IV 

118TH CONGRESS 

2D SESSION H. RES. 1446 

Denouncing the human trafficking and forced labor of and profiteering from 

Cuban medical personnel serving in third-world countries. 

IN THE HOUSE OF REPRESENTATIVES 

SEPTEMBER 12, 2024 

Mr. GREEN of Tennessee (for himself, Ms. SALAZAR, Mr. GIMENEZ, and Mr. 

MOSKOWITZ) submitted the following resolution; which was referred to 

the Committee on Foreign Affairs, and in addition to the Committee on 

the Judiciary, for a period to be subsequently determined by the Speaker, 

in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned 

RESOLUTION 

Denouncing the human trafficking and forced labor of and 

profiteering from Cuban medical personnel serving in 

third-world countries. 

Whereas the Department of State’s 2024 Trafficking in Persons (TIP) Report designates Cuba as a Tier 3 country 

that does not fully meet the minimum standards for the 

elimination of trafficking and is not making significant 

efforts to do so; 

Whereas the 2024 TIP report cites Cuban regime policy or 

pattern to profit from forced labor in Cuba’s labor export 

program, which included foreign medical missions; 


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•HRES 1446 IH 

Whereas the 2024 TIP report notes the Cuban regime kept 

a significant amount of wages of workers, confiscated 

passports and professional credentials of workers, subjected workers to surveillance and strict curfews, and did 

not consistently inform participants of the terms of their 

contracts; 

Whereas the 2024 TIP report states the Cuban regime failed 

to address trafficking crimes despite an increasing number of allegations from survivors, credible nongovernmental organizations, international organizations, and 

foreign governments of the involvement of Cuban officials 

in facilitating serious human rights abuses and forced 

labor; 

Whereas the 2024 TIP report charges that the Cuban regime 

threatened, coerced, and punished government-affiliated 

workers, including medical professionals, and their family 

members if participants left the program; 

Whereas the 2024 TIP report concludes regime authorities 

did not make efforts to address labor trafficking crimes; 

Whereas the June 2024 report by the Department of State 

to Congress, ‘‘Human Trafficking In Cuba’s Labor Export Program’’, as mandated by section 7045(e) of the 

Department of State, Foreign Operations, and Related 

Programs Appropriations Act, 2024 (Public Law 118– 

47), cites sources that estimate the Cuban regime reaps 

annual profits of between $6,000,000,000 and 

$8,000,000,000 from the labor export program; 

Whereas the June 2024 report by the Department of State 

to Congress lists 72 countries that may have had government-affiliated Cuban workers in their territories in the 

last 5 years; 


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•HRES 1446 IH 

Whereas the June 2024 report by the Department of State 

to Congress states that host governments should use 

transparent and fair recruitment practices in the hiring 

of foreign workers and have a responsibility to proactively 

identify victims of exploitation and human trafficking in 

their country, and to protect such victims from further 

exploitation, yet Cuba maintains overwhelming levels of 

control over its workers deployed abroad; 

Whereas foreign governments continue to rebuff diplomatic 

efforts of the United States to ensure the protection of 

Cuban medical personnel working within their territories; 

Whereas section 7045(e) of the Department of State, Foreign 

Operations, and Related Programs Appropriations Act, 

2024 (Public Law 118–47), states that the Secretary of 

State shall apply the requirements of section 7031(c) of 

this Act (visa revocation authorities) to officials from 

countries and organizations identified in the June 24 report; and 

Whereas the Department of State has acknowledged that in 

Brazil, the Cuban medical mission, known as ‘‘Mais 

Medicos’’, was ‘‘facilitated’’ by the Pan American Health 

Organization, which augments ample public information 

that Brazilian, Pan American Health Organization, and 

Cuban officials are responsible for designing, implementing, and perpetuating the trafficking of Cuban doctors in the Mais Medicos program: Now, therefore, be it 

1 Resolved, That the House of Representatives— 

2 (1) recognizes that the human trafficking and 

3 forced labor of Cuban medical personnel abroad by 

4 the Cuban regime are gross violations of interVerDate Sep 11 2014 06:34 Sep 13, 2024 Jkt 049200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\HR1446.IH HR1446

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•HRES 1446 IH 

1 national human trafficking and forced labor treaties 

2 and protocols; 

3 (2) recognizes that the signatories to these 

4 agreements have a solemn responsibility to abide by 

5 their obligations under these accords to ensure the 

6 working conditions of Cuban medical personnel meet 

7 international standards for foreign laborers; 

8 (3) urges foreign governments to reject the ex9 ploitation, profiteering, and wage garnishment of the 

10 Cuban regime by paying the Cuban medical per11 sonnel directly; and 

12 (4) urges the President of the United States to 

13 utilize visa revocation authorities against foreign and 

14 organization officials who have participated in 

15 Cuba’s human trafficking schemes, including the 

16 Brazilian, Cuban, and Pan American Health Organi17 zation officials involved in Mais Medicos, and the 

18 Honduran and Mexican officials involved in other 

19 schemes until such time as the host government ful20 fills its obligations under international human traf21 ficking and forced labor treaties and protocols to 

22 protect the rights of those workers. 

Æ 


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