US: Bill before California Senate bill would modernise HIV criminalisation laws in line with the latest science

A bill before the California Senate would change laws that make it a felony to expose someone to HIV, recognizing advances in the science of HIV treatment and prevention. The proposed legislation received strong support at a recent hearing at the state Capitol.

Proponents say Senate Bill 239 would modernize existing laws in accordance with the latest research, promote public health, and reduce discrimination and stigma against people living with HIV.

“These felony laws were passed during the dark days of the epidemic, when people were talking about quarantining those living with HIV,” bill co-author Senator Scott Wiener (D-San Francisco) told the Bay Area Reporter. “The laws single out people with HIV for uniquely harsh criminal treatment for the simple act of having sex – even if there’s no risk of transmission. HIV is a health issue, not a criminal issue, and it’s time to repeal these discriminatory laws.”

Existing laws make it a felony punishable by up to eight years in prison for a person with HIV to expose another person through unprotected sex if the HIV-positive person knows they are infected, does not disclose their status, and acts with the intent to infect the other person – regardless of whether infection actually occurred. It is also a felony under certain circumstances for an HIV-positive individual to donate blood, organs, or semen to an HIV-negative person. Current laws treat HIV transmission more harshly than other serious communicable diseases.

A study from the UCLA School of Law found that around 800 people in California came in contact with the criminal justice system due to their HIV status between 1988 and 2014, in most cases related to sex work. Black and Latino people and women were disproportionately affected.

“Since [these laws] were originally written the realities of what it means to have HIV, as well as the possibility of transmitting it, have changed completely, with new medications when taken regularly normalizing life expectancy and eliminating the possibility of transmission,” Dr. Edward Machtinger, director of the UCSF Women’s HIV Program, said at the March 8 hearing. “This new reality requires a reassessment of the public health implications of HIV-related legislation.”

Bill would amend state codes

As the B.A.R. previously reported, Wiener and Assemblyman Todd Gloria (D-San Diego), both gay men, introduced SB 239 at a February 6 news conference at Strut, the San Francisco AIDS Foundation’s health and wellness center for gay, bi, and trans men.

The March 8 briefing, hosted by the Legislative LGBT Caucus, featured testimony from people living with HIV as well as LGBT, public health, and civil rights advocates.

“It’s time to really change from a fear-based approach to a science-based approach,” Gloria said at the hearing. “A couple of states have beaten us to taking this action, but I think if California can do it, certainly the rest of the country can take this step as well.”

Assemblyman David Chiu (D-San Francisco) and lesbian Assemblywoman Susan Talamantes Eggman (D-Stockton) co-authored the legislation. Co-sponsors include the American Civil Liberties Union of California, Black AIDS Institute, Equality California, Lambda Legal Defense and Education Fund, and Positive Women’s Network-USA, all of which are part of the Californians for HIV Criminalization Reform Coalition.

SB 239 would amend sections of the state Health and Safety Code and Penal Code to make transmission of a communicable disease – not singling out HIV – a misdemeanor if a person knows they are infected, acts with the intent to transmit, engages in conduct that poses a substantial risk of transmission, and the other person does in fact become infected.

If passed, the proposal would overturn previous convictions under the old law, as well as expunge related criminal records and allow a person serving time to have their sentence dismissed. It would also repeal laws that require people convicted of prostitution to be tested for HIV and increase penalties if they test positive. A penalty enhancement for HIV-positive people convicted of sexual assault would not be changed.

Wiener’s communications director, Jeff Cretan, told the B.A.R. that the bill is scheduled for a hearing before the Public Safety Committee March 28, after which it would go before the Appropriations Committee and then to the full Senate for a vote.

Advocates support reform

Reform proponents say SB 239 would bring laws in line with current science, which shows that HIV-positive people who are on antiretroviral treatment with an undetectable viral load can live long and healthy lives and do not transmit the virus to others. In addition, the advent of PrEP, which reduces the risk of HIV infection by more than 90 percent if taken consistently, has changed the meaning of “unprotected” sex.

“We know that people with undetectable levels of virus are very, very unlikely to transmit [HIV],” San Francisco Supervisor Jeff Sheehy, a gay man and the first out HIV-positive person to sit on the board, told the B.A.R. “Many people at risk for contracting the virus are using PrEP to prevent getting infected. These laws, which should never have been passed in the first place, fail to acknowledge these new realities.”

Proponents contend that HIV criminalization laws do not promote public health, but rather discourage people from getting tested, seeking treatment, and disclosing their status to sex partners.

“HIV criminalization laws not only perpetuate discrimination against people living with HIV, they paradoxically discourage people from getting tested, since the laws create greater liability for those who know their status,” Eric Paul Leue, executive director of the Free Speech Coalition, a trade group for the adult entertainment industry that is a member of the CHCR coalition, told the B.A.R.

Existing laws can also discourage vulnerable people with HIV from reporting sexual abuse and violence, according to Naina Khanna, executive director of Positive Women’s Network-USA.

“A myth has been perpetuated that women are somehow protected by these laws, [but] they don’t protect us in any way,” Khanna said at the hearing. “These laws deter people from disclosing their status, they deter access to testing, they may deter people from seeking treatment, and consequently they actually increase risk for everybody. Policing and criminalization targets people of color, targets those who are unstably housed, folks who are homeless and on the streets, and people who are trans and gender non-conforming.”

SB 239 is part of a national and global movement to reform laws that target people living with HIV.

“SB 239 will go a long way toward eliminating a bias in the law and bringing California to the forefront in the effort to combat HIV-related stigma, discrimination, and criminalization,” Sero Project executive director Sean Strub told the B.A.R. “We can prosecute HIV or we can prevent it, but we can’t do both.”

Published in the Bay Area Reporter on March 23rd, 2017

US: Bill introduced in California to modernise outdated laws criminalising HIV

Sen. Scott Wiener and Assembly member Todd Gloria Announce Bill to Modernize Discriminatory HIV Criminalization Laws

APLA Health and other organizations join in support of bill to reform outdated laws that have not been updated since the 1980s and ‘90s

Today, California Sen. Scott Wiener (D-San Francisco) and Assembly member Todd Gloria (D-San Diego) introduced a bill to modernize laws that criminalize and stigmatize people living with HIV. Assembly member David Chiu is also a co-author of the bill, SB 239. SB 239 would amend California’s HIV criminalization laws, enacted in the 1980s and ’90s at a time of fear and ignorance about HIV and its transmission, to make them consistent with laws involving other serious communicable diseases.

The bill is co-sponsored by: APLA Health, the ACLU of California, Black AIDS Institute, Equality California, Lambda Legal, and Positive Women’s Network – USA. The organizations are part of Californians for HIV Criminalization Reform (CHCR), a coalition of people living with HIV, HIV and health service providers, civil rights organizations, and public health professionals dedicated to ending the criminalization of HIV in California. San Francisco Supervisor Jeff Sheehy also attended the announcement.

“These laws are discriminatory, not based in science, and detrimental to our HIV prevention goals,” Sen. Wiener says. “They need to be repealed. During the 1980s—the same period when some proposed quarantining people with HIV—California passed these discriminatory criminal laws and singled out people with HIV for harsher punishment than people with other communicable diseases. It’s time to move beyond stigmatizing, shaming, and fearing people who are living with HIV. It’s time to repeal these laws, use science-based approaches to reduce HIV transmission (instead of fear-based approaches), and stop discriminating against our HIV-positive neighbors.”

SB 239 updates California law to approach transmission of HIV in the same way as transmission of other serious communicable diseases. It also brings California statutes up to date with the current understanding of HIV prevention, treatment, and transmission. Specifically, it eliminates several HIV-specific criminal laws that impose harsh and draconian penalties, including for activities that do not risk exposure or transmission of HIV. It would make HIV subject to the laws that apply to other serious communicable diseases, thereby removing discrimination and stigma for people living with HIV, and maintaining public health.

“It’s time for California to reevaluate the way it thinks about HIV and to reduce the stigma associated with the disease,” Assemblymember Gloria says. “Current state law related to those living with HIV is unfair because it is based on the fear and ignorance of a bygone era. With this legislation, California takes an important step to update our laws to reflect the medical advances which no longer make a positive diagnosis equal to a death sentence.”

“These laws are outdated and only serve to fuel the spread of HIV in our communities. They also disproportionately impact people of color and women,” APLA Health CEO Craig E. Thompson says. “Our understanding of HIV has changed significantly since the 1980s and our laws need to change to reflect that. Updating these laws will reduce stigma and prevent people from going to prison simply because they are living with a chronic disease. We appreciate the leadership of Senator Wiener and Assemblymember Gloria on this critical social justice issue.”

In addition to the organizations co-sponsoring the bill, other CHCR members supporting the legislation include the Los Angeles LGBT Center, the Los Angeles HIV Law and Policy Project, the Transgender Law Center, Mexican American Legal Defense and Education Fund, the Free Speech Coalition, Sex Workers Outreach Project, and Erotic Service Providers Legal, Education, and Research Project.

Published on February 7, 2017 in AplaHealth

Uganda: 5 months after filing their initial petition, activists renew their call to amend HIV law

Activists renew call for HIV law amendment

By Noah Jagwe

They argue that the law contains clauses that could deter all the benefits in the fight against the scourge.

According to this group, the law instead instills fear in communities about HIV disclosure and also fuels stigmatization.

Earlier this year, some 60 civil society organizations across the country challenged the criminalization of HIVin Uganda as well as other ‘harmful’ provisions in the Act.

Dora Kichoncho Musinguzi, the executive director Uganda Network on Law and Ethics, said the salient features that are scanned out in the law which they consider discriminatory are: Clauses 21, 41 and 43 of the Act that seek to criminalize HIV, particularly intentional transmission.

The Act would require mandatory disclosure of one’s HIV status, failure of which would be regarded as “criminal”, and attempting to or, intentionally transmitting the virus.

Failure to use a condom where one knows their HIV status would constitute a criminal offence, making them liable for prosecution.

The provisions in the HIV Act, according to Kichonco, do not only stigmatize and discriminate against people living with HIV, but also deter communities from seeking HIV services such as HIV testing and subsequently HIV treatment.

“It is five months since we filed the petition. The government has not responded to our case. This is procedurally wrong and negates justice,” she said.

Kichoncho said if the law continues “as we could see”, it would heighten stigmatization of people living with HIV and that many of the targets such as 90% of people knowing their status, 90% of those who with HIV are on treatment and 90% with suppressed  viral load set by the country might not be achieved.

“The law has been counterproductive to all the achievements Uganda has made.”

She said the legal environment in Uganda is not conducive and human rights have not been respected. “Laws that criminalize and stigmatize people with HIV must be repealed.”

Meanwhile, Dorothy Nassolo, communications officer of Forum of People Living with HIV/Aids Networks in Uganda said there is a crisis the country might not stand.

She said a number of patients have been hacked to death because they have been discovered by their spouses for taking ARVs covertly.

National Forum of People Living with HIV/AIDS officer Milly Katana said the most affected group by the law are women through gender-based violence at home.

Katana said it’s better for Uganda to look at other alternatives for instance biomedical tools, medical male circumcision and condoms. –

Published in New Vision on Dec 1, 2016

Canada: UN experts recommends that Canada review its criminal laws to prevent unjust prosecutions of people living with HIV

UN experts make historic recommendations to Canada: End unjust HIV criminalization, repeal law restricting supervised consumption services, and implement needle and syringe programmes in prison

By AIDSLAW | Published: NOVEMBER 18, 2016

GENEVA, November 18, 2016 — The United Nations Committee on the Elimination of Discrimination against Women issued its Concluding Observations today following its review of Canada’s compliance with the Convention on the Elimination of All Forms of Discrimination against Women. This is the first time the Committee reviewed women’s rights in Canada since 2008.

Documents can be downloaded here

Czech Republic: Police drop charges against all 30 gay men living with HIV following Prague Public Health Authority ‘witch hunt’

All criminal charges have been dropped against the 30 gay men living with HIV who were reported to the police by the Prague Public Health Authority earlier this year after they were diagnosed with an STI, Czech media report today.

The draconian behaviour of Prague Public Health led to widespread condemnation by human rights defenders.

A change.org petition initated by the European AIDS Treament Group (EATG) was signed by more than 1000 supporters, including the HIV Justice Network.

Today’s media report in Aktuálně.cz notes that three of the 30 men had been indicted for potential HIV transmission (under a law criminalising ‘the spread of infectious human diseases‘) but prosecutorial authorities withdrew the charges due to lack of evidence.

Police spokesman, Jan Danek, told the paper that following an investigation there was no case to prove against any of the 30 men and all charges had been dropped.

Canada: HIV activists form national coalition to lobby for an end to the criminalisation of people living with HIV

HIV activists form Canadian coalition to fight criminalization

Aggravated sexual assault convictions for HIV non-disclosure are unjust, members say.

A group of HIV activists, lawyers, and service providers from across Canada have formed a national coalition to call for an end to the criminalization of people living with HIV.

The Canadian Coalition to Reform HIV Criminalization, years in the making, will lobby nationally for people who have been charged for not disclosing their HIV status. Up until now, this work was only done locally and provincially, and mostly by lawyers rather than people most affected by the law.

“We have an amazing expert community of lawyers working on this issue,” says Alexander McClelland, a Montreal-based HIV criminalization researcher and member of the coalition. “But lawyers talk to other lawyers and haven’t been engaged more broadly. So hopefully we can shift things with the way the coalition is organized. We’re really centrally placing lived experience of people on our steering committee.”

Under Canadian law, a person living with HIV must disclose their status to anal and vaginal sexual partners or face the charge of aggravated sexual assault, which carries a maximum lifetime sentence and registry as a sex offender. This standard was most recently upheld in a 2012 Supreme Court of Canada ruling based on outdated science. The court ruled that to be considered safe enough not to disclose, HIV carriers must have very low viral load and wear condoms. Research now shows, however, that low viral load itself is enough to be nearly perfectly safe.

Coalition members met in October after many attended the HIV Is Not A Crime 2 Training Academy in Huntsville Alabama. Realizing the national level of organization in the United States led by people who have been charged and convicted, the attendees realized Canada needed something similar.

The coalition wants to limit prosecutions to intentional transmissions of HIV. Of over 180 known HIV prosecutions in Canada since the discovery of the virus as the cause of AIDS, there have been just two known intentional transmissions, according to Cecile Kazatchkine, senior policy analyst with the Canadian HIV/AIDS Legal Network.

The large percentage of unjust prosecutions in Canada, she says, has a chilling effect on people living with the virus.

“Many [HIV positive] people fear being prosecuted, of that happening to them at some point, like an old partner coming back to them and saying things that may not be true but it’s one word against another.”

The law is constructed to protect the sexual autonomy of women, Kazatchkine says, but it can often have the opposite effect on many HIV-positive women living in abusive relationships who fear their partners could use their status against them if they tried to leave.

“There’s a climate of fear and uncertainty that guides everything that we do and so it would be great to intervene in that and change the current situation,” adds McClelland, who lives with HIV.

Though still in its early stages, the coalition is concentrating on three areas: involving the lived experiences of those who live with the virus and have been criminally charged, lobbying provincial and federal politicians to change the Criminal Code and how it is enforced, and publicizing unjust prosecutions.

The group is also working on specific demands for the federal government, which writes the criminal law, and for provincial governments, which administer the law through the courts.

McClelland says coalition members have spoken to Minister of Justice Jody Wilson-Raybould, which he finds promising, since no such meeting took place under the previous Conservative government.

“It’s also really, really hard to get the Criminal Code reformed,” he notes, “but if we can appeal to members of parliament that it’s being applied so unjustly, then potentially there’s an option for that.”

Published in DailyXtra on Nov 14, 2016

US: Idaho activists are looking to reform Idaho's HIV Criminalisation laws

Local activists are looking to reform and modernize Idaho’s code on the transfer of bodily fluid containing HIV or AIDS virus. The law was created in the 1980’s, a time when HIV and AIDS was a rising issue in the country.  In the last 10 years, 32 people have been charged under the law. Activists and health officials say scientifically its outdated.

In 1988 Idaho created a law to punish anyone HIV positive, who transferred their body fluids with intentions to expose or infect someone else. Ian Troesoyer a Registered Nurse and Epidemiologist at Southeast Idaho Public Health says,”Singling out HIV from a biological perspective it doesn’t make perfect sense. But in the 1980s when the law was created there was a lot more fear and greater lack of knowledge regarding the transmission.”

Under the code body fluids are: Semen, blood saliva, vaginal secretion, breast milk and urine. But 28 years later health experts say, “So saliva and urine, saliva in particular, they are not known to transmit HIV.” Which is why local activists in Pocatello want to modernize Idaho Code 39-608. Kevin Lish the Board Chair of All Under One Roof says, “These laws come down a lot of times to a ‘He said, she said’ situation.”

The crime carries a maximum of 15 years in prison. In the last decade 12 people across the state have been convicted including a man named Kerry Thomas. He’s serving 30 years for not telling his partner. He says in a video posted on SEROProject.com, “I’m glad that she, three years down the road… she’s not positive.”

Health experts and activists say with an outdated law, there’s a stigma associated with the disease that could increase people’s risks. Lish says, “We have the tools to get to an HIV free generation. One of the things we need to do is update laws like this so people feel good about being tested and are getting tested when they need to.”

Activists say speaking to legislators about changing the law will take years. Educating the public is their first mission before heading to the capitol steps in Boise. On National AIDS Awareness Day, All Under One Roof will host an event on December 1st at 234 North Main Street at 7 p.m. There they will educate the public on the statue, and how they’d like to change it.

On Friday November 11, representatives will speak with Elizabeth Taylor’s granddaughter in Boise about how the Elizabeth Taylor’s AIDS Foundation can help their cause.

Published on KPVI on Nov 10, 2016

US: Movement to reform Michigan's HIV-specific law is gaining momentum

A movement to reform Michigan’s HIV-specific law is gaining momentum in the state House. Activists report a lobby day last month has garnered eight co-sponsors for the legislation, proposed by Rep. Jon Hoadley, D-Kalamazoo.

The legislation is being promoted by the grassroots organization Michigan Coalition for HIV Health and Safety.

“The coalition is excited to have the support and sponsorship of our modernization bill from eight of our Michigan state representatives, but we have a long way to go,” said Kelly Doyle, Coalition Manager. “We need activists and volunteers willing to talk to elected officials about the harm and threat to public health these laws are creating.”

In addition to Rep. Jon Hoadley, D-Kalamazoo, the bill’s author and lead sponsor, state representatives who have all agreed to sign on as co-sponsors include: Reps. Andy Schor, D-Lansing; Tom Cochran, D-Lansing; Jeremy Moss, D-Southfield; David LaGrand, D-Grand Rapids; George Darany, D-Dearborn; LaTanya Garrett, D-Detroit; and Robert Wittenberg, D-Oak Park. Advocates will be gathering at least five more co-sponsors before Hoadley introduces the legislation.

The legislation would change Michigan’s HIV-specific law from a felony to a misdemeanor and provide legal structure around prosecutions which would require prosecutors to prove beyond a reasonable doubt that the accused intended to transmit the virus and took actions which had a significant likelihood of transmission. Those who are proven to have intended to transmit the infection and actually did would face up to one year in jail; those who intended to transmit the infection but didn’t would face up to 93 days in jail.

Key to the modernization is a requirement that prosecutors and courts take into account current science about HIV transmission. Studies have shown that a person who is HIV-positive but successfully treating their infection with antiretroviral drugs so the virus is not detectable in their blood are extremely unlikely to transmit the infection. However, Michigan’s law currently does not allow this information as a defense.

Michigan’s law, passed in 1988, requires those who know they are infected with HIV to disclose that status prior to any sexual penetration, “however slight.” The law came out of a Republican House Task Force Report on AIDS in 1987 which wanted to stop those persons “who would deliberately or recklessly expose others to the infection.” Studies of the impact of Michigan’s law have found that behavior that is unlikely to transmit the infection has resulted in prosecutions. In addition, there appears to be a racial disparity in prosecutions focusing on black men who have sex with women. And finally, there is evidence that the law has become a weapon for domestic abusers as a way to control their intimate partners. Additional studies have found a small, but significant, minority of people at high risk for HIV infection are less likely to be tested for or discuss their risk for infection with medical providers because of such laws.

“This is an important modernization and is needed to protect the health and safety of everyone in Michigan,” said Hoadley. “Our laws are out of date. This effort would align our laws with modern HIV science, keep our communities safe and recognize the lived experiences of people living with HIV.”

Activists will lobby lawmakers again on Nov. 10 and Dec. 6 in Lansing from 9 a.m. to 4 p.m. each day. They will start the day at the ninth floor conference room of the House Office Building, 124 North Capital Ave., Lansing. For more information email Todd@MCHHS.info or visit MCHHS.info.

Australia: Australian experts publish statement urging courts to consider current scientific evidence in criminal cases involving alleged HIV transmission or exposure

A group of leading HIV experts are calling for “caution to be exercised” when considering criminal charges against people who recklessly spread the disease.

In a consensus statement published in the Medical Journal of Australia, Australian researchers and scientists — including Professor Sharon Lewin and Professor Andrew Grulich — argue that “criminal cases involving HIV transmission or exposure require that courts correctly comprehend the rapidly evolving science of HIV transmission and the impact of an HIV diagnosis”.

The statement cites scientific evidence that shows the risk of HIV transmission to be negligible if a person is on treatment and has an undetectable viral load. It also claims that HIV isn’t as serious a condition as it used to be: “Most people with HIV are able to commence simple treatment providing them a normal and healthy life expectancy, largely comparable with their HIV-negative peers.”

“Given the limited risk of HIV transmission per sexual act and the limited long-term harms experienced by most people recently diagnosed with HIV, appropriate care should be taken before prosecutions are pursued,” says the statement.

While acknowledging that cases of deliberate transmission of HIV are “extremely unusual”, the group urge authorities to change behaviours through counselling rather than the courts.

“Careful attention should be paid to the best scientific evidence on HIV risk and harms, with consideration given to alternatives to prosecution, including public health management.”

The statement has been welcome by HIV advocacy groups.

“It’s incredible to see these experts come together and make a bold statement regarding HIV and the law,” said Richard Keane, President of Living Positive Victoria.

“The impact of HIV criminalisation or even the threat of it is a dangerous form of stigma and we’re still feeling the ripple effect more than two decades later.”

There have been at least 38 Australian criminal prosecutions for HIV sexual transmission or exposure since 1991.

“You don’t have to be convicted or even prosecuted for HIV criminalisation to affect you,” said Keane.

“The HIV community lives with the threat that a complaint can be made against us and the stigma that criminal prosecutions amplify and perpetuate.”

Keane hoped the statement’s focus on utilising the public health system rather the criminal courts in dealing with behaviour change would lead to better outcomes on policy.

“Most people on treatment are able to achieve an ‘undetectable’ viral load which makes it highly likely that the person will remain healthy and pose a negligible risk of transmitting HIV,” Keane said.

“The evidence outlined in this statement shows that the per-act risk of HIV transmission from even the most risky sex is still low. The message should be to encourage individuals to take care of their health and eliminate barriers to accessing treatment rather than intimidation through the justice system.

“By focusing on what the studies and science is telling us about treatments, relative risk and harm, that’s how we reduce HIV transmission whilst protecting the rights and dignity of people living with HIV. HIV is a health issue, not a criminal justice issue.”

Additional reporting Positive Living.

Published in Gay News Network on Nov 6, 2016