 No. _______________   
  
S/SECRET/12/Add.25  
 
26 April 2019  
(19-2863) Page: 1/1 
Trade in Services  Original: English  
 
NOTIFICATION FROM TH E PLURINATIONAL STAT E OF BOLIVIA AND THE UNITED STATE S 
PURSUANT TO ARTICLE XXI OF THE GENERAL A GREEMENT  
ON TRADE IN SERVICES  (GATS)  
MUTUAL AGREEMENT UNDER PARAGRAPH 4 OF THE PROCEDURES FOR TH E IMPLEMENTATION OF 
ARTICLE XXI OF THE GENERAL AGREE MENT ON TRADE IN SER VICES (S/L/80)  
Addendum  
The following communication, dated 10 April 2019 , from the delegations of the Plurinational State 
of Bolivia and the United States is being circulated to the Members of the WTO.  
 
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1.  On 11 November 2008, the WTO Secretariat circulated a communication from the Plurinati onal 
State of Bolivia ("Bolivia" ) pursuant to Article XXI of the GATS (circulated as S/SECRET/12, dated 
11 November 2008), notifying Members of its intention to withdraw its specific commitments with 
respect to "Hospital Services". Following the submission of that communication, pursuant to 
Article  XXI, the United States notified Bolivia that it considers that its interests under the GATS may 
be affected by the proposed modification (S/L/350 circulated 6  January 2009).  
2.  According to paragraph 4 of the Procedures for the Implementation of Article XXI of the GATS 
(Modification of Schedules) (S/L/80), the period of  these proceeding s may be extended by mutual 
agreement. The United States and Bolivia have agreed to extend the period for negotiating this 
matter until 30 September  2019.  
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