Significance of the Case
Although this decision was exclusive to U.S. based organizations, it could potentially have a broader impact on those organizations based outside the U.S. who are still bound to this pledge and attendant requirements. In addition, it is an important decision furthering the elaboration of the scope of extra-territorial obligations of States and Non-state actors – i.e. to what extent States or other actors have human rights obligations outside of their territorial boundaries. In this case, the Second Circuit established that First Amendment rights of U.S. based organizations, extends to their work outside of the United States and that State obligations not to infringe on this right also extend outside U.S. borders. In addition, this is an important victory for organizations engaged in HIV/AIDS prevention work with high-risk communities and helping to support access to medicines.