Piracy and counterfeiting in the online environment are significant concerns for the Administration. They cause economic harm and threaten the health and safety of American consumers. Foreign-based and foreign-controlled websites and web services raise particular concerns for U.S. enforcement efforts. We are aware that members of Congress share our goal of reducing online infringement and are considering measures to increase law enforcement authority to combat websites that are used to distribute or provide access to infringing products. We look forward to working with Congress on those efforts and the recommendations contained in this paper in the coming year.
The same way enforcing spam e-mail and anti-cracking laws work, I would imagine. In other words, not very well. But it's easier than tackling universal broadband or net neutrality. The only people who might oppose it, can't ... they live in other countries.