Cuba: U.S. Policy in the 116th Congress 
December 15, 2020 
Political and economic developments in Cuba, a one-party authoritarian state with a 
poor human rights record, frequently have been the subject of intense congressional 
Mark P. Sullivan 
concern since the 1959 Cuban revolution. Current Cuban President Miguel Díaz-Canel 
Specialist in Latin 
succeeded Raúl Castro in April  2018, but Castro wil  continue to head Cuba’s 
American Affairs 
Communist Party until the next party congress, scheduled for April 2021. In 2019, a new    
constitution took effect; it introduced some political and economic reforms but 
 
maintained the state’s dominance over the economy and the Communist Party’s 
predominant political  role. A November 2020 government crackdown on the San Isidro Movement, a civil society 
group opposed to restrictions on artistic expression, spurred a protest by several hundred Cubans and focused 
international attention on Cuba’s poor human rights record. The Cuban economy is being hard-hit by the 
economic effects of the response to the Coronavirus Disease 2019 (COVID-19) pandemic, reduced support from 
Venezuela,  and increased U.S. economic sanctions. The economy is forecast to contract 8.3% in 2020, and the 
global contraction in economic growth, trade, foreign investment, and tourism likely wil  slow post-COVID-19 
economic recovery. Over the past decade, Cuba has implemented gradual market-oriented economic policy 
changes, but the slow pace of these reforms has not fostered sustainable growth and development. Amid the 
pandemic, the government has implemented more reforms and on December 10, 2020, announced its dual-
currency system would be eliminated on January 1, 2021, a major reform that has long been debated.  
U.S. Policy 
Since the early 1960s, the centerpiece of U.S. policy toward Cuba has been economic sanctions aimed at isolating 
the Cuban government. Congress has played an active role in shaping policy toward Cuba, including by enacting 
legislation  strengthening—and at times easing—U.S. economic sanctions. In 2014, the Obama Administration 
initiated a policy shift away from sanctions and toward a policy of engagement. This shift included the restoration 
of diplomatic relations; the rescission of Cuba’s designation as a state sponsor of international terrorism; and an 
increase in travel, commerce, and the flow of information to Cuba implemented through regulatory changes.  
President Trump unveiled a new policy toward Cuba in 2017 that introduced new sanctions and rolled back some 
of the Obama Administration’s efforts to normalize relations. In September 2017, the State Department reduced 
the staff of the U.S. Embassy by about two-thirds in response to unexplained health injuries of members of the 
U.S. diplomatic community in Havana. The reduction affected embassy operations, especial y visa processing. In 
November 2017, the Administration restricted financial transactions with entities controlled by the Cuban 
military, intel igence, and security services; the “Cuba restricted list” has been updated several times, most 
recently in September 2020. By 2019, the Administration had largely abandoned engagement and increased 
sanctions to pressure the Cuban government on human rights and for its support of the Venezuelan government of 
Nicolás Maduro. The sanctions included a wide array of restrictions, especial y on travel and remittances, as wel  
as visa restrictions and sanctions targeting Venezuela’s oil exports to Cuba and certain trade and financial 
transactions. (See “Key Trump Administration Sanctions and Other Actions,” below.) 
Legislative Activity in the 116th  Congress 
The 116th Congress has continued to fund Cuba democracy assistance and U.S.-government sponsored 
broadcasting to Cuba: $20 mil ion  for democracy programs and $29.1 mil ion for broadcasting in FY2019 (P.L. 
116-6) and $20 mil ion  for democracy programs and $20.973 mil ion for broadcasting in FY2020 (P.L. 116-94, 
Division G). For FY2021, the Administration requested $10 mil ion for democracy programs and $12.973 mil ion 
for broadcasting. Both the House-passed version of the FY2021 foreign aid appropriations bil , Division A of H.R. 
7608 (H.Rept. 116-444), and the Senate Appropriations Committee’s draft bil  and explanatory statement would 
provide $20 mil ion  for democracy programs and would fully fund the broadcasting request.  
In other action, P.L. 116-94 (Division J) included benefits for State Department employees and dependents injured 
while stationed in Cuba. The conference report (H.Rept. 116-617) to the FY2021 defense authorization bil , H.R. 
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6395, approved by the House and the Senate on December 8 and 11, 2020, respectively, would extend such 
benefits to personnel of other federal agencies. The Senate also approved S.Res. 454 in June 2020, cal ing for the 
unconditional release of democracy activist José Daniel Ferrer. 
Several bil s introduced in the 116th Congress would ease or lift U.S. sanctions in Cuba: H.R. 213 (basebal ); S. 
428 (trade); H.R. 1898/S. 1447 (U.S. agricultural exports); H.R. 2404 (overal  embargo); and H.R. 3960/S. 2303 
(travel). H.R. 4884 would direct the Administration to reinstate the Cuban Family Reunification Parole Program. 
S. 3977 would require reporting on countries with Cuban medical missions. S. 4635 would require reporting on 
Cuba’s medical missions and would reinstate the Cuban Medical Professional Parole (CMMP) program. S. 4973 
would authorize compensation for certain U.S. government personnel who incur disabilities resulting from certain 
injuries to the brain. 
Several resolutions would address a variety of issues: H.Res. 1172, the release of Cuban political prisoner Silverio 
Portal Contreras (who was ultimately released December 1, 2020); S.Res. 14 and H.Res. 136, Cuba’s medical 
missions; H.Res. 92 and S.Res. 232, U.S. fugitives from justice in Cuba; S.Res. 215, Cuban religious/political 
freedom; S.Res. 531, Las Damas de Blanco human rights group; and H.Res. 971 and S.Res. 637, the 35th 
anniversary of Cuba broadcasting. For more on legislative initiatives  in the 116th Congress, see Appendix A. 
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Contents 
Introduction ................................................................................................................... 1 
Cuba’s Political and Economic Environment ....................................................................... 3 
Brief Historical Background........................................................................................ 3 
Political Conditions ................................................................................................... 4 
Constitutional Changes in 2019 .............................................................................. 6 
Human Rights...................................................................................................... 7 
Economic Conditions amid COVID-19 ....................................................................... 11 
Foreign Relations .................................................................................................... 15 
U.S. Policy Toward Cuba ............................................................................................... 20 
Background on U.S.-Cuban Relations ......................................................................... 20 
Obama Administration: Shift Toward Engagement........................................................ 22 
Trump Administration: Increased Sanctions ................................................................. 24 
Initial Policy Changes and Some Continuity in 2017-2018........................................ 24 
Increased Sanctions in 2019 and 2020 ................................................................... 25 
Key Trump Administration Sanctions and Other Actions .......................................... 28 
Debate on the Direction of U.S. Policy........................................................................ 31 
Selected Issues in U.S.-Cuban Relations ........................................................................... 33 
U.S. Restrictions on Travel and Remittances ................................................................ 33 
Travel Restrictions ............................................................................................. 33 
Restrictions on Remittances ................................................................................. 35 
U.S. Exports and Sanctions ....................................................................................... 36 
Democracy and Human Rights Funding ...................................................................... 39 
Radio and TV Martí ................................................................................................. 40 
U.S. Response to Health Injuries of U.S. Personnel in Havana ........................................ 43 
Migration Issues ...................................................................................................... 49 
Antidrug Cooperation............................................................................................... 53 
Property Claims and Titles III and IV of the LIBERTAD Act .......................................... 55 
U.S. Fugitives from Justice ....................................................................................... 58 
Trafficking in Persons and Cuba’s Foreign Medical Missions ......................................... 59 
Outlook ....................................................................................................................... 63 
 
Figures 
Figure 1. Provincial Map of Cuba ...................................................................................... 2 
Figure 2. U.S. Exports to Cuba, 2002-2019 ....................................................................... 38 
Figure 3. Maritime Interdictions of Cubans by the U.S. Coast Guard..................................... 50 
 
Appendixes 
Appendix A. Legislative Initiatives in the 116th Congress .................................................... 65 
Appendix B. Links to U.S. Government Reports ................................................................ 72 
 
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Contacts 
Author Information ....................................................................................................... 73 
 
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Cuba: U.S. Policy in the 116th  Congress  
 
Introduction 
Political and economic developments in Cuba and U.S. policy toward the island nation, located 
90 miles from the United States, have been significant congressional concerns for many years. 
Especial y since the end of the Cold War, Congress has played an active role in shaping U.S. 
policy toward Cuba, first with the enactment of the Cuban Democracy Act of 1992 (CDA; P.L. 
102-484, Title XVII) and then with the Cuban Liberty and Democratic Solidarity (LIBERTAD) 
Act of 1996 (P.L. 104-114). Both measures tightened U.S. economic sanctions on Cuba that had 
first been imposed in the early 1960s; however, both measures also provided road maps for 
normalization of relations, dependent on significant political and economic changes in Cuba. 
Congress partial y modified its sanctions-based policy toward Cuba when it enacted the Trade 
Sanctions Reform and Export Enhancement Act of 2000 (TSRA; P.L. 106-387, Title IX) al owing 
for U.S. agricultural exports to Cuba. 
Over the past decade, much of the debate in 
Cuba at a Glance 
Congress over U.S. policy has focused on 
U.S. sanctions. In 2009, Congress took 
Population:  11.2 mil ion  (2018, ONEI) 
legislative  action in an appropriations 
Area: 42,426 square miles  (ONEI), slightly smal er  than 
Pennsylvania  
measure (P.L. 111-8) to ease restrictions on 
family travel and travel for the marketing of 
GDP: $106 bil ion  (2019, nominal U.S.  $ (EIU) 
agricultural exports, marking the first 
Real GDP Growth: 2.3% (2018); 0.5% (2019 est.); 
-8.3% (2020 forecast) (EIU) 
congressional action easing Cuba sanctions in 
Key Trading  Partners: Exports  (2018): Canada, 
almost a decade. The Obama Administration 
22.3%; Venezuela, 19.5%; China, 19.2%; Spain 7.6%. 
took further action in 2009 by lifting 
Imports (2018): Venezuela, 23%; China, 13.4%; Spain, 
restrictions on family travel and family 
10.5%. (ONEI) 
remittances and in 2011 by further easing 
Life Expectancy: 78.7 years (2018, UNDP) 
restrictions on educational and religious 
Literacy (adult):  99.8% (2018, UNDP) 
travel and remittances to other than family 
Legislature:  National Assembly  of People’s  Power, 
members. 
currently 605 members  (five-year terms  elected in 
March 2018; next due in 2023). 
President Obama announced a major shift in 
Sources: National Office of Statistics and Information 
U.S. policy toward Cuba in December 2014 
(ONEI), Republic of Cuba; U.N. Development 
that moved away from a sanctions-based 
Programme  (UNDP); Economist Intel igence Unit (EIU). 
policy aimed at isolating Cuba toward a 
policy of engagement and a normalization of relations. The policy shift led to the restoration of 
diplomatic relations, the rescission of Cuba’s designation as a state sponsor of international 
terrorism, and the easing of some restrictions on travel and commerce with Cuba. There was 
mixed reaction in Congress, with some Members of Congress supporting the change and others 
opposing it. Legislative  initiatives  in the 114th Congress in 2015-2016 reflected this policy divide, 
with some bil s introduced that would have further eased U.S. economic sanctions and others that 
would have blocked the policy shift and introduced new sanctions; ultimately no action was taken 
on either policy approach. 
President Trump announced a new policy approach toward Cuba in June 2017 that partial y rolled 
back efforts to normalize relations and imposed new sanctions on Cuba, including restrictions on 
the permissible category of people-to-people educational travel to Cuba and on transactions with 
companies controlled by the Cuban military. Again, reaction in the 115th Congress in 2017-2018 
was mixed, with legislative initiatives  reflecting the policy divide between those wanting to 
tighten sanctions and those wanting to ease them. Ultimately, the only legislative  action taken 
with regard to sanctions was a provision in the 2018 farm bil  (P.L. 115-334) that permits funding 
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for two U.S. agricultural exports promotion programs in Cuba. This marked the first time 
Congress had eased Cuba sanctions, albeit slightly, in almost a decade. 
Since 2019, the Trump Administration has significantly expanded U.S. economic sanctions on 
Cuba by reimposing many restrictions eased under the Obama Administration and imposing a 
series of strong sanctions designed to pressure the government on its human rights record and for 
its support for the Nicolás Maduro government in Venezuela. These actions have included 
al owing lawsuits against those trafficking in property confiscated by the Cuban government, 
tightening restrictions on U.S. travel and remittances to Cuba, and engaging in efforts to stop 
Venezuelan  oil exports to Cuba.  
Figure 1. Provincial Map of Cuba 
 
Source: Congressional  Research Service. 
This report examines U.S. policy toward Cuba in the 116th Congress. It is divided into three major 
sections analyzing (1) Cuba’s political and economic environment; (2) U.S. policy toward Cuba; 
and (3) selected issues in U.S.-Cuban relations, including restrictions on travel and trade, 
democracy and human rights funding for Cuba, U.S. government-sponsored radio and television 
broadcasting to Cuba (Radio and T Martí), migration issues, antidrug cooperation, property 
claims, and U.S. fugitives from justice in Cuba. Relevant legislative  initiatives  in the 116th 
Congress are noted throughout the report, and Appendix A lists enacted measures and other bil s 
and resolutions. Appendix B provides links to U.S. government information and reports on Cuba. 
Also see CRS In Focus IF10045, Cuba: U.S. Policy Overview.  
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Cuba’s Political and Economic Environment 
Brief Historical Background1 
Cuba became an independent nation in 1902. From its discovery by Columbus in 1492 until the 
Spanish-American War in 1898, Cuba was a Spanish colony. In the 19th century, the country 
became a major sugar producer, with slaves from Africa brought in increasing numbers to work 
the sugar plantations. The drive for independence from Spain grew stronger in the second half of 
the 19th century, but independence came about only after the United States entered the conflict, 
when the USS Maine sank in Havana Harbor after an explosion of undetermined origin. In the 
aftermath of the Spanish-American War, the United States ruled Cuba for four years until Cuba 
was granted its independence in 1902. Nevertheless, the United States retained the right to 
intervene in Cuba to preserve Cuban independence and maintain stability in accordance with the 
Platt Amendment,2 which became part of the Cuban Constitution of 1901; the United States 
established a naval station at Guantanamo Bay, Cuba, in 1903, which continues in operation 
today.3 The United States subsequently intervened militarily  three times between 1906 and 1921 
to restore order, but in 1934, the Platt Amendment was repealed. 
Cuba’s political system as an independent nation often was dominated by authoritarian figures. 
Gerardo Machado (1925-1933), who served two terms as president, became increasingly 
dictatorial until he was ousted by the military. A short-lived reformist government gave way to a 
series of governments that were dominated behind the scenes by military leader Fulgencio Batista 
until he was elected president in 1940. Batista was voted out of office in 1944 and was followed 
by two successive presidents in a democratic era that ultimately became characterized by 
corruption and increasing political violence. Batista seized power in a bloodless coup in 1952, 
and his rule progressed into a brutal dictatorship that fueled popular unrest and set the stage for 
Fidel Castro’s rise to power.  
Castro led an unsuccessful attack on military barracks in Santiago, Cuba, on July 26, 1953. After 
a brief jail  term, he went into exile in Mexico, where he formed the 26th of July Movement. 
Castro returned to Cuba in 1956 with the goal of overthrowing the Batista dictatorship. His 
revolutionary movement was based in the Sierra Maestra Mountains in eastern Cuba, and it 
joined with other resistance groups seeking Batista’s ouster. Batista ultimately fled the country on 
January 1, 1959, leading to 47 years of rule under Fidel Castro until he stepped down from power 
provisional y in 2006 because of poor health and ceded power to his brother Raúl Castro.  
Although Fidel Castro had promised a return to democratic constitutional rule when he first took 
power, he instead moved to consolidate his rule, repress dissent, and imprison or execute 
thousands of opponents. Under the new revolutionary government, Castro’s supporters gradual y 
displaced members of less radical groups. Castro moved toward close relations with the Soviet 
Union, and relations with the United States deteriorated rapidly as the Cuban government 
                                              
1 Portions of this background section are drawn from U.S.  Department of State, “Background Note: Cuba,” April  28, 
2011. For further background, see Rex A. Hudson, ed., Cuba, A Country Study, Federal Research Division, Library of 
Congress  (Washington, DC: GPO, 2002), at https://www.loc.gov/item/2002018893/; “ Country Profile: Cuba,” Federal 
Research Division, Library of Congress,  September 2006, at https://www.loc.gov/rr/frd/cs/profiles/Cuba.pdf;  Leslie 
Bethell, ed., Cuba, A Short History  (Cambridge,  UK: Cambridge  University Press, 1993); and Hugh  T homas, Cuba: 
The Pursuit of Freedom  (New York: Harper & Row,  Publishers, 1971). 
2 U.S.  Senator Orville Platt introduced an amendment to an army appropriations bill that was approved by both houses 
and enacted into law  in 1901. 
3 For background  on the U.S.  naval station, see CRS  Report R44137, Naval Station Guantanamo Bay: History and 
Legal Issues  Regarding Its Lease Agreem ents, by Jennifer K. Elsea and Daniel H. Else.  
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expropriated U.S. properties. In April 1961, Castro declared that the Cuban revolution was 
socialist, and in December 1961, he proclaimed himself to be a Marxist-Leninist. Over the next 
30 years, Cuba was a close al y of the Soviet Union and depended on it for significant assistance 
until the dissolution of the Soviet Union in 1991. 
Castro ruled by decree until 1976 when he became the country’s president (technical y, president 
of the Council of State) under a new constitution that set forth the Cuban Communist Party 
(PCC), which Castro headed, as the leading force in state and society. When Fidel stepped down 
in July 2006 because of poor health, his brother Raúl, Cuba’s long-time defense minister and first 
vice president, became provisional president. In 2008, after Fidel announced that he would not be 
returning to government, Cuba’s National Assembly chose Raúl as president and he went on to 
serve two five-year terms until April 2018. More than 10 years after stepping down from power, 
Fidel Castro died in November 2016 at 90 years of age. While out of power, Fidel continued to 
author essays published in Cuban media that cast a shadow on Raúl Castro’s rule, and many 
observers believe that the former leader encouraged so-cal ed hard-liners in the party and 
government bureaucracy to slow the pace of economic reforms advanced by Raúl.4 
Raúl Castro’s government (2006-2018) stands out for two significant policy developments. First 
the government implemented a series of gradual market-oriented economic policy changes 
including authorization for limited private sector activity, the legalization of property rights, and 
an opening to further foreign investment. Critics, however, maintain that the government did not 
go far enough toward enacting deeper reforms needed to stimulate the Cuban economy and foster 
sustainable economic growth. The second notable policy development was the rapprochement in 
bilateral relations with the Obama Administration; this rapprochement led to the reestablishment 
of diplomatic relations and government-to-government engagement and cooperation on a wide 
range of issues.  
Political Conditions 
Current President Miguel Díaz-Canel Bermúdez succeeded Raúl Castro in April  2018 after Castro 
completed his second five-year term. Cuba does not have direct elections for president; instead, 
Cuba’s legislature, the National Assembly of People’s Power, selected Díaz-Canel as president of 
the country’s then-31-member Council of State, which, pursuant to Cuba’s 1976 constitution 
(Article 74), made Díaz-Canel Cuba’s head of state and government.5 Most observers saw Díaz-
Canel, who had been serving as first vice president since 2013, as the “heir apparent,” although 
Raúl is continuing in his position as first secretary of the PCC until 2021. 
Díaz-Canel, currently 60 years old, is an engineer by training. His appointment as first vice 
president in 2013 made him the official constitutional successor in case Castro died or could not 
fulfil   his duties. His appointment also represented a move toward bringing about generational 
change in Cuba’s political system; Raúl Castro was 86 years old when he stepped down as 
president. Díaz-Canel became a member of the Politburo in 2003 (the PCC’s highest 
decisionmaking body), held top PCC positions in two provinces, and was higher education 
minister from 2009 until 2012, when he was tapped to become a vice president on the Council of 
State. 
                                              
4 Simon Gardner  and Sarah Marsh, “Fidel Gone  and T rump Looming, Cuban Businesses  Count on More Reforms,” 
Reuters News,  November 29, 2016. 
5 Cuba  held  elections for the 605-member National Assembly, as well  as for 15 provincial assemblies,  in March 2018. 
Candidates  were tightly controlled by candidacy  commissions, and voters were presented with one candidate for each 
position. 
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Cuba’s 2018 political transition is notable because it is the first time since the 1959 Cuban 
revolution that a Castro is not in charge of the government. A majority of Cubans today have only 
lived under the rule of the Castros. Raúl’s departure can be viewed as a culmination of the 
generational leadership change that began several years ago in the government’s lower ranks. It is 
also the first time that Cuba’s head of government is not leader of the PCC. Raúl Castro, 
however, has indicated that he expects Díaz-Canel to take over as first secretary of the PCC when 
his term as party leader ends at the next party congress, expected in April 2021.6 
Another element of the 2018 transition was change in the composition of the then-31-member 
Council of State. The National Assembly selected 72-year-old Salvador Valdés Mesa as first vice 
president—not from the younger generation, but also not from the historical revolutionary period. 
Valdés Mesa, who already had been serving as one of five vice presidents and is on the PCC’s 
Politburo, is the first Afro-Cuban to hold such a high government position. Several older 
revolutionary-era leaders remained on the council, including Ramiro Valdés,  aged 86, who 
continued as a vice president.7 Nevertheless, the average age of Council of State members was 
54, with 77% born after the 1959 Cuban revolution.8 
Most observers did not anticipate immediate major policy changes under President Díaz-Canel, 
but in December 2018 Díaz-Canel made several decisions that appeared to demonstrate his 
independence from the Castro government and his responsiveness to public concerns and 
criticisms. He eased forthcoming harsh regulations that were about to be implemented on the 
private sector; many observers believed these regulations would have shrunk the sector (see 
“Economic Conditions” section, below). His government eliminated a proposed constitutional 
change that could have paved the way for same-sex marriage after strong public criticisms of the 
provision. In a third action, the Díaz-Canel government backed away from full implementation of 
controversial Decree 349, issued in July 2018 to regulate artistic expression. After the decree 
triggered a flood of criticism from Cuba’s artistic community, the government announced the 
measure would be implemented gradual y and applied with consensus. Nevertheless, opposition 
to Decree 349 continued to grow in 2019 and 2020, as the government continued its clampdown 
on artistic expression; this led to a November 2020 government crackdown against the San Isidro 
Movement, which actively opposes Decree 349. (For more, see “Human Rights” section, below.) 
When President Díaz-Canel named his Council of Ministers (or cabinet) in July 2018, a majority 
of ministers were holdovers from the Castro government, including those occupying key 
ministries such as defense, interior, and foreign relations. Nine of 26 ministers were new, 
however, as wel  as two vice presidents. In January 2019, Díaz-Canel replaced the ministers of 
finance and transportation, who had been holdovers from the previous government.9 
                                              
6 Anthony Failoa, “Castros’ Successor, Miguel  Díaz-Canel, T akes Over in Cuba,  Pledges  ‘Continuity,’” Washington 
Post, April 19, 2018.  
7 “Members of the Council of State to the Ninth Legislature of the National Assembly of People’s Power,” Granma, 
April 20, 2018; Mimi Whitefield, “Cuba Diversifies Key Government Posts with Somewhat Younger  But Loyal 
Leadership,” Miam i Herald, April 27, 2018; and Nelson Acosta, “ Factbox: Who’s Who at the T op of Cuba’s New 
Government,” Reuters News,  April 19, 2018. 
8 William LeoGrande,  “Cuba’s New  Generation T akes the Helm with an Immediate T est: the Economy,” World 
Politics Review, April 24, 2018. 
9 Sarah Marsh, Nelson Acosta, and Marc Frank, “Cuba’s New  President Names Cabinet Resembling  Castro’s” Reuters 
News,  July  21, 2018; Mimi Whitefield, “Continuity But Some New  Faces  as Cuba’s  Parliament Selects Ministers,” 
Miam i Herald, July 21 2018; and “ Cuban President Replaces Ministers in First Cabinet Reshuffle,”  Reuters News, 
January 10, 2019. 
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Constitutional Changes in 2019 
On February 24, 2019, almost 87% of Cubans approved a new constitution in a national 
referendum. Original y drafted by a commission headed by Raúl Castro and approved by the 
National Assembly in July 2018, the overhaul of the 1976 constitution was subject to public 
debate in thousands of workplaces and community meetings into November 2018. After 
considering public suggestions, the National Assembly made additional  changes to the draft 
constitution, and the National Assembly approved a new version in December 2018. One of the 
more controversial changes made by the commission was the elimination of a provision that 
would have redefined matrimony as gender neutral compared to the current constitution, which 
refers to marriage as the union between a man and a woman. Cuba’s evangelical churches 
orchestrated a campaign against the provision, and Cuban Catholic bishops issued a pastoral 
message against it.10 The commission chose to eliminate the proposed provision altogether, with 
the proposed constitution remaining silent on defining matrimony, and maintained that the issue 
would be addressed in future legislation within two years.11 
Among the provisions of the new constitution, which went into effect in April 2019, are the 
addition of an appointed prime minster as head of government to oversee government 
operations—to be proposed by the President and designated by the National Assembly (Articles 
140 and 141); limits on the president’s tenure (two five-year terms) and age (60, beginning first 
term) (Articles 126 and 127); the right to own private property (Article 22); and the 
acknowledgement of foreign investment as an important element of the country’s economic 
development (Article 28). The new constitution stil  ensures the state’s control over the economy 
and the role of centralized planning (Article 19), and the Communist Party is stil  the only 
recognized party (Article 5).12 
Pursuant to the new constitution, Cuba’s National Assembly redesignated incumbent Díaz-Canel 
as president of the republic and Salvador Valdés Mesa as vice president in October 2019. Under 
the previous constitution, Díaz-Canel served as president of the Council of State; under the new 
constitution, that body is headed by Juan Esteban Lazo, president of the National Assembly, along 
with the vice president and the secretary of the National Assembly. The Council of State 
represents the National Assembly between sessions, including enacting decree laws. In October 
2019, the National Assembly selected the members of the new Council of State, which was 
reduced from 31 to 21 members, including the removal of two long-serving historical 
revolutionary commanders, Ramiro Valdés and Guil ermo Garcia Frias.13 
President Díaz-Canel appointed Tourism Minister Manuel Marrero Cruz as Cuba’s prime minister 
in December 2019; he reportedly wil  serve as the president’s administrative right-hand man in 
implementing government policy and heads the Council of Ministers, the country’s highest 
executive and administrative organ. In appointing Marrero to the position, Díaz-Canel cited 
Marrero’s experience with foreign investors and in building the country’s tourism sector over his 
                                              
10 Nelson Acosta and Sarah Marsh, “In Rare Campaign for Cuba,  Churches Advocate Against Gay  Marriage,” Reuters 
News,  October 16, 2018; Mimi Whitefield, “Cuba  Asked for Public  Feedback  on a New  Constitution. Now It’s 
Deciding  Which Suggestions  to Include,” Miami Herald, December 3, 2018.  
11 Sasha  Ingber, “Cuba Scraps  Words Establishing Same-Sex  Marriage from Drafted Constitution,” NPR, December 
19, 2018; Sarah Marsh, “Cuba  Panel Closes Door on Gay  Marriage Constitutional Amendment,” Reuters News, 
December 19, 2018.  
12 “Constitución de la República  de Cuba,”  Gaceta Oficial de la República de Cuba, April 10, 2019.  
13 “Cuba Reshuffles  to Improve Governance, Old Guard  Removed from Council of State,” Reuters News,  October 10, 
2019. For the membership of the Council of State, see CubaDebate,  “ Consejo de  Estado,” at http://www.cubadebate.cu/
cuba/consejo-estado/.  
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16-year tenure as tourism minister.14 The new Council of Ministers also includes six vice prime 
ministers (including the retained historical figures, Ramiro Valdés and Ricardo Cabrisas); a 
secretary; and 26 other ministers and officials, including six new ministers representing a younger 
generation.15 
The new Cuban constitution also restored the position of governor (and vice governor) in each of 
the country’s provinces in an effort to devolve more power and responsibility to the local level. 
President Díaz-Canel selected a single candidate for governor and vice governor for each of the 
provinces in December; delegates of the country’s 168 municipal assemblies then ratified these 
candidates in January 2020.  
Human Rights16 
The Cuban government has a poor record on human rights, with the government sharply 
restricting freedoms of expression, association, assembly, movement, and other basic rights since 
the early years of the Cuban revolution. The government has continued to harass members of 
human rights and other dissident organizations. These organizations include the Ladies in White 
(Las Damas de Blanco), currently led by Berta Soler, formed in 2003 by the female relatives of 
the “group of 75” dissidents arrested that year, and the Patriotic Union of Cuba (UNPACU), led 
by José Daniel Ferrer, established in 2011 by several dissident groups with the goal of working 
peacefully for civil liberties and human rights. Ferrer was imprisoned from October 2019 until 
April 2020, when he was released to house arrest; he faced trial on assault charges, but human 
rights activists assert his detention was related to his activism. In 2020, international attention has 
focused on a government crackdown on the San Isidro Movement (Movimiento San Isidro, or 
MSI), formed in 2018 to oppose the government’s attempt to restrict artistic expression not 
authorized by the state (see text box below on the MSI). In December 2020, Human Rights Watch 
issued a report documenting how the Cuban government has used regulations designed to prevent 
the spread of the Coronavirus Disease 2019 (COVID-19) to harass and imprison government 
opponents.17 
Political Prisoners. In October 2018, the State Department’s U.S. Mission to the United Nations 
launched a campaign to cal  attention to the plight of Cuba’s “estimated 130 political prisoners.”18 
Secretary of State Mike Pompeo wrote an open letter to Cuban Foreign Minister Bruno Rodriguez 
in December 2018, asking for a substantive explanation for the continued detention of eight 
specific political prisoners and an explanation of the charges and evidence against other 
individuals  held as political prisoners.19 
                                              
14 “Cuba Names Manuel  Marrero Cruz as First Prime Minister Since 1976,” Deutsche Welle, December 21, 2019; and 
“Cuba  Names Prime Minister in Move to Lighten Presidential Load,” Reuters News,  December 21, 2019.  
15 Domingo Amuchastegui,  “T he New Chief Executive” No Division of Authority, Just a Division of T ask,” Cuba 
Standard Monthly, December 2019 – January 2020. For the membership of the Council of Ministers, see CubaDebate, 
“Consejo de Ministros,” at http://www.cubadebate.cu/cuba/consejo-ministros/.   
16 Also see separate section on “ T rafficking in Persons and Cuba’s  Foreign Medical  Missions.” 
17 Human Rights Watch, “Cuba: COVID-19 Rules  Used  to Intensify Repression,” December 7, 2020, at 
https://www.hrw.org/news/2020/12/07/cuba-covid-19-rules-used-intensify-repression. 
18 U.S.  Embassy in Cuba,  “U.S. Mission to the United Nations and the Bureau  of Democracy, Human Rights, and 
Labor to Launch Campaign on Cuba’s  Political Prisoners at the United Nations,” press notice, October 12, 2018, at 
https://cu.usembassy.gov/u-s-mission-to-the-united-nations-and-the-bureau-of-democracy-human-rights-and-labor-to-
launch-campaign-on-cubas-political-prisoners-at-the-united/; “ Remarks at a U.S. Event Launching the ‘Jailed for 
What?’ Campaign Highlight ing Cuba’s  Political Prisoners,” October 18, 2018.  
19 U.S.  Department of State, Secretary of State Michael Pompeo, “An Open Letter to the Foreign Minister of the 
Congressional Research Service 
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Cuba: U.S. Policy in the 116th  Congress  
 
For many years, the Havana-based Cuban Commission for Human Rights and National 
Reconciliation (CCDHRN) was an authoritative source for information on political prisoners and 
the level of short-term detentions, but the group has not been active since early 2019. In January 
2019, CCDHRN estimated that Cuba held some 130-140 political prisoners.20 In June 2018, the 
CCDHRN  issued a list with 120 people imprisoned for political reasons, consisting of 96 
opponents or those disaffected toward the regime (more than 40 were members of UNPACU) and 
24 accused of employing or planning some form of force or violence.21 
More recently, the State Department has begun to cite figures on political prisoners from the 
Spanish-based human rights organization Cuban Prisoners Defenders. In December 2020, the 
human rights group issued a report listing 134 political prisoners, including 77 imprisoned for 
“reasons of conscience,” 27 released prisoners of conscience stil  under government restrictions, 
and 30 other political  prisoners.22 
According to the State Department’s human rights report on Cuba covering 2019, issued in 
March 2020, the lack of governmental transparency, along with systematic violations of due 
process rights, masked the true nature of criminal charges, investigations, and prosecutions and 
al owed the government to prosecute peaceful human rights activists for criminal violations or 
“pre-criminal dangerousness.” The report also noted that the Cuban government refused 
international humanitarian organizations, such as the International Committee of the Red Cross, 
and the United Nations access to its prisons and detention centers, and that the government 
closely monitored and often harassed domestic human rights organizations.23 
Amnesty International (AI) has designated several political  dissidents as prisoners of conscience 
over the years. According to AI, those designated as such represent only a fraction of those likely 
to be detained solely for the peaceful expression of their opinions or beliefs.24 Among those AI-
designated prisoners of conscience currently imprisoned are Josiel Guía Piloto, president of the 
Republican Party of Cuba, imprisoned in December 2016 and serving a five-year sentence; 
Mitzael Díaz Paseiro, member of the Orlando Zapata Tamayo Civic Resistance, imprisoned in 
November 2017, serving a nearly four-year sentence; and Edilberto Ronal Arzuago Alcalá, 
UNPACU  activist, imprisoned in December 2018.25 
On November 27, 2020, AI dubbed Cuban performance artist Luis Manuel Otero Alcántara and 
artist Anamely Ramos González as prisoners of conscience when they were detained after a 
November 26 raid against the MSI (see textbox on the MSI).26 AI previously had dubbed Otero 
                                              
Republic  of Cuba,”  December 7, 2018, at https://cu.usembassy.gov/an-open-letter-to-the-foreign-minister-of-the-
republic-of-cuba/. 
20 Comisión Cubana  de Derechos Humanos y Reconciliación Nacional (CCDHRN),  “Cuba:  Algunos  Actos de 
Represión Polít ica en el Mes de  Diciembre de 2018,” January 3, 2019. 
21 CCDHRN,  “Lista Parcial de Condenados  o Procesados en Cuba  por Razones Politicas en Esta Fecha,” June 11, 2018, 
and “En Cuba  hay 120 prisioneros por motivos políticos, según la CCDHRN,”  14ymedio.com , June 11, 2018. 
22 Cuban  Prisoners Defenders, “Cuban Prisoners Defenders Report,” December 1, 2020.  
23 U.S.  Department of State, Country Reports on Human Rights Practices for 2019, March 11, 2020. 
24 Amnesty International (AI) defines prisoners of conscience as those jailed  because  of their political, religious, or 
other conscientiously held beliefs,  ethnic origin, sex, color, language,  national or social origin, economic status, birth, 
sexual  orientation, or other status, provided they have neither used nor advocated violence. Going  beyond AI’s narrow 
definition of prisoners of conscience, the Cuban  government has held a larger number of political prisoners, generally 
defined  as a person imprisoned for his or her political activities.  
25 AI, “Cuba:  A Snapshot  of Prisoners of Conscience Under the Government of President Miguel Díaz-Canel,” 2019. 
26 AI, “Cuba:  Amnesty International Calls for Release of T wo San  Isidro Prisoners of Conscience,” November 27, 
2020. 
Congressional Research Service 
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Cuba: U.S. Policy in the 116th  Congress  
 
Alcántara a political  prisoner in March 2020, when he was detained for 13 days but released 
following an outcry by Cuban artists. 
The Cuban government has released several 
San Isidro Movement (MSI)  
AI-designated prisoners of conscience since 
The San Isidro Movement (MSI) is a civil society group 
2018. On December 1, 2020, the government  formed in 2018 by independent artists,  musicians, 
released Silverio Portal Contreras, a former 
writers,  and scholars in response  to the Cuban 
activist with the Ladies in White human 
government’s  attempt to impose  a decree-law  restricting 
artistic freedom.  Named for the Old Havana 
rights group; Portal Contreras had been 
neighborhood of San Isidro,  MSI recently has galvanized 
imprisoned in June 2016 and sentenced to 
international attention on freedom  of expression in 
four years in prison. In September 2020, the 
Cuba, as the government has harassed and repressed  the 
government released independent journalist 
group’s members.   
Roberto de Jesús Quiñones Haces from 
Arrested  on November  9, 2020, Cuban rapper and MSI 
prison after serving a one-year sentence; he 
member  Denís  Solís was charged with “contempt for 
public authority” and sentenced to eight months in 
had been convicted of resistance and 
prison, prompting MSI members  to conduct a peaceful 
disobedience in September 2019, while 
protest that was disrupted by authorities. Several  MSI 
covering a trial involving homeschooling.27 
members  subsequently began a hunger strike  at the 
In August 2020, UNPACU member Eliécer 
home of an MSI founder, Luis Manuel Otero Alcántara. 
Bandera Barreras, imprisoned in September 
Cuban authorities broke into the home on November 
26, al eging violations of Coronavirus Disease  2019 
2016 and sentenced to nearly five years, was 
(COVID-19) protocols, and detained over a dozen 
released on conditional parole. In May 2019, 
people. As word spread by social media,  including videos 
the government released political activist Dr. 
of the government’s  repression,  several  hundred 
Eduardo Cardet, leader of the Christian 
Cubans, many young artists, gathered in protest at the 
Liberation Movement, after spending more 
Ministry of Culture overnight on November 27. Several 
observers  have dubbed the protest an awakening of civil 
than two years in prison for publicly 
society energized by social media.   
criticizing Fidel Castro. In 2018, the 
The government initial y responded by meeting with a 
government released two political prisoners 
protestor delegation and agreeing to continue talks, 
after hunger strikes: in July, Dr. Ariel Ruiz 
urgently review  the case against Solís,  and ensure 
Urquiola, who had been sentenced in May to 
independent artists would not be harassed. This 
one year in prison for the crime of 
agreement quel ed the protest, but the government 
backtracked on its commitments  within hours and 
disrespecting authority (desacato),28 and, in 
launched an assault on state media against MSI, 
October, UNPACU activist Tomás Núñez 
maintaining the protest was instigated by the United 
Magdariaga, who had been sentenced to one 
States. Artists and other activists who participated in the 
year in jail  for al egedly  making threats to a 
protest have been targeted for harassment and 
security agent.
defamation, and some  have been detained or subject to 
29 
house detention. 
Freedom of Expression. In October 2018, 
Sources: “The Movimiento San Isidro Chal enges 
the Office of the Special Rapporteur for 
Cuba’s Regime,”  Economist, December  5, 2020; Marc 
Freedom of Expression and the Inter-
Frank, “Cuban Government Backtracks on Deal  with 
Protesters,”  Reuters News, November  29, 2020; and Ed 
American Commission on Human Rights—
Augustin, Natalie Kitroeff,  and Frances Robles, “‘An 
two human rights bodies affiliated with the 
Awakening’:  Cubans’ Access  to the Internet Fosters 
Organization of American States—issued an 
Dissent,”  New York  Times, December  10, 2020. 
extensive report on freedom of expression in 
Cuba. The report concluded that Cuba continues to be the only country in the hemisphere where 
                                              
27 AI, “Cuba  2019,” at https://www.amnesty.org/en/countries/americas/cuba/report-cuba/; and AI, “Cuba: Prisoner of 
Conscience Released:  Roberto Quiñones Haces,” September 28, 2020.  
28 AI, “Urgent Action, Environmentalist  Conditionally Released,” July 11, 2018.  
29 “Antes de morirme tengo que  ver a mi país libre,”  14ymedio.com (Havana), October 16, 2018.  
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Cuba: U.S. Policy in the 116th  Congress  
 
there are no guarantees for the exercise of the right to freedom of expression. According to the 
report, the Cuban government has a monopoly on the media; legal y  prohibits the establishment 
of private media; and uses arbitrary detentions, threats, and acts of harassment or censorship 
against journalists who disseminate ideas, opinion, and information critical of the government.30 
The 2019 annual report of the Office of the Special Rapporteur for Freedom of Expression 
maintained the Díaz-Canal administration has intensified the “harassment and systematic 
persecution of independent journalists, human rights activists, and dissidents who disseminate 
information and opinions on matters of public interest outside the control of the 
state.”31According to Reporters Without Borders’ 2020 World Press Freedom Index, Cuba ranked 
near the bottom, 171st out of 180 countries worldwide.32 
Amid Cuba’s repressive media environment, various independent Cuban blogs and independent 
media have been established over the past dozen years, although these outlets often are threatened 
and harassed by government security agents. Cuban blogger Yoani Sánchez has received 
considerable international attention since 2007 for her website, Generación Y, which includes 
commentary critical of the Cuban government. In 2014, Sánchez launched an independent digital 
newspaper in Cuba, 14 y medio, available  on the internet, but distributed through a variety of 
methods in Cuba, including CDs, USB flash drives, and DVDs.33 
Other notable online forums and independent or alternative media that have developed in recent 
years include Periodismo del Barrio (focusing especial y on environmental issues), El Toque, 
OnCuba (a Miami-based digital  magazine and website with a news bureau in Havana), and 
Tremenda Nota (focusing on the LGBT community).34 Another online forum, Cuba Posible 
(founded by two former editors of the Catholic publication Espacio Laical), began operations in 
2015 but closed in 2019 because of intense pressure and difficult conditions in Cuba.35 
In recent years, the Cuban government has moved to expand internet connectivity through 
“hotspots” first begun in 2015, the launching of internet capability on cel phones with 3G 
technology in 2018, and the legalization  of private Wi-Fi networks to access the internet and 
connect computers in 2019. The increase in social media use in Cuba has opened up a new 
avenue for freedom of expression and provided a means for Cubans to communicate their 
concerns and complaints to government officials. Social media spurred an impromptu gay rights 
march in June 2019 after the government cancel ed its annual gay pride march, and, in November 
2020, was instrumental in bringing together several hundred Cubans to protest targeted repression 
against the San Isidro Movement.36 
                                              
30 Office of the Special Rapporteur for Freedom of Expression and the Inter-American Commission on Human Rights, 
Freedom  of Expression in Cuba, October 31, 2018, at  http://www.oas.org/en/iachr/expression/docs/reports/Cuba-
en.pdf. 
31 Office of the Special Rapporteur for Freedom of Expression and the Inter-American Commission on Human Rights, 
Annual Report of the Inter-Am erican Com m ission on Hum an Rights, Volume II, Annual Report of the Special 
Rapporteur for Freedom  of Expression,” February  24, 2020. 
32 Reports Without Borders, 2020 World Press Freedom Index, Cuba,  at https://rsf.org/en/cuba.  
33 Sánchez’s blog  is available  at https://generacionyen.wordpress.com/, and her online digital newspaper is available  at 
https://www.14ymedio.com/. Access  to both sites is  usually  blocked in Cuba  by the government. 
34 Periodismo del Barrio, at https://www.periodismodebarrio.org/;  El Toque, at https://eltoque.com/; OnCuba, at 
https://oncubanews.com/; and Trem enda Nota, at https://www.tremendanota.com/. 
35 Cuba Posible, at https://cubaposible.com/; “Cuba Posible disuelve  su  junta directiva por circunstancias ‘demasiado 
difíciles,’”  14ym edio.com, May 20, 2019. 
36 Anthony Failoa, “With 3G and T witter, Cubans Unafraid to Complain,” Washington Post, July  8, 2019; and Ed 
Augustin,  Natalie Kitroeff, and Frances Robles,  “On Social Media,  T here Are T housands’: In Cuba,  Internet Fuels Rare 
Protests,” New York Times, December 9, 2020. 
Congressional Research Service 
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Cuba: U.S. Policy in the 116th  Congress  
 
Human Rights Reporting on Cuba 
Amnesty International  (AI), Cuba, https://www.amnesty.org/en/countries/americas/cuba/. 
Cuban  Commission for Human Rights  and National  Reconciliation (Comisión Cubana  de 
Derechos Humanos y Reconciliación Nacional, CCDHRN),  an independent Havana-based human rights 
organization that produces a monthly report on short-term detentions for political reasons. 
CCDHRN, “Cuba: Algunos Actos de Represión Política en el Mes de Marzo de 2019,” April 3, 2019, at 
https://www.14ymedio.com/nacional/OVERVIEW-MARZO_CYMFIL20190409_0001.pdf.  
CCDHRN, “Lista Parcial de Condenados o Procesados en Cuba por Razones Politicas en Esta Fecha,” June 
11, 2018, at https://www.14ymedio.com/nacional/LISTA-PRESOS-JUNIO_CYMFIL20180611_0001.pdf. 
Cuban  Prisoners Defenders,  https://www.prisonersdefenders.org. 
14ymedio.com, independent digital newspaper, based in Havana, at http://www.14ymedio.com/. 
Human Rights  Watch (HRW),  https://www.hrw.org/americas/cuba. 
HRW’s  2020 World  Report maintains that “the Cuban government continues to repress  dissent and punish 
public criticism,”  at https://www.hrw.org/world-report/2020/country-chapters/cuba.  
Inter-American Commission on Human  Rights,  Annual Report 2019, April 6, 2020, Chapter IV has a 
section on Cuba, at https://www.oas.org/en/iachr/docs/annual/2019/docs/IA2019cap4bCU-en.pdf.  
Inter-American Commission on Human  Rights,  Special Rapporteur  for Freedom of Expression. 
Special Report on the Situation of Freedom  of Expression in Cuba, October 2018, at http://www.oas.org/en/
iachr/expression/docs/reports/Cuba-en.pdf. 
Annual Report, 2019, Report of the Office of the Special Rapporteur for Freedom  of Expression, February 
24, 2020, at http://www.oas.org/en/iachr/expression/reports/ENGIA2019.pdf.   
U.S. Department  of State,  Country  Report on Human Rights Practices  for 2019, March 10, 2020, at 
https://www.state.gov/wp-content/uploads/2020/02/CUBA-2019-HUMAN-RIGHTS-REPORT.pdf.  
2020 Trafficking in Persons Report: Cuba,  June 25, 2020, at https://www.state.gov/reports/2020-trafficking-in-
persons-report/cuba/.  
Economic Conditions amid COVID-19 
Cuba’s economy continues to be largely state-controlled, with the government owning most 
means of production and employing a majority of the workforce. Key sectors of the economy that 
generate foreign exchange include the export of professional services (largely medical personnel); 
tourism, which has grown significantly since the mid-1990s, with an estimated 4.7 mil ion 
tourists visiting Cuba in 2018 (although this figure declined to almost 4.3 mil ion  in 2019 due to 
increased U.S. travel restrictions); nickel mining, with the Canadian mining company Sherritt 
International involved in a joint investment project; and a biotechnology and pharmaceutical 
sector that supplies the domestic health care system and has fostered a significant export industry. 
Cash remittances from relatives living abroad, especial y from the United States, also have 
become an important source of hard currency, amounting to some $3.7 bil ion in 2019 (although 
remittances have fal en in 2020 due toCOVID-19 restrictions that have disrupted international 
travel). The once-dominant sugar industry has declined significantly over the past three decades; 
for the 2019-2020 harvest, Cuba produced just 1.2 mil ion metric tons and likely  wil   produce less 
than that for the 2020-2021 harvest (for comparison, Cuba produced 8.4 mil ion MT of sugar in 
1990).37 
                                              
37 U.S.  Department of State, “U.S. Relations with Cuba,”  November 22, 2019; Oficina Nacional de Estadística e 
Información (ONEI), República de Cuba,  “ T urismo. Llegadas de visitantes internacionales,” December 2019; 
”COVID-19 puede  hacer decliner las  remesas a Cuba  entre un 30 y 40% en 2020,” T he Havana Consulting Group and 
T ech, March 20, 2020; and Marc Frank, “ Cuban Sugar  Harvest Gets  Underway Amid  Crisis,”  Reuters News, 
December 4, 2020.  
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Cuba: U.S. Policy in the 116th  Congress  
 
For 20 years, Cuba has depended heavily on Venezuela  for its oil needs. In 2000, the two 
countries signed a preferential oil agreement (essential y an oil-for-medical-personnel barter 
arrangement) that provided Cuba with some 90,000-100,000 barrels of oil per day, about two-
thirds of its consumption. Cuba’s goal of becoming a net oil exporter with the development of its 
offshore deepwater oil reserves was set back in 2012, when the dril ing of three exploratory oil 
wel s was unsuccessful. This setback, combined with Venezuela’s economic difficulties, raised 
Cuban concerns about the security of the support received from Venezuela. Since 2015, 
Venezuela  has cut the amount of oil that it sends to Cuba, and Cuba has increasingly turned to 
other suppliers for its oil needs, such as Algeria and Russia. In early 2019, Cuba reportedly 
received between 40,000 and 50,000 barrels of oil per day from Venezuela, about one-third of its 
consumption.38 Since April 2019, U.S. economic sanctions aimed at oil tankers and companies 
involved in delivering Venezuelan oil to Cuba have further disrupted oil imports, leading to gas 
shortages that have negatively affected economic activity, including the agriculture sector.39 
The government of Raúl Castro implemented 
COVID-19 in Cuba 
a number of market-oriented economic 
Cuba’s public health response to the pandemic appears 
policy changes that were welcomed, although  to have been effective.  As of December  14, 2020, Cuba 
economists were general y disappointed that 
reported 137 deaths and 9,588 confirmed  cases, 
more far-reaching reforms were not 
according to Cuba’s Ministry of Public Health 
(https://salud.msp.gob.cu/). Cuba’s mortality  rate as 
undertaken. At the PCC’s seventh party 
measured  by deaths per 100,000 people was 1.21, among 
congress, held in April 2016, Raúl Castro 
the lowest in the Western  Hemisphere,  according to the 
reasserted that Cuba would move forward 
Johns Hopkins University (https://coronavirus.jhu.edu/
with updating its economic model “without 
data/mortality).  
haste, but without pause.”40 
Cuba imposed  stringent COVID-19 restrictions  in March 
2020, banning foreign tourists from entering the island. 
Even before the COVID-19 pandemic, the 
In early April 2020, Cuba suspended the arrival  and 
Cuban economy was in poor shape, because 
departure of international passenger flights. (The U.S. 
of reduced support from Venezuela over the 
State Department arranged several  humanitarian charter 
flights for U.S. citizens and eligible  lawful permanent 
past several years and increased U.S. 
residents  to leave Cuba.) Cuba began to loosen 
economic sanctions under the Trump 
restrictions  in October (except in Havana, where cases 
Administration. The Cuban economy grew 
increased in August), and in November it opened its 
1.8% in 2017, 2.3% in 2018, and an 
main international airport to al  commercial  flights.  
estimated 0.5% in 2019, according to the 
Sources: “Cuba Opens Most of Country to Tourism  as 
Economist Intel igence Unit (EIU). Before 
Enters ‘New Normality,’”  Reuters News,  October 8 
2020; and “Cuba Reopens Havana Airport  Ahead of 
the pandemic’s onset, the EIU predicted the 
Tourism  High Season,” Reuters, December  4, 2020. 
economy would contract 0.7% in 2020; now, 
the EIU projects a steep decline of 8.3% due 
to the extended shutdown of economic activity, including the tourism sector.41 Key factors that 
wil  affect Cuba’s post-COVID-19 economic recovery in 2021 include the global pace of 
                                              
38 John Otis, “Venezuela  Upheaval Fuels  Cuban  Concerns–Potential Collapse of Maduro Regime Would  T hreaten to 
End Crucial  Oil-Barter Agreement,” Wall  Street Journal, February 27, 2019; Nora Gámez T orres, “ U.S. Considers 
Sanctions on Firms Facilitating Oil to Cuba,”  Miami Herald, March 15, 2019. 
39 “Cuba Economy: Quick View  – Gas  Shortages Affect Agriculture and Domestic Activity.” Economist Intelligence 
Unit (EIU) ViewsWire,  February 20, 2020. 
40 Raúl  Castro Ruz,  “Full T ext of Central Report: T he development of the national economy, along with the struggle for 
peace, and our ideological  resolve, constitute the Party’s principal missions,” Granma, April 18, 2016, at 
http://en.granma.cu/cuba/2016-04-18/the-development-of-the-national-economy-along-with-the-struggle-for-peace-
and-our-ideological-resolve-constitute-the-partys-principal-missions. 
41 “Country Report, Cuba,” EIU, February  and December 2020.  
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Cuba: U.S. Policy in the 116th  Congress  
 
economic recovery, the status of U.S. sanctions, and the Cuban government’s efforts to advance 
substantive structural reforms.  
Until  recently, the Díaz-Canel government largely continued a gradualist and cautious approach 
toward economic reform, largely due to concern about the potential effects on political stability. 
Amid the economy’s precipitous decline in 2020 because of the COVID-19 pandemic, the 
government announced reforms in July. These reforms included authorizing the private sector to 
conduct certain foreign trade operations, introducing adjustments to rules governing state-owned 
enterprises, lifting the 10% tax on U.S. dollars, and opening dozens of stores al owing convertible 
currency to be used to buy food and other goods. Most significantly, the government announced it 
was preparing for the long-awaited unification of Cuba’s dual currency system in the shortest 
possible time. Some analysts describe the reform efforts as only partial; others contend the 
economic effects of the COVID-19 pandemic helped overcome disagreement within the Cuban 
leadership over the need to move forward.42 
On December 10, 2020, in a televised address, President Díaz-Canel announced that on January 
1, 2021, Cuba would eliminate its dual currency system, a reform that has been discussed for 
some 20 years. The Cuban peso is to be fixed to a single exchange rate of 24 pesos per U.S. 
dollar, and the Cuban convertible peso, currently pegged to the U.S. dollar and used for state 
transactions and those visiting Cuba, is to be eliminated.43 The reform could have high costs in 
the short term, marked by price instability and inflationary pressure, along with shocks to supply 
chains and threats to the social safety net and social stability. Over the long term, however, the 
action is expected to be positive for the economy, boosting productivity and development.44 
Private Sector. The Cuban government employs a majority of the labor force, but the 
government over the past decade, the government has permitted more private-sector activities. In 
2010, the government opened up a wide range of activities for self-employment and smal  
businesses to almost 200 categories of work. The number of self-employed, or cuentapropistas, 
rose from 144,000 in 2009 to about 591,000 in May 2018 and, after a slight decline in 2018, stood 
at almost 596,000 in June 2019 (although this number is likely  significantly lower because of the 
COVID-19 pandemic).45 Analysts contend that the government needs to do more to aid the 
development of the private sector, including an expansion of authorized activities to include more 
white-collar occupations and state support for credit to support smal  businesses.46 
In 2017, the Castro government took several steps that restricted private-sector development. It 
closed a fast-growing cooperative that had provided accounting and business consultancy 
                                              
42 Sources  for the information in this paragraph include the following: “Country Report, Cuba,” EIU, December 2020; 
“Díaz-Canel outlines phase one of ‘economic transformation process,” Cuba Briefing, T he Caribbean Council, July  20, 
2020, Issue 1061; “Malmierca details new  export/import regime for non -state enterprises,” Cuba Briefing, T he 
Caribbean  Council, July  27, 2020, Issue 1062; Ricardo T orres, “Cuba: Pursuing  Halfway  Economic Reforms,” 
AULABLOG,  December  9, 2020; William M. Leogrande, “ Cuba’s  Economic Crisis Is Spurring  Much -Needed  Action 
on Reforms,” World  Politics  Review, November 17, 2020; and Pavel Vidal  and Johannes Werner, “Economic T rends 
Report, T hird Quarter, 2020,” Cuba Standard, Economic Reports, 2020. 
43 Marc Frank, “Cuba  Announces First Devaluation Since Revolution from January,” Reuters  News,  December 11, 
2020.  
44 “Country Report, Cuba,” EIU, December  2020 
45 “Cuba Economy: Quick View–Number  of Self-Employed Shrinks in 2018,” EIU ViewsWire,  February 14, 2019; and 
“Cuba  Cuenta Ya Con Casi  600.000 T rabajadores Privados,” EFE, June 21, 2019.  
46 “Cuba: Stuck  in the Past,” The Economist, April 1, 2017; Nora Gámez T orres,” Fear is  Driving Raúl  Castro to Punish 
Cuba’s  New  Entrepreneurial Class,” Miami Herald, August  2, 2017; and “Cuba  T ightens Regulations on Nascent 
Private Sector,” Reuters News,  December 21, 2017. 
Congressional Research Service 
13 
 link to page 38 Cuba: U.S. Policy in the 116th  Congress  
 
services, put restrictions on construction cooperatives, and temporarily stopped issuing new 
licenses for 27 private-sector occupations, including for private restaurants and for renting private 
residences. The government maintains that it took the actions to “perfect” the functioning of the 
private sector and curb il icit activities, such as the sale of stolen state property, tax evasion, and 
labor violations.  
In December 2018, the Díaz-Canel government implemented regulations that, among other 
provisions, reduced and consolidated the permissible 200 categories of work to 123 categories. 
The government had released regulations earlier in the year that would have limited  an individual 
to one business license; limited the size of private restaurants, bars, and cafeterias to 50 seats; and 
required the self-employed to maintain a minimum balance in bank accounts equivalent to three 
months of tax payments. However, before the regulations were to go into effect in December 
2018, President Díaz-Canel eliminated  the limitations on business licenses and the size of 
restaurants and eased the requirement for maintaining a reserve for tax payments. 47 The aims of 
the new regulations were to increase taxation oversight of the private sector and to control the 
concentration of wealth and rising inequality. Many observers, however, believed the regulations 
were aimed at stifling private-sector growth because of the government’s concerns regarding that 
sector’s independence from the government. 
Increased U.S. restrictions on travel to Cuba negatively affected Cuba’s nascent private sector, 
since many smal  businesses sprang up to cater to increased American visitors. As discussed 
below in the section on “Travel Restrictions,” the elimination of cruise ship travel, flights to and 
from Cuban cities other than Havana, and people-to-people travel led to almost a 22% drop in 
U.S. visitors to Cuba in 2019 (not including Cuban Americans visiting their families) compared 
with the previous year. In the first two months of 2020, U.S. visitor travel to Cuba declined 64% 
compared with the same period in 2019. Moreover, the economic fal out of the COVID-19 
pandemic, with the shutdown of the tourist sector and related activity, has hit Cuba’s private and 
overal  economy hard, with some $3 bil ion in lost revenue.48 
Foreign Investment. The Cuban government adopted a new foreign investment law in 2014 with 
the goal of attracting increased levels of foreign capital to the country. The law cut taxes on 
profits by half, to 15%, and exempts companies from paying taxes for the first eight years of 
operation. It also eliminated  employment or labor taxes, although companies stil  must hire labor 
through state-run companies, with agreed wages. A fast-track procedure for smal  projects 
reportedly streamlines the approval process, and the government agreed to improve the 
transparency and time of the approval process for larger investments.49 
A Mariel Special Development Zone (ZED Mariel) was established in 2014 near the port of 
Mariel to attract foreign investment. To date, ZED Mariel has approved some 55 investment 
projects at various stages of development, with 31 operating.50 In November 2017, Cuba 
approved a project for Rimco (the exclusive dealer for Caterpil ar in Puerto Rico, the U.S. Virgin 
Islands, and the Eastern Caribbean) to become the first U.S. company to be located in the ZED 
                                              
47 “Government ‘Rectifies’ Self-Employment Regulations Following  Disquiet,” Cuba Briefing, T he Caribbean Council, 
December 10, 2018. 
48 William M. Leogrande, “Cuba’s  Economic Crisis Is Spurring  Much-Needed  Action on Reforms,” World  Politics 
Review, November 17, 2020.  
49 “Cuba Approves New  Foreign Investment Law,” Latin American Regional Report: Caribbean & Central America , 
April 2014; “What’s Changed in Cuba’s  New  Foreign Investment Law,” Reuters News,  March 29, 2014. 
50 Yosley Carrero, “Roundup:  Cuba  Launches 2020-2021 Business Opportunities Portfolio,” Xinhua News Agency, 
December 10, 2020.  
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Cuba: U.S. Policy in the 116th  Congress  
 
Mariel. Rimco plans to set up a warehouse and distribution center to distribute Caterpil ar 
equipment. In September 2018, the Roswel  Park Comprehensive Cancer Center of Buffalo, NY, 
announced it was entering into a joint venture with Cuba’s Center for Molecular Immunology 
focused on the development of cancer therapies; the joint venture wil  be located in the ZED 
Mariel.   
According to Minister of Foreign Trade and Investment Malmierca, Cuba has the goal of 
attracting $2 bil ion-$2.5 bil ion  in foreign investment projects annual y. In November 2018, 
Malmierca said Cuba had signed more than 200 investment projects valued at $5.5 bil ion  since it 
made changes to its investment law in 2014, with $1.5 bil ion of that in 2018, although some 
observers maintain that the actual amount invested was much less.51 In November 2019, 
Malmierca said Cuba has attracted $1.7 bil ion over the past year, with 25 investment projects; in 
December 2020, the minister said Cuba had attracted $1.9 bil ion in investment over the past 
year, with 34 projects approved.52 The Cuban government also updated its wish list for foreign 
investment in December 2020, including 503 projects representing potential investment of $12.1 
bil ion  in such high-priority areas as tourism, energy, and food production.53 Malmierca also 
announced in early December 2020 that Cuba would permit foreign investments with Cuban 
minority participation and would permit the participation of investment funds.54 
For Additional Reading on the Cuban Economy 
Association for the Study  of the Cuban  Economy, annual proceedings, at http://www.ascecuba.org/
publications/annual-proceedings/. 
Carmelo  Mesa-Lago, “The Cuban Economy After Six Decades of Socialism:  Changes, Continuities and the 
Worsening  Crisis,”  in Cuba in Transition: Volume 29, July 2019, at https://www.ascecuba.org/c/wp-content/
uploads/2020/01/v29-asce_2019_04mesolago.pdf.  
Brookings Institution,  at https://www.brookings.edu/topic/cuba/. 
The Cuban  Economy, La Economia Cubana,  website maintained by Arch Ritter, from  Carlton University, 
Ottawa, Canada, available at https://thecubaneconomy.com/. 
Oficina Nacional de Estadísticas e Información (ONEI), República de Cuba (Cuba’s National Office of 
Statistics and Information), at http://www.one.cu/.  
U.S.-Cuba  Trade and Economic Council,  Inc., website at https://www.cubatrade.org/. 
Foreign Relations 
During the Cold War, Cuba had extensive relations with, and support from, the Soviet Union, 
which provided bil ions of dollars in annual subsidies to sustain the Cuban economy. This subsidy 
system helped to fund an activist foreign policy and support for guerril a movements and 
revolutionary governments in Latin America and Africa. With an end to the Cold War, the 
dissolution of the Soviet Union, and the loss of Soviet financial support, Cuba was forced to 
abandon its revolutionary activities abroad. As its economy reeled from the loss of Soviet support, 
                                              
51 “Cuba Says  Investor Interest Up Despite U.S. Hostility,” Voice of America News,  October 31, 2018.  
52 Sarah Marsh, “Cuba Attracts $1.7 Billion in Foreign Investment Despite U.S. Sanctions,” Reuters News,  November 
6, 2019; and “Cuba Attracts $1.9 Bln in Foreign Investment Despite U.S. Sanctions,” Postmedia Breaking News, 
December 8, 2020.  
53 Yosley Carrero, “Roundup:  Cuba  Launches 2020-2021 Business Opportunities Portfolio,” Xinhua News Agency, 
December 10, 2020.  
54 Mario J. Pentón, “Cuba Says  It Will Open Its Economy to Majority -Owned Foreign Investments,” Miami Herald, 
December 10, 2020. 
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Cuba was forced to open up its economy and engage in economic relations with countries 
worldwide.  
In ensuing years, Cuba diversified its trading partners, although Venezuela under populist leftist 
President Hugo Chávez (1999-2013) became one of Cuba’s most important partners, leading to 
Cuba’s dependence on Venezuela for oil imports. In 2018, the leading sources of Cuba’s imports 
in terms of value were Venezuela (23%), China (13.4%), and Spain (10.5%); the leading 
destinations of Cuban exports were Canada (22.3%), Venezuela (19.5%), China (19.2%), and 
Spain (7.6%).55 
Russia. Relations with Russia, which had diminished significantly in the aftermath of the Cold 
War, have strengthened somewhat in recent years. In 2014, Russia agreed to write off 90% of 
Cuba’s $32 bil ion  Soviet-era debt, with some $3.5 bil ion to be paid back by Cuba over a 10-year 
period that would fund Russian investment projects in Cuba.56 Trade relations between Russia 
and Cuba have not been significant. Although Russian exports to Cuba grew from $87 mil ion in 
2015 to almost $373 mil ion  in 2018, led by motor vehicles (and parts) and oil, they declined to 
$187 mil ion  in 2019.57 Russian energy companies Zarubezhneft and Rosneft are currently 
involved in oil exploration in Cuba, and in 2017, Rosneft began shipping oil to Cuba amid Cuba’s 
efforts to diversify its foreign oil sources because of Venezuela’s diminished capacity.58 
Russian officials publicly welcomed the improvement in U.S.-Cuban relations under the Obama 
Administration, although some analysts viewed the change in U.S. policy as a setback for Russian 
overtures in the region. As U.S.-Cuban normalization talks were beginning in Havana in January 
2015, a Russian intel igence ship docked in Havana (the ship also docked in Havana in 2014, 
2017, and 2018).59 In December 2016, Russia and Cuba signed a bilateral cooperation agreement 
for Russia’s support to help Cuba modernize its defense sector.60 
Reports indicate that as U.S. relations with Cuba have deteriorated under the Trump 
Administration, Russia has been attempting to increase its ties, including high-level meetings 
between government officials and increased economic, military, and cultural engagement.61 For 
Cuba, a deepening of relations with Russia could help economical y, especial y regarding oil, and 
could serve as a counterbalance to the Trump Administration’s return to a sanctions-based policy 
instead of engagement.62 President Díaz-Canel visited Russia in November 2018, and press 
                                              
55 Statistics drawn  from Oficina Nacional de Estadística e Información, República de  Cuba,  Anuario Estadístico de 
Cuba  2018, Sector Externo, Edición 2019.  
56 Anna Andrianova and Bill  Faries, “Russia  Forgives $32B of Debt, Wants to Do Business  in Cuba,”  Bloomberg 
News,  July  13, 2014. 
57 Statistics from Federal Customs  Service of Russia,  as presented by Global  T rade Atlas. 
58 “Russia  Resumes  Oil Shipments to Cuba, Helps  Fill Venezuelan  Breach,” Reuters  News,  May 3, 2017; 
“Zarubezhneft Starts Drilling in Cuba,”  NEFTE Compass, October 10, 2019; and Marc Frank, “Russia Moves In to Fill 
Cuba’s  U.S.  Void,”  Financial Times, January 2, 2020. 
59 Defense Intelligence Agency (DIA), “Russia:  Defense Cooperation with Cuba,  Nicaragua, and Venezuela,”  report to 
Congress, February  4, 2019. 
60 “Russia  to Help Cuba  Upgrade  Armed Forces,” T ASS  World Service Wire, December 15, 2016; “Russia, Cuba  Sign 
Program on Defense T echnology Cooperation,” Sputnik News Service,  December 8, 2016.  
61 Nora Gámez  T orres, “Amidst Growing  T ensions with the U.S., Cuba  Gets Cozier with Russia,”  Miami Herald, 
October 13, 2017; Nora Gámez T orres and Antonio Maria Delgado, “Goodbye Venezuela,  Hello Russia.  Can Vladimir 
Putin Save Cuba?”  Miami Herald, December  26, 2017; and Marc Frank, “Russia  Moves In to Fill Cuba’s  U.S.  Void,” 
Financial Tim es, January 2, 2020. 
62 “Cuba Looks More to Russia  as the Prospects for Better U.S. T ies Fade Under T rump,” (interview with William M. 
LeoGrande) World  Politics Review, January 2, 2018. 
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reports indicate that Cuba received a $50 mil ion  credit line for purchases of Russian military 
weapons and spare parts, as wel  as contracts to modernize three power plants and a metal 
processing plant and to upgrade Cuba’s railway system.63 Díaz-Canel returned to Moscow in 
October 2019 and praised Russia for its support amid escalating “U.S. aggression.”64 
There has been concern in Congress about the role of Russia in Latin America, including in Cuba. 
The conference report to the John S. McCain National Defense Authorization Act for FY2019, 
P.L. 115-232 (H.R. 5515) required the Defense Intel igence Agency to submit a report to 
Congress on security cooperation between Russia and Cuba (as wel  as between Russia and 
Nicaragua and Venezuela). Among the areas of cooperation noted in the report, which was 
submitted to Congress in February 2019, was a Russian-Cuban announcement in 2017 of a plan 
to construct a GLONASS satel ite navigation station in Cuba, and a 2013 Russia-Cuba agreement 
permitting Russian military vessels to refuel and resupply in Cuban ports. According to the report, 
the Russian Navy currently uses Cuban ports for maintenance, minor repairs, and refueling, and 
may seek to establish a permanent naval logistics facility in the country.65 
China. During the Cold War, Cuba and China did not have close relations because of Sino-Soviet 
tensions, but bilateral relations with China have grown closer over the past 15 years, resulting in a 
notable increase in trade. Since 2004, Chinese leaders have made a series of visits to Cuba and 
Cuban officials in turn have visited China, including a November 2018 visit by President Díaz-
Canel. During the visit, Chinese President Xi Jinping cal ed for a long-term plan to promote the 
development of China-Cuba ties and welcomed Cuba’s participation in the Belt and Road 
Initiative (BRI), which is focused on infrastructure development around the world. President Xi 
cal ed on both countries to enhance cooperation on trade, energy, agriculture, tourism, and 
biopharmaceutical manufacturing.66 While Cuba’s relationship with China undoubtedly has an 
ideological  component since both are the among the world’s remaining communist regimes, 
economic linkages and cooperation appear to be the most significant component of bilateral 
relations. 
According to Chinese trade statistics, total Cuba-China trade in in 2019 was valued at almost $1.3 
bil ion,  down almost 18% from 2018 (and continuing a downward trend since a 2015 high of $2.3 
bil ion  in total trade). In 2019, Cuban exports to China were valued at $480 mil ion  (up 2.5% 
from 2018), whereas Cuban imports from China were almost $790 mil ion (down 27% from 
2018). The decline in imports from China reflects Cuba’s difficult economic situation, as 
Venezuelan  support has diminished. In response to a cash crunch, the Cuban government has cut 
imports and reduced the use of fuel and electricity.67 
China reportedly had been reluctant to invest in Cuba because of the uninviting business 
environment, but recently that has begun to change. In 2015, the Chinese cel phone company 
Huawei reached an agreement with the Cuban telecommunications company ETECSA to set up 
Wi-Fi hotspots at public locations, and is helping to wire homes.68 In 2016, the Chinese company 
                                              
63 Scott B. McDonald, “Why Cuba Isn’t Getting Much from Russia  or China,” The National Interest, November 27, 
2018.  
64 “Cuban Leader Hails  Russian  Support During  Meeting with Putin,” Radio Free Europe Documents and  Publications, 
October 29, 2019. 
65 Russia  also inaugurated a GLONASS  station in Nicaragua in 2017. See DIA, Russia: Defense Cooperation with 
Cuba, Nicaragua, and Venezuela, report to Congress, February 4, 2019. 
66 “China Focus: Xi Holds  T alks with Cuban  President to Advance T ies,” Xinhua, November 8, 2018.  
67 “China’s Exports to Cuban Slump  as  Island’s Cash Crunch Deepens,” Reuters News,  December 6, 2017; and 
“Chinese Exports to Cuba Hit Lowest Level in Decade  Last Year,” Reuters News,  January 27, 2020. 
68 T he final report of the Cuba Internet T ask Force (established by the State Department in 2018) describes China as 
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Cuba: U.S. Policy in the 116th  Congress  
 
Haier set up a plant assembling laptops and tablets in Cuba. Over the past two years, Chinese 
financing has been supporting the modernization of a port in Santiago. Other planned Chinese 
investment projects reportedly include pharmaceuticals as wel  as the tourism sector involving 
two hotels and a golf course.69 In May 2019, Cuban officials identified three areas for cooperation 
within the BRI framework: renewable energy, cybersecurity and technology, and biotechnology.70 
European Union. After two years of talks, the European Union (EU) and Cuba reached a 
Political Dialogue and Cooperation Agreement in 2016 covering political, trade, and development 
issues. The agreement was submitted to the European Parliament, which overwhelmingly 
endorsed the agreement in July 2017, welcoming it as a framework for relations and emphasizing 
the importance of the human rights dialogue between the EU and Cuba. Although the agreement 
wil  enter into force in full after it has been ratified in al  EU member states, the provisional 
application of the agreement began in November 2017.71 In March 2020, Secretary of State 
Pompeo and some Members of Congress urged the government of Lithuania, the remaining EU 
state to ratify the agreement, to oppose the agreement, citing concerns about Cuba’s human rights 
violations.72  
The new cooperation agreement replaces the EU’s 1996 Common Position on Cuba, which stated 
that the objective of EU relations with Cuba included encouraging “a process of transition to 
pluralist democracy and respect for human rights and fundamental freedoms.” The position also 
had stipulated that full EU economic cooperation with Cuba would depend upon improvements in 
human rights and political freedom.73 Nevertheless, the new agreement states that a human rights 
dialogue wil  be established within the framework of the overal  political dialogue and has 
numerous provisions related to democracy, human rights, and good governance. In October 2018, 
the EU and Cuba held their first human rights dialogue under the agreement, with the meeting 
addressing issues related to civil, political, economic, social and cultural rights, and multilateral 
cooperation.74 A second human rights dialogue under the agreement took place in October 2019, 
with both sides discussing freedom of expression, access to information, gender equality, and the 
rights of vulnerable people; the two sides reportedly agreed to collaborate through the exchange 
                                              
playing a major role in Cuba’s  telecommunications sector market. See U.S.  Department of State, Cuba Internet Task 
Force: Final Report, June 16, 2019.  
69 “Cuba Welcomes More Chinese Investment, Visitors to Boost T ourism,” Xinhua, September 20, 2018; “China Piles 
into Cuba  as Venezuela  Fades  and T rump Looms,” Reuters News,  February  14, 2017; Nathan Hodge  and Josh Chin, 
“China Apt to Fill U.S.-Cuba  Breach,” Wall  Street Journal, November 30, 2016; “Feature: China Helps Convert 
Santiago de  Cuba  into Modernized Port,” Xinhuanet, August 8, 2017; and T ed Piccone, “T he Geopolitics of China’s 
Rise  in Latin America,” Brookings, November 2016, pp. 18 -19.  
70 “Cuban Official Highlights Key Areas for Belt & Road Cooperation,” Belt & Road News,  May 2, 2019.  
71 European Council, Council of the European Union, “EU-Cuba: Council  Opens New  Chapter in Relations,” press 
release, December 6, 2016, at http://www.consilium.europa.eu/en/press/press-releases/2016/12/06-eu-cuba-relations/; 
and European Parliament, “EU-Cuba Relations: A New  Chapter Begins,” July  18, 2017, at  
http://www.europarl.europa.eu/RegData/etudes/IDAN/2017/570485/EXPO_IDA(2017)570485_EN.pdf.  
72 “U.S. Secretary of State, Senators Call on Lithuania Not to Ratify EU-Cuba  Pact,” Baltic News  Service, March 7, 
2020; and U.S.  Senate, Office of Marco Rubio,  “Rubio Leads  Bipartisan Letter to Lithuanian Ambassador Urging  Him 
to Stand with Cuban  People,” press release, March 3, 2020.  
73 European Union, Official Journal of the European Commission, “Common Position of 2 December 1996, Defined by 
the Council on the Basis  of Article J.2 of the T reaty on European Union, on Cuba,” (96/697/CFSP), December 2, 1996.  
74 “First EU-Cuba  In-Depth Exchange on Human Rights T akes Place,” Cuba Briefing, T he Caribbean Council, October 
15, 2018; European Parliament, Policy Department for External Relations, Directorate General for External Policies of 
the Union, “Rule of Law and Human Rights  in Cuba  and Venezuela  and EU Engagement,” November 2018.  
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of best practices, including on combating violence against women and improving access to the 
internet. 
Venezuela. For 20 years, Venezuela has been a significant source of support for Cuba. Dating 
back to 2000 under populist President Hugo Chávez, Venezuela began providing subsidized oil 
and investment to Cuba. For its part, Cuba has sent thousands of professional personnel to 
Venezuela. Estimates of the number of Cuban personnel in Venezuela  vary, but a 2014 Brookings 
study estimated that there were some 40,000 Cuban professionals in Venezuela, with 75% of 
those being healthcare workers.75 The roughly 30,000 healthcare personnel included doctors and 
nurses, while the balance of Cuban personnel in Venezuela  reportedly included teachers, sports 
instructors, military advisers, and intel igence operatives. According to the Brookings study, 
various sources estimate that the number of Cuban military and intel igence  advisers in Venezuela 
ranged from hundreds to thousands, coordinated by Cuba’s military attaché in Venezuela. Some 
Cuban medical personnel in Venezuela  al ege that their services were used to secure votes for the 
Maduro regime.76 The extent to which the overal  level of Cuban personnel in Venezuela  has 
declined because of the drop in Venezuelan oil exports to Cuba and Venezuela’s economic crisis 
is uncertain, but the EIU estimates that Venezuela  has currently has around 20,000 medical 
personnel in Venezuela.77 
Since the death of Chávez in 2013, Cuba has been concerned about the future of Venezuelan 
financial support. Cuba’s concerns have intensified since 2014 as Venezuela’s mounting 
economic and political chal enges have grown under the authoritarian regime of President Nicolás 
Maduro. Oil imports from Venezuela have declined, due to both Venezuela’s severe economic 
deterioration and U.S. sanctions aimed at impeding exports to Cuba, leading to Cuba’s imposition 
of austerity measures and economic decline.  
International and Regional Organizations. Cuba is an active participant in international 
forums, including the United Nations (U.N.) and has received support over the years from the 
United Nations Development Programme and the United Nations Educational, Scientific, and 
Cultural Organization, both of which have offices in Havana. Cuba is also a member of the U.N. 
Economic Commission for Latin America and the Caribbean (ECLAC, also known by its Spanish 
acronym, CEPAL), one of the five regional commissions of the U.N., and hosted ECLAC’s 37th 
session in May 2018. U.N. Secretary-General António Guterres attended the opening of the 
conference, and ECLAC’s Executive Secretary reaffirmed the organization’s commitment to help 
Cuba in  its efforts toward achieving sustainable development.78 
Since 1991, the U.N. General Assembly (UNGA) has approved a resolution annual y criticizing 
the U.S. embargo and urging the United States to lift it. In 2016, for the first time, the United 
States abstained instead of voting against the resolution, but in 2017, the United States returned to 
opposing the resolution. On November 1, 2018, the UNGA again approved the resolution by a 
vote of 189-2, with Israel again joining the United States in opposing it. The United States also 
                                              
75 T ed Piccone and Harold T rinkunas, “T he Cuba-Venezuela  Alliance: T he Beginning of the End?” Latin America 
Initiative Policy Brief, Brookings, June 2014, p. 3. 
76 Nicholas Casey and Andrea Zarate, “T rading Lifesaving T reatment for Maduro Votes,” New  York Times, March 17, 
2019. 
77 Harold T rinkunas, Stanford University, testimony before the House Committee on Foreign Affairs, Subcommittee on 
the Western Hemisphere, hearing on “T he Venezuela Crisis:  T he Malicious Influence of State and Criminal Actors,” 
September 13, 2017, at http://docs.house.gov/meetings/FA/FA07/20170913/106398/HHRG-115-FA07-Wstate-
T rinkunasH-20170913.pdf; and “ Country Report Cuba,” EIU, May 2020 .  
78 U.N. Economic Commission for Latin America and the Caribbean, “ECLAC and Cuba  Join in a Dialogue  About Its 
Path to Sustainable Development,” press release, May 7, 2018.  
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proposed eight amendments to the 2018 resolution criticizing Cuba’s human rights record, but the 
amendments were defeated by wide margins. In November 2019, for the 28th consecutive year, 
the UNGA  adopted another resolution cal ing  for an end to the economic, commercial, and 
financial embargo imposed by the United States on Cuba. Brazil  and Israel joined the United 
States in opposing the resolution, and 187 U.N. member states supported the measure.79 In 2020, 
a UNGA vote on the embargo planned for October 2020 was postponed until May 2021 due to 
the COVID-19 pandemic.80 
Among other international organizations, Cuba was a founding member of the World Trade 
Organization, but it is not a member of the International Monetary Fund, the World Bank, or the 
Inter-American Development Bank. Cuba is a member of the Community of Latin American and 
Caribbean States (CELAC), official y established in December 2011 to boost regional 
cooperation, but without the participation of the United States or Canada. 
Cuba was excluded from participation in the Organization of American States (OAS) in 1962 
because of its identification with Marxism-Leninism. In 2009, however, the OAS overturned that 
policy in a move that eventual y could lead to Cuba’s reentry into the regional organization in 
accordance with the practices, purposes, and principles of the OAS. Although the Cuban 
government welcomed the OAS vote to overturn the 1962 resolution suspending Cuba’s OAS 
participation, it asserted that it would not return to the OAS.81 
U.S. Policy Toward Cuba 
Background on U.S.-Cuban Relations82 
In the early 1960s, U.S.-Cuban relations deteriorated sharply when Fidel Castro began to build a 
repressive communist dictatorship and moved his country toward close relations with the Soviet 
Union. The often tense and hostile nature of the U.S.-Cuban relationship is il ustrated by such 
events and actions as U.S. covert operations to overthrow the Castro government culminating in 
the il -fated April  1961 Bay of Pigs invasion; the October 1962 missile crisis, in which the United 
States confronted the Soviet Union over its attempt to place offensive nuclear missiles in Cuba; 
Cuban support for guerril a insurgencies and military support for revolutionary governments in 
Africa and the Western Hemisphere; the 1980 exodus of around 125,000 Cubans to the United 
States in the so-cal ed Mariel boatlift; the 1994 exodus of more than 30,000 Cubans who were 
interdicted and housed at U.S. facilities in Guantanamo Bay, Cuba, and Panama; and the 1996 
shootdown by Cuban fighter jets of two U.S. civilian planes operated by the Cuban-American 
group Brothers to the Rescue, which resulted in the deaths of four U.S. crew members. 
Beginning  in the early 1960s, U.S. policy toward Cuba consisted largely of seeking to isolate the 
island nation through comprehensive economic sanctions, including an embargo on trade and 
financial transactions. President Kennedy proclaimed an embargo on trade between the United 
                                              
79 “Cuba: U.N. Members Overwhelmingly  Support End of U.S.  Embargo, as Brazil Backs  Washington,” U.N. News, 
November 7, 2019. 
80 “Cuba Says  U.S.  T rade Embargo Cost More than $5 Bln Last Year,” Reuters, October 22, 2020.  
81 For further background, see  section on “Cuba and the OAS”  in CRS  Report R40193, Cuba: Issues for the 111th 
Congress, by Mark P. Sullivan;  also see CRS  Report R42639, Organization of Am erican States: Background and 
Issues for Congress, by Peter J. Meyer. 
82 For additional background,  see CRS  Report RL30386, Cuba-U.S. Relations: Chronology of Key Events 1959-1999, 
by Mark P. Sullivan. 
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States and Cuba in February 1962,83 citing Section 620(a) of the Foreign Assistance Act of 1961 
(FAA), which authorizes the President “to establish and maintain a total embargo upon al  trade 
between the United States and Cuba.”84 At the same time, the Treasury Department issued the 
Cuban Import Regulations to deny the importation into the United States of al  goods imported 
from or through Cuba.85 The authority for the embargo was later expanded in March 1962 to 
include the Trading with the Enemy Act (TWEA).86 
In July 1963, the Treasury Department revoked the Cuban Import Regulations and replaced them 
with the more comprehensive Cuban Assets Control Regulations (CACR)—31 C.F.R. Part 515—
under the authority of TWEA and Section 620(a) of the FAA.87 The CACR, which include a 
prohibition on most financial transactions with Cuba and a freeze of Cuban government assets in 
the United States, remain the main body of Cuba embargo regulations and have been amended 
many times over the years to reflect changes in policy. They are administered by the Treasury 
Department’s Office of Foreign Assets Control (OFAC) and prohibit financial transactions as wel 
as trade transactions with Cuba. The CACR also require that al  exports to Cuba be licensed or 
otherwise authorized by the Department of Commerce, Bureau of Industry and Security (BIS), 
under the provisions of the Export Administration Act of 1979, as amended (P.L. 96-72; 50 
U.S.C. Appendix 2405(j)).88 The Export Administration Regulations (EAR) are found at 15 
C.F.R. Sections 730-774.89 
Congress subsequently strengthened sanctions on Cuba with enactment of the Cuban Democracy 
Act of 1992 (CDA; P.L. 102-484, Title XVII), the Cuban Liberty and Democratic Solidarity 
(LIBERTAD) Act of 1996 (P.L. 104-114), and the Trade Sanctions Reform and Export 
Enhancement Act of 2000 (TSRA; P.L. 106-387, Title IX).  
  Among its provisions, the CDA prohibits U.S. foreign subsidiaries from engaging 
in trade with Cuba and prohibits entry into the United States for any seaborne 
vessel to load or unload freight if it has been involved in trade with Cuba within 
the previous 180 days unless licensed by the Treasury Department.90 
  The LIBERTAD Act, enacted in the aftermath of Cuba’s shooting down two U.S. 
civilian  planes in February 1996, combines a variety of measures to increase 
pressure on Cuba and provides for a plan to assist Cuba once it begins the 
transition to democracy. Most significantly, the act codified the Cuban embargo 
as permanent law, including al  restrictions imposed by the executive branch 
under the CACR. This provision is noteworthy because of its long-lasting effect 
                                              
83 Presidential Documents, “Proclamation 3447, Embargo on All T rade with Cuba,”  27  Federal Register 1085, 
February 7, 1962. 
84 In October 1960 under the Eisenhower Administration, exports to Cuba were  strict ly controlled under the authority 
of the Export Cont rol Act of 1949 in response to the expropriation of U.S. properties.  T his action in effect amounted to 
an embargo  on exports of all products with the exception of certain foods, medicines, and medical supplies. 
85 U.S.  Department of the T reasury, 27 Federal Register 1116, February 7, 1962. 
86 U.S.  Department of the T reasury, 27 Federal Register 2765-2766, March 24, 1962. 
87 U.S.  Department of the T reasury, “Control of Financial and Commercial T ransactions Involving Cuba or Nationals 
T hereof,” 28 Federal Register 6974-6985, July 9, 1963. 
88 31 C.F.R. §515.533.  
89 See  especially 15 C.F.R. §746.2 on Cuba,  which  refers to other parts of the EAR. 
90 Pursuant to an October 2016 regulatory change, the Obama Administration eased the 180-day rule by issuing  a 
general license waiving  the restriction if the items carried to Cuba  would,  if subject  to the Export Administration 
Regulations, be  designated  as EAR 99, meaning that the items are not on the Commerce Control List . According to the 
Commerce Department, EAR items generally consist  of low-technology consumer goods.  81 Federal Register  71372-
71378, October 17, 2016.  
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on U.S. policy options toward Cuba. The executive branch is prevented from 
lifting the economic embargo without congressional concurrence through 
legislation  until certain democratic conditions set forth in the law are met, 
although the President retains broad authority to amend the regulations therein. 
Two other significant sanctions include Title III of the law, which holds any 
person or government that traffics in property confiscated by the Cuban 
government liable for monetary damages in U.S. federal court, and Title IV, 
which denies admission to the United States to aliens involved in the trafficking 
of confiscated U.S. property in Cuba. (For additional information, including 
Trump Administration action on these sanctions, see “Property Claims and Titles 
III and IV of the LIBERTAD Act,” below.) 
  TSRA authorizes U.S. commercial agricultural exports to Cuba, but it also 
includes prohibitions on U.S. assistance and private financing and requires 
“payment of cash in advance” or third-country financing for the exports. The act 
also prohibits tourist travel to Cuba. 
In addition to these acts, Congress enacted numerous other provisions of law over the years that 
imposed sanctions on Cuba, including restrictions on trade, foreign aid, and support from 
international financial institutions. The State Department also designated the government of Cuba 
as a state sponsor of international terrorism in 1982 under Section 6(j) of the Export 
Administration Act and other laws because of the country’s al eged ties to international terrorism, 
although as noted below, the Obama Administration rescinded Cuba’s designation in 2015.91 
Beyond sanctions, another component of U.S. policy has consisted of support measures for the 
Cuban people. This support includes U.S. private humanitarian donations, medical exports to 
Cuba under the terms of the CDA, U.S. government support for democracy-building efforts, and 
U.S.-sponsored radio and television broadcasting to Cuba. The enactment of TSRA by the 106th 
Congress also led to the United States becoming one of Cuba’s largest commercial suppliers of 
agricultural products. Authorization for purposeful travel to Cuba and cash remittances to Cuba 
has constituted an important means to support the Cuban people, although significant 
congressional debate has occurred over these issues for many years. 
Despite the poor state of U.S.-Cuban relations, several examples of bilateral cooperation took 
place over the years in areas of shared national interest. Three areas that stand out are alien 
migrant interdiction (with migration accords negotiated in 1994 and 1995), counternarcotics 
cooperation (with increased cooperation dating back to 1999), and cooperation on oil spil  
preparedness and prevention (since 2011).  
Obama Administration: Shift Toward Engagement 
In December 2014, the Obama Administration initiated a major policy shift in U.S. policy toward 
Cuba, moving away from sanctions toward a policy of engagement and the normalization of 
relations. President Obama said that his Administration would “end an outdated approach that, for 
decades, has failed to advance our interests.” He maintained that the United States would 
continue to raise concerns about democracy and human rights in Cuba but stated that “we can do 
more to support the Cuban people and promote our values through engagement.”92 
                                              
91 See  CRS  Report R43835, State Sponsors of Acts of International Terrorism —Legislative Parameters: In Brief, by 
Dianne E. Rennack.  
92 White House, “Statement by the President on Cuba Policy Changes,” December 17, 2014.  
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The policy change included three major steps: (1) the rescission of Cuba’s designation as a state 
sponsor of international terrorism in May 2015; (2) the restoration of diplomatic relations in July 
2015 (relations had been severed in January 1961 by the Eisenhower Administration); and (3) 
steps to increase travel, commerce, and the flow of information to Cuba. The third step required 
the Treasury and Commerce Departments to amend the CACR and EAR respectively; the two 
agencies issued five rounds of amendments to the regulations in 2015-2016 that eased restrictions 
on travel, remittances, trade, telecommunications, and banking and financial services. They also 
authorized certain U.S. companies or other entities to have a physical presence in Cuba, such as 
an office, retail outlet, or warehouse. 
After the restoration of relations, U.S. and Cuban officials negotiated numerous bilateral 
agreements, including in the following areas: marine protected areas (November 2015); 
environmental cooperation on a range of issues (November 2015); direct mail service (December 
2015); civil aviation (February 2016); maritime issues related to hydrography and maritime 
navigation (February 2016); agriculture (March 2016); health cooperation (June 2016); 
counternarcotics cooperation (July 2016); federal air marshals (September 2016); cancer research 
(October 2016); seismology (December 2016); meteorology (December 2016); wildlife 
conservation (December 2016); animal and plant health (January 2017); oil spil  preparedness and 
response (January 2017); law enforcement cooperation (January 2017); and search and rescue 
(January 2017). The United States and Cuba also signed a bilateral treaty in January 2017 
delimiting  their maritime boundary in the eastern Gulf of Mexico. Bilateral  dialogues were held 
on al  of these issues as wel  as on other issues including counterterrorism, claims (U.S. property, 
unsatisfied court judgments, and U.S. government claims), economic and regulatory issues, 
human rights, renewable energy and efficiency, trafficking in persons, and migration. 
President Obama visited Cuba in March 2016 with the goals of building on progress toward 
normalizing relations and expressing support for human rights. In a press conference with Raúl 
Castro, President Obama said that the United States would “continue to speak up on behalf of 
democracy, including the right of the Cuban people to decide their own future.”93 During a speech 
that was televised to the Cuban nation, President Obama spoke out for advancing human rights, 
stating his belief that citizens should be free to speak their minds without fear and that the rule of 
law should not include arbitrary detentions.94 In October 2016, President Obama issued a 
presidential policy directive on the normalization of relations with Cuba. The directive set forth 
the Administration’s vision for normalization of relations and laid out six medium-term 
objectives: (1) government-to-government interaction; (2) engagement and connectivity; (3) 
expanded commerce; (4) economic reform; (5) respect for universal human rights, fundamental 
freedoms, and democratic values; and (6) Cuba’s integration into international and regional 
systems.95 
In January 2017, the Obama Administration also announced another significant policy change 
toward Cuba. The Administration ended the so-cal ed wet foot/dry foot policy, under which 
thousands of unauthorized Cuban migrants had entered the United States since the mid-1990s. 
Pursuant to a 1995 bilateral migration accord, Cuban migrants intercepted at sea attempting to 
reach the United States were returned to Cuba, whereas those who successfully reached U.S. 
shore were general y permitted to stay in the United States. Under the 2017 change in policy, 
                                              
93 White House, “Remarks by President Obama and President Raúl  Castro of Cuba  in a Joint Press Conference,” March 
21, 2016.  
94 White House, “Remarks by President Obama to the People of Cuba,” March 22, 2016. 
95 White House, “Presidential Policy Directive–United States-Cuba Normalization,” October 14, 2016, at 
https://www.whitehouse.gov/the-press-office/2016/10/14/presidential-policy-directive-united-states-cuba-
normalization. 
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Cuban nationals who attempt to enter the United States il egal y  and do not qualify for 
humanitarian relief are now subject to removal. (For more, see “Migration Issues, ” below.) 
Trump Administration: Increased Sanctions 
President Trump unveiled a new policy toward Cuba in 2017, introducing new sanctions and 
rolling back some of the Obama Administration’s efforts to normalize relations. By 2019, 
however, the Trump Administration had largely abandoned engagement by increasing economic 
sanctions significantly to pressure the Cuban government on its human rights record and its 
support for the regime of Nicolás Maduro in Venezuela.   
Initial Policy Changes and Some Continuity in 2017-2018 
In June 2017, President Trump set forth his Administration’s policy in a speech in Miami, FL, 
where he signed a national security presidential memorandum (NSPM) on Cuba replacing 
President Obama’s October 2016 presidential policy directive that had laid out objectives for the 
normalization process. The President cal ed for the Cuban government to end the abuse of 
dissidents, release political prisoners, stop jailing innocent people, and return U.S. fugitives from 
justice in Cuba. He stated that “any changes to the relationship between the United States and 
Cuba wil  depend on real progress toward these and other goals.” Once Cuba takes concrete steps 
in these areas, President Trump said “we wil  be ready, wil ing and able to come to the table to 
negotiate that much better deal for Cubans, for Americans.”96 
The new policy left many of the Obama-era policy changes in place, including the 
reestablishment of diplomatic relations and a variety of eased sanctions to increase travel and 
commerce with Cuba. The new policy also kept in place the Obama Administration’s action 
ending the so-cal ed wet foot/dry foot policy toward Cuban migrants, which, according to the 
NSPM, had “encouraged untold thousands of Cuban nationals to risk their lives to travel 
unlawfully to the United States.”97 
The most significant policy changes set forth in President Trump’s 2017 NSPM included (1) 
restrictions on financial transactions with companies controlled by the Cuban military, 
intel igence, or security services or personnel and (2) the elimination of people-to-people 
educational travel by individuals. In November 2017, the Treasury and Commerce Departments 
issued amended regulations to implement the new policy.98 
In a demonstration of continuity in policy between the Trump and Obama Administrations, the 
U.S. and Cuban governments continued to engage on various bilateral issues through meetings 
and dialogues in 2017 and 2018. The two countries continued to hold semiannual migration talks, 
which, since 1995, provided a forum to review and coordinate efforts to ensure safe, legal, and 
orderly migration between Cuba and the United States; talks were held in April  and December 
2017, and in July 2018.  
                                              
96 White House, “Remarks by President T rump on the Policy of the United States T oward Cuba,”  June 16, 2017, at 
https://www.whitehouse.gov/the-press-office/2017/06/16/remarks-president -trump-policy-united-states-towards-cuba. 
97 Ibid;  and U.S.  Department of State, “Strengthening the Policy of the United States T oward Cuba,”  82  Federal 
Register 48875-48878, October 20, 2017 (consists of the text of National Security Presidential Memorandum, NSPM-5, 
issued  by the President on June 16, 2017).  
98 U.S.  Department of the T reasury, “Cuban Assets Control Regulations,” 82 Federal Register  51998-52004, 
November 9, 2017; and U.S.  Department of Commerce, “ Amendments to Implement United States Policy T oward 
Cuba,”  82 Federal Register, 51983-51986, November 9, 2017. 
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The United States and Cuba also continued to hold Bilateral  Commission meetings that began 
under the Obama Administration in which the two governments reviewed priorities and areas for 
engagement. Officials held a sixth Bilateral  Commission meeting in September 2017 and a 
seventh meeting in June 2018. According to the State Department, at the June 2018 meeting, the 
two countries reviewed such areas for engagement as trafficking in persons, civil aviation safety, 
law enforcement matters, agriculture, maritime safety and search and rescue, certified claims, and 
environmental chal enges. The State Department maintained that the United States reiterated the 
urgent need to identify the source of the “attacks” on U.S. diplomats and to ensure they cease (see 
discussion below), expressed continued concerns about the arbitrary detention of independent 
journalists and human rights defenders, and acknowledged Cuba’s progress in repatriating 
Cubans with final removal orders while also emphasizing that Cuba needs to accept greater 
numbers of returnees.99 Cuba’s Ministry of Foreign Affairs maintained the meeting provided an 
opportunity to review areas of exchange and cooperation, but it also criticized several aspects of 
U.S. policy, including the “intensification” of the U.S. embargo and what Cuba viewed as the 
“political  manipulation of the al eged health cases” that became a “pretext” to reduce staff and 
therefore affect embassy operations in both countries.100 
In this period, both countries continued engagement on other bilateral issues. The U.S. Coast 
Guard and the Cuban Border Guard participated in professional exchanges in July 2017 and 
January 2018 covering a variety of topics, including search and rescue. The U.S. Departments of 
State, Justice, and Homeland Security participated in law enforcement dialogues with Cuban 
counterparts in September 2017 and July 2018; the 2018 dialogue included such topics as 
fugitives and the return of Cuban nationals with final orders of removal. Additional bilateral 
meetings and exchanges were held in 2018 on such topics as cybersecurity and cybercrime, 
counternarcotics efforts, and counterterrorism in January; anti-money laundering efforts and 
trafficking in persons in February; search and rescue in March; and agriculture and scientific 
cooperation related to environmental disaster in April.101 
Increased Sanctions in 2019 and 2020 
Since 2019, the Administration has ramped up economic sanctions significantly to pressure the 
Cuban government on its human rights record and its support for the government of Nicolás 
Maduro in Venezuela. In particular, the Administration maintains it is targeting Cuba’s sources of 
revenue (tourism and Cuba’s foreign medical missions) because of Cuba’s involvement in 
Venezuela. According to a State Department official in January 2020: 
The United States will  cut off Cuba’s remaining sources of revenue in response to its 
intervention in Venezuela. We’ve already eliminated visits to Cuba via  passenger and 
recreational vehicles. We suspended U.S. air carriers ’ authority to operate scheduled air 
service between the U.S. and all Cuban airports other than Havana. This will further restrict 
the Cuban regime from using resources to support its repression of the people of Cuba. 
Countries in the region have also taken action regarding the Cuban Government ’s program 
which traffics thousands of Cuban doctors around the world in order to enrich the regime. 
                                              
99 U.S.  Department of State, “United States and Cuba  Hold Seventh Bilateral Commission Meeting,” June  14, 2018.  
100 Ministry of Foreign Affairs of Cuba,  “Seventh Meeting of the Cuba-United States Bilateral Commission Held in 
Washington D.C.,” June 14, 2018. 
101 See  U.S.  Department of State, Releases Pertaining to Cuba, at https://www.state.gov/p/wha/ci/cu/rls/index.htm; and 
Ministry of Foreign Affairs of Cuba,  Embassy of Cuba  in USA,  at http://misiones.minrex.gob.cu/en/usa. 
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Brazil insisted on paying the doctors directly at a fair wage. The Cuban regime in response 
withdrew the doctors from Brazil. Doctors have also now left Ecuador and Bolivia.102 
The more confrontational policy stance was foreshadowed by a November 2018 address by then-
National Security Adviser John Bolton in Miami, FL, that strongly criticized the Cuban 
government on human rights, stating that “we wil  only engage with a Cuban government that is 
wil ing to undertake necessary and tangible reforms—a government that respects the interests of 
the Cuban people.” Bolton’s speech, full of anti-communist political discourse reminiscent of the 
Cold War era, referred to Cuba, Venezuela, and Nicaragua as a “troika of tyranny” and the “cause 
of immense human suffering, the impetus of enormous regional instability, and the genesis of a 
sordid cradle of communism in the Western Hemisphere.” He referred to the three countries’ 
leaders as “three stooges of socialism” and as “clownish pitiful figures.” Bolton asserted that the 
Venezuelan  regime’s repression has been “enabled by the Cuban dictatorship.”103 
As the political situation in Venezuela  deteriorated in 2019 and the United States increased 
sanctions on the Maduro regime, the Trump Administration increased its criticism of Cuba’s 
support for the regime. In a March 11, 2019, press briefing, Secretary of State Pompeo asserted 
that “Cuban military and intel igence services are deeply entrenched in the Venezuelan  state”, and 
provide physical protection and other support to President Maduro and those around him. Pompeo 
maintained that Cuba has trained Venezuela’s secret police “torture tactics, domestic spying 
techniques, and mechanisms of repression that Cuban authorities have wielded against their own 
people for decades.”104 In April 2019, President Trump threatened a “full and complete embargo” 
on Cuba and “highest-level sanctions” unless Cuba ceased its military support for the Maduro 
regime.105 
Then-National Security Adviser Bolton subsequently stated in numerous interviews that Cuba has 
some 20,000-25,000 security forces in Venezuela; regional experts say the figure is likely  much 
smal er and the Cubans there do not have combat capability.106 Cuban officials assert that the vast 
majority of the Cuban personnel in Venezuela  are medical workers.107 In a May 5, 2019, 
television interview, Secretary Pompeo referred to a smal er number of 2,300 Cuban security 
personnel in Venezuela, maintaining they were providing security for Maduro.108 
U.S. sanctions imposed on Cuba since 2019 have included a wide array of restrictions overturning 
some of the easing under the Obama Administration as wel  as new prohibitions and limitations. 
Restrictions on travel have included eliminating  people-to-people educational travel, limiting  air 
travel between the United States and Cuba, prohibiting cruise ship travel, and prohibiting U.S. 
                                              
102 U.S.  Department of State, “Senior State Department Official on State Department 2019 Successes in the Western 
Hemisphere Region,” special briefing,  January 8, 2020.  
103 T he White House, “Remarks by National Security Advisor  Ambassador  John R. Bolton on the Administration’s 
Policies in Latin America,” November 2, 2018, at https://www.whitehouse.gov/briefings-statements/remarks-national-
security-advisor-ambassador-john-r-bolton-administrations-policies-latin-america/. 
104 U.S.  Department of State, Michael R. Pompeo, Secretary of State, “Remarks to the Press,” March 11, 2019. For 
background  on Venezuela,  see CRS  In Focus IF10230, Venezuela: Political Crisis  and U.S. Policy, by Clare Ribando 
Seelke. 
105 Franco Ordoñez, “T rump T hreatens ‘Full and Complete Embargo’ against Cuba  for Meddling  in Venezuela,”  Miami 
Herald, April 30, 2019. 
106 Adam T aylor, “How Many Cuban  T roops Are T here in Venezuela? T he U.S. Says  Over 20,000. Cuba  Says  Zero.” 
Washington Post, May 2, 2019; and Karen DeYoung, “ U.S. Officials Weigh Options for Venezuela, as T rump 
Describes  ‘Positive’ call with Putin,” Washington Post, May 3, 2019. 
107 Matthew Lee and Michael Weissenstein, “No Cuban  T roops in Venezuela, Cuban  Diplomat T ells AP,” Associated 
Press, May 1, 2019. 
108 U.S.  Department of State, Secretary of State Michael R. Pompeo, “Interview with Margaret Brennan of CBS  F ace 
the Nation,” May 5, 2019. 
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travelers from staying at over 400 hotels and private residences for rent. Restrictions on 
remittances limited family remittances, eliminated the category of donative remittances, and 
implemented new regulations that resulted in Western Union (the major company used for 
transmitting remittances to Cuba) ceasing its operations in Cuba. Other trade and financial 
sanctions have restricted Cuba’s access to leased commercial aircraft, reimposed a license 
requirement for third-country companies exporting goods to Cuba with more than 10% U.S. 
origin, and eliminated the use of U-turn transactions that al owed banking institutions to process 
certain funds transfers originating and terminating outside the United States. Sanctions also have 
targeted Venezuela’s oil exports to Cuba. Pursuant to the LIBERTAD Act, the Administration has 
al owed lawsuits to go forward against those al eged to be trafficking in confiscated property in 
Cuba. Visa restrictions also have been imposed on several high-ranking Cuban officials, including 
Raul Castro, for human rights violations. (For more details, see “Key Trump Administration 
Sanctions and Other Actions,” below.) 
U.S. Sanctions and the COVID-19 Pandemic. Amid the COVID-19 pandemic, U.N. officials, 
including the U.N. High Commissioner for Human Rights Michel e Bachelet, cal ed on the 
United States to ease or lift restrictions that make it difficult for Cuba to acquire needed 
equipment, supplies, and medicines to confront the pandemic.109 Eight nongovernmental 
organizations supporting engagement with Cuba cal ed for a temporary suspension of sanctions to 
facilitate the flow of needed humanitarian and medical supplies.110 U.S. officials, however, 
indicated that the sanctions would not be eased, maintaining that U.S. sanctions already al ow for 
such exports. According to a press report, Secretary of State Pompeo stated in a cal  to reporters 
on April  14, 2020, that “there are no restrictions on humanitarian assistance going into [Cuba].”111 
The Treasury Department subsequently issued a fact sheet providing guidance highlighting 
general and specific licensing available  in the Cuban Assets Control Regulations to al ow for 
humanitarian relief and assistance to the Cuban people.112 
Some Members of Congress, however, expressed concern about reports that some foreign 
companies have been deterred from providing humanitarian items to Cuba because of 
burdensome regulatory and reporting requirements and fear of prosecution or penalty under U.S. 
law. In a letter, 27 members of the Senate and House cal ed on the Secretary of State and the 
Secretary of the Treasury to confirm that “companies and humanitarians around the world are not 
precluded under U.S. law, regulation, or policy from providing medical equipment, food, other 
humanitarian items, and public health information to Cuba.”113 
                                              
109 “Ease Sanctions Against Countries Fighting COVID-19; UN Human Rights Chief,” UN  News,  March 24, 2020; and 
“Lift Cuba Embargo or Risk  Many Lives Lost to COVID-19, UN Rights  Experts Warn US,” UN News,  April 30, 2020.  
110 “Organizations Call for Cuba  Sanctions Suspension  to Facilitate Humanitarian and Medical  Supplies  amid COVID-
19 Pandemic,” Washington Office on Latin America, March 26, 2020.  
111 Nora Gámez  T orres, “U.S. Won’t Offer Sanctions Relief to Cuba  Amid  Coronavirus Pandemic, Here Is Why,” 
Miam i Herald, April 16, 2020.  
112 U.S.  Department of the T reasury, Office of Foreign Assets Control, “Fact Sheet: Provision of Humanitarian 
Assistance and T rade to Combat COVID-19,” April 16, 2020, at https://home.treasury.gov/system/files/126/
covid19_factsheet_20200416.pdf.  
113 U.S.  Senate, Office of Patrick Leahy, “ Leahy And McGovern Lead Members  Of Congress  In Pressing Pompeo And 
Mnuchin T o Confirm T hat U.S. Policy Does Not Preclude Shipments Of Medical  Equipment T o Cuba  T o Combat 
COVID-19,” press release, May 5, 2020. 
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Key Trump Administration Sanctions and Other Actions 
  Restrictions on Transactions with the Cuban Military. Pursuant to the NSPM, 
the State Department was tasked with identifying entities controlled by the 
Cuban military, intel igence, or security services or personnel and publishing a 
list of entities with which direct financial transactions would disproportionately 
benefit those services or personnel at the expense of the Cuban people or private 
enterprise in Cuba. The NSPM specifical y identified the Grupo de 
Administración Empresarial S.A. (GAESA), a holding company of the Cuban 
military involved in most sectors of the Cuban economy, particularly the tourism 
sector. The State Department issued a list of restricted entities in 2017, referred to 
as the “Cuba restricted list,” which has been updated several times, most recently 
in September 2020. The Treasury Department forbids financial transactions with 
these entities, with certain exceptions, including transactions related to air or sea 
operations supporting permissible travel, cargo, or trade; the sale of agricultural 
and medical commodities; direct telecommunications or internet access for the 
Cuban people; and authorized remittances.114 The list currently includes 230 
entities and sub-entities, including two ministries, five holding companies and 54 
of their sub-entities (including the Mariel Special Development Zone), 111 
hotels, two tourist agencies, five marinas, 10 stores in Old Havana, and 41 
entities serving defense and security sectors.115 
  Restrictions on Travel. With regard to people-to-people educational travel, the 
Treasury Department initial y amended the CACR  in November 2017 to require 
that such travel take place under the auspices of an organization specializing  in 
such travel, with travelers accompanied by a representative of the organization. 
Individuals were no longer authorized to engage in such travel on their own.116 In 
June 2019, the Treasury Department eliminated people-to-people educational 
travel altogether, and the Commerce Department general y prohibited cruise 
ships, private and corporate aircraft, sailboats, and fishing boats from going to 
Cuba.117 The Transportation Department suspended commercial flights to cities 
other than Havana in December 2019; charter flights to cities other than Havana 
in January 2020; and private charter flights to Havana in October 2020. In 
September 2020, the Treasury Department prohibited U.S. travelers from staying 
at properties identified by the State Department as owned or controlled by the 
Cuban government.118 (See “Travel Restrictions,” below.) 
                                              
114 U.S.  Department of the T reasury, “Treasury, Commerce, and State Implement Changes to the Cuba  Sanctions 
Rules,”  fact sheet, November 8, 2017 (effective November 9, 2017), at https://www.treasury.gov/resource-center/
sanctions/Programs/Documents/cuba_fact_sheet_11082017.pdf. 
115 U.S.  Department of State, “Updating the State Department’s List of Entities and Subentities Associated With Cuba 
(Cuba  Restricted List),” 85 Federal Register 61079-61082, September 29, 2020. 
116 U.S.  Department of the T reasury, “Cuban Assets Control Regulations,” 82 Federal Register  51998-52004, 
November 9, 2017. 
117 U.S.  Department of the T reasury, “Cuban Assets Control Regulations,” 84 Federal Register  25995-25993, June 5, 
2019; and U.S.  Department of Commerce, “ Restricting the T emporary Sojourn of Aircraft and Vessels  to Cuba,”  84 
Federal Register  25986-25989, June 5, 2019.  
118 U.S.  Department of the T reasury, “Cuban Assets Control Regulations,” 85 Federal Register  60068-60072, 
September 24, 2020; and U.S.  Department of State, “ The State Department’s Cuba Prohibited Accommodations List,” 
85 Federal Register  60855-60862, September 28, 2020. 
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  Restrictions on Remittances. In September 2019, the Treasury Department 
capped family remittances, which previously were not limited, to $1,000 per 
quarter per Cuban national and prohibited such remittances to close family 
members of prohibited Cuban officials and members of the Cuban Communist 
Party. The Treasury Department also eliminated the category of donative 
remittances.119 In June and September 2020, the State Department added to its 
“Cuba restricted list” two Cuban companies that facilitate the processing of 
remittances. On October 27, 2020, the Treasury Department prohibited, effective 
November 26, the processing of remittances through any entities on the “Cuba 
restricted list.”120 This resulted in Western Union—the major financial services 
company used to transmit remittances to Cuba—announcing on November 13 
that November 22 would be the last day to send money to Cuba until a solution 
could be found to keep its services open. (See “Restrictions on Remittances” 
section, below.) 
  Efforts to Stop Venezuelan Oil Exports to Cuba. Since April 2019, the 
Treasury Department has imposed sanctions on several shipping companies and 
vessels that transported Venezuelan oil to Cuba.121 In July 2019, it imposed 
sanctions on Cuba’s state-run oil import and export company, Cubametales.122 
  Lawsuits Related to Confiscated Property. Effective May 2, 2019, the 
Administration al owed the right to file lawsuits against those trafficking in 
confiscated property in Cuba pursuant to Title III of the LIBERTAD Act (P.L. 
104-114). Lawsuits can be brought by any U.S. national, including those who 
were not U.S. nationals at the time of the confiscation. Some 29 lawsuits have 
been filed against U.S. and foreign companies to date, although several lawsuits 
have been dismissed. (For more, see “Property Claims and Titles III and IV of the 
LIBERTAD Act,” below.)  
  Efforts, Including Visa Restrictions, Against Cuba’s Medical Missions. Since 
2019, the Trump Administration has increased efforts to highlight international y 
al egations of coercive labor practices in Cuba’s foreign medical missions, a 
major foreign exchange contributor to Cuba’s economy. In June 2019 and June 
2020, the State Department placed Cuba on the Tier 3 in its Trafficking in 
Persons Reports, a status referring governments that do not fully comply with the 
minimum standards for combatting trafficking in persons and are not making 
significant efforts to do so. The reports maintained that the Cuban government 
did not take action to address al egations of forced labor in the country’s foreign 
medical mission program. The State Department also announced in 2019 that it 
had imposed visa restrictions on certain Cuban officials for the al eged 
exploitative and coercive labor practices associated with Cuba’s overseas 
                                              
119 U.S.  Department of the T reasury, “Cuban Assets Control Regulations,” 84 Federal Register  47121-47123, 
September 9, 2019.  
120 U.S.  Department of the T reasury, “Cuban Assets Control Regulations,” 85 Federal Register  67988-67989, October 
27, 2020. 
121 U.S.  Department of State, “Venezuela-Related Sanctions,” at https://www.state.gov/venezuela-related-sanctions/, 
for several press releases on sanctions against companies and vessels  transporting Venezuelan oil to Cuba,  including, 
Secretary of State Michael R.  Pompeo, “The United States T akes Action Against the Movement of Venezuelan Oil to 
Cuba,”  press statement, December 3, 2019.  
122 U.S.  Department of the T reasury, “Treasury T argets Cuban Support for the Illegitimate Venezuelan Regime,”  press 
release, July 3, 2019.  
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medical mission. Since 2019, the State Department has ramped up its criticism of 
Cuba for these labor practices and warned other countries that might be 
considering hosting Cuban medical personnel. (See section on “Trafficking in 
Persons and Cuba’s Foreign Medical Missions,” below.) 
  Other Trade and Financial Sanctions. In September 2019, the Treasury 
Department ended the use of U-turn transactions, which al owed banking 
institutions to process certain funds transfers originating and terminating outside 
the United States.123 In October 2019, the Commerce Department restricted 
Cuba’s access to leased commercial aircraft; reimposed a 10% de minimis rule 
(from 25%) requiring a third-country-based company exporting goods to Cuba 
with more than 10% U.S.-origin content to apply for a license; and imposed 
licensing requirements for the export of certain donated items to organizations 
controlled by the Cuban government or Communist Party and exported items for 
telecommunications infrastructure (unless it was for individual Cubans or the 
Cuban private sector).124 
  Visa Restrictions Related to Alleged Human Rights Abuses. In 2019 and 
2020, pursuant to a long-standing provision in the Department of State, Foreign 
Operations, and Related Programs Appropriations Act (SFOPS, currently in 
Section 7031(c) of P.L. 116-94, Division G), the State Department imposed visa 
restrictions on three high-ranking Cuban officials and their immediate family 
members for credible information of their involvement in gross violation of 
human rights, barring them from entry into the United States.125 In September 
2019, the State Department imposed visa restrictions on Raúl Castro (and his 
four children) for human rights violations in Cuba and in Venezuela  under the 
Maduro regime.126 Further 7031(c) visa restrictions were imposed on Cuban 
Interior Minister Julio Cesar Gandaril a Bermejo (and his two children) in 
November 2019 and on Cuban Defense Minister Leopoldo Cintra Frias (and his 
two children) in January 2020 for gross human rights violations in Venezuela.127  
  Visa Restrictions Related to Alleged Trafficking in Confiscated Property. In 
February 2020, the Spanish hotel chain Meliá confirmed its chief executive 
officer is prohibited from entering the United States pursuant to Title IV of the 
LIBERTAD Act, related to the trafficking of property confiscated in Cuba. (For 
more, see “Property Claims and Titles III and IV of the LIBERTAD Act,” below.) 
  Internet Task Force. Pursuant to the NSPM, in January 2018, the State 
Department announced the establishment of a Cuba Internet Task Force (CITF), 
composed of U.S. government and non-U.S. government representatives, to 
                                              
123 U.S.  Department of the T reasury, “Cuban Assets Control Regulations,” 84 Federal Register  47121-47123, 
September 9, 2019. 
124 U.S.  Department of Commerce, “Restricting Additional Exports and Reexports to Cuba,” 84 Federal Register 
56117-56121, October 21, 2019. 
125 For background  on Section 7031(c), see CRS  In Focus  IF10905, FY2020 Foreign Operations Appropriations: 
Targeting Foreign Corruption and Hum an Rights Violations, by Liana W. Rosen and Michael A. Weber.  
126 U.S.  Department of State, Secretary of State Michael R. Pompeo, “Public Designation of Raúl  Castro, Due to 
Involvement in Gross Violations of Human Rights,” press statement, September 26, 2019.  
127 U.S.  Department of State, Secretary of State Michael R. Pompeo, “Public Designation of Julio  Cesar Gandarilla 
Bermjeo Under Section 7031(c) of the FY2019 Department of State, Foreign Operations List,” press statement, 
November 16, 2019, and “Public Designation of Leopoldo Cintra Frias Due  to Involvement in Gross  Violations of 
Human Rights,” press statement, January 2, 2020,  
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examine the technological chal enges and opportunities for expanding internet 
access and independent media in Cuba.128 The task force held two public 
meetings in February and December 2018 and formed two subcommittees to 
develop recommendations on the role of media and freedom of information in 
Cuba and to explore technological chal enges and opportunities for expanding 
internet access in Cuba.129 The CITF issued its final report in June 2019 that 
identified four key chal enges to internet access in Cuba and recommendations to 
overcome those chal enges. One of the identified chal enges was related to U.S. 
entry into the Cuban market. The report noted that China’s major role in the 
telecommunications sector is a chal enge to U.S. firms looking to enter the 
market, and that U.S. companies maintain “they are often deterred from entering 
the market by frequent changes to U.S. regulations” and that banks are reluctant 
“to process payments in Cuba due to the U.S. embargo.”130 
  Response to Health Injuries of U.S. Personnel in Havana. From November 
2016 to May 2018, 26 U.S. Embassy community members suffered a series of 
unexplained injuries, including hearing loss and cognitive issues. The State 
Department maintains the U.S. investigation has not reached a definitive 
conclusion regarding possible cause of the injuries, although in early December 
2020, the National Academies of Sciences, Engineering and Medicine publicly 
released a report concluding that the most plausible mechanism for the health 
symptoms was directed pulsed radio frequency energy. In response to the 
injuries, the State Department ordered the departure of nonemergency personnel 
from the U.S. Embassy in September 2017 to minimize the risk of their exposure 
to harm; embassy staff was reduced by about two-thirds. In October 2017, the 
State Department ordered the departure of 15 diplomats from the Cuban Embassy 
in Washington, DC. According to then-Secretary of State Rex Til erson, the 
action was taken because of Cuba’s failure to protect U.S. diplomats in Havana 
and to ensure equity in the impact on diplomatic operations. Cuba strongly denies 
responsibility for the injuries. The staff reduction at the U.S. Embassy affected 
embassy operations, especial y visa processing, and made bilateral engagement 
more difficult. (For more, see “U.S. Response to Health Injuries of U.S. 
Personnel in Havana,” below.) 
Debate on the Direction of U.S. Policy 
Over the years, although U.S. policymakers have agreed on the overal  objectives of U.S. policy 
toward Cuba—to help bring democracy and respect for human rights to the island—there have 
been different schools of thought about how to achieve those objectives. Some have advocated a 
policy of keeping maximum pressure on the Cuban government until reforms are enacted, while 
continuing efforts to support the Cuban people. Others have argued for an approach, sometimes 
referred to as constructive engagement, that would lift some U.S. sanctions that they believe are 
hurting the Cuban people and would move toward engaging Cuba in dialogue. Stil   others have 
cal ed for a swift normalization of U.S.-Cuban relations by lifting the U.S. embargo.  
                                              
128 U.S.  Department of State, “Creation of the Cuba Internet Task Force,” January 23, 2018.  
129 U.S.  Department of State, “Inaugural Meeting of the Cuba  Internet T ask Force,” February 7, 2018.  
130 U.S.  Department of State, Cuba Internet T ask Force: Final Report, report, June 16, 2019, available at 
https://www.state.gov/cuba-internet -task-force-final-report/. Also see “ U.S. Sanctions Put T elecoms Firms Off Cuba, 
Internet T ask Force Says,” Reuters News,  June  25, 2019.  
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In light of Fidel Castro’s departure as head of government in 2006 and the gradual economic 
changes made by Raúl Castro, some observers had cal ed for a reexamination of U.S. policy 
toward Cuba. In this new context, two broad policy approaches were advanced to contend with 
change in Cuba: an approach that cal ed for maintaining the U.S. dual-track policy of isolating the 
Cuban government while providing support to the Cuban people and an approach aimed at 
influencing the attitudes of the Cuban government and Cuban society through increased contact 
and engagement.  
The Obama Administration’s change of U.S. policy from isolation to engagement and movement 
toward the normalization of relations highlighted divisions in Congress over Cuba policy. Some 
Members of Congress lauded the Administration’s actions as in the best interests of the United 
States and a better way to support change in Cuba, whereas other Members strongly criticized the 
President for not obtaining concessions from Cuba to advance human rights. Some Members 
vowed to oppose the Administration’s efforts toward normalization, whereas others introduced 
legislation  to normalize relations with Cuba by lifting the embargo in its entirety or in part by 
easing some aspects of it.  
The Trump Administration’s policy of rolling back some of the Obama-era changes and 
introducing new sanctions on Cuba also has highlighted divisions in Congress over Cuba policy, 
with some Members supporting the President’s action because of Cuba’s lack of progress on 
human rights and others opposing it because of the potential negative effect on the Cuban people 
and U.S. business interests.  
Public opinion polls have shown a majority of Americans support normalizing relations with 
Cuba.131 Among the Cuban American community in South Florida, however, a 2018 poll by 
Florida International University showed an increase in those supporting a continuation of the U.S. 
embargo compared to a 2016 poll. In the 2018 poll, although a majority of Cuban Americans in 
South Florida supported diplomatic relations and unrestricted travel to Cuba by al  Americans, 
51% polled favored continuing the embargo and 49% opposed it. This contrasts with 2016, when 
63% of Cuban Americans in South Florida favored ending the embargo and 37% supported it.132 
In general, those who advocate easing U.S. sanctions on Cuba make several policy arguments. 
They assert that if the United States moderated its policy toward Cuba—through increased travel, 
trade, and dialogue—then the seeds of reform would be planted, which would stimulate forces for 
peaceful change on the island. They stress the importance to the United States of avoiding violent 
change in Cuba, with the prospect of a mass exodus to the United States. They argue that since 
the demise of Cuba’s communist government does not appear imminent (despite almost 60 years 
of sanctions), the United States should espouse a more pragmatic approach in trying to bring 
about change in Cuba. Supporters of changing policy also point to broad international support for 
lifting the U.S. embargo, to the missed opportunities for U.S. businesses because of the unilateral 
nature of the embargo, and to the increased suffering of the Cuban people because of the 
embargo. Proponents of change also argue that the United States should be consistent in its 
policies with the world’s few remaining communist governments, including China and Vietnam. 
On the other side, opponents of lifting U.S. sanctions maintain that the policy of isolating Cuba 
but reaching out to the Cuban people through measures of support is the best means for realizing 
                                              
131 See,  for example, Pew Research Center, “Growing Public  Support for U.S.  T ies with Cuba–And  an End to the T rade 
Embargo,” July 21, 2015; Dalia Sussman,  “ Most Americans Support Ending the Embargo, T imes Poll Finds,”  New 
York Tim es, March 21, 2016; and Florida International University, Cuba, 2016 FIU Cuba  Poll, How Cuban Am ericans 
in Miam i View  U.S. Policies Toward Cuba , September 2016, at https://cri.fiu.edu/events/2016/the-2016-fiu-cuba-poll/
cuba-poll-web.pdf. 
132 See  the Florida International University’s Cuba polls at https://cri.fiu.edu/research/cuba-poll/. 
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Cuba: U.S. Policy in the 116th  Congress  
 
political change in Cuba. They point out that the LIBERTAD Act sets forth the steps that Cuba 
must take for the United States to normalize relations. They argue that softening U.S. policy 
without concrete Cuban reforms boosts Cuba’s communist regime, political y and economical y, 
and facilitates its survival. Opponents of softening U.S. policy argue that the United States should 
stay the course in its commitment to democracy and human rights in Cuba and that sustained 
sanctions can work. Critics of loosening U.S. sanctions further argue that Cuba’s failed economic 
policies, not the U.S. embargo, are the causes of Cuba’s difficult living conditions. More recently, 
those supporting stronger sanctions on Cuba point to the Cuban government’s strong support for 
the Maduro regime in Venezuela, particularly military advisers and intel igence assistance.  
Selected Issues in U.S.-Cuban Relations 
U.S. Restrictions on Travel and Remittances133 
Travel Restrictions 
Permissible Cuba Travel: 12 Categories 
Family  Visits 
Restrictions on travel to Cuba have been a 
Official Government  Business 
key and often contentious component of U.S. 
Journalistic Activities 
efforts to isolate Cuba’s communist 
Professional  Research and Professional  Meetings 
government for more than 50 years. The 
embargo regulations set forth in the CACR 
Educational Activities 
do not ban travel itself, but place restrictions 
Religious  Activities 
on financial transactions related to Cuba. 
Public Performances,  Clinics,  Workshops,  Athletic and 
other Competitions,  and Exhibitions 
Numerous changes to the restrictions have 
occurred over time, and for five years, from 
Support for the Cuban People 
1977 until 1982, there were no restrictions on 
Humanitarian Projects 
travel. In 2000, Congress prohibited travel to 
Activities  of Private Foundations or Research or 
Cuba solely for tourist activities when it 
Educational Institutes 
enacted TSRA (P.L. 106-387, Title IX); a 
Exportation, Importation, or Transmission  of 
Information or Informational Materials 
provision in the law prohibits travel-related 
Authorized Export Transactions 
transaction for tourist activities, which are 
defined as any activity not expressly 
Source: 15 C.F.R.  515.560 
authorized in the 12 categories of travel in the 
CACR). Under the George W. Bush Administration, enforcement of U.S. restrictions on Cuba 
travel increased and restrictions on travel were tightened.  
Congress took legislative action in March 2009 to ease restrictions on family travel and on travel 
related to U.S. agricultural and medical sales to Cuba (P.L. 111-8, Sections 620 and 621 of 
Division D). In April 2009, the Obama Administration went further when the President 
announced that he was lifting al   restrictions on family travel. In 2011, the Obama Administration 
further eased travel related to religious, journalistic and educational activities, including people-
to-people travel exchanges, and al owed U.S. international airports to become eligible  for 
licensed charter flights to and from Cuba.  
The Obama Administration’s December 2014 shift in U.S. policy toward Cuba included an easing 
of U.S. restrictions on travel to Cuba. As part of the change in policy, the Treasury Department 
                                              
133 For more information, see CRS  Report RL31139, Cuba: U.S. Restrictions on Travel  and Remittances, by Mark P. 
Sullivan. 
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Cuba: U.S. Policy in the 116th  Congress  
 
amended the CACR in 2015 to include general licenses for the 12 existing categories of 
permissible travel to Cuba set forth in the regulations (see text box above). Before the policy 
change, travelers under several of these categories had to apply for a specific license.134 Under the 
regulations, both travel agents and airlines are able to provide services for travel to Cuba without 
the need to obtain a specific license. 
In 2016, the Obama Administration further eased restrictions on travel to Cuba and increased 
transportation opportunities between the United States and Cuba. In January, the Treasury 
authorized travel and related transactions for professional media or artistic productions in Cuba 
(movies, television, music recordings, and creation of artworks). In March, the Treasury 
Department amended the travel regulations to permit travel to Cuba for individual people-to-
people educational travel. Regular air service between the United States and Cuba began in 
November 2016 following the signing of a U.S.-Cuba bilateral arrangement earlier in that year 
permitting regularly scheduled air flights as opposed to charter flights. Cruise ship service to 
Cuba from the United States also began in 2016, and expanded significantly with some 10 
companies offering cruises. 
In contrast, the Trump Administration has reimposed certain restrictions on travel and limited 
transportation to Cuba from the United States. As noted, the Trump Administration terminated 
people-to-people educational travel (under the travel category of educational activities) that the 
Obama Administration restored in 2011.135 As part of that policy change, in November 2017, the 
Treasury Department eliminated the authorization for people-to-people travel for individuals, 
requiring such travel to be under the auspices of an organization specializing in people-to-people 
travel. Then, in June 2019, the Treasury Department eliminated people-to-people travel 
altogether. Also in June 2019, the Commerce Department general y prohibited cruise ship travel 
to Cuba from the United States and prohibited private and corporate aircraft, sailboats, and 
fishing boats from going to Cuba. The Transportation Department suspended commercial flights 
to cities other than Havana in December 2019, charter flights to cities other than Havana in 
January 2020), and al  private charter flights to Havana in October 2020 (public charter flights to 
Havana remain permitted). 
In September 2020, the Trump Administration took two actions that further restricted visits to 
Cuba. First, the Treasury Department prohibited U.S. travelers from staying at properties 
identified by the State Department as owned or controlled by the Cuban government. The ban 
includes over 400 hotels (essential y al  Cuban hotels) and privately owned residences for rent 
(casas particulares), if they are controlled by a prohibited government official or Communist 
Party member (or a close relative). Second, the Treasury Department eliminated general licenses 
for attending or organizing professional meetings or conferences in Cuba and for participating in 
public performances, clinics, workshops, certain athletic or nonathletic competitions, and 
exhibitions. (A general license remains, however, for amateur and semiprofessional international 
sports federation competitions.) Specific licenses may be issued on a case-by-case basis for 
transactions related to the above activities, although the amended regulations do not refer to 
organizing professional meetings. 
                                              
134 A general license provides the authority to engage in a transaction without the need to apply to the T reasury 
Department for a license. In contrast, a specific license is a written document issued  by  the T reasury Department to a 
person or entity authorizing a particular transaction in response to a written license application. 
135 T he Clinton Administration had introduced people-to-people travel under a specific license in the CACR  in 1999 
until the George  W. Bush  Administration eliminated it in 2003. T he Obama Administration reauthorized people-to-
people travel in 2011 under a specific license, permitted such travel under a general in 2015, and then permitted such 
travel for individuals  in 2016,  
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U.S. Travelers to Cuba. According to Cuban government statistics, the number of Americans 
traveling to Cuba increased from 92,325 in 2014 to 637,907 in 2018. This figure is in addition to 
thousands of Cuban Americans who visit family in Cuba each year; in 2018, almost 600,306 
Cubans living outside the country visited Cuba, the majority from the United States.136 
Beginning  in 2019, the number of Americans traveling to Cuba began to fal  significantly, as the 
Trump Administration eliminated  people-to-people travel, prohibited cruise ship travel to Cuba, 
and restricted flights to Cuba. In 2019, the number of U.S. visitors traveling to Cuba declined by 
almost 22% (to 498,067 travelers), although the number of Cubans visiting from abroad increased 
by almost 4% (to 623,972 travelers). In the first two months of 2020, before the imposition of 
travel restrictions because of the COVID-19 pandemic, U.S. travel to Cuba declined by 64% and 
travel by Cubans living abroad declined by almost 4% compared with the same period in 2019.137 
Legislative Initiatives. In the 116th Congress, three bil s have been introduced that would lift 
restrictions on travel to Cuba. Identical bil s  H.R. 3960 (McGovern) and S. 2303 (Leahy) would 
prohibit most restrictions on travel to or from Cuba by U.S. citizens and legal residents or any 
transactions incident to such travel. H.R. 2404 (Rush) would lift the overal  embargo on Cuba, 
including travel restrictions. 
Restrictions on Remittances 
Much like U.S. restrictions on travel, U.S. restrictions on sending cash remittances to Cuba have 
been part of the U.S. sanctions regime and have changed over time. Cash remittances to Cuba 
reportedly increased from almost $1.7 bil ion in 2009 to $3.7 bil ion in 2019, but they are 
expected to decline to $2.9 bil ion  in 2020 because of COVID-19 restrictions that closed Cuban 
airports for months.138 In 2019, some 45% of remittances to Cuba reportedly were carried by 
individuals; the remainder went through remittance forwarding companies.139 
The Obama Administration  took significant action to ease restrictions on remittances to Cuba. In 
2009, the Treasury Department lifted the previous limitation of no more than $300 per quarter for 
family remittances, imposing no limitation on the amount and frequency of these remittances. In 
2011, the Treasury Department authorized remittances to any Cuban national (up to $500 per 
quarter) and made it easier for religious institutions to send remittances for religious activities. In 
2015, the Treasury Department lifted the dollar limit for remittances to any Cuban national, 
referring to such remittances as “donative remittances to Cuban nationals.” The Treasury 
Department also authorized by general license remittances to individuals and independent 
nongovernmental organizations to support humanitarian projects; a rapid peaceful transition to 
democracy; the strengthening of civil society;, and the development of private businesses, 
including smal  farms. In 2016, the Treasury Department narrowed the definition of “prohibited 
Cuban government officials” and “prohibited members of the Cuban Communist party,” a 
significant move because of the prohibition in the CACR against providing remittances to these 
individuals. 
By contrast, the Trump Administration has taken actions to restrict remittances to Cuba. In 2017, 
the Treasury Department expanded the definition of “prohibited Cuban government officials,” 
                                              
136 República  de  Cuba,  Oficina Nacional de Estadísticas e Información (ONEI), Anuar io Estadístico de Cuba  2018, 
Capítulo 15: T urismo, Edición 2019;  
137 República  de  Cuba,  ONEI, “T urismo, Llegadas de visitantes internacionales,” December 2019 and February 2020.  
138 “COVID-19 puede  hacer decliner las remesas a Cuba  entre un 30 y 40% en 2020,” T he Havana Consulting Group 
and T ech, March 20, 2020; and “El envoi de remesas a Cuba  cayó el 54.14% en 2020 pro la covid-19, Agencia EFE, 
November 24, 2020.  
139 “COVID-19 Crushes  the ‘Mule’ Business,”  Havana Consulting Group and  T ech, May 28, 2020.  
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Cuba: U.S. Policy in the 116th  Congress  
 
resulting in the prohibition of remittances for such individuals. In 2019, the Treasury Department 
eliminated the category of donative remittances to Cuban nationals, capped family remittances to 
any one Cuban national to $1,000 per quarter, and prohibited family remittances to close family 
members of prohibited Cuban government officials and Cuban Communist Party officials. 
In 2020, the Trump Administration further restricted the flow of cash remittances to Cuba. In June 
and September 2020, respectively, the State Department added to its “Cuba restricted list” two 
Cuban financial services companies—FINCIMEX and American International Services—
involved in facilitating the processing of foreign remittances to Cuba. In October 2020, the 
Treasury Department amended the CACR to prohibit, effective November 26, 2020, the 
processing of remittances through any entities on the “Cuba restricted list.” The new regulations 
resulted in Western Union, which has partnered with FINCIMEX since 2016, to announce that 
November 22 would be the last day to send money to Cuba until a solution could be found to 
keep its services open.140 Western Union has been the major financial services company used for 
transmitting remittances to Cuba, with more than 400 offices on the island. 
Legislative Initiatives. In the 116th Congress, H.R. 2404 (Rush) would lift the overal  embargo 
on Cuba, including restrictions on remittances. 
U.S. Exports and Sanctions 
U.S. commercial medical exports to Cuba have been authorized since the early 1990s pursuant to 
the Cuban Democracy Act of 1992 (CDA), and commercial agricultural exports have been 
authorized since 2001 pursuant to the Trade Sanctions Reform and Export Enhancement Act of 
2000 (TSRA), but with numerous restrictions and licensing requirements. For medical exports to 
Cuba, the CDA requires on-site verification that the exported item is to be used for the purpose 
for which it was intended and only for the use and benefit of the Cuban people. TSRA al ows for 
one-year export licenses for sel ing agricultural commodities to Cuba, although no U.S. 
government assistance, foreign assistance, export assistance, credits, or credit guarantees are 
available  to finance such exports. TSRA also denies exporters access to U.S. private commercial 
financing or credit; al  transactions must be conducted in cash in advance or with financing from 
third countries. The 2018 farm bil , P.L. 115-334 (H.R. 2) permits funding for two U.S. 
agricultural export promotion programs—the Market Access Program and the Foreign Market 
Development Cooperation Program—for U.S. agricultural products in Cuba. 
Regulatory changes made to the CACR and EAR in 2015-2016 include several actions designed 
to facilitate commercial exports to Cuba: 
  U.S. financial institutions are permitted to open correspondent accounts at Cuban 
financial institutions to facilitate the processing of authorized transactions (31 
C.F.R. 515.584). 
  U.S. private export financing is permitted for al  authorized export trade to Cuba, 
except for agricultural goods exported pursuant to TSRA (31 C.F.R. 515.584). 
  The definition of the term cash in advance for payment for U.S. exports to Cuba 
was revised to specify that it means cash before transfer of title. The change 
means that payment can occur before an export shipment is offloaded in Cuba 
rather than before the shipment leaves a U.S. port (31 C.F.R. 515.533). 
                                              
140 Western Union, “Cuba: A Letter to Our Customers,” November 13, 2020, at https://www.westernunion.com/blog/a-
letter-to-our-cuba-customers/.  
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  Commercial exports to Cuba of certain goods and services to empower Cuba’s 
nascent private sector are authorized, including for certain building materials for 
private residential construction, and goods for use by private-sector Cuban 
entrepreneurs (15 C.F.R. 740.21). 
  Licenses for certain categories of exports are included under a “general policy of 
approval.” These categories include exports for civil aviation and commercial 
aircraft safety, telecommunications, U.S. news bureaus, human rights 
organizations and nongovernmental organizations, environmental protection of 
U.S. and international air quality, waters, and coastlines, and agricultural inputs 
(such as insecticides, pesticides, and herbicides) that fal  outside the scope of 
those exports already al owed under TSRA (15 C.F.R. 746.2). In October 2019, 
however, the Commerce Department amended the EAR to exclude the export or 
reexport of aircraft leased to state-owned enterprise from its general policy of 
approval for the export of items for civil aviation and commercial aircraft safety 
and imposed licensing requirements for the export of certain donated items to 
organizations controlled by the Cuban government or Communist Party and 
exported items for telecommunications infrastructure (unless it was for individual 
Cubans or the Cuban private sector).141 
  Licenses for exports that wil  be considered on a case-by-case basis include 
certain items exported to state-owned enterprises, agencies, and other 
organizations of the Cuban government that provide goods and services for the 
use and benefit of the Cuban people (15 C.F.R. 746.2). In November 2017, 
however, the Commerce Department amended the EAR to stipulate that export 
licenses for exports to state-owned enterprises wil  general y be denied to export 
items for use by entities or sub-entities on the State Department’s list of restricted 
entities associated with the Cuban military, police, intel igence, or security 
services. 
  Companies exporting authorized goods to Cuba are authorized to have a physical 
presence in Cuba, such as an office, retail outlet, or warehouse (31 C.F.R. 
515.573). 
  Persons subject to U.S. jurisdiction general y are authorized to enter into certain 
contingent contracts for transactions currently prohibited by the embargo (31 
515.534). 
  Certain consumer goods sold directly to eligible  individuals in Cuba for their 
personal use general y are authorized (15 C.F.R. 740.21). 
Cuba purchased $6.3 bil ion in U.S. products from 2001 to 2019, largely agricultural products. 
For many of those years, the United States was Cuba’s largest supplier of agricultural products. 
U.S. exports to Cuba rose from about $7 mil ion in 2001 to a high of $718 mil ion  in 2008, far 
higher than in previous years. This increase was in part because of the rise in food prices and 
because of Cuba’s increased food needs in the aftermath of several hurricanes and tropical storms 
that severely damaged the country’s agricultural sector. U.S. exports to Cuba declined 
considerably from 2009 through 2011, rose again in 2012, and fel  every year through 2015, when 
U.S. exports amounted to $186 mil ion. U.S. exports increased in years after that, amounting to 
$287 mil ion  in 2019 (see Figure 2.) In 2020, however, as Cuba’s economic situation has 
                                              
141 U.S.  Department of Commerce, “Restricting Additional Exports and Reexports to Cuba,” 84 Federal Register 
56117-56121, October 21, 2019. 
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deteriorated amid the COVID-19 pandemic, U.S. exports to Cuba have declined 49% from 
January to September compared with the same period in 2019.142 
Figure 2. U.S. Exports to Cuba, 2002-2019 
 
Source: Created by CRS using Commerce  Department statistics as presented by Trade Data Monitor.   
Looking at the composition of U.S. exports to Cuba from 2012 to 2019, the leading products were 
poultry, soybean oilcake and other solid residue, soybeans, corn, and soybean oil. Poultry has 
been the leading U.S. export to Cuba since 2012. Beyond agricultural products, other categories 
of products in recent years have been parts for steam turbines, civilian aircraft engines and parts, 
pesticides, calcium phosphates, and electrical apparatus and parts for telephone lines. In 2019, 
leading U.S. exports to Cuba were poultry (66%), soybean oilcake (11%), soybeans (5%), and 
parts for steam turbines (4%).  
U.S. International Trade Commission (USTIC) Reports. The USITC has issued three studies 
since 2007 examining the effects of U.S. restrictions on trade with Cuba, with its most recent 
report issued in April  2016.143 According to the findings of its 2016 report, U.S. restrictions on 
trade and travel reportedly have shut U.S. suppliers out of a market in which they could be 
competitive on price, quality, and proximity. The most problematic U.S. restrictions cited are the 
inability  to offer credit, travel to or invest in Cuba, and use funds sourced and administered by the 
U.S. government. Cuban nontariff measures and other factors also may limit U.S. exports to and 
investment in Cuba if U.S. restrictions are lifted, according to the report. These factors include 
Cuban government control of trade and distribution, legal limits on foreign investment and 
property ownership, and political y motivated decisionmaking regarding trade and investment. 
Absent U.S. restrictions, U.S. exports in several sectors likely would increase somewhat in the 
short term, with prospects for larger increases in the longer term, subject to changes in Cuban 
policy and economic growth. U.S. exports could increase further if Cuban import barriers were 
lowered. If U.S. restrictions were removed, U.S. agricultural and manufactured exports to Cuba 
                                              
142 T rade statistics in this section are from the U.S. Department of Commerce, as presented by T rade Data Monitor.  
143 U.S.  International T rade Commission (USIT C), U.S. Agricultural Sales to Cuba: Certain Economic Effects of U.S. 
Restrictions, USIT C  Publication 3932, July 2007, at http://www.usitc.gov/publications/332/pub3932.pdf; USIT C, U.S. 
Agricultural Sales to Cuba: Certain Econom ic Effects of U.S. Restrictions,  An Update, Office of Industries Working 
Paper, by Jonathan R. Coleman, No. ID-22, June 2009, at http://www.usitc.gov/publications/332/ID-22.pdf; and 
USIT C, “Overview of Cuban  Imports of Goods and Services  and Effects of U.S.  Restrictions,” March 2016, 
Publication 4597, released April 18, 2016, at http://www.usitc.gov/publications/332/pub4597.pdf. 
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could increase to almost $1.8 bil ion  annual y; if both U.S. restrictions were removed and Cuban 
barriers were lowered, U.S. exports could approach $2.2 bil ion annual y. 
Legislative Initiatives. In the 116th Congress, several bil s have been introduced related to 
restrictions on exports to Cuba. S. 428 (Klobuchar) would repeal certain provisions in the CDA, 
the LIBERTAD Act, and TSRA as wel  as regulatory provisions in the CACR and EAR that 
restrict trade with Cuba. H.R. 1898 (Crawford) would modify the prohibition on U.S. assistance 
and financing for certain exports to Cuba under TSRA. S. 1447 (Bennet) would amend TSRA to 
al ow for the private financing by U.S. entities of agricultural commodities to Cuba. H.R. 2404 
(Rush) would lift the overal  embargo on Cuba. 
Democracy and Human Rights Funding 
Since 1996, the United States has provided assistance—through the U.S. Agency for International 
Development (USAID), the State Department, and the National Endowment for Democracy 
(NED)—to increase the flow of information on democracy, human rights, and free enterprise to 
Cuba. USAID and State Department efforts are funded largely through Economic Support Funds 
(ESF) in the annual foreign operations appropriations bil . From FY1996 to FY2019, Congress 
appropriated some $364 mil ion in funding for Cuba democracy efforts.144 In recent years, this 
funding included $20 mil ion  in each fiscal year from FY2014 through FY2019. For FY2018, the 
Trump Administration, as part of its attempt to cut foreign assistance levels, did not request any 
democracy and human rights assistance funding for Cuba, but Congress ultimately provided $20 
mil ion.  For FY2019, the Trump Administration requested $10 mil ion to provide democracy and 
civil society assistance for Cuba, but Congress again provided $20 mil ion. 
Although USAID received the majority of this funding for many years, the State Department 
began to receive a portion of the funding in FY2004 and in recent years has been al ocated more 
funding than USAID. The State Department general y has transferred a portion of the Cuba 
assistance that it administers to NED.  
USAID’s Cuba program has supported a variety of U.S.-based nongovernmental organizations 
with the goals of promoting a rapid, peaceful transition to democracy, helping to develop civil 
society, and building solidarity with Cuba’s human rights activists.145 
NED is not a U.S. government agency but an independent nongovernmental organization that 
receives U.S. government funding. Its Cuba program is funded by the organization’s regular 
appropriations by Congress as wel  as by funding from the State Department. According to 
information provided by NED on its website, its Cuba funding from FY2016 through FY2019 
amounted to $19.2 mil ion.146 
FY2019 Appropriations. For FY2019, the Trump Administration requested $10 mil ion for 
democracy and civil society assistance in support of the Administration’s Cuba policy. In the 
115th Congress, the House Appropriations Committee’s State Department and Foreign Operations 
appropriations bil ,  H.R. 6385 (H.Rept. 115-829), would have provided $30 mil ion  to promote 
democracy and strengthen civil society in Cuba, with not less than $8 mil ion  for the National 
Endowment for Democracy. The report to the bil  would have prohibited the obligation of funds 
                                              
144 T he U.S. Government Accountability Office (GAO) reports that Congress appropriated $205 million for Cuba 
democracy programs from FY1996 through FY2011. See U.S.  GAO,  Cuba Dem ocracy Assistance, USAID’s Program  
Is Im proved, But State Could Better Monitor Its Im plem enting Partners, GAO-13-285, January 2013. 
145 U.S.  Agency for International Development, “Cuba,” at  https://www.usaid.gov/cuba. 
146 See  the grants database of the National Endowment for Democracy at https://www.ned.org/wp-content/themes/ned/
search/grant -search.php. 
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Cuba: U.S. Policy in the 116th  Congress  
 
for business promotion, economic reform, entrepreneurship, or any other assistance that was not 
democracy-building. It also stipulated that grants exceeding $1 mil ion, or grants to be 
implemented over a period of 12 months, would be awarded only to organizations with 
experience promoting democracy inside Cuba. The Senate Appropriations version of the bil , S. 
3108, would have provided $15 mil ion  for democracy programs in Cuba. Since the 115th 
Congress did not complete action on FY2019 appropriations, the task was left to the 116th 
Congress, which in February 2019, enacted the Consolidated Appropriations Act, 2019 (P.L. 116-
6, H.J.Res. 31, conference report H.Rept. 116-9), which ultimately provided $20 mil ion  for Cuba 
democracy funding. 
FY2020 Appropriations. For 2020, the Trump Administration requested $6 mil ion for Cuba 
democracy funding, which would have been a 70% cut from the $20 mil ion provided annual y 
since FY2014. Both House and Senate FY2020 foreign aid appropriations bil s  included $20 
mil ion  in democracy funding for Cuba: H.R. 2839 (H.Rept. 116-78), included as Division D of 
the House-passed minibus H.R. 2740, approved in June 2019; and S. 2583 (S.Rept. 116-126). 
Ultimately,  Congress appropriated $20 mil ion for Cuba democracy programs in the Further 
Consolidated Appropriations, 2020 (P.L. 116-94, Division G), enacted in December 2019. 
FY2021 Appropriations. For FY2021, the Trump Administration has requested $10 mil ion for 
Cuba democracy programs, a 50% decrease from the amount appropriated in FY2020. Both the 
House-passed version of the FY2021 Department of State, Foreign Operations, and Related 
Programs Appropriations Act, Division A of H.R. 7608 (H.Rept. 116-444), approved July 24, 
2020, and the Senate Appropriations Committee’s draft bil  and explanatory statement would 
provide $20 mil ion  for democracy programs, the same as appropriated in FY2020.  
Radio and TV Martí147 
U.S.-government-sponsored radio and television broadcasting to Cuba—Radio and TV Martí—
began in 1985 and 1990, respectively.148 Until October 1999, U.S.-government-funded 
international broadcasting programs had been a primary function of the United States Information 
Agency (USIA). When USIA was abolished and its functions merged into the Department of 
State at the beginning of FY2000, the Broadcasting Board of Governors (BBG) became an 
independent agency that included such entities as the Voice of America, Radio Free Europe/Radio 
Liberty, Radio Free Asia, and the Office of Cuba Broadcasting (OCB). In August 2018, the BBG 
official y changed its name to the U.S. Agency for Global Media (USAGM).149  
Today, OCB, which has been headquartered in Miami, FL, since 1998, manages Radio and TV 
Martí, the radiotelevisionmart.com website and its social media platforms on YouTube, 
Facebook, Instagram, and Twitter.150 According to the BBG’s 2021 Congressional Budget 
Justification, the Martís reached 11.1% of Cubans on a weekly basis in 2017, with shortwave, 
medium waver, direct-to-home satel ite, satel ite radio, internet, social media, flash drives, and 
DVDs to help reach Cuban audiences. OCB administers a USAGM  shortwave transmitting 
                                              
147 For background  on U.S.  international broadcasting, including Radio  and T V Martí, see CRS  Report R43521, U.S. 
International Broadcasting: Background and Issues for Reform , by Matthew C. Weed. 
148 T he Radio Broadcasting to Cuba  Act (P.L. 98-111) was signed  into law  in October 1983, and the T elevision 
Broadcasting to Cuba  Act (P.L. 101-246, T itle II, Part D) was signed  into law in February 1990. 
149 With the new name, the agency also changed  its website  to https://www.usagm.gov/.   
150 Available at https://www.martinoticias.com/, and now  at https://www.radiotelevisionmarti.com/. 
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station in Greenvil e,  NC, which is being upgraded with refurbished transmitters that wil  lower 
cost and increase reliability.151 
Congressional Funding. From FY1984 through FY2019, Congress appropriated about $911 
mil ion  for broadcasting to Cuba. Funding amounted to some $27-$29 mil ion in each fiscal year 
from FY2014 to FY2019. For FY2018, Congress provided $28.936 mil ion for Cuba 
broadcasting, $5.28 mil ion more than requested, in the Consolidated Appropriations Act, 2018 
(P.L. 115-141; explanatory statement, Division K). For FY2019, the Trump Administration 
requested $13.656 mil ion for the OCB, $15.3 mil ion  less than the amount provided in FY2017. 
The rationale for the proposed cut was to find efficiencies between OCB and the Voice of 
America’s Latin American division.152 Congress ultimately took final action on FY2019 
appropriations in February 2019 by enacting the Consolidated Appropriations Act, 2019 (P.L. 
116-6, H.J.Res. 31, conference report H.Rept. 116-9) that provided $29.1 mil ion for Cuba 
broadcasting. 
For FY2020, the Administration requested $12.973 mil ion for Cuba broadcasting, a 55% cut 
from FY2019, with the proposed program decreases from staffing and contract reductions.153 The 
House-passed FY2020 Department of State, Foreign Operations, and Related Programs (SFOPS) 
bil , Division D of H.R. 2740 (which references H.Rept. 116-78 to H.R. 2839) would have fully 
funded the Administration’s request, whereas the Senate Appropriations Committee’s SFOPS bil , 
S. 2583 (S.Rept. 116-126) would provide $20.973 mil ion. Ultimately,  in the Further 
Consolidated Appropriations Act, 2020 (P.L. 116-94, Division G), Congress went with the amount 
in the Senate bil   and provided $20.973 mil ion for Cuba broadcasting.  
For FY2021, the Administration is again requesting $12.973 mil ion for Cuba broadcasting. 
USAGM’s budget request indicates that in FY2020 and FY2021, OCB wil  work to ensure that 
its content production, workforce structure, and skil set align with ongoing reforms (discussed 
below) aimed at improving content quality, strengthening journalistic integrity, and reaching 
Cuban audiences effectively. Both the House-passed FY2021 SFOPS bil , Division A of H.R. 
7608 (H.Rept. 116-444), approved in July 2020, and the Senate Appropriations Committee’s 
FY2021 draft SFOPS bil  and explanatory statement would fully fund the broadcasting request at 
$12.973 mil ion. The explanatory statement to the Senate draft bil  supports the reform of 
broadcasting standards at OCB begun in 2019 (discussed below) and would require the USAGM 
chief executive officer (CEO), in consultation with the OCB Director, to provide quarterly 
updates to the appropriate congressional committees about the implementation of OCB reforms, 
brief such committees on the reforms, and submit a cost-benefit analysis of relocating al  or part 
of OCB operations to USAGM headquarters in Washington, D.C.  
2018 Anti-Semitic TV Martí Program and Subsequent Reform Efforts for OCB. In October 
2018, media reports highlighted a disturbing TV Martí program original y aired in May 2018 
(which remained on Radio and Television Martí’s website) that referred to U.S. businessman and 
philanthropist George Soros as “the multimil ionaire  Jew of Hungarian origin” and as a “non-
believing  Jew of flexible morals.” The program espoused a number of conspiracy theories about 
Soros, including that he was the architect of the 2008 financial crisis.154 Then-Senator Jeff Flake 
                                              
151 See  U.S.  Agency for Global  Media (USAGM),  United States Broadcasting Board  of Governors (BBG),  FY2021 
Congressional Budget Justification, February  10, 2020. 
152 BBG,  2019 Congressional Budget Justification, February 12, 2018. 
153 USAGM,  BBG,  FY2020 Congressional Budget Justification, March 18, 2019.  
154 T he original 15-minute program and shorter segments promoting it were taken down from the Radio and T elevision 
Martí website  after the media report of October 26, 2018, although portions of it are available on YouT ube. Initially, a 
Cuba  policy research blog  reported on the program. See “George Soros, the Multimillio naire Jew,”  T he Cuban 
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spoke out against the TV Martí program, which he referred to as “taxpayer-funded anti-
Semitism.”155 He sent a letter to John Lansing, then-CEO of USAGM, asking for an investigation 
into the program, including its evolution from initial inception to final approval, who produced 
the program, and what review process was in place to ensure it met Voice of America journalistic 
standards. Flake also cal ed for those approving anti-Semitic content to be removed from their 
positions immediately, asserting that “lack of action on this matter wil  further denigrate the 
United States as a credible voice overseas, the repercussion of which wil  be severe.”156 
Then-OCB Director Tomás Regalado responded by pulling the original program and related 
shorter segments from the OCB’s online website and acknowledging that the program “did not 
have the required balance.”157 USAGM’s CEO Lansing took further action by issuing a statement 
that the program about Soros “is 
inconsistent with our professional 
Office of Cuba Broadcasting  and 
standards and ethics.” He stated that 
Broadcast Standards 
those deemed responsible for the 
The TV Martí program raised significant concerns about the 
Office of Cuba Broadcasting’s (OCB’s) adherence to broadcast 
production would be immediately 
standards and questions about the program’s  intended 
placed on administrative leave pending 
audience. TV Martí’s authorizing legislation,  the Television 
an investigation into their apparent 
Broadcasting to Cuba Act (P.L. 101-246, Title II, Part D, 22 
misconduct. Lansing also directed “an 
U.S.C.  1465bb), has a provision  stating that television 
immediate, full content audit to identify 
broadcasting to Cuba “shal  be in accordance with al  Voice of 
America  standards to ensure the broadcast of programs which 
any patterns of unethical reporting at 
are objective,  accurate, balanced, and which present a variety of 
the network” and asked Regalado to 
views.”   
“require ethics and standards refresher 
U.S. law sets forth the fol owing  principles for Voice of America 
training for al  OCB journalists.”158 
(VOA) broadcasts: (1) VOA wil   serve as a consistently reliable 
and authoritative source of news. VOA news wil   be accurate, 
Lansing wrote a letter of apology to 
objective,  and comprehensive;  (2) VOA wil   represent  America, 
Soros in November 2018 in which he 
not any single segment of American  society, and wil   therefore 
said that the program “was based on 
present a balanced and comprehensive  projection of significant 
extremely poor and unprofessional 
American  thought and institutions; and (3) VOA wil  present 
the polices of the United States clearly and effectively and wil  
journalism,” and “was utterly offensive 
present responsible  discussion and opinion on these policies. 
in its anti-Semitism and clear bias.” 
These VOA principles  and broader U.S. international 
Lansing also stated in the letter that he 
broadcasting standards and principles are set forth in  22 U.S.C. 
had instructed OCB Director Regalado 
6202 (P.L. 103-236, Title III, Section 303, and P.L. 103-415). 
“to remove the offensive story from the 
TV Martí website and social media” and “to hire a full time ‘standards and practices’ editor to 
oversee al  outgoing content with strict adherence to the highest professional standards of 
journalism.”159 The audit of reporting at the network reportedly uncovered an earlier story about 
                                              
T riangle, October 26, 2018, at http://cubantriangle.blogspot.com/2018/10/george-soros-multimillionaire-jew.html.  
155 Jeff Flake @Jeff Flake, T witter, October 27, 2018, at https://twitter.com/JeffFlake/status/1056356869264920576. 
156 U.S.  Senator Jeff Flake, letter to John F. Lansing, Chief Executive Officer and Director, U.S. Agency for Global 
Media, October 29, 2018.  
157 Regalado’s  comments were made to the publication Mother Jones in an email. See  Aaron Wiener, “U.S. 
Government -Funded News  Network Ran a Hit Piece on Soros  T hat Called Him a ‘Multimillionaire Jew,’”  Mother 
Jones, October 26, 2018. Also see  Felicia Sonmez, “ U.S. Agency Vows  to Investigate Broadcast Report that Called 
George  Soros a ‘Multimillionaire Jew,”  Washington Post, October 30, 2018.  
158 USAGM,  “CEO Statement on Office of Cuba  Broadcasting piece on George  Soros,” October 29, 2018, at 
https://www.usagm.gov/2018/10/29/ceo-statement-on-office-of-cuba-broadcasting-piece-on-george-soros/. 
159 Letter from USAGM  CEO Lansing to George Soros,  November 7, 2018, as published  by the Washington Post at 
https://www.washingtonpost.com/apps/g/page/politics/us-agency-apologizes-to-george-soros-after-program-that-
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Soros that included anti-Semitic language as wel  as an anti-Muslim opinion piece published in 
September 2018, that were also removed from the website.  
In February 2019, Lansing reported that one employee and three contractors had been terminated 
because of the anti-Semitic video segment and that the agency had initiated the standard 
disciplinary process for four additional OCB employees. Lansing also noted that USAGM 
commissioned a team of independent experts to conduct an objective third-party assessment of 
OCB’s coverage in Spanish across al  platform.160 
USAGM issued its third-party assessment in May 2019, which included a panel of independent 
experts examining “an extensive sample to identify and address any patterns of unethical, 
unprofessional, biased, or sub-standard journalism.”161 The assessment highly criticized OCB’s 
radio and television news shows and “the steady daily diet of political talk shows and background 
reports” that were “peppered with bad journalism” and were “ineffective propaganda.” In its 
review, the panel of experts made three substantive findings regarding OCB’s coverage:  
  wel -established norms of objectivity in journalism are routinely disregarded in 
favor of overtly propagandistic communications tactics;  
  the content presentation on radio, via video, and online seems unlikely to succeed 
in promoting freedom and democracy given the demography, culture, and 
political circumstances of Cuba today; and  
  shortcomings in both intention and implementation reflect the extent to which 
Martí operates as an anachronism. 
In response to the panel of experts’ review and an internal USAGM review of OCB’s journalist 
standards editorial processes and personnel practices, then-CEO Lansing established a joint 
USAGM-OCB  working group to reform OCB. The working group is focusing on five areas: (1) 
updating journalistic standards, reinforcing editorial processes, and producing relevant, engaging, 
and balanced journalism; (2) clarifying strategy and strengthening leadership; (3) bolstering 
workforce planning and personnel management; (4) ensuring the right balance of media platforms 
and effective distribution of content into Cuba; and (5) deepening coordination and collaboration 
with USAGM and its other networks.162 
U.S. Response to Health Injuries of U.S. Personnel in Havana 
As noted above, the State Department reported that 26 members of the U.S. diplomatic 
community in Havana suffered a series of unexplained health injuries, including hearing loss and 
cognitive issues, from November 2016 to May 2018. Twenty-four of the cases occurred from 
November 2016 to August 2017, and in June 2018, two new cases stemming from occurrences in 
May 2018 were confirmed after medical evaluations.163 According to the State Department, the 
                                              
called-him-multimillionaire-jew/2349/?tid=a_inl_manual. 
160 USAGM,  “Statement from USAGM CEO John F. Lansing on OCB  Soros  Issue,” February  27, 2019. Also see 
Aaron C. Davis, “Firings Sought Over Anti-Soros Broadcasts,” Washington Post,” February 28, 2019. 
161 USAGM,  BBG,  “Embarking on Reform of the Office of Cuba  Broadcasting,” May 21, 2019.  
162 USAGM,  BBG,  “Embarking on Reform of the Office of Cuba  Broadcasting,” May 21, 2019.  
163 U.S.  Department of State, DipNote, “Department of State Revises Assessment of Personnel Affected in  Cuba,” 
October 20, 2017, at https://blogs.state.gov/stories/2017/10/20/en/week-state-october-20-2017; U.S. Department of 
State, Press Briefing, June 21, 2018; U.S. Department of State, Heather Nauert, Spokesperson, T weet, June 28, 2018; 
and Mimi Whitefield, “Mystery Deepens in Havana as U.S.  Confirms a 26 th Diplomat in Cuba  Suffered  Health 
Symptoms,” Miami Herald, June  28, 2018. 
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 link to page 54 Cuba: U.S. Policy in the 116th  Congress  
 
U.S. government personnel suffered from “attacks of an unknown nature,” at U.S. diplomatic 
residences and hotels where temporary duty staff were staying, with symptoms including “ear 
complaints, hearing loss, dizziness, headache, fatigue, cognitive issues, and difficulty 
sleeping.”164 U.S. officials maintain that they do not know the mechanism used to cause the health 
injuries, the source, who is responsible, or the motive behind the al eged  “attacks.”165 
In response to the health incidents, in September 2017, the U.S. Department of State ordered the 
departure of nonemergency personnel assigned to the U.S. Embassy in Havana, as wel  as their 
families, to minimize  the risk of their exposure to harm.166 As a result, the embassy’s U.S. staffing 
level, which numbered over 50, was reduced by about two-thirds. In March 2018, the State 
Department began a permanent staffing plan at the U.S. Embassy in Havana, operating it as an 
“unaccompanied post” without family members. The change took place because the temporary 
“ordered departure” status for the embassy had reached its maximum al owable days. According 
to the State Department, “the embassy wil  continue to operate with the minimum personnel 
necessary to perform core diplomatic and consular functions, similar to the level of emergency 
staffing maintained during ordered departure.”167 
The staff reduction at the U.S. Embassy in Havana has had implications for bilateral relations. 
Most visa processing at the U.S. Embassy in Havana has been suspended. Most Cubans applying 
for nonimmigrant visas must go to a U.S. embassy or consulate in another country, and 
applications and interviews for immigrant visas are currently being handled at the U.S. Embassy 
in Georgetown, Guyana. (For additional information, see “Migration Issues” below.) 
In addition to downsizing U.S. Embassy Havana operations, in October 2017, the State 
Department ordered the departure of 15 Cuban diplomats from the Cuban Embassy in 
Washington, DC. According to then-Secretary of State Rex Til erson, the decision was made 
because of Cuba’s failure to protect U.S. diplomats in Havana and to ensure equity in the impact 
on respective diplomatic operations.168 State Department officials maintained that the United 
States would need full assurances from the Cuban government that the “attacks” wil  not continue 
before contemplating the return of diplomatic personnel.169 
The State Department initial y  issued a travel warning in September 2017 advising U.S. citizens 
to avoid travel to Cuba because of the potential risk of being subject to injury; in January 2018, 
when the State Department revamped its travel advisory system, it set the advisory for Cuba at 
Level 3, recommending that travelers reconsider travel to Cuba. By August 2018, however, the 
                                              
164 Ibid  and U.S.  Department of State, “Background Briefing: State Department Official on Cuba,”  Special Briefing, 
October 3, 2017; and Anne Gearan, “State Department Reports New Instance of American Diplomats Harmed in 
Cuba,”  Washington Post, September 1, 2017. 
165 House Committee on Foreign Affairs, Subcommittee on the Western Hemisphere, Hearing on U.S.  Policy T oward 
Cuba,  “T estimony by Kenneth Merten, Principle Deputy Assistant Secretary of State, Bureau of Western Hemisphere 
Affairs, and  Ambassador  Peter W. Bodde, Health Incidents Response T ask Force,” September 6, 2018, available at 
http://docs.house.gov/meetings/FA/FA07/20180906/108652/HHRG-115-FA07-Wstate-MertenK-20180906.pdf. 
166 U.S.  Department of State, Remarks by Secretary of State Rex W. T illerson, “Actions T aken in Response to Attacks 
on U.S.  Government Personnel in Cuba,” September 29, 2017. 
167 U.S.  Department of State, “End of Ordered Departure at U.S. Embassy  Havana,” March 2, 2018. 
168 U.S.  Department of State, Secretary of State Rex W. T illerson, “On the Expulsion of Cuban Officials from the 
United States,” press statement, October 3, 2017.  
169 U.S.  Department of State, “Background Briefing: State Department Official on Cuba,”  Special Briefing,  October 3, 
2017.  
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State Department eased its travel advisory to Level 2, recommending that travelers exercise 
increased caution.170 
In 2017 and 2018, 14 Canadians (diplomats, spouses and dependents) in Havana also experienced 
similar health symptoms such as dizziness, headaches, nausea, and difficulty concentrating, with 
another case confirmed in January 2019 after medical testing. In April 2018, the Canadian 
government changed the designation of its embassy in Havana to an “unaccompanied post,” 
similar to the status of the U.S. embassy. In January 2019, the government announced that it 
would reduce by half its diplomatic staff in Havana, maintaining that “the Canadian government 
continues to investigate the potential causes of the unusual health symptoms” but “to date, no 
cause has been identified.”171 
In 2018, several U.S. government personnel serving at the U.S. Consulate in Guangzhou, China, 
reported health incidents and symptoms similar to those experienced by members of the U.S. 
diplomatic community in Havana. In response, Secretary of State Pompeo announced the 
establishment of a multiagency Health Incidents Response Task Force to serve as a coordinating 
body for State Department and interagency activities, including identification and treatment of 
affected personnel and family members abroad, investigation and risk mitigation, messaging, and 
diplomatic outreach.172 In October 2020, Secretary of State Pompeo stated that “there is not yet 
any complete U.S. Government analysis which definitively tel s us precisely how these [injuries] 
al  came to be, whether they’re part of a single cohort.”173 
Potential Causes of the Health Incidents. In February 2018, an article in the Journal of the 
American Medical Association (JAMA) reported that University of Pennsylvania physicians who 
evaluated individuals  from the U.S. Embassy community in Havana maintained that the 
individuals  “appeared to have sustained injury to widespread brain networks without an 
associated history of head trauma.” The study, however, found no conclusive evidence of the 
cause of the brain injuries. An accompanying editorial in JAMA cautioned about drawing 
conclusions from the study, noting that the evaluations were conducted an average of 203 days 
after the onset of the symptoms and that it was unclear whether individuals who developed 
symptoms were aware of earlier reports by others.174 In August 2018, JAMA published several 
letters that raised additional  questions concerning the February 2018 study, including one that 
                                              
170 T he State Department’s August 23, 2018 travel advisory stated “Exercise increased caution in Cuba  due  to attacks 
targeting U.S.  Embassy Havana employees resulting in the drawdown  of embassy staff” and that travelers should avoid 
the Hot el Nacional and the Hotel Capri, where some of the incidents occurred. On November 21, 2019, the State 
Department updated its advisory without using  the word “attacks.” T he travel advisory now st ates: “Exercise increased 
caution in Cuba  due  to demonstrable and sometimes debilitating injuries  to members of our diplomatic community 
resulting in the drawdown  of embassy staff.” See  U.S.  Department of State, Cuba T ravel Advisory, November 21, 
2019, at https://travel.state.gov/content/travel/en/traveladvisories/traveladvisories/cuba-travel-advisory.html . 
171 Government of Canada, Global  Affairs Canada, “Statement by Global Affairs Canada on Ongoing  Health and 
Security Situation of Canadian Diplomatic Staff and Dependents in Havana,” April 16, 2018, “Statement on the Health 
and Security of Canadian Diplomatic Staff in Havana, Cuba,”  November 18, 2018, and “Statement on Health and 
Security of Canadian  Diplomatic Staff in Havana, Cuba,”  January 30, 2019. 
172 U.S.  Department of State, “Establishment of the Health Incidents Response T ask Force,” June 5, 2018.  
173 U.S.  Department of State, “Secretary Michael R. Pompeo at a Press Availability,” remarks, October 21, 2020; and 
“Pompeo Says U.S.  Still Working to Determine What Caused ‘Havana Syndrome,’ Reuters, October 21, 2020.  
174 Randel L. Swanson  II, DO, PhD, et al., “Neurological Manifestations Among US  Government Personnel Reporting 
Directional Audible  and  Sensory Phenomena in Havana, Cuba,” JAMA, March 20, 2018 (published online February  15, 
2018); Christopher C. Muth, MD and Steven L. Lewis,  MD, “Neurological Symptoms Among US  Diplomats in Cuba,” 
editorial, JAMA, March 20, 2018 (published  online February 15, 2018); Karen DeYoung, “ Neurological Injuries Found 
in U.S. Staff in Cuba,”  Washington Post, February  15, 2018; and Gina  Kolata, “Diplomats in Cuba Suffered  Brain 
Injuries, Experts Still Don’t Know Why,” New York Tim es, February 16, 2018.  
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asserted mass psychogenic il ness could not be discounted; the study’s authors, however, pushed 
back against the criticism, maintaining that a complex constel ation of neurological symptoms 
was consistent across the cohort that was studied.175 
In July 2019, JAMA published a follow-up study by University of Pennsylvania researchers who 
conducted brain-imaging studies of the effected U.S. Embassy community members compared 
with healthy individuals.  The study found significant differences in the volume and connectivity 
in the auditory and visuospatial areas of the brain but not in the executive control network of the 
brain. The study itself noted that the clinical importance of the brain differences was uncertain 
and may require further study.176 A JAMA editor’s note also stated that the clinical relevance of 
the brain-image differences was uncertain and that the exact nature of any potential exposure and 
the underlying cause of the patients’ symptoms remain unclear.177 
Several other studies examined various aspects of the health incidents. A March 2018 University 
of Michigan report by three computer scientists concluded that the sounds recorded in Cuba could 
have been caused by two eavesdropping devices placed in close proximity to each other. The 
study concluded that the sounds could have been inadvertently produced without malicious 
intent.178 In December 2018, a group of doctors from the University of Miami and the University 
of Pittsburgh published a study maintaining that those diplomats exhibiting symptoms suffered 
from ear damage as opposed to brain injury.179 In January 2019, a group of biologists from the 
University of California  Berkeley and the U.K’s University of Lincoln issued a study on a 
recording of the al eged sounds heard by some U.S. Embassy employees that had been released 
by the Associated Press in October 2017. The study maintains that the sound matched the echoing 
cal  of a Caribbean cricket.180 In October 2019, a study in the Journal of the Royal Society of 
Medicine argued that high levels of stress among the diplomats contributed to psychogenic 
il ness.181 
On December 5, 2020, the National Academies of Sciences, Engineering and Medicine (NASEM) 
publicly released a report, requested by the Department of State, examining potential explanations 
                                              
175 “Neurological Symptoms in US  Government Personnel in Cuba,” JAMA, August  12, 2018. Also see Ian Sample, 
“Cuban ‘Acoustic Attack’ Report on US Diplomats Flawed,  Say  Neurologists,” The Guardian, August  14, 2018.  
176 Ragini  Verma PhD, et al, “Neuroimaging Findings  in U.S.  Government Personnel With Possible Exposure to 
Directional Phenomena in Havana, Cuba,” JAMA, July  23/30, 2019. 
177 Christopher C. Muth, MD and Phil B. Fontanaros, MD, MBA, “Advanced Neuroimagin g  Findings  in U.S. 
Government Personnel With Possible Directional Phenomenon Exposure in Havana, Cuba,” editor’s note, JAMA, July 
23/30, 2019. Also see Benedict Carey, “Study Reports T rauma In Brains of Diplomats,” New York Times, July  24, 
2019; Brianna Abbot, “Brain Images Deepen Mystery of Diplomat Ills,” Wall  Street Journal, July 24, 2019; and “Scans 
Show  Changes  to Brains of ‘Injured’ Havana U.S.  Embassy Workers,” Reuters, July  23, 2019.  
178 Chen Yan, Kevin, Fu, and Wenyuan Xu,  On Cuba, Diplomats, Ultrasound, and Intermodulation Distortion , 
University of Michigan, T echnical Report CSE-T R-001-18, March 1, 2018. 
179 Frances Robles, “‘T hese People Were Injured,’ Doctors Conclude, After Studying  U.S. Diplomats,” New  York 
Tim es, December 13, 2018; Doug Stanglin, “ U.S. Staff in Cuba  Suffered  Ear Damage, Study  Says,”  USA Today, 
December 14, 2018; Michael E. Hoffer, “Acute Findings in an Acquired  Neurosensory Dysfunction,” Laryngoscope 
Investigative Otolaryngology, December 2018. 
180 Josh Lederman, “Scientists Say Recording  of Sound  Heard by U.S.  Diplomats in Cuba  Matches Crickets,” NBC 
News,  January 8, 2019, at https://www.nbcnews.com/politics/national-security/scientists-say-recording-sound-heard-u-
s-diplomats-cuba-matches-n956441.  
181 Robert E. Bartholomew and Robert W. Baloh, “Challenging the Diagnosis of ‘Havana Syndrome’ as a Novel 
Clinical Entity,” Journal of the Royal Society of Medicine, January 2020 (first published October 31, 2019). Also see 
Elizabeth Payne, “Case of the Cuban  Conundrum;  New  Paper Adds  to Havana Syndrome Mystery, Suggest  Cause  Was 
Stress,” Ottowa Sun, November 25, 2019. 
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for the health effects suffered by personnel associated with the U.S Embassy in Havana.182 
According to several press articles from October 2020, the NASEM submitted the report to the 
State Department in early August 2020 and the report’s authors expressed frustration that the 
report had not been released to Congress or the public.183 Significantly, the NASEM study 
concluded the most plausible mechanism for the health symptoms was directed pulsed radio 
frequency energy.184 
The NASEM report does not cover who might be responsible for such directed attacks, although 
it notes there was significant research in Russia (Soviet Union) into the effects of pulsed radio 
frequency exposure.185 Various press articles have raised the specter of Russia’s potential 
involvement in the health injuries, including al egations by a former Central Intel igence Agency 
official who maintains he was targeted in Moscow in 2017.186 
Cuba’s Response. The Cuban government denies responsibility for the injuries of U.S. 
personnel, maintaining that it would never al ow its territory to be used for any action against 
accredited diplomats or their families.187 In the aftermath of the order expel ing  its diplomats, 
Cuba’s Ministry of Foreign Affairs issued a statement strongly protesting the U.S. action, 
asserting that it was motivated by politics and arguing that ongoing investigations have reached 
no conclusion regarding the incidents or the causes of the health problems.188 The statement noted 
that Cuba had permitted U.S. investigators to visit Cuba and reiterated the government’s 
wil ingness to continue cooperating on the issue.  
In September 2018, a delegation of Cuban scientists visited the United States to have meetings 
with the State Department, the National Academy of Sciences, and on Capitol Hil .  The director 
of the Cuban Neuroscience Center, Dr. Mitchel  Joseph Valdés-Sosa, maintains that there could be 
various reasons why the diplomats became sick (such as hypertension, stress, other preexisting 
conditions, and psychogenesis) but that Cuban scientists have not seen any credible evidence that 
some type of high-tech weapon was used. The Cuban delegation expressed disappointment that 
U.S. officials have not shared more medical and clinical data on the il nesses experienced by the 
U.S. diplomats.189 In November 2018, Dr. Valdés-Sosa coauthored a letter in Science magazine 
                                              
182 National Academies of Sciences,  Engineering, and Medicine (NASEM),  An Assessment of Illness in U.S. 
Governm ent Em ployees and Their Fam ilies at Overseas Em bassies, David  A. Relman and Julie  A. Pavlin, Editors, 
2020, 76 pages, (hereafter NASEM report), available at https://www.nationalacademies.org/news/2020/12/new-report -
assesses-illnesses-among-us-government -personnel-and-their-families-at-overseas-embassies. Cases  from China were 
also to be covered, but as  noted in the report (p. 9) information made available from the China cases was  “ too sparse 
and fragmentary to be able to draw  any substantive conclusions.” 
183 Ana Swanson,  Edward  Wong, and Julian E. Barnes, “As U.S.  Diplomats Fell Sick, Washington Minimized the 
Danger,” New  York Times, October 21, 2020; Amy Mackinnon and Robbie  Gramer, “What’s Behind the Mysterious 
Illness of U.S.  Diplomats and Spies?”  Foreign Policy, October 21, 2020; and Julia  Ioffe, “ T he Mystery of the 
Immaculate Concussion,” GQ, October 20, 2020. 
184 NASEM  report, p. 2. 
185 NASEM  report, p. 18.  
186 Ana Swanson,  Edward  Wong, and Julian E. Barnes, “As U.S.  Diplomats Fell Sick, W ashington Minimized the 
Danger,” New  York Times, October 21, 2020; Julia  Ioffe, “T he Mystery of the Immaculate Concussion,” GQ, October 
20, 2020; Ben Macintyre, “Is Russia  Microwaving American Spies?”  The Times (London), October 31, 2020; and 
“NBC: Russia  the Main Suspect  in US  Diplomats’ Illness in Cuba,”  Voice  of America News,  September 11, 2018. 
187 Ministry of Foreign Affairs of Cuba,  “Statement by the Ministry of Foreign Affairs of Cuba,”  August  9, 2017, at 
http://www.minrex.gob.cu/en/statement -ministry-foreign-affairs-cuba-1.  
188 Ministry of Foreign Affairs of Cuba,  “ Declaration by the Ministry of Foreign Affairs of Cuba,”  October 10, 2017, at 
http://www.minrex.gob.cu/en/declaration-ministry-foreign-affairs-cuba. 
189 Mimi Whitefield, “Cuban Scientists Visit  U.S.,  Say, Yes, U.S.  Diplomats Were Sick  but there were No Attacks,” 
Miam i Herald, September 14, 2018; Gardiner Harris, “ Cuban  Experts Insist No Proof Exists of Attack on Diplomats,” 
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Cuba: U.S. Policy in the 116th  Congress  
 
with a professor from the University of Pennsylvania’s Department of Bioengineering 
maintaining that some “scientists have al owed speculation about the causes of these health issue 
to outpace the evidence” and that “there is insufficient evidence to guess about the cause of the 
sounds.”190 
The Cuban government also responded to the July 2019 study by University of Pennsylvania 
researches published in JAMA. Dr. Valdés-Sosa maintained that the study does not prove the 
diplomats serving in Cuba suffered brain damage. He reiterated that, although there may be sick 
individuals, there needs to be more coherent scientific explanations. He also cal ed for transparent 
scientific discussion and exchanges. The Deputy Director General for the United States at Cuba’s 
Ministry of Foreign Affairs, Johana Tablada, cal ed for the U.S. government “to put an end to the 
manipulation and use of this issue as a pretext to impose more new measures of aggression 
against the integrity of our country, its economy, and its people.”191 
Legislative Action. In the 116th Congress, a provision in the Further Consolidated Appropriations 
Act, 2020 (P.L. 116-94, Division J, Title IX, Section 901), signed into law in December 2019, 
includes benefits for Department of State personnel injured while stationed in Cuba (and China). 
In 2020, both the House- and Senate-passed versions of the FY2021 National Defense 
Authorization Act, H.R. 6395 (Section 1110) and S. 4049 (Section 6091), had a provision that 
would extend workers’ compensation payments for federal government personnel under chief of 
mission authority in Cuba (and China) working for other federal agencies beyond the Department 
of State. The conference report to H.R. 6395, H.Rept. 116-617, approved by the House and 
Senate on December 8 and 11, respectively, includes the provision in Section 1110.  
On December 8, 2020, a bipartisan group of 10 Senators introduced S. 4973, which would 
authorize the provision of compensation to personnel of the Central Intel igence Agency and the 
Department of State who incur disabilities resulting from certain injuries to the brain.192 
P.L. 116-94, in Section 7019(e), also included several reporting requirements set forth in H.Rept. 
116-78 to H.R. 2839, the House Appropriations Committee’s version of the FY2020 SFOPS bil , 
and in S.Rept. 116-126 to S. 2583, the Senate Appropriations Committee’s version of the SFOPS 
bil . 
  H.Rept. 116-78 directed the State Department to submit a strategy for U.S. 
businesses operating in Cuba, including a timeline for the safe return of staff at 
the U.S. Embassy in Havana to previous levels. As submitted to Congress in 
March 2020, the State Department strategy stated that “until the Department 
knows more about how the injuries to our personnel occurred, it is not possible to 
                                              
New  York Tim es, September 14, 2018; and Katanga Johnson, “ U.S., Cuba  Officials Discuss  Mysterious Embassy 
Health Incidents,” Reuters News,  September 13, 2018. Also see Republic  of Cuba,  Ministry of Foreign Affairs of 
Cuba,  “Executive Summary of the Assessment by the Cuban  Scientific Panel of Medical  Reports Regarding  the Health 
of U.S.  Diplomats and T heir Families Previously Stationed in Havana,” September 13, 2018, at 
http://misiones.minrex.gob.cu/en/articulo/executive-summary-assessment -cuban-scientific-panel-medical-reports-
regarding-health-us.  
190 Mitchell Joseph Valdés-Sosa  and Kenneth R. Foster, “Halt Speculation on U.S.  Embassy  in Cuba,”  Science, 
November 19, 2018, at http://science.sciencemag.org/content/362/6416/758.2.  
191 Ministry of Foreign Affairs of Cuba,  “Cuba reiterates to the government of the United States to put an end to the 
manipulation and use  of health symptoms as an excuse  to  impose new measures  against its economy and its people,” 
July  24, 2019. 
192 Office of Senator Susan  Collins,  “Bipartisan Group Introduces Bill  to Support Victims  of ‘Havana Syndrome,” press 
release, December 8, 2020, at https://www.collins.senate.gov/newsroom/bipartisan-group-introduces-bill-support -
victims-‘havana-syndrome’.  
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say when Embassy Havana can expect to return to normal staffing levels.” The 
State Department also maintained that its “response continues to be guided by 
medical facts” and that “world-class specialists and other scientists at the 
University of Pennsylvania, the National Institutes of Health, and the Centers for 
Disease Control and Prevention continue to examine the medical data to gain a 
better understanding of the nature and mechanism of injury that caused these 
patients’ symptoms.”193 
  S.Rept. 116-126 required the Secretary of State, not later than 90 days after 
enactment, to submit a report to the committee, in classified form if necessary, 
detailing  any evidence of those responsible for, and the cause or causes of, the 
health il nesses suffered by U.S. government personnel in Cuba. 
For FY2021, H.Rept. 116-444 to the House-passed SFOPS bil  (Division A of H.R. 7608), 
approved in July 2020, would require the State Department to provide an update of its Cuba 
policy strategy as directed in FY2020 in H.Rept. 116-78, including progress toward returning 
staffing at the U.S. Embassy in Havana to previous levels and an update on the impact of the 
staffing reductions on embassy operations in prior years, including visa processing. The 
explanatory statement to the Senate Appropriations Committee’s draft FY2021 SFOPS bil  also 
would require an update of the report required in S.Rept. 116-126, in classified form if necessary, 
detailing  any evidence of those responsible for, and the cause or causes of, il nesses suffered by 
U.S. government personnel in Cuba. 
Migration Issues194 
In January 2017, the Obama Administration ended the so-cal ed “wet foot/dry foot” policy under 
which thousands of unauthorized Cuban migrants entered the United States since the mid-1990s. 
Under that policy, Cuban migrants interdicted at sea general y were returned to Cuba whereas 
those reaching U.S. land were al owed entrance into the United States and general y permitted to 
stay. Under the new policy, Cuban nationals who attempt to enter the United States il egal y  and 
do not qualify for humanitarian relief are now subject to removal. The Cuban government agreed 
to begin accepting the return of Cuban migrants who have been ordered removed.195 President 
Trump’s NSPM on Cuba stated that the Administration would not reinstate the “wet foot/dry 
foot” policy, maintaining that the policy had “encouraged untold thousands of Cuban nationals to 
risk their lives to travel unlawfully to the United States.”196 
Background on the 1994 and 1995 Migration Accords. Cuba and the United States reached 
two migration accords in 1994 and 1995 designed to stem the mass exodus of Cubans attempting 
to reach the United States by boat. On the minds of U.S. policymakers was the 1980 Mariel 
boatlift, in which 125,000 Cubans fled to the United States with the approval of Cuban officials. 
In response to Fidel Castro’s threat to unleash another Mariel, U.S. officials reiterated U.S. 
resolve not to al ow another exodus. Amid escalating numbers of fleeing Cubans, in August 1994, 
                                              
193 U.S.  Department of State, “Strategy for Providing Certainty for U.S. Busin esses  Legally Operating in Cuba,”  report 
to Congress, March 4, 2020.  
194 For additional background,  see CRS  Report R44714, U.S. Policy on Cuban Migrants: In Brief, by  Andorra Bruno. 
195 White House, “Statement by the President on Cuban Immigration Policy,” January 12, 2017; U.S. Department of 
Homeland Security, “Statement by Secretary Johnson on the Continued Normalization of our Migration Relationship 
with Cuba,”  January 12, 2017; U.S Department of Homeland Security, “Fact Sheet: Changes  to Parole and Expedited 
Removal Policies Affecting Cuban  Nationals,” January 12, 2017.  
196 U.S.  Department of State, “Strengthening the Policy of the United States T oward Cuba,”  82  Federal Register 
48875-48878, October 20, 2017 (consists of the text of National Security Presidential Memorandum, NSPM -5, issued 
by the President on June 16, 2017). 
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President Clinton abruptly changed U.S. immigration policy, under which Cubans attempting to 
flee their homeland were al owed into the United States; he announced that the U.S. Coast Guard 
and Navy would take Cubans rescued at sea to the U.S. Naval Station at Guantanamo Bay, Cuba. 
Despite the change in policy, Cubans continued to flee in large numbers. 
As a result, in early September 1994, Cuba and the United States began talks that culminated in a 
bilateral agreement to stem the flow of Cubans fleeing to the United States by boat. In the 
agreement, the United States and Cuba agreed to facilitate safe, legal, and orderly Cuban 
migration to the United States, consistent with a 1984 migration agreement. The United States 
agreed to ensure that total legal  Cuban migration to the United States would be a minimum of 
20,000 each year, not including immediate relatives of U.S. citizens.  
In May 1995, the United States reached another accord with Cuba under which the United States 
would parole the more than 30,000 Cubans housed at Guantanamo into the United States but 
would intercept future Cuban migrants attempting to enter the United States by sea and return 
them to Cuba. In January 1996, the Department of Defense announced that the last of some 
32,000 Cubans intercepted at sea and housed at Guantanamo had left the U.S. naval station, most 
having been paroled into the United States. 
Figure 3. Maritime Interdictions of Cubans by the U.S. Coast Guard 
(FY2010-FY2018) 
 
Source: Created by CRS using information  provided to CRS by the U.S. Coast Guard, July 2018, and “ U.S. 
Department of State, Cuban Compliance  with the Migration  Accords,  (April 2019 to October  2019), report to 
Congress,  October 8, 2019. 
Maritime Interdictions. Since the 1995 migration accord, the U.S. Coast Guard has interdicted 
thousands of Cubans at sea and returned them to their country. Until the change in U.S. policy 
toward Cuban migrants in January 2017, those Cubans who reached the U.S. shore were al owed 
to apply for permanent resident status in one year, pursuant to the Cuban Adjustment Act of 1966 
(P.L. 89-732). In short, under the wet foot/dry foot policy, most interdictions resulted in a return 
to Cuba, even those in U.S. coastal waters, whereas those Cubans who touched shore were 
al owed to stay in the United States. Some had criticized this policy as encouraging Cubans to 
risk their lives to make it to the United States and as encouraging alien smuggling.  
Over the years, the number of Cubans interdicted at sea by the U.S. Coast Guard has fluctuated 
annual y, influenced by several factors, including the economic situations in Cuba and the United 
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States. From FY2010 through FY2016, the number of Cubans interdicted by the Coast Guard 
increased each year, from 422 in FY2010 to an al -time  high of 5,230 in FY2016. The increase in 
the flow of maritime migrants in 2015 and 2016 was driven by concerns among Cubans that the 
favorable treatment granted to Cuban migrants would end. With the change in U.S. immigration 
policy toward Cuba in January 2017, the number of Cubans interdicted by the Coast Guard 
dropped to a trickle. In FY2017, the Coast Guard interdicted 2,109 Cubans, with the majority of 
these interdictions occurring before the policy change. In FY2018, the Coast Guard interdicted 
384 Cubans at sea, and in FY2019, through August 8, 2019, the Coast Guard interdicted 464 
Cubans at sea.197 (See Figure 3.) 
Unauthorized Cuban Migrants. Beginning around FY2013, according to the State Department, 
unauthorized Cuban migrants began to favor land-based routes to enter the United States, 
especial y via U.S. ports of entry from Mexico. Since that time and until the change in U.S. 
immigration policy in January 2017, the number of unauthorized Cubans arriving by land 
increased significantly, with a majority entering through the Southwest border.198 According to 
statistics from the Department of Homeland Security, the number of unauthorized Cubans 
entering the United States both at U.S. ports of entry and between ports of entry rose from almost 
8,170 in FY2010 to a high of 58,269 in FY2016. In FY2017, that number declined to 20,955, 
with the majority entering before the change in U.S. immigration policy. In FY2018, 7,355 
unauthorized Cubans arrived in the United States at or between ports of entry, about a 65% 
decline from FY2017.199 
The number of unauthorized Cubans arriving by land again increased significantly in FY2019 but 
fel  in FY2020. Statistics from U.S. Customs and Border Protection (CBP) show that the number 
of inadmissible Cubans arriving at ports of entry at the Southwest border increased from 7,079 in 
FY2018 to 21,499 in FY2019, over a 200% increase. In FY2020, however, the number of 
inadmissible Cubans arriving at Southwest border ports of entry declined significantly. CBP 
statistics show 3,461 inadmissible Cubans reported in the first seven months of FY2020 (through 
April 2020), with decreasing amounts each month.200 The decline stems from a new U.S. policy 
requiring asylum seekers who arrive at the Southwest border to wait in Mexico while their claims 
are being processed. The policy change led to thousands of Cubans waiting in Mexican cities 
such as Ciudad Juárez.201 Moreover, in response to the COVID-19 pandemic, CBP and the 
                                              
197 U.S.  Department of State, “Cuban Compliance with the Migration Accords, (April 2019 to October 2019),” report to 
Congress, October 8, 2019. 
198 U.S.  Department of State, Cuban Compliance with the Migration Accords, reports to Congress, May 7, 2014; 
November 6, 2014; April 30, 2015; November 3, 2015; April 29, 2016; and October 21, 2016.  
199 U.S.  Department of Homeland Security, U.S. Customs  and Border Protection, Office of Congressional Affairs, April 
10, 2017; and U.S.  Department of State, Cuban Com pliance with the Migration Accords, reports to Congress, October 
18, 2017, April 12, 2018, October 4, 2018, April 30, 2019, and October 8, 2019.  
200 U.S.  Customs and Border Protection (CBP), “Southwest Border Inadmissibles  by Field  Office Fiscal  Year 2020,” 
May 7, 2020, at https://web.archive.org/web/20200516090914/https://www.cbp.gov/newsroom/stats/sw-border-
migration/ofo-sw-border-inadmissibles.  According to CBP, “ inadmissibles  refers to individuals  encountered at ports of 
entry who are seeking lawful  admission  into the United States but are determined to be inadmissible,  individuals 
presenting themselves to seek humanitarian protection under our laws,  and individuals  who withdraw  an application for 
admission and return to their countries of origin within a short timeframe.” U.S. CBP, “ CBP Enforcement Statistic 
Fiscal  Year 2020,” at https://www.cbp.gov/newsroom/stats/cbp-enforcement-statistics-fy2020.  
201 Mary Beth Sheridan,  “At Border, Cubans  Face a Reversal,” Washington Post, November 7, 2019. Also see 
Guadalupe  Correa-Cabrera and Elliot Spagat, U.S. Im m igration Policy for Cubans: From  Revolution to COVID-19, 
T he Wilson Center, October 2020.  
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Centers for Disease Control and Prevention issued orders in March 2020 that further restricted the 
entrance of certain foreign nationals into the United States at U.S. borders.202 
Meanwhile, U.S. deportations of Cubans have increased. According to statistics from U.S. 
Immigration and Customs Enforcement (ICE), 1,179 Cubans were deported in FY2019, 
compared with 463 in FY2018.203 Press reports indicate that in FY2020, as of February 24, 2020, 
ICE had removed 1,208 Cubans, more than in al  of FY2019.204 Approximately 41,000 Cuban 
nationals in the United States have final orders of removal.205 
Cuban Medical Professional Parole Program. In January 2017, at the same time that it ended 
the “wet foot/dry foot policy,” the Obama Administration announced that it was ending the 
special Cuban Medical Professional Parole (CMPP) program. Established in 2006 and 
administered by U.S. Citizenship and Immigration Services (USCIS) of the Department of 
Homeland Security (DHS), the CMPP program al owed Cuban medical professionals in third 
countries to be approved for entry into the United States.206 The program reportedly benefitted 
more than 8,000 Cuban medical professionals who defected from Cuba’s medical missions in 
third countries.207 (For information regarding al egations of forced labor in Cuba’s foreign 
medical mission program, see “Trafficking in Persons and Cuba’s Foreign Medical Missions” 
section, below.) 
Effect of Downsizing of U.S. Embassy. As noted above, most visa processing at the U.S. 
Embassy in Havana was suspended because of the U.S. Embassy staff reduction in 2017. USCIS 
suspended operations at its field office at the embassy in 2017, and then permanently closed its 
offices in Havana in December 2018.208 Most Cubans applying for nonimmigrant visas must go to 
a U.S. embassy or consulate in another country, and al  applications and interviews for immigrant 
visas are currently being handled at the U.S. Embassy in Georgetown, Guyana.  
The suspension of most nonimmigrant visa processing in Havana made it more difficult and 
expensive for Cubans visiting family in the United States and for Cuban cuentapropistas (private 
sector workers) traveling to the United States to bring back inputs for their businesses. In 2013, 
the United States had begun granting multiple entry visas, good for five years, for Cubans visiting 
the United States. As those visas expire, Cubans wil  need to travel to a third country to request a 
new visa if they want to visit the United States.  
In addition, the State Department announced that as of March 18, 2019, it would no longer issue 
multiple entry B2 visas (for tourism, family visit medical treatment, and similar travel purposes) 
for Cuban nationals, but instead would only issue single entry B2 visas for a stay of two months, 
with the possibility of a 30-day extension.209 The action wil  likely  have a significant effect on 
                                              
202 See  CRS  Insight IN11308, COVID-19: Restrictions on Travelers  at U.S. Land Borders, by Audrey Singer.   
203 U.S.  Immigration and Customs Enforcement, “U.S. Immigration and Customs Enforcement Fiscal Year 2019 
Enforcement and Removal Operations Report,” December 11, 2019.  
204 Monique P. Madan, “Feds Deport 119 Cubans Back to Havana on Miami Flight,” Miami Herald, March 3, 2020.  
205 U.S.  Department of State, Cuban Compliance with the Migration Accords, report to Congress, October 6, 2020.  
206 For information from the Department of Homeland Security on the termination of the program, see 
https://www.uscis.gov/humanitarian/humanitarian-parole/cuban-medical-professional-parole-cmpp-program. 
207 Mario J. Pentón, “Cuban Physicians Still Abandoning Missions  Abroad Despite End to U.S.  Parole Program,” 
Miam i Herald, March 12, 2018. 
208 USCIS,  “USCIS  Closes  Havana Field  Office on Dec. 10, 2018,” December 10, 2018; U.S. Embassy  in Cuba,  “U.S. 
Embassy Havana on USCIS  Announcement,” media note, December 12, 2018.  
209 U.S.  Department of State, U.S. Embassy in Cuba,  “Decreasing B2 Visa  Validity for Cuban  Nationals,” media note, 
March 15, 2019. 
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family travel from Cuba and those traveling from Cuba to support their private sector businesses, 
and could also negatively affect U.S.-Cuban academic, cultural, and civil society engagement.210 
The embassy staff reduction has negatively affected the United States’ ability to meet its 
commitment under the 1994 bilateral migration accord to issue travel documents for 20,000 
Cubans annual y (not including immediate relatives). As a result, the United States did not meet 
its annual commitment in FY2018 or FY2019. For FY2020, as of the end of June 2020, 2,866 
Cubans received travel documents under the migration accords.211 In past years, around 75% of 
the immigrant travel documents issued annual y for Cuban nationals pursuant to the 1994 accord 
were issued under the Cuban Family Reunification Parole Program (CFRP), a program 
established in 2007 by USCIS to help the United States meet its annual obligation of travel 
documents.212 
Legislative Initiatives. In the 116th Congress, H.R. 4884 (Mucarsel-Powel ) would direct the 
Secretary of State, in coordination with the Secretary of Homeland Security, to reinstate the 
CFRP and, to the extent practicable, to make available to applicants under the program video 
teleconference capabilities. The bil  also would require the Secretary of State to assign 
appropriate temporary duty personnel to the U.S. Embassy in Havana to support the reinstatement 
of the parole program.  
Some Members of Congress also have cal ed on the Trump Administration to reestablish the 
CMPP program. In the 116th Congress, one bil , S. 4635 (Menendez) would, among its provisions, 
reinstate the CMPP. Two resolutions, S.Res. 14 (Menendez) and H.Res. 136 (Sires), would 
express the sense of the Senate and House, respectively, that the CMPP program should be 
reestablished. (For more, see “Trafficking in Persons and Cuba’s Foreign Medical Missions” 
section, below.) 
Antidrug Cooperation 
Cuba is not a major producer or consumer of il icit drugs, but its location and extensive shoreline 
make it susceptible to narcotics-smuggling operations. Drugs that enter the Cuban market are 
largely the result of onshore wash-ups from smuggling by high-speed boats moving drugs from 
Jamaica to the Bahamas, Haiti,  and the United States, or by smal  aircraft from clandestine 
airfields in Jamaica. For a number of years, Cuban officials have expressed concerns about the 
use of their waters and airspace for drug transit and about increased domestic drug use. The 
Cuban government has taken a number of measures to deal with the drug problem, including 
legislation  to stiffen penalties for traffickers, increased training for counternarcotics personnel, 
and cooperation with a number of countries on antidrug efforts. Since 1999, Cuba’s Operation 
Hatchet has focused on maritime and air interdiction and the recovery of narcotics washed up on 
Cuban shores. Since 2003, Cuba has aggressively pursued an internal enforcement and 
investigation program against its incipient drug market with an effective nationwide drug 
prevention and awareness campaign. 
Over the years, there have been varying levels of U.S.-Cuban cooperation on antidrug efforts. In 
1996, Cuban authorities cooperated with the United States in the seizure of almost six metric tons 
of cocaine aboard the Miami-bound Limerick, a Honduran-flag ship. Cuba turned over the 
                                              
210 Mario Pentón, “Visas for Cubans  Have a New  Limit,” Miami Herald, March 18, 2019; and Marc Frank, “Cubans 
Frustrated over U.S.  Move to End Five-year Visitor Visas,”  Reuters News,  March 18, 2019. 
211 U.S.  Department of State, Cuban Compliance with the Migration Accords, report to Congress, October 6, 2020. 
212 For background  on the CFRP program, see USCIS,  “T he Cuban Family Reunification Parole Program,” at 
https://www.uscis.gov/humanitarian/humanitarian-parole/cuban-family-reunification-parole-program. 
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cocaine to the United States and cooperated fully in the investigation and subsequent prosecution 
of two defendants in the case in the United States. Cooperation has increased since 1999, when 
U.S. and Cuban officials met in Havana to discuss ways of improving antidrug cooperation. Cuba 
accepted an upgrading of the communications link between the Cuban Border Guard and the U.S. 
Coast Guard as wel  as the stationing of a U.S. Coast Guard drug interdiction specialist at the 
U.S. Interests Section in Havana. The Coast Guard official was posted to the U.S. Interests 
Section in September 2000. 
After the reestablishment of diplomatic relations with Cuba in 2015, U.S. antidrug cooperation 
increased further, with several dialogues and exchanges on counternarcotics issues. In December 
2015, U.S. and Cuban officials held talks at the headquarters of the Drug Enforcement 
Administration (DEA) in Washington, DC, with delegations discussing ways to stop the il egal 
flow of narcotics and exploring ways to cooperate on the issue.213 In April 2016, Cuban security 
officials toured the U.S. Joint Interagency Task Force South (JIATF-South) based in Key West, 
FL. JIATF-South has responsibility for detecting and monitoring il icit  drug trafficking in the 
region and for facilitating international and interagency interdiction efforts. At a July 2016 
dialogue in Havana with U.S. officials from the State Department, DEA, the U.S. Coast Guard, 
and Immigration and Customs Enforcement/Homeland Security Investigations, Cuba and the 
United States signed a counternarcotics arrangement to facilitate cooperation and information 
sharing.214 Technical exchanges between the U.S. Coast Guard and Cuba’s Border Guard on 
antidrug efforts and other areas of cooperation also occurred periodical y, with the most recent 
exchange on antidrug efforts in January 2018.215 
According to the State Department’s 2020 International Narcotics Control Strategy Report 
(INCSR), issued in March 2020, Cuba has 40 bilateral agreements for antidrug cooperation with 
countries worldwide, which includes the 2016 U.S.-Cuban agreement noted above.216 According 
to the 2020 INCSR, Cuban authorities and the U.S. Coast Guard share information related to 
vessels transiting through Cuban territorial waters suspected of trafficking and coordinate 
responses between operation command centers. The report maintained that Cuban and U.S. law 
enforcement officials maintain some working-level communications and that Cuba continues to 
cooperate with U.S. authorities on some law enforcement matters. 
The State Department’s 2019 INCSR, issued in March 2019, provided more detail on U.S.-Cuban 
law enforcement cooperation related to drug trafficking.217 The report noted that direct 
communications were established in July 2016 between the U.S. DEA and Cuban counterparts 
within the Ministry of Interior’s National Anti-Drug Directorate; as a result, DEA had received 
approximately 20 requests for information related to drug investigations in addition to 
                                              
213 U.S.  Department of State, “United States and Cuba  Hold Counter-Narcotics Dialogue,” media note, December 2, 
2015. 
214 U.S.  Department of State, “Counternarcotics Arrangement Signed During T hird Counternarcotics T echnical 
Exchange Between the United States and Cuba,”  media  note, July 22, 2016.  
215 Ministry of Foreign Affairs of Cuba,  “T echnical Exchange Held Between Cuba’s  Border  Guard  T roops and the U.S. 
Coast Guard  Service,”  January 24, 2018. In March 2018, the Coast Guard also participated in a search -and-rescue 
tabletop exercise with Cuban  officials and a meeting with Cuban  officials on cooperation against maritime spills 
(hydrocarbons and other hazardous substances).  In addition, the United States and Cuba  held an exchange on 
cooperation to prevent and combat money laundering in February 2018 and a broader law  enforcement dialogue in July 
2018 that included the topic of drug trafficking.  
216 U.S.  Department of State, International Narcotics Control Strategy Report 2020, Volume I: Drug  and Chemical 
Control, March 2020, p. 129. 
217 U.S.  Department of State, International Narcotics Control Strategy Report 2019, Volume I: Drug  and Chemical 
Control, March 2019, p. 146. 
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cooperation leading to Cuba’s arrest of a fugitive wanted in the United States. More broadly, the 
State Department reported in the 2019 INCSR that Cuba provided assistance to U.S. state and 
federal prosecutions by providing evidence and information, and demonstrated a wil ingness to 
cooperate on law enforcement matters. 
Property Claims and Titles III and IV of the LIBERTAD Act 
An important issue in the process of normalizing relations is Cuba’s compensation for the 
expropriation of thousands of properties of U.S. companies and citizens in Cuba dating back to 
the 1960s. The Foreign Claim Settlement Commission (FCSC), an independent agency within the 
Department of Justice, has certified 5,913 claims for expropriated U.S. properties in Cuba valued 
at $1.9 bil ion  in two different claims programs; with accrued interest, the properties’ value would 
be some $8 bil ion.  In 1972, the FCSC certified 5,911 claims of U.S. citizens and companies that 
had their property confiscated by the Cuban government through April 1967, with 30 U.S. 
companies accounting for almost 60% of the claims.218 In 2006, the FCSC certified two 
additional claims in a second claims program covering property confiscated after April 1967. 
Many of the companies that original y filed claims have been bought and sold numerous times. 
There are a variety of potential alternatives for restitution or compensation schemes to resolve the 
outstanding claims, but resolving the issue likely  would entail considerable negotiation and 
cooperation between the two governments.219 
Although Cuba has maintained that it would negotiate compensation for the U.S. claims, it does 
not recognize the FCSC valuation of the claims or accrued interest. Instead, Cuba has emphasized 
using declared taxable value as an appraisal basis for expropriated U.S. properties, which would 
amount to almost $1 bil ion,  instead of the $1.9 bil ion  certified by the FCSC.220 Moreover, Cuba 
general y has maintained that any negotiation  should consider losses that Cuba has accrued from 
U.S. economic sanctions. Cuba estimates cumulative damages of the U.S. embargo at $144 
bil ion  in current prices as of March 2020.221 
U.S. and Cuban officials held three meetings on claims issues between December 2015 and 
January 2017. The first meeting took place in December 2015 in Havana, with talks including 
discussions of the FCSC-certified claims of U.S. nationals, claims related to unsatisfied U.S. 
court judgments against Cuba (reportedly 10 U.S. state and federal judgments totaling about $2 
bil ion), and some claims of the U.S. government. The Cuban delegation raised the issue of 
claims against the United States related to the U.S. embargo.222 A second claims meeting was held 
in July 2016, in Washington, DC. According to the State Department, the talks al owed for an 
                                              
218 “A Road Map for Restructuring Future U.S.  Relations with Cuba,”  policy paper, Atlantic Council, June 1995, 
Appendix D. 
219 Matías F. T ravieso-Díaz, “Alternative Recommendations for Dealing with Expropriated U.S. Property in Post -
Castro Cuba,”  in Cuba in Transition, Volume 12, Association for the Study of the Cuban  Economy, 2002. 
220 T imothy Ashby, “U.S. Certified Claims  Against Cuba:  Legal  Reality and Likely Settlement Mechanisms,” Inter-
Am erican Law Review, March 2009.  
221 Republic  of Cuba,  Ministry of Foreign Relations, Cuba  vs. Blockade, Cuba’s  Report On Resolution 74/7 of the 
United Nations General  Assembly, “Necessity of Ending the Economic, Commercial and Financial Blockade  Imposed 
by the United States of America Against Cuba,”  July 2020, at http://www.minrex.gob.cu/en/report-cuba-resolution-
747-united-nations-general-assembly-necessity-ending-economic-commercial-and.  
222 U.S.  Department of State, “United States and Cuba  Hold Claims  T alks in Havana,” media note, December 7, 201 5; 
Frances Robles,  “Competing Claims in Havana,” New  York Times, December 14, 2015.  
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exchange of views on historical claims-settlement practices and processes going forward.223 A 
third claims meeting was held in Havana in January 2017.  
Title III Lawsuits. As noted above, Title III of the LIBERTAD Act holds any person or 
government that traffics in property confiscated by the Cuban government liable for monetary 
damages in U.S. federal court. Until January 2019, pursuant to provisions of the law, al  
Administrations suspended the right to file law suits at six-month intervals. For the suspension, 
the President (since 2013, the Secretary of State) must determine that it is necessary to the 
national interests of the United States and wil  expedite a transition to democracy in Cuba. In 
June 2018, Secretary of State Pompeo made a determination effective from August 1, 2018, 
through January 2019.224 
On January, 16, 2019, Secretary Pompeo issued another determination suspending the right to file 
lawsuit, but for only an additional  45 days, as opposed to six months, as provided in the law. 
Pompeo maintained that the extension would permit a careful review that would include such 
factors as “the Cuban regime’s brutal oppression of human rights and fundamental freedoms and 
its indefensible support for increasingly authoritarian and corrupt regimes in Venezuela and 
Nicaragua.”225 
On March 4, 2019, Secretary Pompeo partial y suspended the right to file lawsuits for an 
additional 30 days (through April 17) but al owed lawsuits, beginning March 19, against an entity 
or sub-entity on the State Department’s “Cuba restricted list” controlled by the Cuban military, 
intel igence, or security service. In its announcement, the State Department stated that they would 
continue to study the impact of the suspension on the human rights situation in Cuba.226 Lawsuits 
could be brought by any U.S. national, including those who were not U.S. nationals at the time of 
the confiscation. However, lawsuits could not be brought against third-country foreign investors 
in Cuba. State Department officials acknowledged that they engaged with al ies in the European 
Union, Canada, and elsewhere, and that these countries’ concerns were a factor in Secretary 
Pompeo’s decision-making process.227 
Nevertheless, on April 17, 2019, Secretary Pompeo announced that, effective May 2, 2019, the 
Administration would al ow the right to file lawsuits against al  those trafficking in confiscated 
property in Cuba pursuant to Title III of the LIBERTAD Act, not limiting  lawsuits to those 
against entities on the “Cuba Restricted List.”228 In addition, as noted above, lawsuits can be 
brought by any U.S. national, including those who were not U.S. nationals at the time of the 
confiscation. The European Union and Canada criticized the Administration’s action, vowing to 
ban enforcement or recognition of any judgement, al ow counterclaims in European and Canadian 
courts, and potential y seek action in the World Trade Organization. 
To date, some 29 lawsuits have been filed by both FCSC-certified and noncertified claimants 
against U.S. and Cuban and other foreign companies, including cruise ship operators, airlines, 
                                              
223 U.S.  Department of State, “United States and Cuba  Hold Claims  Discussion,”  Miami Herald, July  28, 2016.  
224 U.S.  Department of State, “Secretary’s Determination of Six Months’ Suspension Under T itle III of LIBERT AD 
Act,” June 28, 2018. 
225 U.S.  Department of State “Secretary’s Determination of 45 -Day Suspension Under T itle III of LIBERT AD Act.” 
January 16, 2019. 
226 U.S.  Department of State, “Secretary Enacts 30-Day Suspension of T itle III (LIBERT AD Act) With an Exception,” 
March 4, 2019.  
227 U.S.  Department of State, “Western Hemisphere: Senior State Department Official on T itle III of the LIBERT AD 
Act,” special briefing, March 4, 2019. 
228 U.S.  Department of State, Secretary of State Michael R. Pompeo, “Remarks to the Press,” April 17, 2019.  
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travel booking companies, and hotels; several lawsuits have been dismissed by federal courts or 
by plaintiffs.229 The first lawsuits were filed in May 2019 against the Miami-based Carnival 
Corporation by descendants of two families who owned port facilities in Cuba confiscated in 
1960 and against Cuba’s state-owned oil company and a state-owned holding company by Exxon 
Mobil Corporation (formerly Standard Oil) for the expropriation of an oil refinery, product 
terminals, and service stations in 1960. 
Before the full implementation of Title III, some observers expressed concerns that U.S. federal 
courts could be flooded with lawsuits if Title III were fully al owed to be implemented. In 
addition to the claims of thousands of certified U.S. claimants, a 1996 report to Congress by the 
State Department required by the LIBERTAD Act estimated that there could be some 75,000 to 
200,000 claims by Cuban Americans with the value running into the tens of bil ions of dollars.230 
As defined in the LIBERTAD Act, however, the term property does not include “real property 
used for residential purposes” (unless the claim is a certified claim held by a U.S national), and 
there is a $50,000 threshold for the amount in controversy for the right to file a lawsuit under 
Title III. While the smal  number of lawsuits filed to date is somewhat surprising, some observers 
maintain that plaintiffs’ lawyers may not be wil ing to file high-cost lawsuits for smal er claims 
and that some potential plaintiffs may be unwil ing to sue companies with whom they have or 
hope to have a business relationship.231 
When the LIBERTAD Act was enacted in 1996, the intent of Title III was to prevent foreign 
investment in properties confiscated by the Cuban government. However, since some U.S. 
companies have entered into transactions or investment projects with Cuban companies in recent 
years as a result of the U.S. engagement process with Cuba, those U.S. companies could be 
susceptible to Title III legal action. A significant number of the lawsuits filed to date have been 
cases against U.S. companies or against at least one American defendant.232 
When the LIBERTAD Act was passed in 1996, several foreign governments strongly objected, 
and some (Canada, EU, and Mexico) enacted countermeasures to block enforcement of the U.S. 
sanctions. The EU had pursued WTO dispute against the LIBERTAD Act, which it suspended in 
1998 when it reached an understanding on the issue with the United States that included the 
presumption of continued suspension of Title III.233 
Title IV Visa Restrictions. Title IV of the LIBERTAD Act denies admission to the United States 
to aliens involved in the confiscation of U.S. property in Cuba or in the trafficking of confiscated 
U.S. property in Cuba. This includes corporate officers, principals, or shareholders with a 
controlling interest in an entity involved in the confiscation of U.S. property or trafficking of U.S. 
property. It also includes the spouse, minor child, or agent of aliens who would be excludable 
under the provision. Current Title IV visa restrictions against executives of Sherritt International 
                                              
229 For information on the lawsuits, see the website  of the U.S.-Cuba  T rade and Economic Council at 
https://www.cubatrade.org/.   
230 U.S.  Department of State, Settlement of Outstanding United States Claims  to Confiscated Property in Cuba, Report 
to Congress Under Section 207 of the Cuban Liberty and Democratic Solidarity Act of 1996, Septe mber 1996.  
231 John B Bellinger,  III, John P. Barker, T al R. Machnes, T om McSorley, Elizabeth T .M. Fitzpatrick, “Calm Before 
the Storm? What We Can Learn From the Slow  Start to Helms-Burton Cases,”  Arnold & Porter, July 17, 2019. 
232 John B. Bellinger, III et  al., “T he Helms-Burton Act’s Unexpected Boomerang Effect: Most Lawsuits Have 
T argeted U.S.  Companies,” Arnold & Porter, March 4, 2020. 
233 Peters, Phil, “Activating T itle III: Yet Another T rade Dispute–and Much More,” Cuba Standard Monthly, 9/2018, 
Vol.  26, No. 9. For background  on the EU-U.S.  understanding, see Joaquín  Roy, “ T he ‘Understanding’ Between the 
European Union and the United States Over Investments in Cuba,” Cuba in Transition: Volume 10, Association for the 
Study  of the Cuban  Economy, Papers and Proceedings of the T enth Annual Meeting, 2000.  
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Corporation, a Canadian mining and energy company date to 1996. More recently, in February 
2020, the Spanish hotel chain Meliá confirmed that its chief executive officer is prohibited from 
entering the United States pursuant to Title IV.234 
U.S. Fugitives from Justice 
U.S. fugitives from justice in Cuba include convicted murderers and numerous hijackers, most of 
whom entered Cuba in the 1970s and early 1980s.235 For example, Joanne Chesimard, also known 
as Assata Shakur, was added to the Federal Bureau of Investigation’s (FBI’s) Most Wanted 
Terrorist list in May 2013. Chesimard was part of militant group known as the Black Liberation 
Army. In 1977, she was convicted for the 1973 murder of a New Jersey State Police officer and 
sentenced to life in prison. Chesimard escaped from prison in 1979 and, according to the FBI, 
lived underground before fleeing to Cuba in 1984.236 Another fugitive, Wil iam  “Guil ermo” 
Morales, who was a member of the Puerto Rican militant group known as the Armed Forces of 
National Liberation, reportedly has been in Cuba since 1988 after being imprisoned in Mexico for 
several years. In 1978, both of his hands were maimed by a bomb he was making. He was 
convicted in New York on weapons charges in 1979 and sentenced to 10 years in prison and 5 
years’ probation, but he escaped from prison the same year.237 In addition to Chesimard and other 
fugitives from the past, a number of U.S. fugitives from justice wanted for Medicare and other 
types of insurance fraud have fled to Cuba in recent years.238 
With the resumption of diplomatic relations with Cuba in 2015, the United States held several law 
enforcement dialogues that reportedly included discussion of the issue of U.S. fugitives from 
justice; the most recent dialogue was held in July 2018.239 The State Department’s Country 
Reports on Terrorism 2019, issued in June 2020, stated that Cuba “harbors several U.S. fugitives 
from justice wanted on charges of political violence, many of who have resided in Cuba for 
decades.” The report raised the Chesimard and Morales cases (noted above) and three other 
fugitive cases.240 
Although the United States and Cuba have an extradition treaty in place dating to 1905, in 
practice the treaty has not been used. Instead, for more than a decade, Cuba has returned wanted 
fugitives to the United States on a case-by-case basis. For example, in 2011, U.S. Marshals 
picked up a husband and wife in Cuba who were wanted for a 2010 murder in New Jersey,241 and 
                                              
234 “Melia Hotels Says  CEO Banned  from U.S. Over Hotels in Cuba,”  Reuter News,  February 5, 2020.  
235 U.S.  Department of State, Country Reports on Terrorism 2007, April 30, 2008. 
236 FBI, Most Wanted T errorists, Joanne Deborah Chesimard, poster, at http://www.fbi.gov/wanted/wanted_terrorists/
joanne-deborah-chesimard/view. 
237 James Anderson, “Living in Exile, Maimed  Guerrilla  Maintains Low-Key Profile in Cuba,”  Fort Worth  Star-
Telegram , January 16, 2000; Vanessa Bauza,  “ FBI’s Fugitive  Is Cuba’s  Political Refugee,”  South Florida Sun-Sentinel, 
May 26, 2002; Mary Jordan, “Fugitives Sought  by U.S.  Find a Protect or in Cuba,” Washington Post, September 2, 
2002; FBI, Wanted by the FBI, William “Guillermo” Morales, poster, at https://www.fbi.gov/wanted/dt/william-
guillermo-morales. 
238 For example, see the U.S.  Attorney’s Office, Southern District of Florida, “T hirty-Three Defendants Charged in 
Staged  Automobile Accident Scheme,”  press release, May 16, 2013; and Jay Weaver, “ Grandma Rips  Off Medicare, 
Skips  T own, Latest Fraud Fugitive Likely Fled to Cuba,”  Miam i Herald, January 5, 2017. 
239 U.S.  Department of State, “United States and Cuba  Hold Fourth Law  Enforcement Dialogue in Washington, DC,” 
media note, July 10, 2018. 
240 U.S.  Department of State, Country Reports on Terrorism 2019, June 2020, “Cuba section” at https://www.state.gov/
reports/country-reports-on-terrorism-2019/cuba/.  
241 George  Mast, “Murder Suspects  Caught in Cuba,”  Courier-Post (New  Jersey), September 30, 2011. 
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in April  2013, Cuba returned a Florida couple who al egedly had kidnapped their own children 
(who were in the custody of the mother’s parents) and fled to Havana.242 In August 2018, Cuba 
arrested and returned to the United States a long-sought U.S. fugitive from justice wanted in 
connection with ecoterrorism who had stopped in Cuba on his way to Russia.243 In November 
2018, Cuba returned to the United States a New Jersey man wanted on murder charges.244 In 
another case demonstrating U.S.-Cuban law enforcement cooperation, Cuba successfully 
prosecuted a Cuban national in February 2018 who had fled to Cuba after murdering a doctor in 
Florida in 2015—the main witness was a Palm Beach detective.245 
Cuba general y, however, has refused to render to U.S. justice any fugitive judged by Cuba to be 
“political,” such as Chesimard, who they believe could not receive a fair trial in the United States. 
In the past, Cuba has responded to U.S. extradition requests by making approval contingent upon 
the United States returning wanted Cuban criminals from the United States.  
Legislative Initiatives. In the 116th Congress, H.Res. 92 (King) and S.Res. 232 (Menendez) 
would cal  for the immediate extradition or rendering to the United  States of convicted felons 
Wil iam  Morales, Joanne Chesimard, and al  other fugitives from justice who are receiving safe 
harbor in Cuba in order to escape prosecution or confinement for criminal offenses committed in 
the United States. 
Trafficking in Persons and Cuba’s Foreign Medical Missions 
In 2019 and 2020, the State Department placed Cuba on Tier 3 in its annual  Trafficking in 
Persons Report (TIP report), a status that refers to countries whose governments do not fully 
comply with the minimum standards for combatting trafficking and are not making significant 
efforts to do so.246 According to the State Department’s 2020 TIP report, human trafficking 
problems include sex trafficking in Cuba and Cuban government-sponsored labor export 
programs. The 2020 TIP report stated that the Cuban government took some steps to investigate, 
prosecute, and convict sex traffickers and sex tourists, as wel  as to identify and assist victims. In 
contrast, the 2020 TIP report maintained there were strong indications of forced labor in the 
government’s foreign medical missions. The report al eged the Cuban government did not 
improve the transparency of the foreign medical missions program or address labor and 
trafficking concerns, despite al egations from observers, former participants, and foreign 
governments. The Cuban government reportedly failed to inform participants of the terms of their 
contracts, confiscated their documents and salaries, and threatened participants and their family 
members if participants left the program. As described in the 2020 TIP report, the Cuban 
government has said it employs between 34,000 and 50,000 health care professionals in more 
                                              
242 Paul Haven and Peter Orsi, “Cuba Says  It Will Give  U.S. Florida  Couple Who Allegedly  Kidnapped Children,” 
Associated Press, April 9, 2013.  
243 “Suspected Eco-T errorist Arrested in Cuba after 20 Years as a Fugitive,” CBS News,  August  11, 2018. 
244 Mimi Whitefield, “Cuba Extradites a 55-Year-Old American Lawyer to Face Murder  Charges  in New  Jersey,” 
Miam i Herald, November 7, 2018.  
245 Mimi Whitefield, “T his Florida Murder Case  Was T ried in Cuba.  And Local Prosecutors Got to Watch,” Miami 
Herald, August  30, 2018. 
246 U.S.  Department of State, Trafficking in Persons Report 2019, Cuba, June  24, 2019, at https://www.state.gov/
reports/2019-trafficking-in-persons-report-2/cuba/, and Trafficking in Persons Report 2020, Cuba, June  25, 2020, at 
https://www.state.gov/reports/2020-trafficking-in-persons-report/cuba/. For more information, see CRS  Report 
R44953, The State Departm ent’s Trafficking in Persons Report: Scope, Aid Restrictions, and Methodology , by Michael 
A. Weber, Katarina C. O'Regan,  and Liana W. Rosen . From 2015 through 2018, Cuba had been placed on the T ier 2 
Watch List, a status that refers to countries whose governments, despite making significant efforts, do not fully comply 
with the minimum standards and still have some specific problems or whose  governments have made commitments to 
take additional anti-trafficking steps over the next year. 
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than 60 countries in Africa, the Americas, Asia, the Middle East, and Europe through contracts 
with foreign governments and, in some countries, international organizations serving as 
intermediaries.  
Cuba’s foreign medical diplomacy has long been a source of national pride and an example of 
Cuba’s soft power worldwide to promote humanitarianism and generate political  goodwil . The 
diplomacy has included short-term initiatives for disaster relief and epidemic control as wel  as 
longer-term initiatives, such as providing primary health care, staffing hospitals, and establishing 
health care facilities.  
Cuba’s first medical support abroad dates to 1960, when Cuba sent a medical brigade to Chile 
following an earthquake; a long-term medical aid program in Algeria began in 1963. By 1978, 
Cuba had some 2,300 medical personnel abroad; by 2008, that number had increased to over 
37,000. In 1998, Cuba responded with medical brigades in the aftermath of Hurricane Mitch in 
Central America. In 1999, Cuba began training Central Americans in Cuba to become doctors; 
this was the origin of the current-day Latin American School of Medicine (or ELAM) that 
graduated its first class in 2005 and has graduated thousands of doctors from countries 
worldwide, including from the United States. Cuba’s medical support to Haiti began in 1998 and 
ramped up significantly in the aftermath of the country’s 2010 earthquake and subsequent cholera 
outbreak. Cuban medical teams played an important role in the 2014 worldwide effort to combat 
Ebola in West Africa. Cuba’s largest medical support program abroad has been in Venezuela. The 
program began under populist President Chávez, who in 2003 established social missions 
providing free health and eye care clinics in historical y marginalized areas staffed by thousands 
of Cuban medical personnel. In exchange, Venezuela has provided Cuba with extensive financial 
support, largely in the form of oil.247 
Cuba’s foreign medical mission program is not a solely humanitarian-based grant but a program 
in which the Cuban government benefits economical y from countries that that can pay for the 
medical services. Cuban government statistics show that in 2018 (latest year available)  Cuba 
generated $6.4 bil ion  for the export of health services, making it the country’s largest earner of 
foreign exchange.248 Cuba maintains that the proceeds from the foreign medical missions are used 
to fund Cuba’s domestic health care system as wel  as the foreign medical missions offered to 
many countries for which it receives no payment.249 According to the World Bank, Cuba has 8.4 
physicians per 1,000 people (2018, latest available), far higher than most countries worldwide.250 
Critics of Cuba’s medical diplomacy program argue that Cuba is exploiting its medical personnel 
by forcing their participation in the program, with some critics, including OAS Secretary General 
Luis Almagro, dubbing the program a form of modern slavery.251 The Spanish-based human 
                                              
247 Sources  for this paragraph include  Julie  M. Feinsilver, “Fifty Years of Cuba’s  Medical  Diplomacy: From Idealism 
to Pragmatism,” Cuban Studies, Vol. 41 (2010), pp. 85-104; John M. Kirk, “Cuba’s Medical  Internationalism: 
Development and Rationale,” Bulletin of Latin American Research, Vol. 28, No. 4, 2009, pp. 497-511; Sarah A. Blue, 
“Cuban Medical  Internationalism: Domestic and International Impacts,” Journal of Latin American Geography, 
Volume  9, No. 1, 2010, pp. 31-49; Pascal Fletcher, “ Cuban Medics a Big  Force on Haiti Cholera Frontline,” Reuters 
News,  December 10, 2010; and Monica Mark, “Cuba Leads  Fights Again st Ebola in Africa as West Frets about Border 
Security,” The Guardian, October 11, 2014.  
248 ONEI, República  de Cuba,  Anuario Estadístico de  Cuba  2018, Sector Externo, Edición 2019.  
249 Ministry of Foreign Affairs of Cuba,  “T he U.S. Crusade  Against Cuba’s  International Medical Cooperation, 
Declaration of the Ministry of Foreign Affairs of Cuba,”  December 5, 2019.  
250 World Bank, Word Development Indicators, at https://databank.worldbank.org/source/world-development-
indicators. 
251 “’Basta ya!’: medicos denuncian en la OEA ‘trabjo escalvo’ en misiones cubanas,”  Infobae, December 18, 2019. 
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rights group Cuban Prisoners Defenders al eges, based on information from over 100 Cuban 
medical personnel who served abroad, that a majority of participants in the medical missions 
were watched over by Cuban security officials while on their mission and asked to report 
information about their colleagues. Of these medical personnel, 41% said their passports were 
withheld during their time of service, over half said the mission was not voluntary, and 39% said 
they felt strongly pressured to serve abroad.252 
While Cuban medical personnel 
Cuba’ s Medical Mission in Brazil, 2013-2018 
serving abroad are compensated 
In 2013, Cuba began deploying thousands of doctors to rural areas 
significantly more than those 
and underserved poor urban areas in Brazil  in a program known as 
working in Cuba, in most cases they 
Mais Médicos, facilitated by the Pan American  Health Organization 
are paid far less than other medical 
(PAHO), with Cuba earning hard currency for supplying the 
medical  personnel.  
personnel in the countries where 
Cuban-Brazilian relations have changed considerably under right-
they work. In Qatar, for example, 
wing populist Brazilian  President Jair Bolsonaro,  inaugurated in 
Cuban officials reportedly make just 
January 2019. Before  his inauguration, Bolsonaro  espoused a more 
over $1,000 a month, about 10% of 
confrontational policy approach toward Cuba; he warned that he 
what other foreign medical 
may break diplomatic  relations with Cuba and abolish the medical 
professionals can make while 
assistance program. Bolsonaro  strongly criticized the medical 
program,  maintaining that Cuban doctors should be able to receive 
working in Qatar.253 Cuban medical 
100% of the money Brazil pays Cuba for them (instead of the 25% 
personnel also general y receive far 
they receive)  and should be able to bring their families  with them 
less in compensation than what host 
to Brazil.  Cuba responded by ending the program and bringing its 
governments pay the Cuban 
more  than 8,000 medical personnel  home by late December  2018. 
government. For example, in Brazil, 
A provision in P.L.  116-94, Division G, Section 7019(e) (which 
before Cuba’s medical personnel left 
references  S.Rept. 116-126) required the Secretary  of State, not 
later than 90 days after enactment, to submit a report to the 
the country in 2018, they reportedly 
appropriate congressional  committees  on the  Pan American 
were being paid 25% of what the 
Health Organization’s role,  if any, in facilitating agreements 
Brazilian  government paid the 
between foreign medical  professionals  from Cuba and other 
Cuban government for each worker 
countries. 
(see text box). 
Sources: “Life in ‘Slavery’  or as a Refugee? Cuban Doctors’ 
Stark Choice in Brazil,” Reuters News, December  12, 2018; 
Engagement between U.S. and 
and “Cuba Says Nearly Al  Its Doctors  Have Returned from 
Cuban officials on anti-trafficking 
Brazil,”  Reuters News,  December  21, 2018. 
issues had been increasing in recent 
years. In January 2017, U.S. officials met with Cuban counterparts in their fourth such exchange 
to discuss bilateral efforts to address human trafficking.254 Later that month, the United States and 
Cuba signed a broad memorandum of understanding on law enforcement cooperation in which 
the two countries stated their intention to collaborate on the prevention, interdiction, monitoring, 
and prosecution of transnational or serious crimes, including trafficking in persons.255 In February 
                                              
T he OAS  hosted a conference in December 2019 entitled “ T he Dark Reality Behind the Cuban Medical  Missions.”   
252 “T he Hidden World of the Doctors Cuba Sends  Overseas,” BBC,  May 14, 2019. More recently, Cuban Prisoners 
Defenders also issued  a statement on Cuba’s medical  missions. See  “Institutional Statement Regarding Slavery in the 
Internationalization Missions of Cuba”  Cuban  Prisoners Defenders, March 12, 2020.  
253 Peter Pattisson, “Cuba’s Secret Deal with Qatar to T ake up to 90% of Doctor’s Wages,”  The Guardian, November 
8, 2019.  
254 U.S.  Department of State, “United States and Cuba  to Hold Meeting to Fight T rafficking in Persons,” media note, 
January 11, 2017. 
255 U.S.  Department of State, “United States and Cuba  to Sign  Law Enforcement Memorandum of Understanding,” 
media note, January 16, 2017. 
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2018, the State Department and the Department of Homeland Security hosted meetings in 
Washington, DC, with Cuban officials on efforts to combat trafficking in persons.256 
In 2019, the Trump Administration pressed a campaign to shed light on al egations of coercive 
labor practices in Cuba’s foreign medical missions.257 The State Department cal ed for countries 
that host Cuba’s medical missions to ensure that labor rights are protected; it hosted a Foreign 
Press Center briefing on the issue in New York in September 2019.258 In addition to downgrading 
Cuba to Tier 3 in its June 2019 TIP report, the State Department imposed targeted visa restrictions 
against Cuban officials. In July and September 2019, the State Department announced, pursuant 
to Section 212(a)(3)(C) of the Immigration and Nationality Act, that it had imposed visa 
restrictions against certain Cuban officials for al eged “exploitative and coercive labor practices” 
associated with Cuba’s overseas medical missions programs.259 
Amid the ongoing COVID-19 pandemic, Cuba has dispatched over 3,700 medical personnel to 
almost 40 countries worldwide, an action that has been criticized by the Trump Administration 
and some Members of Congress. In April 2020, Secretary Pompeo asserted that the Cuban 
government “has taken advantage of the COVID-19 pandemic to continue its exploitation of 
Cuban medical workers”; praised Brazil, Ecuador, and Bolivia  for “not turning a blind eye to 
these abuses”; and asked al  countries to do the same, including South Africa and Qatar.260 In late 
April 2020, the State Department issued a fact sheet warning countries that might host Cuban 
medical personnel to consider questions about the al eged “abusive conditions” under which the 
personnel work.261 Some Members of Congress also criticized Cuba’s foreign medical missions 
and cal ed for the State Department to deliver a demarche to governments that have accepted 
Cuba’s medical missions in recent months “to inform them about the Cuban regime’s forced labor 
practices.”262 For many countries, however, Cuban doctors are viewed as a key resource for their 
overwhelmed health care systems, and many have turned to Cuba because of its track record of 
providing such humanitarian support.263 
                                              
256 U.S.  Department of State, “Western Hemisphere: United States and Cuba  Meet to Combat T rafficking in Persons,” 
February 14, 2018.  
257 Peter Beaumont and Ed Augustin,  “T rump Puts Cuban Doctors in Firing Line as Heat T urned up on Island 
Economy,” The Guardian, February 11, 2020. 
258 U.S.  Department of State, “A Call to Action: First -Hand Accounts of Abuses  in Cuba’s  Overseas Medical 
Missions,” Foreign Press Center Briefing, September, 26, 2019.  
259 U.S.  Department of State, Secretary of State Michael R. Pompeo, “Visa Actions Against Cuban  Officials,” press 
statement, July 26, 2019, and “Visa Actions Against Cuban  Officials Exploiting Cuban Doctors,” press statement, 
September 30, 2019. In September 2019, the Cuban government maintained that the Trump Administration denied a 
visa to its health minister to attend a Pan-American Health Organization meeting in Washington D.C. See  Sarah Marsh, 
“U.S. Denies Cuba  Health Minister Visa  to Attend Health Meeting in Washington,” Reuters News,  September 30, 
2019.  
260 U.S.  Department of State, “Secretary Michael R. Pompeo at a Press Availability,” remarks to the press, April 29, 
2020.  
261 U.S.  Department of State, “The T ruth About Cuba’s  Medical Missions,”  April 27, 2020, at 
https://share.america.gov/the-truth-about-cubas-medical-missions/ .  
262 “Menendez, Rubio  Raise Concerns about Cuba’s  Forced Labor Scheme, Urge Pompeo to Direct U .S. Embassies  to 
Engage  Host Government,” Congressional Documents and Publications, U.S.  Government Publishing Office, May 6, 
2020.  
263 Nora Gámez  T orres and Jacqueline  Charles, “Despite U.S. Warnings, Cuba’s  Medical  Diplomacy T riumphs in the 
Caribbean  During  Pandemic,” Miam i Herald, April 15, 2020; Carlos Batista and Moises Avila, “ Pandemic Gives  Shot 
in the Arm to Cuba’s  Medical Missions,”  Agence France Presse, April 9, 2020; and Andrea Rodriguez,  “Cuban  Docs 
Fighting Coronavirus Around  World, Defying U.S.,” Palm Beach Daily Business Review, April 7, 2020. 
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The Cuban government has spoken out against the Trump Administration’s campaign of criticism 
of its foreign medical missions, al eging that U.S. influence and actions led to the termination of 
missions in Brazil, Ecuador, and Bolivia.  A December 2019 Cuban foreign ministry statement 
maintains that the “Cuban technicians and professionals who participate in these programs do so 
absolutely of their own free wil .” It notes that during the performance of their foreign missions, 
Cuban medical professionals “continue to receive their full salary in Cuba, and also a stipend in 
the country of destination, along with other benefits.” The statement maintains that when Cuba 
receives compensation from host countries, the funding contributes to the sustainability of Cuba’s 
health care system and covers the costs for its foreign medical missions that provide health care 
services at no cost to many countries worldwide.264 In late April 2020, Cuban Foreign Minister 
Bruno Rodriguez denounced what he characterized as U.S. lies about Cuba’s medical missions, 
maintaining that “in the context of COVID-19, they threaten other people’s health instead of 
joining cooperative efforts for the good of al .”265 
Legislative Initiatives. In the 116th Congress, two bil s and two resolutions have been introduced 
related to Cuba’s foreign medical missions. S. 4635 (Menendez) would, among its provisions, 
reinstate the CMPP program, which from 2006 to 2017 and al owed Cuban medical professionals 
in third countries to be approved for entry into the United States (see “Migration Issues,” above.) 
The bil   also would require two reports: (1) an annual State Department report identifying 
countries that host Cuban government foreign medical missions and determining whether Cuban 
personnel are subjected to conditions that qualify as severe forms of trafficking in persons and (2) 
a State Department/Health and Human Services Department report reviewing the Pan American 
Health Organization’s (PAHO’s) role in Cuba’s involvement in Brazil’s Mais Médicos program, 
corrective actions taken by PAHO, and recommendations for further corrective actions. S. 3977 
(Scott, Rick) would require the State Department to publish a list of countries that contract with 
Cuba’s medical mission program and to consider, when determining a country’s ranking for the 
annual TIP report, whether the country participated in programs with foreign governments and 
organizations that involve or enable trafficking in persons. 
Similar resolutions S.Res. 14 (Menendez) and H.Res. 136 (Sires) would affirm that Cuba’s 
medical missions constitute human trafficking. The resolutions also would cal  on the State 
Department to downgrade Cuba to Tier 3 in its annual TIP report (an action the Administration 
took in June 2019), and it would cal  for the reestablishment of the CMMP program. 
Outlook 
When Miguel Díaz-Canel, currently 60 years of age, succeeded Raúl Castro as president in April 
2018, a leader from a new generation came to power. However, Raúl Castro, currently 89 years of 
age, remained in the political y  influential  position of first secretary of Cuba’s Communist Party. 
Castro is expected to step down from that position at the next party congress, scheduled for April 
2021, and Díaz-Canel is expected to become the new head of the party. Cuba’s next national 
elections are to take place in 2023, and Díaz-Canel would be eligible  for a second five-year 
presidential term.  
Cuba enacted a new constitution in 2019. This constitution included the addition of an appointed 
prime minister to oversee government operations; limits on the president’s tenure (two terms) and 
                                              
264 Ministry of Foreign Affairs of Cuba,  “T he U.S. Crusade  Against Cuba’s  International Medical Cooperation, 
Declaration of the Ministry of Foreign Affairs of Cuba,”  December 5, 2019. 
265 Ministry of Foreign Affairs of Cuba,  “Cuban FM Denounces the United States’ Lies About Medical  Missions,” 
April 29, 2020.  
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age (no older than 60 years of age, beginning first term); and market-oriented economic reforms, 
including the right to private property and the promotion of foreign investment. The new 
constitution, however, also ensured the state’s dominance over the economy and the Communist 
Party’s predominant role. The constitution refers to numerous complementary laws that wil  have 
to be enacted, such as a new electoral law, criminal code, family code, and business law, which 
could establish a role for smal  and medium-sized businesses; to date, implementation of these 
reforms has been slow. 
The Cuban economy is being been hard-hit by the economic effects of the COVID-19 pandemic, 
reduced support from Venezuela, and increased U.S. economic sanctions. An economic 
contraction of more than 8% is forecast for 2020, with gradual recovery in subsequent years 
depending on such factors as the pace of a post-COVID global economic recovery, the direction 
of U.S. sanctions policy under the next U.S. Administration, and Cuba’s economic reform efforts. 
For many years, the Cuban government has been extremely cautious in implementing reforms 
that could jeopardize the power of the state and the party. The recently announced currency 
unification to begin on January 1, 2021, is a major reform that many economists have been 
advocating for years to lay the foundation for increased productivity and development. The move, 
however, likely wil   bring increased economic stress to Cubans in the short term (in the forms of 
inflation, bankruptcy of inefficient state enterprises, and potential threats to the social safety net), 
at a time when the country is facing a very difficult economic situation.  
Cuba’s recent strong crackdown on the San Isidro Movement that opposes government 
restrictions on artistic expression spurred hundreds of Cubans to engage in a peaceful protest and 
demonstrated the power of access to the internet and social media that has been growing in Cuba 
in recent years. The crackdown also focused world attention on Cuba’s continued poor human 
rights record and its efforts to suppress freedom of expression.  
Since 2019, the Trump Administration’s ramped-up sanctions on Cuba—aimed at punishing Cuba 
for its human rights record and deterring Cuba’s support for Venezuela—have heightened 
tensions in bilateral  relations, stymied U.S. business engagement in Cuba, and negatively affected 
Cuba’s nascent private sector. The downsizing of the staff at the U.S. Embassy in Havana, done 
in response to the unexplained injuries to U.S. diplomatic personnel in Cuba, resulted in the 
suspension of most visa processing at the embassy and reduced other embassy operations.  
As in past Congresses, there have been diverse opinions in the 116th Congress regarding the 
appropriate U.S. policy approach toward Cuba, with some Members supporting the 
Administration’s actions and others preferring a policy of engagement. With the exception of 
congressional opposition to funding cuts for Cuba democracy programs in annual appropriations 
measures, no congressional action has been taken opposing the Administration’s imposition of 
various sanctions on Cuba. 
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Appendix A. Legislative Initiatives in the 116th 
Congress 
Enacted Measures and Approved Resolutions 
P.L. 116-6 (H.J.Res. 31). Consolidated Appropriations Act, 2019. Introduced January 22, 2019. 
House passed (231-180) January 24; Senate passed, amended, by voice vote January 25. 
Conference report (H.Rept. 116-9 ) filed February 13, 2019. House approved conference (300-
128) February 14; Senate approved conference (83-16) February 14. Signed into law February 15, 
2019. The conference report provided $20 mil ion in Cuba democracy assistance ($10 mil ion 
more than requested) and $29.1 mil ion for Cuba broadcasting ($15.4 mil ion more than 
requested). In Division F, the measure continues two longstanding Cuba provisions: Section 7007 
prohibits direct funding for the government of Cuba, including direct loans, credits, insurance, 
and guarantees of the Export-Import Bank or its agents; Section 7015(f) prohibits the obligation 
or expending of assistance for Cuba except through the regular notification procedures of the 
Committees on Appropriations. 
P.L. 116-92 (S. 1790). National Defense Authorization Act for Fiscal Year 2020. Introduced June 
11, 2019. Conference report, H.Rept. 116-333, approved by the House and Senate in December 
2019. Signed into law December 20, 2019. Section 1045 extends the prohibition on the use of 
funds to close or relinquish control of the U.S. Naval Station at Guantanamo Bay, Cuba.  
P.L. 116-93 (H.R. 1158). Consolidated Appropriations Act, 2020. Original y introduced as the 
DHS Cyber Incident Response Act of 2019, this bil  became the vehicle for the Consolidated 
Appropriations Act, 2020, which the House and Senate approved in December 2020. Signed into 
law December 20, 2019. In Division A (Department of Defense Appropriations Act, 2020), 
Section 8122 provides that none of the funds made available by the act may be used to carry out 
the closure or realignment of the U.S. Naval Station at Guantanamo Bay, Cuba.  
P.L. 116-94 (H.R. 1865). Further Consolidated Appropriations Act, 2020. Original y introduced 
as the National Law Enforcement Museum Commemorative Coin Act in March 2019, this bil  
also became the vehicle for the Further Consolidated Appropriations Act, 2020, in December 
2019. House passed October 28, 2019; Senate passed, amended, November 12, 2019; House 
agreed (297-120) to the Senate amendment December 17, 2019, with an additional amendment 
incorporating language from seven appropriations bil s; Senate agreed (71-23) to the House 
amendment December 19, 2019. Signed into law December 20, 2019. 
Division F (Military Construction, Veterans Affairs, and Related Programs Appropriations Act, 
2020), Section 127, provides that none of the funds made available by the act may be used to 
carry out the closure or realignment of the U.S. Naval Station at Guantanamo Bay, Cuba. 
In Division G (Department of State, Foreign Operations, and Related Programs Appropriations 
Act, 2020), the measure continues two long-standing provisions: Section 7007 prohibits direct 
funding for the government of Cuba, including direct loans, credits, insurance, and guarantees of 
the Export-Import Bank or its agents; Section 7015(f) prohibits the obligation or expending of 
assistance for Cuba except through the regular notification procedures of the Committees on 
Appropriations. The joint explanatory statement to the measure provides $20 mil ion for Cuba 
democracy programs and $20.973 mil ion for Cuba broadcasting for FY2020. 
In Division J, Title I (Venezuela), Section 164, the measure requires, not later than 90 days after 
enactment, a classified briefing to the appropriate congressional committees on activities of 
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certain foreign governments and actors in Venezuela, including the full extent of cooperation by 
Cuba (as wel  as Russia, China, and Iran) with the Maduro regime in Venezuela. 
Division J, Title IX (Other Matters), Section 901, includes benefits for Department of State 
personnel and dependents injured while stationed in Cuba.  
The measure, in Section 7019(e), also includes by reference several directives and reporting 
requirements set forth in H.Rept. 116-78 to H.R. 2839, the House Appropriations Committee’s 
version of the FY2020 State Department, Foreign Operations, and Related Programs 
Appropriations (SFOPS) bil , and in S.Rept. 116-126 to S. 2583, the Senate Appropriations 
Committee’s version of the SFOPS bil . 
  H.Rept. 116-78 directs the State Department, not later than 90 days after 
enactment, to submit a clear and concise strategy for providing certainty for U.S. 
businesses operating in Cuba, consistent with the objective of avoiding negative 
impacts on U.S. businesses. The strategy should include (1) how the State 
Department intends to ensure that U.S.-Cuban engagement advances the interest 
of the United States and the Cuban people, including encouraging the growth of a 
Cuban private sector independent of government control; (2) the impact of the 
U.S. Embassy Havana staff reduction on embassy operations, including visa 
processing; and (3) a timeline for the safe return of staff at the U.S. Embassy in 
Havana to previous levels.  
  S.Rept. 116-126 requires a report, not later than 90 days after enactment, from 
the Secretary of State to the appropriate congressional committees that assesses 
the physical condition of the U.S. Embassy in Havana, Cuba, and details plans, 
including cost estimates, to address any maintenance or security needs. 
  S.Rept. 116-126 requires a report from the chief executive officer (CEO) of the 
U.S. Agency for Global Media (USAGM), not later than 90 days after enactment, 
to the appropriate congressional committees on the feasibility and cost of 
delivering satel ite-based broadband internet services to the Cuban people and on 
the establishment of a Martí website to serve as an access point and news 
aggregator service. The report is also to review the potential for, and cost 
effectiveness of, increasing access to firewal  circumvention tools and providing 
space-based communications technologies that are resistant to jamming. 
  S.Rept. 116-126 requires the USAGM CEO, in consultation with the Office of 
Cuba Broadcasting (OCB) Director to (1) provide quarterly updates to the 
appropriate congressional committees on implementation of OCB reforms to 
broadcasting standards and (2) brief such committees on reform efforts. The 
report also requires, prior to the obligation of funds appropriated for OCB, the 
OCB Director and the USAGM CEO to certify and report in writing to the 
appropriate congressional committees that USAGM and OCB are implementing 
reforms necessary to ensure that OCB is adhering to the journalistic values of 
accuracy, fairness, and balance.  
  S.Rept. 116-126 requires the Secretary of State, not later than 90 days after 
enactment, to submit a report to the appropriate congressional committees on the 
Pan American Health Organization’s (PAHO’s) role, if any, in facilitating 
agreements between foreign medical professionals from Cuba and other 
countries. The report is to include (1) a description of the contracts signed by the 
parties to such foreign medical professional missions; (2) proceeds rec eived by 
PAHO, if any; (3) a description of the medial activities and health services 
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provided during missions; and (4) and other relevant records related to such 
agreements.  
  S.Rept. 116-126 requires the Secretary of State, not later than 90 days after 
enactment, to report to the committee on the impact that the closure of consular 
services in Havana, Cuba, has had on Cubans’ ability to obtain nonimmigrant 
visas to the United States, including the number of Cubans granted such visas in 
2019 compared with the number in 2017.  
  S.Rept. 116-126 requires the Secretary of State, not later than 90 days after 
enactment, to update the report on Cuba required in S.Rept. 115-282 related to 
internet access. 
  S.Rept. 116-126 requires the Secretary of State, not later than 90 days after 
enactment, to submit a report to the committee, in classified form if necessary, 
detailing  any evidence of those responsible for, and the cause or causes of, the 
health il nesses suffered by U.S. government personnel in Cuba.  
S.Res. 454 (Menendez). Resolution cal s for the immediate release of Cuban democracy activist 
José Daniel Ferrer, commends his efforts to promote human rights and fundamental freedoms in 
Cuba, and cal s for the immediate and unconditional release of al  members of the Patriotic Union 
of Cuba (UNPACU) who have been arbitrarily imprisoned. S.Res. 454 introduced December 12, 
2019; Senate approved, amended, June 11, 2020. A similar resolution, H.Res. 774 (Diaz-Balart), 
introduced in the House December 19, 2019, and referred to the Committee on Foreign Affairs.  
Bills 
H.R. 213 (Serrano). Basebal  Diplomacy Act. The bil  would waive certain prohibitions with 
respect to nationals of Cuba coming to the United States to play organized professional basebal . 
Introduced January 3, 2019; referred to the Committee on Foreign Affairs, and in addition to the 
Committee on the Judiciary. 
H.R. 1683 (Wasserman Schultz)/S. 756 (Menendez). No Stolen Trademarks Honored in 
America Act. Identical bil s would modify a 1998 prohibition (Section 211 of Division A, Tile II, 
P.L. 105-277)  on recognition by U.S. courts of certain rights to certain marks, trade names, or 
commercial names. The bil  would apply a fix so the sanction would apply to al  nationals and 
would bring the sanction into compliance with a 2002 World Trade Organization dispute 
settlement ruling. H.R. 1683 introduced March 12, 2019; referred to Committee on the Judiciary. 
S. 756 introduced March 12, 2019; referred to Committee on the Judiciary.  
H.R. 1898 (Crawford). Cuba Agricultural Exports Act. The bil  would modify the prohibition on 
U.S. assistance and financing for certain exports to Cuba under the Trade Sanctions Reform and 
Export Enhancement Act of 2000 (TSRA; P.L. 106-387, Title IX) and would permit persons 
subject to U.S. jurisdiction to make an investment with respect to the development of an 
agricultural business in Cuba under certain conditions. Introduced March 27, 2019; referred to the 
Committee on Foreign Affairs and in addition to the Committees on Financial Services and 
Agriculture. 
H.R. 2404 (Rush). United States-Cuba Relations Normalization Act. The bil  would remove 
provisions of law restricting trade and other relations with Cuba; authorize common carriers to 
instal  and repair telecommunications equipment and facilities in Cuba and otherwise provide 
telecommunications services between the United States and Cuba; prohibit restrictions on travel 
to and from Cuba and on transactions incident to such travel; cal  on the President to conduct 
negotiations with Cuba for the purpose of settling claims of U.S. nationals for the taking of 
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property by the Cuban government and engage in bilateral dialogue with the Cuban government 
to secure the protection of international y recognized human rights; extend nondiscriminatory 
trade treatment to the products of Cuba; and prohibit limits on remittances to Cuba. Introduced 
May 20, 2019; referred to the Committee on Foreign Affairs and in addition to the Committees on 
Ways and Means, Energy and Commerce, the Judiciary, Agriculture, and Financial Services.  
H.R. 2839 (Lowey)/H.R. 2740 (DeLauro) and S. 2583 (Graham). Department of State, Foreign 
Operations, and Related Programs (SFOPS) Appropriations Act, 2020. H.R. 2839 introduced and 
reported by the House Appropriations Committee May 20, 2019, H.Rept. 116-78. House passed a 
“minibus” measure, H.R. 2740, on June 19, 2019, which included FY2020 SFOPS legislation in 
Division D and referred to H.Rept. 116-78. S. 2583 introduced and reported by Senate 
Appropriations Committee on September 26, 2019, S.Rept. 116-126. 
H.R. 2839/H.R. 2740 would have provided $12.973 mil ion for Cuba broadcasting, the same as 
the Administration’s request, while S. 2583 would have provided $20.973 mil ion. H.R. 
2839/H.R. 2740 and S. 2583 would have provided $20 Cuba democracy programs ($14 mil ion 
more than the Administration’s request). Both H.Rept. 116-78 and S.Rept. 116-126 also contained 
several directives and reporting requirements regarding Cuba. For final action, see Further 
Consolidated Appropriations Act, 2020 (P.L. 116-94) above. 
H.R. 3960 (McGovern)/S. 2303 (Leahy). Freedom for Americans to Travel to Cuba Act of 2019. 
Identical bil s would prohibit most restrictions on travel to or from Cuba by U.S. citizens and 
legal residents or any transactions incident to such travel. H.R. 3960 introduced July 25, 2019; 
referred to the Committee on Foreign Affairs. S. 2303 introduced July 29, 2019; referred to the 
Committee on Foreign Relations.  
H.R. 4884 (Mucarsel-Powell). Cuban Family Reunification Act. The bil  would direct the 
Secretary of State, in coordination with the Secretary of Homeland Security, to reinstate the 
Cuban Family Reunification Program, and to the extent practicable, make available to applicants 
under the program video teleconference capabilities. The bil  would also require the Secretary of 
State to assign appropriate temporary duty personnel to the U.S. Embassy in Havana to support 
the reinstatement of the parole program. Introduced October 28, 2019; referred to the Committee 
on the Judiciary.  
H.R. 6395 (Smith, Adam)/S. 4049 (Inhofe). National Defense Authorization Act for Fiscal Year 
2021. H.R. 6395 introduced March 26, 2020; House passed (295-125) July 21, 2020. S. 4049 
introduced June 23, 2020; Senate passed (86-14) July 23, 2020. On November 16, 2020, the 
Senate approved H.R. 6395, amended, by voice vote, substituting the language of S. 4049. 
Conference report, H.Rept. 116-617, to H.R. 6395 filed December 3. House agreed (335-78) to 
the conference report December 8. Senate agreed (84-13) to the conference on December 11, 
2020. 
The conference report included several Cuba-related provisions:  
  Section 1044 would extend a prohibition on the use of funds to close or 
relinquish control of the U.S. Naval Station at Guantanamo Bay, Cuba.  
  Section 1110 would extend workers’ compensation payments for federal 
government personnel under chief of mission authority in Cuba (and China) 
working for other federal agencies beyond the Department of State. 
  Section 1299Q, would, among its provisions, express the sense of Congress that 
the Office of Cuba Broadcasting (OCB) should remain an independent entity of 
the U.S. Agency for Global Media and continue taking steps to ensure OCB is 
fulfil ing  its core mission of promoting freedom and democracy by providing the 
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people of Cuba with objective news and information programming. The section 
also would require annual content reviews of OCB and would provide that the 
head of OCB may be appointed or removed only if such action has been 
approved by a majority of the Advisory Board.  
H.R. 7608 (Lowey)/ Senate draft bill (Graham). State, Foreign Operations, Agriculture, Rural 
Development, Interior, Environment, Military Construction, and Veterans Affairs Appropriations 
Act, 2021. Original y introduced and reported by the Appropriations Committee on July 13, 2020 
(H.Rept. 116-444), as the Department of State, Foreign Operations, and Related Programs 
Appropriations Act, 2021, the SFOPS bil  subsequently became the vehicle for three other 
appropriations measures. House passed (224-189) July 24, 2020. As approved, in Division A, 
Section 7007 would continue a provision prohibiting direct funding for the government of Cuba 
and Section 7015(f) would continue a provision prohibiting the obligation of funding for Cuba 
except through the regular notification procedures of the Committees on Appropriations.  
The report to the House bil   would provide $20 mil ion  for democracy programs and $12.973 
mil ion  for Cuba broadcasting. The report also would direct the Secretary of State to update a 
required report from H.Rept. 116-78 on implementing a comprehensive strategy on Cuba, 
including how the strategy avoids negative impacts on American businesses and supports the 
growth of a Cuban private sector independent of government control; in addition, the report is to 
update progress toward returning staffing levels at the U.S. Embassy in Havana to previous levels 
and the impact of the reduction on embassy operations, including visa processing.  
The Senate Appropriations Committee released its draft FY2021 bil   on November 10, 2020. 
Similar to the House bil , the Senate bil   would, in Section 7007, continue a provision prohibiting 
direct funding for the government of Cuba and, in Section 7015(f), continue a provision 
prohibiting the obligation of funding for Cuba except through the regular notification procedures 
of the Committees on Appropriations. The Senate bil   also would appropriate $12.973 for Cuba 
broadcasting, and the draft explanatory statement accompanying the bil  would recommend $20 
mil ion  for Cuba democracy programs.  
The draft explanatory statement to the Senate bil   also would support the reform of broadcasting 
standards at the Office of Cuba Broadcasting begun in 2019 and require the USAGM CEO, in 
consultation with the OCB Director, to provide quarterly updates to the appropriate congressional 
committees about the implementation of OCB reforms, brief such committees on the reforms, and 
submit a cost-benefit analysis of relocating al  or part of OCB operations to USAGM 
headquarters in Washington, DC. The explanatory statement would require the State Department 
to update several reports required in S.Rept. 116-126 for FY2020 (see P.L. 116-94 above) 
regarding the physical condition of the U.S. Embassy in Havana; Cuban foreign medical 
missions; consular services; internet access;, and any evidence of those responsible for, and the 
causes of, the health il nesses suffered by U.S. government personnel in Cuba.  
S. 428 (Klobuchar). Freedom to Export to Cuba Act of 2019. The bil  would repeal or amend 
many provisions of law restricting trade and other relations with Cuba, including certain 
restrictions in the Cuban Democracy Act of 1992 (CDA; P.L. 102-484, Title XVII), the Cuban 
Liberty and Democratic Solidarity (LIBERTAD) Act of 1996 (P.L. 104-114), and TSRA. 
Introduced February 7, 2019; referred to the Committee on Banking, Housing, and Urban Affairs. 
S. 1447 (Bennet). Agricultural Export Expansion Act of 2019. The bil  would amend TSRA to 
al ow private financing by U.S. persons of sales of agricultural commodities to Cuba. Introduced 
May 14, 2019; referred to Senate Committee on Banking, Housing, and Urban Affairs. 
S. 3977 (Scott, Rick). Cut Profits to the Cuban Regime Act of 2020. Introduced June 17, 2020; 
referred to the Committee on Foreign Relations. The bil  would require the State Department to 
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publish a list of countries that contract with Cuba’s medical mission program and to consider, 
when determining a country’s ranking for the annual Trafficking in Persons Report, whether the 
country participated in programs with foreign governments and organizations that involve or 
enable trafficking in persons. 
S. 4635 (Menendez). Combating Trafficking of Cuban Doctors Act of 2020. Introduced 
September 21, 2020; referred to the Committee on the Judiciary. The bil  would require  
  the Secretary of State to submit an annual report to Congress identifying 
countries hosting Cuban medical personnel who are participating in Cuban 
government foreign medical missions and determining whether such personnel in 
each country are subjected to conditions that qualify as severe forms of 
trafficking in persons; 
  the Secretary of Homeland Security, in coordination with the Secretary of State, 
to reinstate the Cuban Medical Professional Parole (CMMP) program;  
  the Secretary of State and the Secretary of Health and Human Services to submit 
a report to Congress that includes a review and findings of the role of the Pan 
American Health Organization (PAHO) in Brazil’s Mais Médicos program 
between 2013 and 2019, corrective actions taken by PAHO, and 
recommendations for further corrective actions; and  
  the Secretary of State and the Secretary of Health and Human Services to take al  
necessary steps to ensure PAHO undertakes governance reforms that strengthen 
internal oversight and risk management for future programs. 
S. 4973 (Collins). The bil  would authorize the provision of compensation to personnel of the 
Central Intel igence Agency and the Department of State who incur disabilities resulting from 
certain injuries to the brain. Introduced December 8, 2020; referred to Committee on Homeland 
Security and Governmental Affairs.  
Resolutions 
S.Res. 14 (Menendez)/H.Res. 136 (Sires). Similar resolutions would affirm that Cuba’s medical 
missions constitute human trafficking. The resolutions express the sense of each respective body 
that the State Department should downgrade Cuba to Tier 3 in its annual Trafficking in Persons 
Report and should reestablish the Cuban Medical Professional Parole program. S.Res. 14 
introduced January 10, 2019; referred to the Committee on Foreign Relations. H.Res. 136 
introduced February 14; referred to the Committee on Foreign Affairs. 
H.Res. 92 (King, Peter)/ S.Res. 232 (Menendez). Similar but not identical resolutions would 
cal  for the immediate extradition or rending to the United States of al  fugitives from justice who 
are receiving safe harbor in Cuba, urge the international community to continue to press for the 
immediate extradition or rendering of al   fugitives from justice that are receiving safe harbor in 
Cuba, and cal  on the Secretary of State and the Attorney General to continue to press for the 
immediate extradition or rendering of al   fugitives from U.S. justice so they may be tried and, if 
convicted, serve out their sentences. H.Res. 92 introduced January 30, 2019; referred to House 
Committee on Foreign Affairs. S.Res. 232 introduced June 5, 2019; referred to the Senate 
Committee on Foreign Relations. 
H.Res. 971 (Diaz-Balart)/S.Res. 637 (Rubio). Similar but not identical resolutions would 
commemorate the 35th anniversary of U.S. broadcasting to Cuba. H.Res. 971 introduced May 15, 
2020; referred to the Committee on Foreign Affairs. S.Res. 637 introduced June 23, 2020; 
referred to the Committee on Foreign Relations.  
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H.Res. 1172 (Mucarsel-Powell). Resolution would cal  for the release of Cuban political 
prisoner Silverio Portal Contreras and the provision of urgently needed medical attention; 
condemn the political y motivated imprisonment of dissidents in Cuba and cal  for the release of 
al  those who have been arbitrarily detained due to their advocacy for human rights and 
democracy; and urge the lifting of al  legal restrictions that impose limitations on the exercise of 
freedom of expression and association in Cuba. Introduced October 1, 2020; referred to the 
Committee on Foreign Affairs. (Note: Silverio Portal Contreras was released from prison on 
December 1, 2020.) 
S.Res. 215 (Braun). Resolution would cal  for greater religious and political freedom in Cuba 
and for other purposes, including for the continued implementation of the Cuban Liberty and 
Democratic Solidarity Act of 1996. Introduced May 21, 2019; referred to Committee on Foreign 
Relations.  
S.Res. 531 (Rubio). Resolution would honor Las Damas de Blanco for their work in support of 
freedom and human rights in Cuba and would cal  for the release of al   political prisoners in 
Cuba. Introduced March 5, 2020; referred to the Committee on Foreign Relations. 
 
 
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Appendix B. Links to U.S. Government Reports 
U.S. Relations with Cuba, Fact Sheet, Department of State 
Date: November 22, 2019 
Link: https://www.state.gov/r/pa/ei/bgn/2886.htm 
Congressional Budget Justification for Foreign Operations FY2020, Appendix 2, Department 
of State 
Date: May 22, 2019 
Link: https://www.state.gov/wp-content/uploads/2019/05/State-and-USAID-Appendix-2.pdf 
Congressional Budget Justification for Foreign Operations, FY2021, Appendix 2 
Date: August 2020 
Link: https://www.state.gov/wp-content/uploads/2020/04/FY21-CBJ-Appendix-2-FINAL-2.pdf 
Congressional Budget Justification FY2021, U.S. Agency for Global Media, United States 
Broadcasting Board of Governors 
Date: February 10, 2020 
Link: https://www.usagm.gov/wp-content/uploads/2020/02/FINAL-USAGM-FY-2021-
Congressional-Budget-Justification_2_9_2020.pdf 
Country Reports on Human Rights Practices for 2019, Cuba, Department of State 
Date: March 11, 2020 
Link: https://www.state.gov/wp-content/uploads/2020/02/CUBA-2019-HUMAN-RIGHTS-
REPORT.pdf 
Country Reports on Terrorism 2019, Cuba, Department of State 
 
Date: June 24, 2020 
Link: https://www.state.gov/reports/country-reports-on-terrorism-2019/cuba/ 
Cuba web page, Department of State 
Link: https://www.state.gov/countries-areas/cuba/ 
Cuba web page, Department of Commerce, Bureau of Industry and Security 
Link: https://www.bis.doc.gov/index.php/policy-guidance/country-guidance/sanctioned-
destinations/cuba 
Cuba web page, Department of Agriculture, Foreign Agricultural Service 
Link: https://www.fas.usda.gov/regions/cuba 
Cuba Sanctions web page, Department of State 
Link: https://www.state.gov/cuba-sanctions/ 
Cuba Sanctions web page, Department of the Treasury, Office of Foreign Assets Control 
Link: https://home.treasury.gov/policy-issues/financial-sanctions/sanctions-programs-and-
country-information/cuba-sanctions 
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International Religious Freedom Report for 2019, Cuba, Department of State 
Date: June 10, 2010 
Link: https://www.state.gov/reports/2019-report-on-international-religious-freedom/cuba/ 
International Narcotics Control Strategy Report 2020, Volume I, Drug and Chemical Control, 
p. 129, Department of State 
Date: March 2, 2020 
Link: https://www.state.gov/wp-content/uploads/2020/03/Tab-1-INCSR-Vol.-I-Final-for-Printing-
2-25-20-508.pdf 
International Narcotics Control Strategy Report 2020, Volume II, Money Laundering, pp. 86-
88, Department of State 
Date: March 2, 2020 
Link: https://www.state.gov/wp-content/uploads/2020/03/Tab-2-INCSR-Vol-2-508.pdf 
Overview of Cuban Imports of Goods and Services and Effects of U.S. Restrictions, U.S. 
International Trade Commission, Publication 4597 
Date: March 2016 
Link: https://www.usitc.gov/sites/default/files/publications/332/pub4597_0.pdf 
Trafficking in Persons Report 2019, Cuba, Department of State 
Date: June 24, 2019  
Link: https://www.state.gov/reports/2019-trafficking-in-persons-report-2/cuba/ 
Trafficking in Persons Report 2020, Cuba, Department of State 
Date: June 25 2020  
Link: https://www.state.gov/reports/2020-trafficking-in-persons-report/cuba/ 
 
 
 
Author Information 
 
Mark P. Sullivan 
   
Specialist in Latin American Affairs 
    
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