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II
116TH CONGRESS
2D SESSION
S. 3165
To direct the Secretary of Health and Human Services to conduct a study
to assess the unintended impacts on the health and safety of people
engaged in transactional sex, in connection with the enactment of the
Allow States and Victims to Fight Online Sex Trafficking Act of 2017
(Public Law 115–164) and the loss of interactive computer services
that host information related to sexual exchange, and for other purposes.
IN THE SENATE OF THE UNITED STATES
JANUARY 8, 2020
Ms. WARREN (for herself, Mr. WYDEN, and Mr. SANDERS) introduced the fol-
lowing bill; which was read twice and referred to the Committee on
Health, Education, Labor, and Pensions
A BILL
To direct the Secretary of Health and Human Services to
conduct a study to assess the unintended impacts on
the health and safety of people engaged in transactional
sex, in connection with the enactment of the Allow States
and Victims to Fight Online Sex Trafficking Act of
2017 (Public Law 115–164) and the loss of interactive
computer services that host information related to sexual
exchange, and for other purposes.
Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
2
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•S 3165 IS
SECTION 1. SHORT TITLE.
1
This Act may be cited as the ‘‘SESTA/FOSTA Ex-
2
amination of Secondary Effects for Sex Workers Study
3
Act’’ or the ‘‘SAFE SEX Workers Study Act’’.
4
SEC. 2. FINDINGS.
5
The Congress finds the following:
6
(1) People who engage in consensual, trans-
7
actional sex utilize online platforms to protect their
8
health, safety, and independence. This use includes
9
building community connections, distribution of
10
harm reduction information and techniques, identi-
11
fication and screening of potential clients, and nego-
12
tiating the terms of consensual, transactional sex
13
services, including condom use and other harm re-
14
duction strategies.
15
(2) Widespread discrimination against popu-
16
lations, including LGBTQI+ individuals, particu-
17
larly transgender women of color, prevents many
18
from accessing formal employment resources and
19
educational opportunities.
20
(3) In the 2015 United States Transgender
21
Survey conducted by the National Center for
22
Transgender Equality, 19 percent of respondents re-
23
ported having exchanged sex for resources, such as
24
for money, food, or a place to sleep. Transgender
25
women of color, including Black (42 percent), Amer-
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•S 3165 IS
ican Indian (28 percent), multiracial (27 percent),
1
Latina (23 percent), and Asian (22 percent) re-
2
spondents were more likely to have participated in
3
sex work than the overall sample.
4
(4) In the 2015 United States Transgender
5
Survey, respondents who experienced homelessness
6
in the past year (17 percent) were more than three
7
times as likely to have participated in sex work dur-
8
ing that year compared to the overall sample.
9
(5) On a broader scale, internet platforms fos-
10
ter connections between people and play an integral
11
part in American society. Meaningful regulation of
12
internet platforms must take into account the role
13
they play in the health, safety, and privacy of all
14
people’s lives.
15
(6) While policymakers, representatives of inter-
16
net platforms, and some advocates have discussed
17
ways to mitigate the use of internet platforms to de-
18
crease exploitation, people who consensually trade
19
sex are rarely involved in the drafting of legislation
20
or policies, or in assessing their impact, despite
21
being amongst the populations who are impacted by
22
legislation and policies related to the regulation of
23
these internet platforms.
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(7) On February 27, 2018, the House of Rep-
1
resentatives passed the Allow States to Fight Online
2
Sex Trafficking Act, known as SESTA/FOSTA.
3
While SESTA/FOSTA holds websites liable for user-
4
generated content that facilitates sex trafficking, it
5
also impacts online platforms where users discuss
6
consensual sex work and related topics.
7
(8) Contemporaneously with the passage of
8
SESTA/FOSTA in the Senate on March 21, 2018,
9
websites preemptively shut down, some directly cit-
10
ing the law’s passage as the rationale for closure.
11
(9) One week before President Donald Trump
12
signed SESTA/FOSTA into law (Public Law 115–
13
164),
the
Department
of
Justice
seized
14
Backpage.com and arrested Backpage employees,
15
citing promotion of prostitution and money laun-
16
dering charges, similar to the Department of Home-
17
land Security’s seizure of Rentboy.com only a few
18
years prior.
19
(10) While these websites and individual ac-
20
counts have been closing down, there has been no
21
national investigation rigorously examining the im-
22
pact of losing access to these platforms on the health
23
and safety of people in consensual, transactional sex
24
work. Regional and anecdotal information from
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health and safety service providers and sex workers
1
has pointed to significant impacts on the health and
2
safety of people who engage in consensual, trans-
3
actional sex.
4
(11) Community organizations have reported
5
increased homelessness of sex workers, including of
6
sex workers who are caretakers for their families
7
and have lost the economic stability provided by ac-
8
cess to online platforms.
9
(12) Sex workers have reported a reduced abil-
10
ity to screen potential clients for safety, and nego-
11
tiate for boundaries such as condom use, resulting in
12
reports of physical and sexual violence.
13
(13) Many sex workers have turned to street-
14
based work, which has historically involved higher
15
rates of violence than other forms of transactional
16
sex. Street-based sex workers have frequently noted
17
practices which harm their health and safety, such
18
as the confiscation of condoms by police, or use of
19
condoms as evidence of arrest for prostitution.
20
(14) With this new level of precarity, isolation,
21
and vulnerability, there is substantial anecdotal evi-
22
dence that members of the sex work community are
23
more frequently being contacted by third parties
24
seeking to engage in management activities. This in-
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cludes both sex workers who had always worked
1
independently, as well as those who have previously
2
experienced violence and exploitation by a third
3
party.
4
(15) The United States Government has long
5
discussed the importance of assessing collateral con-
6
sequences when looking at other industries. A com-
7
prehensive study is essential to evaluate the impact
8
on the health and safety of those involved in consen-
9
sual, transactional sex, who are increasingly losing
10
access to digital platforms, which have been used for
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harm reduction information and techniques, and to
12
screen clients. Informed government policies begin
13
with seeking out relevant information to better guide
14
our actions moving forward.
15
SEC. 3. STUDY ON UNINTENDED IMPACTS ON HEALTH AND
16
SAFETY OF PEOPLE ENGAGED IN TRANS-
17
ACTIONAL SEX AS A RESULT OF THE LOSS OF
18
CERTAIN ONLINE RESOURCES.
19
(a) STUDY.—The Secretary of Health and Human
20
Services (in this section referred to as the ‘‘Secretary’’)
21
in consultation as appropriate with the Director of the
22
Centers for Disease Control and Prevention, the Director
23
of the National Institutes of Health, and the Assistant
24
Secretary for Mental Health and Substance Use shall
25
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study the impacts on the health and safety of people en-
1
gaged in transactional sex resulting from the loss of access
2
to interactive computer services (as defined in section
3
230(f) of the Communications Act of 1934 (47 U.S.C.
4
230(f))) in connection with the closure of websites (includ-
5
ing Backpage.com) that host information related to sexual
6
exchange, on or after February 27, 2018, in anticipation
7
of, or in response to, the enactment of the Allow States
8
and Victims to Fight Online Sex Trafficking Act of 2017
9
(Public Law 115–164).
10
(b) INTERVIEWS AND SURVEYS.—The study under
11
subsection (a) shall include interviews with, and surveys
12
conducted by, nonprofit and community-based organiza-
13
tions that provide direct services to people engaged in
14
transactional sex.
15
(c) TOPICS.—The study under subsection (a) shall in-
16
clude assessment of the following impacts on people en-
17
gaged in transactional sex:
18
(1) Changes in access to technology-related
19
harm reduction services.
20
(2) Changes in ability to negotiate terms with
21
potential clients.
22
(3) Changes in experiences of violence from cli-
23
ents.
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(4) Changes in interactions with law enforce-
1
ment officials, including changes in police surveil-
2
lance, stops, and arrests.
3
(5) Changes in contact from third parties.
4
(6) Changes in relationship to and reliance on
5
third parties.
6
(7) Changes in experiences of exploitation.
7
(8) Impacts on access to economic resources.
8
(9) Impacts on homelessness and housing sta-
9
bility.
10
(10) Impacts on mental health.
11
(11) Impacts on vulnerability to the trans-
12
mission of HIV and other sexually transmitted infec-
13
tions.
14
(12)
Changes
in
participation
in
other
15
criminalized behavior.
16
(13) Disparities in these effects on key popu-
17
lations typically underserved by service providers,
18
specifically LGBTQI+ individuals, people living in
19
rural areas, racial and ethnic minorities, Tribal com-
20
munities, individuals experiencing exploitation and
21
trafficking, and undocumented and documented for-
22
eign nationals.
23
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(14) Any other impacts on people engaged in
1
consensual, transactional sex, as determined appro-
2
priate by the Secretary for inclusion in the study.
3
(d) REPORT.—Not later than one year after the date
4
of enactment of this Act, the Secretary shall submit to
5
the Congress a report on the results of the study under
6
subsection (a) and make such report available to the pub-
7
lic.
8
Æ
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