" It was not until 1986 that the Department of Health and Human Services (HHS) began to draft laws requiring immigrants to be tested for and found free of HIV. This legislation was sponsored in the Senate by Senator Jesse Helms and was approved - unanimously - in June 1987. "This Senate action was extraordinary," notes a legal opinion, "in that it assumed a responsibility, previously entrusted to the HHS, to determine which communicable diseases would be grounds for excluding aliens. "

― Paul Farmer , Pathologies of Power: Health, Human Rights and the New War on the Poor