WASHINGTON • The Supreme Court on Thursday said the government cannot force private health organizations to denounce prostitution as a condition to get taxpayer money to fight AIDS around the world.
Chief Justice John Roberts, writing for the court, said the anti-prostitution pledge in a 2003 AIDS funding law improperly restricts the groups’ First Amendment rights.
Four organizations that work in Africa, Asia and South America challenged the provision in the law, arguing their work has nothing to do with prostitution.
The Obama administration countered that it is reasonable for the government to give money only to groups that oppose prostitution and sex trafficking because they contribute to the spread of HIV and AIDS. It said that if groups were not held to a pledge to oppose prostitution and sex trafficking, they could spend private funds in a way that might undermine the government’s mission.
But in the 6-2 decision, Roberts wrote that the pledge “goes beyond preventing recipients from using private funds in a way that would undermine the federal government.”
“It requires them to pledge allegiance to the government’s policy of eradicating prostitution,” he wrote. That, Roberts wrote, the government cannot do.
Justices Antonin Scalia and Clarence Thomas dissented. Scalia said the pledge “is nothing more than a means of selecting suitable agents to implement the government’s chosen strategy to eradicate HIV/AIDS.”
“That is perfectly permissible under the Constitution,” Scalia wrote.
Roberts noted that Congress has made available billions of dollars for private groups to combat the spread of HIV and AIDS through the law, formally known as the United States Leadership Against HIV/AIDS, Tuberculosis and Malaria Act of 2003.
Another condition of funding that was not at issue in this case prohibits those groups from doing anything to promote the legalization of prostitution or sex trafficking.
A federal appeals court in New York struck down the pledge as an unacceptable intrusion on the groups’ right to speak freely. Another appeals court, in Washington, upheld the provision against a similar challenge.
Two groups — Alliance for Open Society International Inc., which runs a program in Central Asia to prevent the spread of HIV and AIDS by reducing drug use, and Pathfinder International, which provides family planning and reproductive health services in more than 20 countries — went to the courts after they adopted policy statements opposing prostitution in order to keep their eligibility for funding intact.
The other two groups are Global Health Council and Interaction.
The organizations “fear that adopting a policy explicitly opposing prostitution may alienate certain host governments, and may diminish the effectiveness of some of their programs by making it more difficult to work with prostitutes in the fight against HIV/AIDS,” Roberts said.
The groups pointed out in court papers that the World Health Organization and other international organizations receive U.S funds to fight AIDS and do not have to comply with the anti-prostitution pledge. Indeed, some of the international agencies support lesser penalties for prostitution as part of their AIDS-fighting strategy.
Justice Elena Kagan did not take part in the case, presumably because she worked on it while serving in the Justice Department as the Obama administration’s top Supreme Court lawyer.
The case is United States Agency for International Development v. Alliance for Open Society International, 12-10.