Criminal transmission of HIV in the United States explained

The criminal transmission of HIV in the United States varies among jurisdictions. More than thirty of the fifty U.S. states have prosecuted HIV-positive individuals for exposing another person to HIV. State laws criminalize different behaviors and assign different penalties. While pinpointing who infected whom is scientifically impossible, a person diagnosed with HIV who is accused of infecting another while engaging in sexual intercourse is, in many jurisdictions, automatically committing a crime. A person donating HIV-infected organs, tissues, and blood can be prosecuted for transmitting the virus. Spitting or transmitting HIV-infected bodily fluids is a criminal offense in some states, particularly if the target is a prison guard. Some states treat the transmission of HIV, depending upon a variety of factors, as a felony and others as a misdemeanor.

Criminal statutes were intended to reduce HIV transmission by encouraging safe sex practices, increased HIV testing, and disclosure of HIV status. The Ryan White CARE Act passed in 1990 had a significant influence on these laws, as states were required to have criminal regulations on HIV transmission to be eligible to receive federal funds for HIV-related health programs. Unfortunately, these laws did not appear to have the intended effect. In October 2012, the HIV Medicine Association (HIVMA) of the Infectious Diseases Society of America (IDSA) called for the repeal of statutes that criminalize HIV-related behavior, writing: "Policies and laws that create HIV-specific crimes or that impose penalties for persons who are HIV-infected are unjust and harmful to public health around the world." It argued that such laws contribute to stigmatization and discrimination that inhibit diagnosis and result in "harsh sentencing for behaviors that pose little to no risk of HIV transmission." It advised that "All state and federal policies, laws and regulations ... be based on scientifically accurate information regarding HIV transmission routes and risk."[1]

In 2017 the Centers for Disease Control and Prevention (CDC) stated that those who are on HIV medication and have undetectable viral loads can no longer transmit the virus while their viral load is undetectable, but the possibility for a person to not use a prescription and continue to infect others remains.[2] [3] [4] They did not specify how long after an undetectable viral load test a person can guarantee that they are still undetectable, as viral loads can rise very quickly.

Federal law and policy

National HIV/AIDS strategy

In July 2010, the White House announced a major change in its HIV/AIDS policy; the "National HIV/AIDS Strategy for the United States" stated that "the continued existence and enforcement of these types of laws [that criminalize HIV infection] run counter to scientific evidence about routes of HIV transmission and may undermine the public health goals of promoting HIV screening and treatment."[5] The administration's strategy cited a 2008 paper by Scott Burris and Edwin Cameron, a South African judge: "The use of criminal law to address HIV infection is inappropriate except in rare cases in which a person acts with conscious intent to transmit HIV and does so."[6]

In September 2010, the Center for HIV Law and Policy launched the Positive Justice Project, a campaign to combat HIV-related stigma and discrimination against people with HIV by the US criminal justice system.[7] In November the Project released a 293-page manual detailing HIV-specific laws and prosecutions in the 50 states, District of Columbia, U.S. Territories, Federal government, and the U.S. military.[8]

On March 15, 2014, the U.S. Department of Justice (DOJ) along with the Centers for Disease Control published a study of HIV-specific state laws called "Prevalence and Public Health Implications of State Laws that Criminalize Potential HIV Exposure in the United States".[9]

On July 15, 2014, the DOJ released a paper called "Best Practices Guide to Reform HIV-Specific Criminal Laws to Align with Scientifically-Supported Factors", designed to guide states in updating their statutes to "reflect contemporary understanding of HIV transmission routes and associated benefits of treatment" and to establish policies that "do not place unnecessary burdens on individuals living with HIV/AIDS".[10]

Proposed federal legislation

REPEAL HIV Discrimination Act was the abbreviated name of the 'Repeal Existing Policies that Encourage and Allow Legal HIV Discrimination Act' (H.R. 3053), also called the REPEAL Act, proposed legislation that was introduced in the U.S. Congress on September 23, 2011, by Rep. Barbara Lee (D-CA).[11] It called for review of all federal and state laws, policies, and regulations regarding the criminal prosecution of individuals for HIV-related offenses. It was the first piece of federal legislation to address HIV criminalization and provided incentives for states to reconsider laws and practices that target people with HIV for consensual sexual activity and conduct that poses no risk of HIV transmission.[12] The bill had 41 cosponsors and was referred in September/October 2011 to three subcommittees, where it died.[11]

Barbara Lee re-introduced the REPEAL HIV Discrimination Act 2013 as H.R. 1843 in May 2013 with 42 cosponsors, and it again died in three subcommittees.[13] Senator Chris Coons introduced the legislation as S.1790 on December 10, 2013, and it did not make it out of the Judiciary Committee.[14]

Immigration

In 2012, the Department of Homeland Security (DHS) used the conviction of Jose Luis Ramirez, an HIV-positive immigrant, of solicitation for oral sex as an argument for his deportation, calling it a "particularly serious crime". An immigration judge ordered his deportation, but the DHS withdrew its argument and the Board of Immigration Appeals (BIA) reversed the deportation order on May 31, 2013.[15]

State law and policy

Statutes

As of 2019, at least 29 states criminalize "nondisclosure, exposure or transmission" of HIV,[16] while an additional 5 states use this to justify enhancements for sentences for other crimes.[17] As of 2008, 33 states had laws regarding the criminalization of HIV transmission.[18]

The following states may currently have laws that prosecute individuals for criminal exposure of HIV: Alabama, Alaska, Arkansas, California, Colorado, Delaware, Florida, Georgia,[19] Idaho, Illinois,[20] Indiana,[21] [22] Iowa,[23] Kansas, Kentucky, Louisiana, Maryland, Michigan,[24] Minnesota, Mississippi, Missouri,[25] Montana,[26] Nevada, New Jersey, New York,[27] North Carolina,[28] North Dakota, Ohio,[29] Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, and Washington.[28] [30]

Minnesota has a statute that criminalizes the transmission of certain communicable diseases including HIV. Under that statute, Daniel James Rick, despite having informed his sexual partner of his HIV status, was charged with attempted first-degree assault with great bodily harm. His conviction in the trial court was overturned on appeal, and the Supreme Court of Minnesota on August 21, 2013, agreed that the prosecutor had misapplied the statute's provision meant to address the transmission of a communicable disease in non-sexual contexts, such as sperm or organ donations.[31] [32]

Iowa Code 709c was one of the most severe criminal transmission of HIV laws in the country until its repeal 1 May 2014. For 16 years it allowed anyone with HIV exposing another person without disclosing his or her positive status, whether infection occurred or not, to be convicted of a class B felony, i.e. up to 25 years in prison and mandated registration as a sex offender.[33] It has been called "draconian". According to the Iowa Department of Public Health, Iowa ranked second in prosecutions behind Tennessee of persons with HIV, despite having a relatively small number of persons living with HIV/AIDS.[34] Efforts to modernize had been underway since at least 2009, led by Community HIV/Hepatitis Advocates of Iowa Network (CHAIN) and 12 other Iowa medical professional, public health, civil rights and stakeholder organizations. Senate File 2297 redefined crimes for transmission of HIV, as well as hepatitis, tuberculosis and meningococcal disease and introduced a tiered-system of sentencing: Intentional transmission remains a class B felony, but if there is intent and no transmission it is a class D felony. Exposing an individual due to reckless disregard without intent to transmit is also a class D felony. It also includes defense in court, if following a treatment regimen and physician’s advice, and no longer requires sex offender registration. On 27 February 2014, SF2297 passed the Iowa Senate by a 48-0 margin[35] attracting national media attention.[36] The House Judiciary passed an amended version on March 13, 2014 reintroducing "too much of the existing law".[37] Senate File 2297 remained on the House’s list of unfinished business and was passed after going virtually unmentioned just in time before the legislature's adjournment in the early hours of 1 May 2014. Its passage repealed 709C and codified its replacement 709D.[38]

There are also a variety of state laws regarding perinatal HIV testing of the mother and/or newborn during and following birth.[39]

Prosecutions

Prosecutions have included:

The Center for HIV Law and Policy has documented 168 cases of prosecution between January 2008 and June 2013.[52]

See also

External links

Notes and References

  1. Web site: HIVMA Urges Repeal of HIV-specific Criminal Statutes. HIV Medicine Association. December 6, 2012. https://web.archive.org/web/20140426232551/http://www.hivma.org/uploadedFiles/HIVMA/FINAL%20HIVMA%20Policy%20Statement%20on%20HIV%20Criminalization.pdf. April 26, 2014. dead.
  2. Web site: HIV Treatment as Prevention - HIV Risk and Prevention - HIV/AIDS - CDC. 10 September 2018. www.cdc.gov. 18 October 2018.
  3. Web site: Those with undetectable HIV at "effectively no risk" of transmitting virus, CDC says. NBC News. 18 October 2018.
  4. Web site: HIV drugs now so effective people on them cannot transmit virus. Independent.co.uk. 18 October 2018. 2017-10-09.
  5. Web site: National HIV/AIDS Strategy for the United States. 35. The White House Office of National AIDS Policy. July 2010. December 6, 2012.
  6. Burris . Scott . Cameron . Edwin . 2008-08-06 . The Case Against Criminalization of HIV Transmission . JAMA . en . 300 . 5 . 578–581 . 10.1001/jama.300.5.578. 18677032 .
  7. News: Heywood. Todd A.. New group seeks end to HIV-specific criminal laws. July 22, 2014. The Iowa Independent. September 28, 2010. dead. https://web.archive.org/web/20140809165410/http://iowaindependent.com/44113/new-group-seeks-end-to-hiv-specific-criminal-laws. August 9, 2014.
  8. Web site: Ending and Defending Against HIV Criminalization: State and Federal Laws and Prosecutions, Vol.1, First Edition . The Resource Bank . Center for HIV Law and Policy . Fall 2010 . René Bennett-Carlson . December 6, 2012 . dead . https://web.archive.org/web/20110827115736/http://www.hivlawandpolicy.org/resources/view/564 . August 27, 2011 .
  9. 10.1007/s10461-014-0724-0 . Prevalence and Public Health Implications of State Laws that Criminalize Potential HIV Exposure in the United States . 2014 . Lehman . J. Stan . Carr . Meredith H. . Nichol . Allison J. . Ruisanchez . Alberto . Knight . David W. . Langford . Anne E. . Gray . Simone C. . Mermin . Jonathan H. . AIDS and Behavior . 18 . 6 . 997–1006 . 24633716 . 4019819 .
  10. U.S. Department of Justice: "Justice Department Releases Best Practices Guide to Reform HIV-Specific Criminal Laws to Align with Scientifically-Supported Factors", July 15, 2014, accessed July 21, 2014
  11. http://beta.congress.gov/bill/112th-congress/house-bill/3053?q=hr3053 H.R.3053 - REPEAL Act
  12. Web site: Why Federal Legislation Matters: The REPEAL HIV Discrimination Act, 26 September 2011. Center for HIV Law and Policy. December 6, 2012. 25 April 2012. https://web.archive.org/web/20120425063155/http://www.hivlawandpolicy.org/posts/view/113. dead.
  13. Web site: Lee. Barbara. H.R.1843 - REPEAL HIV Discrimination Act of 2013. Congress.gov. Library of Congress. 1 May 2014. 7 May 2013.
  14. News: Roberts. Dan . New bill seeks to repeal outdated state HIV discrimination laws. December 12, 2013. The Guardian. December 10, 2013.
  15. News: Immigration Court rules in favor of HIV-positive man facing deportation . June 5, 2013 . San Diego Gay & Lesbian News. June 5, 2013.
  16. News: Opinion Living With H.I.V. Isn't a Crime. Why Is the United States Treating It Like One?. Beyrer. Chris. 2019-08-26. The New York Times. 2019-08-26. Suttle. Robert. en-US. 0362-4331.
  17. Web site: HIV Criminalization in the United States (PDF infographic). 1 March 2019. The Center for HIV Law and Policy. 26 August 2019. 15 July 2019. https://web.archive.org/web/20190715124746/http://www.hivlawandpolicy.org/sites/default/files/CHLP%20HIV%20Crim%20Map%20030119.pdf. dead.
  18. Web site: Criminal statutes on HIV transmission. Lesbian and Gay Rights Project. ACLU. 13. pdf 123.67 KB. June 4, 2008.
  19. Web site: § 16-5-60 - Reckless conduct causing harm to or endangering the bodily safety of another; conduct by HIV infected persons; assault by HIV infected persons or hepatitis infected persons :: 2010 Georgia Code :: US Codes and Statutes :: US Law :: Justia . law.justia.com/ . May 24, 2015.
  20. Web site: Illinois Criminal Transmission of HIV Act . dead . https://web.archive.org/web/20120718044240/http://www.aidslegal.com/LegalAssist/Criminal_Transmission.pdf . 2012-07-18 . 2012-12-06.
  21. Web site: Indiana Code 35-42-1 . In.gov . July 1, 1989 . October 17, 2011.
  22. Web site: Indiana Code 35-42-2 . In.gov . October 17, 2011.
  23. Web site: Iowa Code 2003SUPPLEMENT: Section 709C.1. July 18, 2010. https://web.archive.org/web/20100506083201/http://www.legis.state.ia.us/IACODE/2003SUPPLEMENT/709C/1.html. May 6, 2010. dead.
  24. Web site: Michigan Legislature – Section 333.5210 . Legislature.mi.gov . March 30, 1989 . October 17, 2011.
  25. Web site: Section 191-677 Prohibited acts, criminal penalties . Moga.mo.gov . August 28, 2010 . October 17, 2011 . November 18, 2011 . https://web.archive.org/web/20111118171543/http://www.moga.mo.gov/statutes/c100-199/1910000677.htm . dead .
  26. Web site: 50-18-112. Infected person not to expose another to sexually transmitted disease . Data.opi.mt.gov . October 17, 2011 . dead . https://web.archive.org/web/20111003130742/http://data.opi.mt.gov/bills/mca/50/18/50-18-112.htm . October 3, 2011 .
  27. News: Wave of Laws Aimed at People With H.I.V . The New York Times . Lynda . Richardson . September 25, 1998.
  28. News: Criminal Statutes on HIV Transmission, 2008. Statehealthfacts.org. July 18, 2010. dead. https://web.archive.org/web/20100526051214/http://www.statehealthfacts.org/comparetable.jsp?cat=11&ind=569. May 26, 2010.
  29. Web site: Lawriter – ORC – 2927.13 Selling or donating contaminated blood . Codes.ohio.gov . October 17, 2011.
  30. News: Criminal Transmission of HIV. Avert.org. July 18, 2010.
  31. News: Appeals Court Reverses Conviction In HIV Case. August 21, 2013. CBS Minnesota. September 24, 2012.
  32. News: Minn. Supreme Court Sides With HIV-Positive Man . August 21, 2013. CBS Minnesota. August 21, 2013.
  33. Web site: Iowa Code 709C, criminal transmission of HIV. Iowa Legislature. 24 April 2014. https://web.archive.org/web/20140425053026/https://coolice.legis.iowa.gov/Cool-ICE/default.asp?category=billinfo&service=IowaCode&ga=83&input=709C7. 25 April 2014. dead.
  34. Web site: Discussion of Revisions to Iowa Code 709C – Criminal Transmission of HIV. Fact sheet. Iowa Department of Public Health. The Center for HIV Law and Policy. 25 April 2014. 2014.
  35. Web site: Senate File 2297, Contagious or Infectious Disease Transmission Act. Iowa Legislature. 24 April 2014. https://web.archive.org/web/20140425035440/http://coolice.legis.iowa.gov/Cool-ICE/default.asp?Category=billinfo&Service=Billbook&ga=85&hbill=SF2297. 25 April 2014. dead.
  36. News: MOHNEY. Gillian. Controversial HIV Law in Iowa Could Be Changed. 25 April 2014. ABCnews.com. 27 March 2014.
  37. News: Our view: Lawmakers must fix HIV law this session. 24 April 2014. Iowa City Press Citizen. 22 April 2014.
  38. News: Noble. Jason. Iowa Legislature rewrites 'draconian' HIV transmission bill. 1 May 2014. Des Moines Register. 1 May 2014. https://archive.today/20140501141546/http://www.desmoinesregister.com/story/news/politics/iowa-politics/2014/05/01/hiv-transmission-law-rewritten/8550737/. 1 May 2014. dead.
  39. Web site: CDC . Perinatal HIV Testing Laws . 19 March 2022 . August 25, 2021.
  40. News: Michael E. Miller . Man who knowingly spread HIV sentenced to six months. Judge calls it a 'travesty.' . Washington Post . 2015-05-05 . 2015-05-07.
  41. Web site: Marcella Lee . Man pleads no contest to willfully spreading HIV . CBS8-San Diego . 2015-03-09 . 2015-05-07.
  42. Web site: Matthew Tharrett . Man Who Purposefully Infected His Boyfriend With HIV Gets Six Months In Prison . Logo . 2015-05-05 . 2015-05-06.
  43. News: Young . Saundra . Imprisoned over HIV: One man's story. December 6, 2012 . CNN Health. November 9, 2012.
  44. Web site: Victory! Iowa Supreme Court Reverses Conviction in Lambda Legal HIV Criminalization Case . Tom Warnke . June 13, 2014 . . 2021-11-26 .
  45. News: Court of Appeals — Aggravated Assault of a Police Officer: People v. Plunkett. December 6, 2012. The Daily Record. June 28, 2012.
  46. Book: Shevory, Thomas. Notorious H.I.V.: The Media Spectacle of Nushawn Williams. 2004. University of Minnesota Press. Minneapolis. 146–7. 9780816643400.
  47. News: St. Clair. Mark. Army: No link found between HIV-positive soldier and unit deployed to Afghanistan. December 30, 2012. Stars and Stripes. July 26, 2007.
  48. News: Mims. Bryan. Soldier Pleads Guilty to Passing HIV Infection . December 30, 2012. WRAL. November 1, 2007.
  49. News: Melloy. Kilian. Navy Chaplain Faces Court Martial for Gay Sexual Assaults. December 30, 2012. EDGE. December 6, 2007.
  50. Web site: Air Force "Swinger" In HIV Probe. 2010-08-26. The Smoking Gun. en. 2019-09-12.
  51. Web site: Lawyer: HIV assault ruling could end all such military cases. Hegeman. Roxana. 2017-08-08. Military Times. en-US. 2019-09-12.
  52. Web site: Prosecutions for HIV Exposure in the United States, 2008–2013. The Center for HIV Law & Policy, Positive Justice Project. August 13, 2013.

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