,,ii  #aafth ,,congress  #b;d ,session  
,s4 #cigg  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,june #ag1     
#bjbj,mr4 ,scott of ,florida 7for       
himself1 ,mr4 ,rubio1 and ,mr4 ,cruz7   
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,foreign ,relations  ,a   
,,bill  ,to require the ,department of  
,state to publish a list of countries   
that contract with the ,government of   
,cuba for their medical missions program
 and ensure that such contracts are     
considered as factors in considering    
,trafficking in ,persons report         
rankings1 and for other purposes4  #a4  
,short title ,this ,act may be cited as 
the ,cut ,profits to the ,cuban ,regime 
,act of #bjbj4  #b4 ,findings ,congress 
makes the following findings3 7#a7 ,the 
,department of ,state declared in       
,september #bjai that ,cuba's overseas  
medical missions program1 known as the  
,cuban doctor's program1 employs up to  
#ej1jjj healthcare professionals in more

 than #fj countries1 and are a major    
source of income for the ,cuban regime4 
,however1 former participants describe  
coercion1 non-payment of wages1         
withholding of their passports1 and     
restrictions on their movement4 ,the    
,department of ,state has documented    
indicators of human trafficking in      
,cuba's overseas medical missions each  
year since the #bjaj ,trafficking in    
,persons ,report 7,,tip ,report71       
including in the #bjai ,,tip ,report and
 remain deeply concerned about these    
abuses4 ,the ,department of ,state urges
 host country governments and civil     
society to examine the practices in     
,cuba's medical missions in their       
countries and ensure the rights of      
healthcare professionals are protected4 
7#b7 ,according to the ,department of   
,state1 the ,government of ,cuba        
collected #g1bjj1jjj1jjj in a single    
year from the export of professional    
services through programs like the      
foreign medical missions and1 while     

those services were ongoing1 refused to 
provide even a living wage to those who 
were participating in it4  7#c7 ,the    
,department of ,state estimates that    
globally there are #bd1ijj1jjj victims  
of human trafficking1 also commonly     
referred to as modern slavery4  7#d7 ,in
 the ,united ,states1 ,congress has led 
efforts to eliminate severe forms of    
trafficking in persons domestically and 
internationally1 particularly with its  
enactment of the ,victims of            
,trafficking and ,violence ,protection  
,act of #bjjj 7,public ,law #ajf-chf74  
,division ,a of that ,act1 the          
,trafficking ,victims ,protection ,act  
of #bjjj 7,,tvpa71 established ,united  
,states antitrafficking policy to-- 7,a7
 prevent trafficking2  7,b7 protect     
trafficking victims2 and  7,c7 prosecute
 and punish traffickers 7known as the   
three ,ps74  7#e7 ,a key element of the 
,,tvpa's foreign policy objectives      
involved a new requirement for the      
,secretary of ,state to produce an      

annual report on human trafficking and  
to rank foreign governments based on    
their antitrafficking efforts4 ,in the  
ensuing reports1 which the ,department  
of ,state titled as ,trafficking in     
,persons 7,,tip7 reports1 the           
,department developed a ranking system  
in which the best-ranked countries were 
identified as ,tier #a and the          
worst-ranked as ,tier #c4 ,moreover1 the
 ,,tvpa stipulated that the worst       
performers 7,tier #c countries7 in the  
,,tip ,report could be subject to       
potential restrictions on certain types 
of ,united ,states foreign aid and other
 ,united ,states and multilateral       
funds--a policy that is intended to     
motivate countries to avoid ,tier #c by 
prioritizing antitrafficking efforts4   
#c4 ,accountability for countries that  
use the ,cuban doctor's program  7a7    
,requirement report on countries that   
use the ,cuban doctor's program ,the    
,secretary of ,state shall include in   
the report required under section       

#aaj7;b7 of the ,trafficking ,victims   
,protection ,act of #bjjj 7#bb ,u4,s4,c4
 #gajg7;b77 a list of countries that    
contract with the ,government of ,cuba  
to use that country's medical missions  
program1 known as the ,cuban doctor's   
program4  7b7 ,consequences for enabling
 trafficking in persons ,section        
#aaj7;b7 of the ,trafficking ,victims   
,protection ,act of #bjjj 7#bb ,u4,s4,c4
 #gajg7;b77 is amended by adding at the 
end the following new paragraph3  7#e7  
,consequences for enabling trafficking  
in persons ,in preparing the report     
under this subsection1 including        
determining which countries to include  
on the lists pursuant to paragraph 7#a71
 the ,secretary of ,state shall consider
 whether the government of a country    
enables the trafficking in persons in   
another country1 including by           
participating in programs with foreign  
governments and organizations that      
involve or enable trafficking in        
persons4  4  7c7 ,recognition of efforts

 ,to prevent funding ,government of     
,cuba ,a country's ranking for purposes 
of section #aaj7;b77#a7 of the          
,trafficking ,victims ,protection ,act  
of #bjjj 7#bb ,u4,s4,c4 #gajg7;b77#a77  
shall not be adversely affected as a    
result of a country's contracting with a
 doctor's program if the country using  
the program-- 7#a7 compensates medical  
professionals 7or any service           
professional7 directly rather than      
through the government of a country or  
an organization that is sponsoring them 
and pays foreign medical professionals  
and personnel the same compensation as  
domestic medical professionals and      
personnel are paid for similar work2    
7#b7 ensures such professionals retain  
control of their passports and earnings2
  7#c7 makes public the terms of the    
agreement with the government or        
sponsoring organization2  7#d7 ensures  
medical professionals are allowed to    
bring their family 7particularly spouses
 and minor children7 with them2  7#e7   

ensures medical professional's 7and     
their family's7 travel are not          
restricted and that their activities and
 speech are not monitored while in the  
host country2  7#f7 ensures humane and  
safe working and living conditions1 in  
accordance with international law2 and  
7#g7 ensures that the country providing 
the program is not receiving any        
additional compensation from the host   
country or any organization for the work
 of the medical professionals4