Requires the U.S. government to investigate and report on links between criminal gangs and political and economic elites in Haiti and to impose targeted sanctions on foreign persons the report identifies. The State Department must deliver an initial unclassified report within 180 days and annual follow-ups for five years; the President must block assets and restrict visas for named foreign persons within 90 days of each report, subject to limited humanitarian and national‑interest exceptions. The Act’s authorities expire five years after enactment.