The Trade Sanction Reform and Export Enhancement Act (Title IX) was passed by United States’ former President Bill Clinton in 2000 (www.fas.usda.gov). The act altered regulations in regards to U.S. trade with Cuba. Under the act, the trade of certain agricultural commodities (defined and listed under section 102 of the Agricultural Trade Act of 1978) and medicine/medical devices (defined and listed under section 201 of the Federal Food, Drug, and Cosmetic Act) became permitted (www.bis.doc.gov). This act does not change any legislation in terms of receiving U.S. imports from Cuba. In addition, the act is not comprehensive and still heavily regulates what goods are exported to Cuba.