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 juris-
diction 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 Per-
sons (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; 
VerDate Sep 11 2014 
06:34 Sep 13, 2024
Jkt 049200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6300
E:\BILLS\HR1446.IH
HR1446
kjohnson on DSK7ZCZBW3PROD with $$_JOB
•HRES 1446 IH 
Whereas the 2024 TIP report notes the Cuban regime kept 
a significant amount of wages of workers, confiscated 
passports and professional credentials of workers, sub-
jected workers to surveillance and strict curfews, and did 
not consistently inform participants of the terms of their 
contracts; 
Whereas the 2024 TIP report states the Cuban regime failed 
to address trafficking crimes despite an increasing num-
ber of allegations from survivors, credible nongovern-
mental organizations, international organizations, and 
foreign governments of the involvement of Cuban officials 
in facilitating serious human rights abuses and forced 
labor; 
Whereas the 2024 TIP report charges that the Cuban regime 
threatened, coerced, and punished government-affiliated 
workers, including medical professionals, and their family 
members if participants left the program; 
Whereas the 2024 TIP report concludes regime authorities 
did not make efforts to address labor trafficking crimes; 
Whereas the June 2024 report by the Department of State 
to Congress, ‘‘Human Trafficking In Cuba’s Labor Ex-
port Program’’, as mandated by section 7045(e) of the 
Department of State, Foreign Operations, and Related 
Programs Appropriations Act, 2024 (Public Law 118– 
47), cites sources that estimate the Cuban regime reaps 
annual 
profits 
of 
between 
$6,000,000,000 
and 
$8,000,000,000 from the labor export program; 
Whereas the June 2024 report by the Department of State 
to Congress lists 72 countries that may have had govern-
ment-affiliated Cuban workers in their territories in the 
last 5 years; 
VerDate Sep 11 2014 
06:34 Sep 13, 2024
Jkt 049200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6300
E:\BILLS\HR1446.IH
HR1446
kjohnson on DSK7ZCZBW3PROD with $$_JOB
•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 re-
port; 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, imple-
menting, and perpetuating the trafficking of Cuban doc-
tors in the Mais Medicos program: Now, therefore, be it 
Resolved, That the House of Representatives— 
(1) recognizes that the human trafficking and 
forced labor of Cuban medical personnel abroad by 
the Cuban regime are gross violations of inter-
VerDate Sep 11 2014 
06:34 Sep 13, 2024
Jkt 049200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\HR1446.IH
HR1446
kjohnson on DSK7ZCZBW3PROD with $$_JOB
•HRES 1446 IH 
national human trafficking and forced labor treaties 
and protocols; 
(2) recognizes that the signatories to these 
agreements have a solemn responsibility to abide by 
their obligations under these accords to ensure the 
working conditions of Cuban medical personnel meet 
international standards for foreign laborers; 
(3) urges foreign governments to reject the ex-
ploitation, profiteering, and wage garnishment of the 
Cuban regime by paying the Cuban medical per-
sonnel directly; and 
(4) urges the President of the United States to 
utilize visa revocation authorities against foreign and 
organization officials who have participated in 
Cuba’s human trafficking schemes, including the 
Brazilian, Cuban, and Pan American Health Organi-
zation officials involved in Mais Medicos, and the 
Honduran and Mexican officials involved in other 
schemes until such time as the host government ful-
fills its obligations under international human traf-
ficking and forced labor treaties and protocols to 
protect the rights of those workers. 
Æ 
VerDate Sep 11 2014 
06:34 Sep 13, 2024
Jkt 049200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6301
E:\BILLS\HR1446.IH
HR1446
kjohnson on DSK7ZCZBW3PROD with $$_JOB