CSMC (Comercializadora de Servicios Médicos Cubanos)

On 23 July 2026 the US Treasury's Office of Foreign Assets Control designated CSMC (Comercializadora de Servicios Medicos Cubanos) under Executive Order 14404, alongside its parent body UCCM and two named officials, opening the first US sanctions strike at Cuba's medical-missions programme. The action answered a 10 July letter from four Florida members of Congress asking for exactly this sanction, a thirteen-day turnaround.

CSMC is the Cuban state entity that markets Cuban doctors' and other health workers' labour abroad in exchange for hard currency, one of the programmes the State Department describes as among Cuba's largest sources of foreign currency. The US Trafficking in Persons report cited in the designation found Cuban officials confiscate between 50 and 95 per cent of the wages host countries pay for tens of thousands of workers across more than 50 countries.

The designation is the first US sanctions action to target the labour Cuba exports rather than the fuel, finance or leadership it hit in prior waves, including CUPET in June and a ten-entity batch in July, marking a new front in Washington's Cuba campaign rather than a pivot away from the earlier ones.