When it was first approved in March, the proposed legislation angered human rights defenders across the world.
One of the world's strictest anti-LGBTQ bills was on Tuesday passed by Uganda's parliament.
The bill includes provisions for long jail terms and the death penalty after the president requested some parts of the original legislation be toned down.
The new bill retains most of the harshest measures of the legislation adopted in March, which drew condemnation from the United States, European Union, United Nations and major corporations.
When it was first approved in March, the proposed legislation angered human rights defenders across the world.
Members of the public were going to have to report individuals in same-sex relationships to the authorities.
An activist who spoke with BBC said the debate around the bill had led to fear of more attacks on gay people.
"There is a lot of blackmail. People are receiving calls that 'if you don't give me money, I will report that you are gay,’" they said at the time.
Later on, the bill was returned to parliament after President Yoweri Museveni suggested changes. He said the clause penalising people who identify as gay would have led to the prosecution of people simply for their physical appearance.
According to BBC News, the provisions retained in the new bill allow for the death penalty in cases of so-called "aggravated homosexuality", a term the government uses to describe actions including having gay sex when HIV-positive.
It allows a 20-year sentence for promoting homosexuality, which activists say could criminalise any advocacy for the rights of lesbian, gay, bisexual, transgender and queer citizens.
The legislation now heads back to President Yoweri Museveni, who can sign it, veto it or return it again to parliament.
President Yoweri Museveni had refused to sign into law the bill against homosexuality that prescribes the death penalty in some cases, requesting that it should be amended.
Museveni’s decision was announced after a meeting of parliamentarians in his ruling party, almost all of whom support the bill approved by lawmakers last month.