rights organization documenting 76 arrests for alleged same-sex conduct in 2018. (15) Anti-LGBTI laws not only endanger all LGBTI individuals, but also pose serious risks for those associated with or caring for LGBTI people. Studies have shown that when LGBTI people, especially LGBTI youth, face discrimination, they are less likely to seek HIV testing, prevention, and treatment services. (16) According to the Trans Murder Monitoring Project, which monitors homicides of transgender individuals, there were at least 369 cases of reported killings of trans and gender-diverse people between October 2017 and September 2018, an increase over previous years. The organization reports that a majority of the murders occurred in Brazil (167), Mexico (71), the United States (28), and Colombia (21), adding up to a total of 2982 reported cases in 72 countries worldwide between 1st of January 2008 and 30th of September 2018 . (17) According to the International Guidelines on HIV/AIDS and Human Rights, as published by the United Nations High Commissioner for Human Rights, and according to the July 2017 report of the Independent Expert on protection against violence and discrimination based on sexual orientation and gender identity, countries should review and reform criminal laws and correctional systems to ensure that they are consistent with international human rights obligations and are not misused or targeted against vulnerable groups. (18) Removing institutionalized discrimination and targeted persecution against LGBTI people around the world is a critical step in the promotion of human rights and global health internationally. (19) Anti-LGBTI laws and discrimination pose significant risks for LGBTI youth who come out to their family or community and often face rejection, homelessness, and limited educational and economic opportunities. These factors contribute to increased risks of substance abuse, suicide, and HIV infection among LGBTI youth. (20) On December 6, 2011, President Barack Obama released the Presidential