; Whereas the for-profit Cuban Medical Services Trading Corporation (CMS) commenced contracting Cuban doctors for the Mais Medícos program, and the first Cuban medical professionals arrived in Brazil in August 2013; Whereas Cuban doctors were the only medical professionals participating in the Mais Medícos program to have their salaries directly garnished by their government, and doctors of other nationalities serving in Brazil received the full amount of their salary; Whereas Cuban doctors participating in the Mais Medícos program faced severe limitations on their ability to travel inside Brazil and a prohibition on travel to neighboring countries; Whereas Cuban doctors participating in the Mais Medícos program were prohibited from having their families accompany them while stationed in Brazil; Whereas the Cuban doctors frequently had their passports taken by Government of Cuba officials present in Brazil in order to limit their ability to travel; Whereas the Department of State’s 2018 Trafficking in Persons (TIP) report documented how the Government of Cuba also confiscated Cuban doctors’ passports in other countries, and stated that the Cuban government acknowledges that it withholds passports of overseas medical personnel in Venezuela ; Whereas the Pan American Health Organization’s external auditor, the Spanish Court of Audit— (1) stated in its January 2018 report that 198 Cuban doctors have presented 159 legal challenges in the Brazilian court system since the start of the program in July 2013 demanding extra free time in their contracts and equal working conditions as doctors of other nationalities participating in the Mais Medícos program; and (2) stated in its April 2014 report, in recognition of the legal risks associated with the Mais Medícos program, that it would be prudent that PAHO set a contingency plan to face possible negative statements of [the] lawsuits