,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #cigg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #ag1 #bjbj,mr4   
,scott ( ,florida 7= himself1 ,mr4      
,rubio1 & ,mr4 ,cruz7 introduc$ ! foll[+
 bill2 :i* 0 read twice & ref]r$ to !   
,committee on ,=eign ,relations  ,a     
,,bill  ,to require ! ,dep>tm5t ( ,/ate 
to publi% a li/ ( c\ntries t contract ) 
! ,gov]nm5t ( ,cuba = _! m$ical missions
 program & ensure t su* contracts are   
consid]$ z factors 9 consid]+ ,traffick+
 9 ,p]sons report rank+s1 & = o!r       
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,cut ,pr(its to ! ,cuban   
,regime ,act ( #bjbj4  #b4 ,f9d+s       
,congress makes ! foll[+ f9d+s3 7#a7 ,! 
,dep>tm5t ( ,/ate decl>$ 9 ,septemb]    
#bjai t ,cuba's ov]seas m$ical missions 
program1 kn[n z ! ,cuban doctor's       
program1 employs up to #ej1jjj heal?c>e 
pr(essionals 9 m ?an #fj c\ntries1 & are
 a major s\rce ( income = ! ,cuban      
regime4 ,h[ev]1 =m] p>ticipants describe
 co]cion1 non-paym5t ( wages1 )hold+ (  

_! passports1 & re/rictions on _!       
movem5t4 ,! ,dep>tm5t ( ,/ate has       
docum5t$ indicators ( human traffick+ 9 
,cuba's ov]seas m$ical missions ea* ye> 
s9ce ! #bjaj ,traffick+ 9 ,p]sons       
,report 7,,tip ,report71 includ+ 9 !    
#bjai ,,tip ,report & rema9 deeply      
conc]n$ ab\t ^! abuses4 ,! ,dep>tm5t (  
,/ate urges ho/ c\ntry gov]nm5ts & civil
 society to exam9e ! practices 9 ,cuba's
 m$ical missions 9 _! c\ntries & ensure 
! rights ( heal?c>e pr(essionals are    
protect$4  7#b7 ,accord+ to ! ,dep>tm5t 
( ,/ate1 ! ,gov]nm5t ( ,cuba collect$   
#g1bjj1jjj1jjj 9 a s+le ye> f ! export (
 pr(essional s]vices ?r\gh programs l ! 
=eign m$ical missions &1 :ile ^? s]vices
 7 ongo+1 refus$ to provide ev5 a liv+  
wage to ^? :o 7 p>ticipat+ 9 x4  7#c7 ,!
 ,dep>tm5t ( ,/ate e/imates t globally  
!re are #bd1ijj1jjj victims ( human     
traffick+1 also commonly ref]r$ to z    
mod]n slav]y4  7#d7 ,9 ! ,unit$ ,/ates1 
,congress has l$ ef=ts to elim9ate sev]e
 =ms ( traffick+ 9 p]sons dome/ically & 

int]nationally1 p>ticul>ly ) its        
enactm5t ( ! ,victims ( ,traffick+ &    
,viol5ce ,protection ,act ( #bjjj       
7,public ,law #ajf-chf74 ,division ,a ( 
t ,act1 ! ,traffick+ ,victims           
,protection ,act ( #bjjj 7,,tvpa71      
e/abli%$ ,unit$ ,/ates antitraffick+    
policy to-- 7,a7 prev5t traffick+2  7,b7
 protect traffick+ victims2 &  7,c7     
prosecute & puni% traffick]s 7kn[n z !  
?ree ,ps74  7#e7 ,a key elem5t ( !      
,,tvpa's =eign policy objectives involv$
 a new requirem5t = ! ,secret>y ( ,/ate 
to produce an annual report on human    
traffick+ & to rank =eign gov]nm5ts bas$
 on _! antitraffick+ ef=ts4 ,9 ! ensu+  
reports1 :i* ! ,dep>tm5t ( ,/ate titl$ z
 ,traffick+ 9 ,p]sons 7,,tip7 reports1 !
 ,dep>tm5t develop$ a rank+ sy/em 9 :i* 
! be/-rank$ c\ntries 7 id5tifi$ z ,ti]  
#a & ! wor/-rank$ z ,ti] #c4 ,moreov]1 !
 ,,tvpa /ipulat$ t ! wor/ p]=m]s 7,ti]  
#c c\ntries7 9 ! ,,tip ,report c\ld be  
subject to pot5tial re/rictions on c]ta9
 types ( ,unit$ ,/ates =eign aid & o!r  

,unit$ ,/ates & multilat]al funds--a    
policy t is int5d$ to motivate c\ntries 
to avoid ,ti] #c by prioritiz+          
antitraffick+ ef=ts4  #c4 ,acc\ntability
 = c\ntries t use ! ,cuban doctor's     
program  7a7 ,requirem5t report on      
c\ntries t use ! ,cuban doctor's program
 ,! ,secret>y ( ,/ate %all include 9 !  
report requir$ "u section #aaj7;b7 ( !  
,traffick+ ,victims ,protection ,act (  
#bjjj 7#bb ,u4,s4,c4 #gajg7;b77 a li/ ( 
c\ntries t contract ) ! ,gov]nm5t (     
,cuba to use t c\ntry's m$ical missions 
program1 kn[n z ! ,cuban doctor's       
program4  7b7 ,consequ5ces = enabl+     
traffick+ 9 p]sons ,section #aaj7;b7 ( !
 ,traffick+ ,victims ,protection ,act ( 
#bjjj 7#bb ,u4,s4,c4 #gajg7;b77 is am5d$
 by add+ at ! end ! foll[+ new p>agraph3
  7#e7 ,consequ5ces = enabl+ traffick+ 9
 p]sons ,9 prep>+ ! report "u ?is       
subsection1 includ+ det]m9+ :i* c\ntries
 to include on ! li/s pursuant to       
p>agraph 7#a71 ! ,secret>y ( ,/ate %all 
consid] :e!r ! gov]nm5t ( a c\ntry      

enables ! traffick+ 9 p]sons 9 ano!r    
c\ntry1 includ+ by p>ticipat+ 9 programs
 ) =eign gov]nm5ts & organizations t    
involve or enable traffick+ 9 p]sons4  4
  7c7 ,recognition ( ef=ts ,to prev5t   
fund+ ,gov]nm5t ( ,cuba ,a c\ntry's     
rank+ = purposes ( section #aaj7;b77#a7 
( ! ,traffick+ ,victims ,protection ,act
 ( #bjjj 7#bb ,u4,s4,c4 #gajg7;b77#a77  
%all n be adv]sely affect$ z a result ( 
a c\ntry's contract+ ) a doctor's       
program if ! c\ntry us+ ! program-- 7#a7
 comp5sates m$ical pr(essionals 7or any 
s]vice pr(essional7 directly r ?an ?r\gh
 ! gov]nm5t ( a c\ntry or an            
organization t is sponsor+ !m & pays    
=eign m$ical pr(essionals & p]sonnel !  
same comp5sation z dome/ic m$ical       
pr(essionals & p]sonnel are paid =      
simil> "w2  7#b7 ensures su*            
pr(essionals reta9 control ( _!         
passports & e>n+s2  7#c7 makes public ! 
t]ms ( ! agreem5t ) ! gov]nm5t or       
sponsor+ organization2  7#d7 ensures    
m$ical pr(essionals are all[$ to br+ _! 

family 7p>ticul>ly sp\ses & m9or *ildr57
 ) !m2  7#e7 ensures m$ical             
pr(essional's 7& _! family's7 travel are
 n re/rict$ & t _! activities & spee*   
are n monitor$ :ile 9 ! ho/ c\ntry2     
7#f7 ensures humane & safe work+ & liv+ 
conditions1 9 accordance ) int]national 
law2 &  7#g7 ensures t ! c\ntry provid+ 
! program is n receiv+ any additional   
comp5sation f ! ho/ c\ntry or any       
organization = ! "w ( ! m$ical          
pr(essionals4