,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #cbci  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #ab1 #bjai,mr4  
,ruiz 7= himself1 ,mr4 ,ca/ro ( ,texas1 
,ms4 ,roybal-,all>d1 ,mr4 ,lujn1 ,mr4   
,nadl]1 ,ms4 ,l(gr51 ,ms4 ,escob>1 ,mr4 
,cisn]os1 ,mr4 ,espaillat1 ,mrs4        
,napolitano1 ,ms4 ,muc>sel-,p[ell1 ,mr4 
,soto1 ,mr4 ,gomez1 ,ms4 ,norton1 ,ms4  
,om>1 ,mr4 ,t$ ,lieu ( ,cali=nia1 ,ms4  
,ocasio-,cortez1 ,mr4 ,sires1 ,mr4 ,lev9
 ( ,cali=nia1 ,mr4 ,br[n ( ,m>yl&1 ,ms4 
,jayapal1 ,mr4 ,jeffries1 ,mr4 ,aguil>1 
,mr4 ,ri*mond1 ,mr4 ,br5dan ,f4 ,boyle (
 ,p5nsylvania1 ,mr4 ,?ompson (          
,mississippi1 ,mr4 ,cleav]1 ,mr4        
,gallego1 ,ms4 ,velzquez1 ,mr4 ,c>bajal1
 ,mr4 ,crd5as1 ,ms4 ,lee ( ,cali=nia1   
,ms4 ,torres ,small ( ,new ,mexico1 ,mr4
 ,co/a1 ,mr4 ,v>gas1 ,mr4 ,veasey1 ,ms4 
,cl>ke ( ,new ,york1 ,ms4 ,kelly (      
,ill9ois1 ,mr4 ,payne1 ,mr4 ,takano1    
,mr4 ,kildee1 ,mr4 ,suozzi1 ,mr4        
,m\lton1 ,mr4 ,gre5 ( ,texas1 ,mr4      
,pet]s1 ,mr4 ,sean ,patrick ,maloney (  

,new ,york1 ,ms4 ,haal&1 ,ms4 ,spei]1   
,mrs4 ,d+ell1 ,ms4 ,p+ree1 ,ms4 ,titus1 
,mr4 ,connolly1 ,ms4 ,bass1 ,ms4 ,moore1
 ,mr4 ,lawson ( ,florida1 ,ms4 ,jackson 
,lee1 ,mr4 ,neal1 ,ms4 ,kaptur1 ,mr4    
,p]lmutt]1 ,mrs4 ,kirkpatrick1 ,mr4     
,swalwell ( ,cali=nia1 ,mr4 ,s*rad]1    
,mr4 ,ca/5 ( ,ill9ois1 ,mr4 ,gonzalez ( 
,texas1 ,ms4 ,br[nley ( ,cali=nia1 ,mr4 
,pappas1 ,mr4 ,engel1 ,mr4 ,k5n$y1 ,mr4 
,ru%1 ,mr4 ,blum5au]1 ,ms4 ,matsui1 ,mr4
 ,?ompson ( ,cali=nia1 ,ms4 ,hill (     
,cali=nia1 ,mr4 ,r\da1 ,mr4 ,pet]son1   
,mr4 ,vela1 ,mr4 ,meeks1 ,mr4 ,g>am5di1 
,mr4 ,pocan1 ,mr4 ,case1 ,mr4 ,cox (    
,cali=nia1 ,ms4 ,b>ragn1 ,mr4 ,keat+1   
,mr4 ,g>ca ( ,ill9ois1 ,mr4 ,l[5?al1    
,mr4 ,mc,govern1 ,ms4 ,judy ,*u (       
,cali=nia1 ,mr4 ,kri%namoor?i1 ,mr4     
,heck1 ,mrs4 ,beatty1 ,mr4 ,lev9 (      
,mi*igan1 ,mr4 ,rask91 ,mrs4 ,trahan1   
,ms4 ,ca/or ( ,florida1 ,ms4 ,s*ak[sky1 
,mr4 ,s>banes1 ,mr4 ,tonko1 ,mr4        
,o',hall]an1 ,ms4 ,de,gette1 ,ms4       
,/ev5s1 ,mr4 ,mc,nerney1 ,ms4 ,cl>k (   

,massa*usetts1 ,mr4 ,mi*ael ,f4 ,doyle (
 ,p5nsylvania1 ,ms4 ,dean1 ,mr4 ,l>son (
 ,connecticut1 ,mr4 ,deut*1 ,mr4 ,h>d] (
 ,cali=nia1 ,mr4 ,grijalva1 ,mr4        
,cicill9e1 ,mr4 ,/anton1 ,mr4 ,panetta1 
,mr4 ,kilm]1 & ,ms4 ,del,bene7 introduc$
 ! foll[+ bill2 :i* 0 ref]r$ to !       
,committee on ! ,judici>y1 & 9 addition 
to ! ,committee on ,homel& ,security1 = 
a p]iod to be subsequ5tly det]m9$ by !  
,speak]1 9 ea* case = consid]ation ( su*
 provisions z fall )9 ! jurisdiction ( !
 committee conc]n$  ,a ,,bill  ,to      
require ,u4,s4 ,cu/oms & ,bord]         
,protection to p]=m an initial heal?    
scre5+ on deta9ees1 & = o!r purposes4   
#a4 ,%ort title2 table ( cont5ts  7a7   
,%ort title ,?is ,act may be cit$ z !   
,humanit>ian ,/&>ds = ,individuals 9    
,cu/oms & ,bord] ,protection ,cu/ody    
,act4  7b7 ,table ( cont5ts ,! table (  
cont5ts ( ?is ,act is z foll[s3  ,sec4  
#a4 ,%ort title2 table ( cont5ts4 ,sec4 
#b4 ,initial heal? scre5+ protocol4     
,sec4 #c4 ,wat]1 sanitation1 & hygi5e4  

,sec4 #d4 ,food & nutrition4 ,sec4 #e4  
,%elt]4 ,sec4 #f4 ,coord9ation & surge  
capacity4 ,sec4 #g4 ,tra9+4 ,sec4 #h4   
,int]facility transf] ( c>e4 ,sec4 #i4  
,plann+ & initial implem5tation4 ,sec4  
#aj4 ,contractor compliance4 ,sec4 #aa4 
,inspections4 ,sec4 #ab4 ,,gao report4  
,sec4 #ac4 ,rule ( con/ruction4  #b4    
,initial heal? scre5+ protocol  7a7 ,9  
g5]al  7#a7 ,scre5+ requir$ ,!          
,commission] ( ,u4,s4 ,cu/oms & ,bord]  
,protection 7ref]r$ to 9 ?is ,act z !   
,commission]7 %all ensure t any         
individual :om ,u4,s4 ,cu/oms & ,bord]  
,protection 7ref]r$ to 9 ?is ,act z     
,,cbp7 deta9s 7ref]r$ to 9 ?is ,act z a 
deta9ee7 receives an initial heal?      
scre5+ by a m$ical pr(essional--  7,a7  
to id5tify acute conditions & high-risk 
vuln]abilities2 &  7,b7 to provide      
appropriate heal? c>e to subpopulations 
involv+ p$iatrics1 ob/etrics1 &         
g]iatrics specialties4  7#b7 ,tim+ ,!   
scre5+ requir$ by p>agraph 7#a7 %all be 
p]=m$ )9-- 7,a7 #c h\rs ( be+ initially 

deta9$ = high-priority populations 9    
accordance ) subsection 7d72 &  7,b7 #ab
 h\rs ( be+ initially deta9$ = all o!r  
populations4  7b7 ,int]pret]s ,to ensure
 t heal? scre5+s & m$ical c>e requir$ "u
 subsections 7a7 & 7f7 are c>ri$ out 9 !
 be/ int]e/s ( ! deta9ees receiv+ su*   
scre5+s & c>e1 ! ,commission] %all--    
7#a7 provide su* deta9ees ) int]pret]s 9
 ! deta9ee's native or indig5\s         
language2 &  7#b7 in=m deta9ees ( !     
availability ( int]pretation s]vices4   
7c7 ,*ap]ones ,to ensure t heal? scre5+s
 & m$ical c>e requir$ "u subsections 7a7
 & 7f7 are c>ri$ out 9 ! be/ int]e/s ( !
 deta9ees receiv+ su* scre5+s & c>e--   
7#a7 ! ,commission] %all provide        
*ap]ones :5 necess>y accord+ to /&>d    
,unit$ ,/ates m$ical practice to protect
 a p]son's dignity1 culture1 &          
g5d]-specific s5sitivities2 &  7#b7 !   
physical exam9ation ( infants1 toddl]s1 
*ildr51 or any m9ors #ag ye>s ( age or  
y\ng] %all1 to ! ext5t practicable1     
always be p]=m$--  7,a7 9 ! pres5ce ( a 

p>5t or legal gu>dian2 or  7,b7 9 !     
abs5ce ( a p>5t or legal gu>dian1 9 !   
pres5ce ( ! deta9ee's close/ pres5t     
adult relative4  7d7 ,prioritization ,! 
,commission] %all ensure t ! initial    
scre5+ requir$ by subsection 7a7 is     
prioritiz$ & conduct$ )9 #c h\rs ( be+  
initially deta9$ = ! foll[+             
high-priority populations3  7#a7        
,individuals :o are exhibit+ signs (    
acute or pot5tially sev]e physical or   
m5tal illness4  7#b7 ,pregnant wom54    
7#c7 ,infants4  7#d7 ,*ildr54  7#e7 ,any
 m9ors #ag ye>s ( age or y\ng]4  7#f7   
,eld]ly individuals4  7#g7 ,individuals 
:o are visibly physically or m5tally    
disabl$4  7#h7 ,any o!r individual :o   
self-id5tifies z hav+ a m$ical condition
 t requires prompt m$ical att5tion1 su* 
z ! foll[+3  7,a7 ,a disability4  7,b7  
,a m5tal heal? issue4  7,c7 ,,hiv       
positive4  7,d7 ,a *ronic disease1 su* z
 diabetes4  7e7 ,/&>dization ( scre5+   
7#a7 ,9 g5]al  7,a7 ,consultation &     
developm5t ( guidel9es & protocol ,!    

,commission]1 9 consultation ) !        
,secret>y ( ,heal? & ,human ,s]vices &  
nongov]nm5tal exp]ts 9 deliv]y ( heal?  
c>e 9 humanit>ian crises1 %all develop  
guidel9es & protocols = ! heal? scre5+s 
& m$ical c>e requir$ "u subsections 7a7 
& 7f74  7,b7 ,assessm5t ( appropriate   
level ( c>e ,! guidel9es & protocols    
requir$ by subp>agraph 7,a7 %all require
 t ea* deta9ee be adm9i/]$ a heal?      
scre5+ to assess & id5tify              
age-appropriate signs1 symptoms1 risks1 
& exp]i5ces1 includ+ m5tal heal? risks &
 di/ress+ or traumatic exp]i5ces1 to    
det]m9e ! appropriate level ( c>e ne$$4 
7,c7 ,/&>diz$ m$ical intake ,! guidel9es
 & protocols requir$ by subp>agraph 7,a7
 %all ensure t ea* su* scre5+ makes use 
( a /&>diz$ m$ical intake que/ionnaire  
or ! equival5t ( su* a que/ionnaire1 su*
 z relevant portions ( ! ,p]=mance-,bas$
 ,national ,det5tion ,/&>ds que/ionnaire
 adm9i/]$ by ,u4,s4 ,immigration &      
,cu/oms ,en=cem5t4  7,d7 ,consultation  
,9 develop+ ! guidel9es & protocols     

requir$ by subp>agraph 7,a71 !          
,commission] %all consult ) !           
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration reg>d+ heal?     
scre5+ & m$ical c>e "u ! ,em]g5cy       
,m$ical ,s]vices = ,*ildr5 ,program4    
7#b7 ,cont5ts ,! guidel9es & protocols  
requir$ by p>agraph 7#a7 %all require1 )
 respect to ea* deta9ee--  7,a7 an      
int]view & que/ionnaire2  7,b7 scre5+ = 
vital signs1 includ+ pulse rate1        
temp]ature1 blood pressure1 oxyg5       
saturation1 & respiration rate2  7,c7   
scre5+ = blood glucose = kn[n diabetics2
  7,d7 weight = deta9ees "u #ab ye>s (  
age2  7,e7 a physical exam2 &  7,f7 an  
assessm5t & developm5t ( a plan =       
risk-assessm5t1 requir$ int]v5tions1 &  
cont9u$ monitor+ & c>e4  7#c7 ,rule (   
con/ruction ,no?+ 9 ?is subsection %all 
be con/ru$ z requir+ deta9ees to        
disclose _! m$ical /atus or hi/ory4  7f7
 ,fur!r c>e  7#a7 ,9 g5]al ,if an       
initial heal? scre5+ ( a deta9ee        
displays values outside ( normal ranges 

p] ,national ,em]g5cy ,s]vices          
,education ,/&>ds or if an individual is
 id5tifi$ z high-risk or is 9 ne$ (     
m$ical int]v5tion1 ! ,commission] %all  
ensure su* deta9ee is provid$ ) an      
9-p]son or te*nology-facilitat$ m$ical  
consultation ) a readily available      
lic5s$ em]g5cy c>e pr(essional4  7#b7   
,availability ,! ,commission] %all      
ensure t-- 7,a7 a lic5s$ em]g5cy c>e    
pr(essional is on call at all times )   
respect to deta9ees2 &  7,b7 appropriate
 em]g5cy transportation is on site or on
 call to arrive on site )9 #cj m9utes ( 
be+ call$4  7#c7 ,re-evaluations        
,deta9ees :o pres5t ) any abnormalities 
dur+ a heal? scre5+ "u subsection 7a7   
%all-- 7,a7 be re-evaluat$ & monitor$ z 
det]m9$ by ! em]g5cy c>e pr(essional &  
at lea/ once e #bd h\rs2 &  7,b7 not)/&+
 subp>agraph 7,a71 h safety heal?       
cle>ance prior to transportation1       
includ+ reevaluation ( vital signs4  7g7
 ,psy*ological & m5tal c>e ,!           
,commission] %all ensure t deta9ees :o h

 exp]i5c$ physical or sexual viol5ce or 
o!r pot5tially life-?reat5+ ev5ts1 or :o
 h witness$ atrocities t may cause      
sev]e1 traumatic1 or toxic /ress1 are   
provid$ psy*ological fir/ aid1 includ+ a
 basic1 humane1 & supportive response to
 ensure t basic ne$s are met4  7h7      
,docum5tation ,! ,commission] %all      
ensure t ! heal? scre5+s & m$ical c>e   
requir$ "u subsections 7a7 & 7f7 & any  
o!r m$ical evaluations & int]v5tions =  
deta9ees are docum5t$ 9 accordance )    
commonly accept$ /&>ds 9 ! ,unit$ ,/ates
 = m$ical record docum5tation4  7i7     
,release f ,,cbp ,be=e be+ releas$ f    
,,cbp cu/ody1 ea* deta9ee 9 a           
high-priority population1 or requir+    
int]v5tion1 or 9 ne$ ( heal? c>e foll[up
 ^u release1 %all receive m$ical records
 t outl9e ! heal? scre5+ & m$ical c>e t 
0 conduct$ "u ?is section ) respect to !
 deta9ee1 z well z docum5tation ( m$ical
 issues1 evaluations1 int]v5tions1 &    
immunizations4  7j7 ,infra/ructure1     
equipm5t1 & p]sonnel ,! ,commission] & !

 ,adm9i/rator ( ,g5]al ,s]vices1 z !    
case may be1 %all ensure t ea* location 
at :i* a deta9ee is fir/ transport$ aft]
 su* deta9ee's initial enc\nt] ) an ag5t
 or (fic] ( ,,cbp has ! foll[+3  7#a7 ,a
 private space = ! heal? scre5+ requir$ 
"u subsection 7a71 includ+ = any        
necess>y foll[-up exam or c>e managem5t4
  7#b7 ,appropriate equipm5t to c>ry out
 su* scre5+1 monitor heal?1 provide     
em]g5cy c>e1 treat traumas & p]=m       
resuscitations 7includ+ p>am$ic bags )  
equipm5t suitable = neonates1 infants1 &
 toddl]s74  7#c7 ,a designat$ area &    
necess>y equipm5t to prev5t ! spread (  
communicable diseases4  7#d7 ,basic     
ov]-!-c\nt] & prescription m$ications = 
all age gr\ps1 includ+ all p$iatric age 
gr\ps1 includ+ ! m$ications necess>y to 
ensure t deta9ees are n depriv$ ( _!    
m$ication requir$ to manage _! *ronic   
illness4  7#e7 ,a m$ical pr(essional    
tra9$ & c]tifi$ to conduct su* heal?    
scre5+4  7#f7 ,an em]g5cy m$ic9e        
physician or em]g5cy c>e provid] on     

site1 or if su* a physician is n        
available1 an em]g5cy m$ic9e physician  
or em]g5cy c>e provid] on call at all   
times = consultation4  7#g7 ,o!r        
pr(essionals to meet ! requirem5ts ( ?is
 section1 su* z physicians specializ+ 9 
p$iatrics1 family m$ic9e1 em]g5cy       
m$ic9e1 ob/etrics & gynecology1 g]iatric
 m$ic9e1 int]nal m$ic9e1 & infecti\s    
diseases2 nurse practition]s2 o!r       
nurses2 physician assi/ants2 lic5s$     
social work]s2 m5tal heal? pr(essionals2
 public heal? pr(essionals2 &           
dieticians4  7#h7 ,int]pret]s on site1  
or if an int]pret] is n available1 an   
int]pret] on call at all times4  7#i7 ,!
 capability to provide appropriate      
transportation 9 ! case ( a m$ical      
em]g5cy on site or on call to arrive on 
site )9 #cj m9utes4  7k7 ,e?ical        
guidel9es ,! ,commission] %all ensure t 
all m$ical assessm5ts & proc$ures       
conduct$ pursuant to ?is section--  7#a7
 are conduct$ 9 accordance ) e?ical     
guidel9es 9 ! applicable m$ical field2 &

  7#b7 respect human dignity4  #c4      
,wat]1 sanitation1 & hygi5e ,!          
,commission] %all ensure t a deta9ee has
 access to ! foll[+3 7#a7 ,n less ?an "o
 gallon ( dr9k+ wat] p] day1 includ+    
age-appropriate fluids4  7#b7 ,a        
private1 safe1 clean1 & reliable toilet 
) prop] wa/e disposal & a h& wa%+       
/ation1 ) n less ?an "o toilet available
 = e #ab male deta9ees1 & #a toilet p]  
#h female deta9ees4  7#c7 ,a clean diap]
 *ang+ facility1 :i* includes prop] wa/e
 disposal1 a h& wa%+ /ation1 &          
unre/rict$ access to diap]s4  7#d7      
,accommodations to ensure hygi5e =      
eld]ly individuals & individuals )      
disabilities4  7#e7 ,! opportunity to   
ba! e day 9 a private & secure mann]4   
7#f7 ,adult diap]s1 9 ! case ( an       
individual :o is incont95t4  7#g7       
,products to ma9ta9 basic p]sonal       
hygi5e1 includ+--  7,a7 soap1 a         
too?bru%1 too?pa/e1 & fem99e hygi5e     
products2 &  7,b7 prop] h&l+ & disposal 
me?ods = us$ products4  #d4 ,food &     

nutrition ,! ,commission] %all ensure t 
a deta9ee has access to ! foll[+3 7#a7  
,9 ! case ( an individual age #ab or    
old]1 a diet t conta9s n less ?an #b1jjj
 calories p] day4  7#b7 ,9 ! case ( a   
*ild :o is "u ! age ( #ab1 a diet t     
conta9s an appropriate numb] ( calories 
p] day bas$ on ! *ild's age & weight4   
7#c7 ,?ree meals p] day4  7#d7          
,accommodations = any diet>y ne$ or     
re/riction 9 ! case ( a pregnant or     
brea/fe$+ woman1 an infant1 a *ild1 an  
eld]ly individual1 an individual ) a    
disability1 an individual ) a food      
all]gy1 or an individual ) religi\s     
diet>y re/rictions4  7#e7 ,access to    
food 9 a mann] t foll[s applicable food 
safety /&>ds4  #e4 ,%elt] ,!            
,commission] %all ensure t ea* facility 
at :i* a deta9ee is deta9$ meets !      
foll[+ requirem5ts3  7#a7 ,except z     
provid$ 9 p>agraph 7#b71 males & females
 %all be deta9$ sep>ately4  7#b7 ,9 !   
case ( a m9or *ild arriv+ 9 ! ,unit$    
,/ates ) an adult relative or legal     

gu>dian1 su* *ild %all be deta9$ ) su*  
relative or legal gu>dian1 ) family     
cohesion ma9ta9$--  7,a7 unless ?is     
arrangem5t incites safety or security   
conc]ns2 &  7,b7 9 no case %all su* m9or
 be deta9$ ap>t f su* adult relative or 
legal gu>dian1 pursuant to subp>agraph  
7,a71 ) o!r adults4  7#c7 ,9 ! case ( a 
m9or *ild arriv+ 9 ! ,unit$ ,/ates )\t  
an adult relative or legal gu>dian1 su* 
*ild--  7,a7 %all be deta9$ 9 an        
age-appropriate facility2 &  7,b7 %all n
 be deta9$ ) adults4  7#d7 ,a deta9ee ) 
a disability1 includ+ a tempor>y        
disability1 %all be held 9 a mann] t    
provides = 8 or h] safety1 com=t1 &     
security4  7#e7 ,!re %all be no less ?an
 #b squ>e met]s ( space = ea* deta9ee4  
7#f7 ,ea* deta9ee %all be provid$ )     
temp]ature appropriate clo?+ & b$d+4    
7#g7 ,! facility %all be well lit & well
 v5tilat$1 ) ! humidity & temp]ature    
kept at com=table levels 7betwe5 #fh &  
#gd degrees ,fahr5heit74  7#h7 ,deta9ees
 %all h access to ! outdoors = n less   

?an #a h\r dur+ ! daylight h\rs dur+ ea*
 #bd-;h\r p]iod4  7#i7 ,deta9ees %all h 
! ability to practice _! religion or n  
to practice a religion1 z applicable4   
7#aj7 ,deta9ees %all h access to        
suffici5t "t = sleep+ )\t unnecess>y    
di/urbances 7includ+ light & noise7     
?r\gh\t ! night1 betwe5 ! h\rs ( #aj    
p4m4 & #f a4m4  7#aa7 ,(fic]s1          
employees1 & contract$ p]sonnel ( ,,cbp 
%all-- 7,a7 foll[ m$ical /&>ds = !      
isolation & prev5tion ( communicable    
diseases2 &  7,b7 ensure ! physical &   
m5tal safety ( lesbian1 gay1 bisexual1  
transg5d]1 & int]sex deta9ees4  7#ab7 ,!
 facility %all h video-monitor+-- 7,a7  
to provide = ! safety ( *ildr5 & disabl$
 individuals1 or any safety ne$         
consid]ations2 &  7,b7 to prev5t !      
sexual abuse or physical h>m ( vuln]able
 deta9ees4  #f4 ,coord9ation & surge    
capacity ,! ,secret>y ( ,homel&         
,security1 act+ ?r\gh ! ,commission] or 
an op]ational comm&] or o!r appropriate 
(ficial )9 ! ,dep>tm5t ( ,homel&        

,security1 %all ent] into memor&a (     
und]/&+ ) appropriate ,f$]al ag5cies1   
su* z ! ,dep>tm5t ( ,heal? & ,human     
,s]vices1 ! ,f$]al ,em]g5cy ,managem5t  
,ag5cy1 & applicable em]g5cy gov]nm5t   
relief s]vices1 & contracts ) heal? c>e1
 public heal?1 social "w1 &             
transportation pr(essionals1 = purposes 
( coord9at+--  7#a7 compliance ) ?is    
,act2 &  7#b7 address+ surge capacity4  
#g4 ,tra9+ ,! ,commission] %all ensure t
 p]sonnel ( ,,cbp are pr(essionally     
tra9$ to focus on ! foll[+3  7#a7       
,annual humanit>ian response & /&>ds    
tra9+ to comply ) ?is ,act4  7#b7       
,evid5ce ( physical & m5tal illness1    
includ+ common signs ( high-risk &      
m$ical di/ress 9 *ildr5 & high-priority 
populations4  7#c7 ,vuln]abilities &    
indicators ( *ild sexual exploitation & 
effective responses to miss+ migrant    
*ildr5 includ+ by lev]ag+ ! res\rces ( !
 ,national ,c5t] = ,miss+ & ,exploit$   
,*ildr54  7#d7 ,proc$ures to report     
incid5ts ( suspect$ *ild sexual abuse & 

exploitation directly to !              
,cyber,tipline ( ! ,national ,c5t] =    
,miss+ & ,exploit$ ,*ildr5 7or any      
successor tipl9e74  #h4 ,int]facility   
transf] ( c>e  7a7 ,transf] ,:5 a       
deta9ee is dis*>g$ f a m$ical facility  
or em]g5cy dep>tm5t1 ! ,commission] %all
 ensure a transf] ( responsibility ( c>e
 f ! m$ical provid] at su* m$ical       
facility or em]g5cy dep>tm5t to an      
accept+ lic5s$ heal? c>e provid] (      
,,cbp4  7b7 ,responsibilities ( accept+ 
provid] ,su* accept+ lic5s$ heal? c>e   
provid] %all review ! m$ical facility or
 em]g5cy dep>tm5t's evaluation1         
diagnosis1 treatm5t1 managem5t1 &       
dis*>ge c>e in/ructions--  7#a7 to      
assess = ! safety ( ! dis*>ge & transf]2
 &  7#b7 to provide necess>y foll[-up   
c>e4  #i4 ,plann+ & initial             
implem5tation  7a7 ,plann+ ,no lat] ?an 
#cj days aft] ! date ( enactm5t ( ?is   
,act1 ! ,secret>y ( ,homel& ,security   
%all submit a detail$ plan to !         
,congress del9eat+ ! timel9e1 process1 &

 *all5ges ( c>ry+ ?is ,act4  7b7        
,implem5tation ,! ,secret>y ( ,homel&   
,security %all ensure t ?is ,act is     
implem5t$ n lat] ?an #f mon?s aft] !    
date ( enactm5t ( ?is ,act4  #aj4       
,contractor compliance ,! ,secret>y (   
,homel& ,security %all ensure t all     
p]sonnel contract$ to c>ry out ?is ,act 
d s 9 accordance ) ! requirem5ts ( ?is  
,act4  #aa4 ,inspections  7a7 ,9 g5]al  
,! ,inspector ,g5]al ( ! ,dep>tm5t (    
,homel& ,security %all-- 7#a7 conduct   
unann\nc$ inspections ( ports ( entry1  
bord] patrol /ations1 & det5tion        
facilities ( or adm9i/]$ by ,,cbp or    
contractors ( ,,cbp2 &  7#b7 submit to !
 ,congress reports on ! results ( !     
inspections "u p>agraph 7#a7 & o!r      
reports ( ! ,inspector ,g5]al relat$ to 
cu/ody op]ations4  7b7 ,p>ticul>        
att5tion ,9 c>ry+ out subsection 7a71 ! 
,inspector ,g5]al ( ! ,dep>tm5t (       
,homel& ,security %all pay p>ticul>     
att5tion to--  7#a7 ! degree (          
compliance by ,,cbp ) ! requirem5ts (   

?is ,act2  7#b7 rem$ial actions tak5 by 
,,cbp2 &  7#c7 ! heal? ne$s ( !         
deta9ees4  #ab4 ,,gao report  7a7 ,9    
g5]al ,! ,comptroll] ,g5]al ( ! ,unit$  
,/ates %all--  7#a7 n lat] ?an #f mon?s 
aft] ! date ( enactm5t ( ?is ,act1      
comm5ce a /udy on implem5tation (1 &    
compliance )1 ?is ,act2 &  7#b7 n lat]  
?an #a ye> aft] ! date ( enactm5t ( ?is 
,act1 submit a report to ! ,congress on 
! results ( su* /udy4  7b7 ,issues ,to  
be /udi$ ,! /udy requir$ by subsection  
7a7 %all exam9e ! managem5t & ov]sight  
by ,,cbp ( ports ( entry1 bord] patrol  
/ations1 & o!r det5tion facilities1     
includ+ ! ext5t to :i* ,,cbp & !        
,dep>tm5t ( ,homel& ,security h         
effective processes 9 place to comply ) 
?is ,act4  #ac4 ,rule ( con/ruction     
,no?+ 9 ?is ,act %all be con/ru$ to     
au?orize ,,cbp to deta9 individuals =   
long] ?an #gb h\rs4