ) ,,hiv_/,,aids-- 7#a7 %\ld n place unique or additional burd5s on su* individuals solely z a result ( _! ,,hiv /atus2 & 7#b7 %\ld in/ead demon/rate a public heal?-ori5t$1 evid5ce-bas$1 m$ically accurate1 & contempor>y und]/&+ (-- 7,a7 ! multiple factors t lead to ,,hiv transmission2 7,b7 ! relative risk ( demon/rat$ ,,hiv transmission r\tes2 7,c7 ! curr5t heal? implications ( liv+ ) ,,hiv2 7,d7 ! associat$ b5efits ( treatm5t & support s]vices = p liv+ ) ,,hiv2 & 7,e7 ! impact ( punitive ,,hiv-specific laws1 policies1 regulations1 & judicial prec$5ts & decisions on public heal?1 on p liv+ ) or affect$ by ,,hiv1 & on _! families & communities4 #d4 ,review ( ,f$]al & ,/ate laws 7a7 ,review ( ,f$]al & ,/ate laws 7#a7 ,9 g5]al ,n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,attorney ,g5]al1 ! ,secret>y ( ,heal? & ,human ,s]vices1 & ! ,secret>y ( ,def5se act+ jo9tly 79 ?is section ref]r$ to z ! designat$ (ficials7 %all initiate a national review ( ,f$]al & ,/ate laws1 policies1 regulations1 & judicial prec$5ts & decisions reg>d+ crim9al & relat$ civil commitm5t cases involv+ p liv+ ) ,,hiv_/,,aids1 includ+ 9 reg>d to ! ,uni=m ,code ( ,milit>y ,ju/ice4 7#b7 ,consultation ,9 c>ry+ out ! review "u p>agraph 7#a71 ! designat$ (ficials %all seek to include div]se p>ticipation f1 & consultation )1 ea* ( ! foll[+3 7,a7 ,ea* ,/ate4 7,b7 ,/ate attorneys g5]al 7or _! repres5tatives74 7,c7 ,/ate public heal? (ficials 7or _! repres5tatives74 7,d7 ,/ate judicial & c\rt sy/em (fic]s1 includ+ judges1 di/rict attorneys1 prosecutors1 def5se attorneys1 law en=cem5t1 & correctional (fic]s4 7,e7 ,memb]s ( ! ,unit$ ,/ates ,arm$ ,=ces1 includ+ memb]s ( o!r ,f$]al s]vices subject to ! ,uni=m ,code ( ,milit>y ,ju/ice4 7,f7 ,p liv+ ) ,,hiv_/,,aids1 p>ticul>ly ^? :o h be5 subject to ,,hiv-relat$ prosecution or :o are f communities ^: memb]s h be5 disproportionately subject to ,,hiv-specific arre/s & prosecution4 7,g7 ,legal advocacy & ,,hiv_/,,aids s]vice organizations t "w ) p liv+ ) ,,hiv_/,,aids4 7,h7 ,nongov]nm5tal heal? organizations t "w on behalf ( p liv+ ) ,,hiv_/,,aids4 7,i7 ,trade organizations or associations repres5t+ p]sons or entities describ$ 9 subp>agraphs 7,a7 ?r\gh 7,g74 7#c7 ,relation to o!r reviews ,9 c>ry+ out ! review "u p>agraph 7#a71 ! designat$ (ficials may utilize o!r exi/+ reviews ( crim9al & relat$ civil commitm5t cases involv+ p liv+ ) ,,hiv_/,,aids1 includ+ any su* review conduct$ by any ,f$]al or ,/ate ag5cy or any public heal?1 legal advocacy1 or trade organization or association if ! designat$ (ficials det]m9e t su* reviews 7 conduct$ 9 accordance ) ! pr9ciples set =? 9 section #c4 7b7 ,report ,n lat] ?an #ahj days aft] initiat+ ! review requir$ by subsection 7a71 ! ,attorney ,g5]al %all transmit to ! ,congress & make publicly available a report conta9+ ! results ( ! review1 :i* includes ! foll[+3 7#a7 ,= ea* ,/ate & = ! ,uni=m ,code ( ,milit>y ,ju/ice1 a summ>y ( ! relevant laws1 policies1 regulations1 & judicial prec$5ts & decisions reg>d+ crim9al cases involv+ p liv+ ) ,,hiv_/,,aids1 includ+ ! foll[+3 7,a7 ,a det]m9ation ( :e!r su* laws1 policies1 regulations1 & judicial prec$5ts & decisions place any unique or additional burd5s ^u p liv+ ) ,,hiv_/,,aids4 7,b7 ,a det]m9ation ( :e!r su* laws1 policies1 regulations1 & judicial prec$5ts & decisions demon/rate a public heal?-ori5t$1 evid5ce-bas$1 m$ically accurate1 & contempor>y und]/&+ (-- 7i7 ! multiple factors t lead to ,,hiv transmission2 7ii7 ! relative risk ( ,,hiv transmission r\tes2 7iii7 ! curr5t heal? implications ( liv+ ) ,,hiv2 7iv7 ! associat$ b5efits ( treatm5t & support s]vices = p liv+ ) ,,hiv2 & 7v7 ! impact ( punitive ,,hiv-specific laws & policies on public heal?1 on p liv+ ) or affect$ by ,,hiv1 & on _! families & communities4 7,c7 ,an analysis ( ! public heal? & legal implications ( su* laws1 policies1 regulations1 & judicial prec$5ts & decisions1 includ+ an analysis ( ! consequ5ces ( hav+ a simil> p5al s*eme appli$ to comp>able situations involv+ o!r communicable diseases4 7,d7 ,an analysis ( ! proportionality ( puni%m5ts impos$ "u ,,hiv-specific laws1 policies1 regulations1 & judicial prec$5ts1 tak+ into consid]ation p5alties atta*$ to violation ( ,/ate laws aga9/ simil> degrees ( endang]m5t or h>m1 su* z driv+ :ile intoxicat$ 7,,dwi7 or transmission ( o!r communicable diseases1 or m s]i\s h>ms1 su* z vehicul> manslaught] (f5ses4 7#b7 ,an analysis ( common elem5ts %>$ betwe5 ,/ate laws1 policies1 regulations1 & judicial prec$5ts4 7#c7 ,a set ( be/ practice recomm5dations direct$ to ,/ate gov]nm5ts1 includ+ ,/ate attorneys g5]al1 public heal? (ficials1 & judicial (fic]s1 9 ord] to ensure t laws1 policies1 regulations1 & judicial prec$5ts reg>d+ p liv+ ) ,,hiv_/,,aids are 9 accordance ) ! pr9ciples set =? 9 section #c4 7#d7 ,recomm5dations = adju/m5ts to ! ,uni=m ,code ( ,milit>y ,ju/ice1 z may be necess>y1 9 ord] to ensure t laws1 policies1 regulations1 & judicial prec$5ts reg>d+ p liv+ ) ,,hiv_/,,aids are 9 accordance ) ! pr9ciples set =? 9 section #c4 7c7 ,guidance ,)9 #ij days ( ! release ( ! report requir$ by subsection 7b71 ! ,attorney ,g5]al & ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ jo9tly1 %all develop & publicly release updat$ guidance = ,/ates bas$ on ! set ( be/ practice recomm5dations requir$ by subsection 7b77#c7 9 ord] to assi/ ,/ates deal+ ) crim9al & relat$ civil commitm5t cases reg>d+ p liv+ ) ,,hiv_/,,aids4 7d7 ,monitor+ & evaluation sy/em ,)9 #fj days ( ! release ( ! guidance requir$ by subsection 7c71 ! ,attorney ,g5]al & ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ jo9tly1 %all e/abli% an integrat$ monitor+ & evaluation sy/em :i* includes1 :]e appropriate1 objective & quantifiable p]=mance goals & indicators to measure progress t[>d /atewide implem5tation 9 ea* ,/ate ( ! be/ practice recomm5dations requir$ 9 subsection 7b77#c74 7e7 ,mod]nization ( ,f$]al laws1 policies1 & regulations ,)9 #ij days ( ! release ( ! report requir$ by subsection 7b71 ! designat$ (ficials %all develop & transmit to ! ,presid5t & ! ,congress1 & make publicly available1 su* proposals z may be necess>y to implem5t adju/m5ts to ,f$]al laws1 policies1 or regulations1 includ+ to ! ,uni=m ,code ( ,milit>y ,ju/ice1 bas$ on ! recomm5dations requir$ by subsection 7b77#d71 ei!r ?r\gh ,executive ord] or ?r\gh *anges to /atutory law4 #e4 ,rule ( con/ruction ,no?+ 9 ?is ,act %all be con/ru$ to disc\rage ! prosecution ( individuals :o int5tionally transmit or attempt to transmit ,,hiv to ano!r individual4 #f4 ,no additional appropriations au?oriz$ ,?is ,act %all n be con/ru$ to increase ! am\nt ( appropriations t are au?oriz$ to be appropriat$ = any fiscal ye>4 #g4 ,def9itions ,= purposes ( ?is ,act3 7#a7 ,,hiv & ,,hiv_/,,aids ,! t]ms ,,hiv & ,,hiv_/,,aids h ! mean+s giv5 to su* t]ms 9 section #bfhi ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;ff-#hh74 7#b7 ,/ate ,! t]m ,/ate includes ! ,di/rict ( ,columbia1 ,am]ican ,samoa1 ! ,commonweal? ( ! ,nor!rn ,m>iana ,isl&s1 ,guam1 ,pu]to ,rico1 & ! ,unit$ ,/ates ,virg9 ,isl&s4