,,ib ,union ,cal5d> ,no4 #aba #aaf? ,,congress #a/ ,session ,h4 ,r4 #cbci ,report ,no4 #aaf-afb1 ,"p ,i ,,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$ ,july #ai1 #bjai ,additional sponsors3 ,ms4 ,sn*ez1 ,mr4 ,wel*1 ,mrs4 ,torres ( ,cali=nia1 ,mr4 ,himes1 ,ms4 ,davids ( ,kansas1 ,mrs4 ,l[ey1 ,mr4 ,coh51 ,mr4 ,de,fazio1 ,ms4 ,tlaib1 ,mr4 ,neguse1 ,ms4 ,s*ri]1 ,mr4 ,khanna1 ,ms4 ,m5g1 ,mr4 ,b]a1 ,mrs4 ,bu/os1 ,ms4 ,mc,collum1 ,mr4 ,higg9s ( ,new ,york1 ,mrs4 ,watson ,coleman1 ,ms4 ,wass]man ,s*ultz1 ,mr4 ,mal9[ski1 ,ms4 ,wilson ( ,florida1 ,miss ,rice ( ,new ,york1 ,mr4 ,c\rtney1 ,ms4 ,wexton1 ,mrs4 ,flet*]1 ,mr4 ,quigley1 ,ms4 ,%alala1 ,mr4 ,norcross1 ,ms4 ,ku/] ( ,new ,hamp%ire1 ,ms4 ,blunt ,ro*e/]1 ,ms4 ,de,lauro1 ,mr4 ,l>s5 ( ,wa%+ton1 ,mr4 ,coop]1 ,mr4 ,cumm+s1 ,mr4 ,smi? ( ,wa%+ton1 ,mr4 ,trone1 ,ms4 ,h\lahan1 ,mr4 ,correa1 ,ms4 ,e%oo1 ,mr4 ,k9d1 ,mr4 ,cri/1 ,mr4 ,evans1 ,ms4 ,scanlon1 ,ms4 ,sewell ( ,alabama1 ,ms4 ,g>cia ( ,texas1 ,mr4 ,bey]1 ,mrs4 ,mc,bath1 & ,mrs4 ,davis ( ,cali=nia ,july #ai1 #bjai ,report$ f ! ,committee on ! ,judici>y ) an am5dm5t ,/rike out all aft] ! enact+ clause & ins]t ! "p pr9t$ 9 italic ,july #ai1 #bjai ,! ,committee on ,homel& ,security dis*>g$2 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union & ord]$ to be pr9t$ ,= text ( introduc$ bill1 see copy ( bill z introduc$ on ,june #ab1 #bjai ,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 sanitation & 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 ,sec4 #ad4 ,def9itions4 #b4 ,initial heal? scre5+ protocol 7a7 ,9 g5]al ,! ,commission] ( ,u4,s4 ,cu/oms & ,bord] ,protection 7ref]r$ to 9 ?is ,act z ! ,commission]71 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 & nongov]nm5tal exp]ts 9 ! deliv]y ( heal? c>e 9 humanit>ian crises & 9 ! deliv]y ( heal? c>e to *ildr51 %all develop guidel9es & protocols = ! provision ( heal? scre5+s & appropriate m$ical c>e = individuals 9 ! cu/ody ( ,u4,s4 ,cu/oms & ,bord] ,protection 7ref]r$ to 9 ?is ,act z ,,cbp71 z requir$ "u ?is section4 7b7 ,initial scre5+ & m$ical assessm5t ,! ,commission] %all ensure t any individual :o is deta9$ 9 ! cu/ody ( ,,cbp 7ref]r$ to 9 ?is ,act z a deta9ee7 receives an initial 9-p]son scre5+ by a lic5s$ m$ical pr(essional 9 accordance ) ! /&>ds describ$ 9 subsection 7c7-- 7#a7 to assess & id5tify any illness1 condition1 or age-appropriate m5tal or physical symptoms t may h result$ f di/ress+ or traumatic exp]i5ces2 7#b7 to id5tify acute conditions & high-risk vuln]abilities2 & 7#c7 to ensure t appropriate heal?c>e is provid$ to individuals z ne$$1 includ+ p$iatric1 ob/etric1 & g]iatric c>e4 7c7 ,/&>dization ( initial scre5+ & m$ical assessm5t 7#a7 ,9 g5]al ,! initial scre5+ & m$ical assessm5t %all include-- 7,a7 an int]view & ! use ( a /&>diz$ m$ical intake que/ionnaire or ! equival5t2 7,b7 scre5+ ( vital signs1 includ+ pulse rate1 body temp]ature1 blood pressure1 oxyg5 saturation1 & respiration rate2 7,c7 scre5+ = blood glucose = kn[n or suspect$ diabetics2 7,d7 weight assessm5t ( deta9ees "u #ab ye>s ( age2 7,e7 a physical exam9ation2 & 7,f7 a risk-assessm5t & ! developm5t ( a plan = monitor+ & c>e1 :5 appropriate4 7#b7 ,prescription m$ication ,! m$ical pr(essional %all review any prescrib$ m$ication t is 9 ! deta9ee's possession or t 0 confiscat$ by ,,cbp ^u arrival & det]m9e if ! m$ication may be kept by ! deta9ee = use dur+ det5tion1 prop]ly /or$ by ,,cbp ) appropriate access = use dur+ det5tion1 or ma9ta9$ ) ! deta9$ individual's p]sonal prop]ty4 ,a deta9ee may n be d5i$ ! use ( necess>y & appropriate m$ication = ! managem5t ( ! deta9ee's illness4 7#c7 ,rule ( con/ruction ,no?+ 9 ?is subsection %all be con/ru$ z requir+ deta9ees to disclose _! m$ical /atus or hi/ory4 7d7 ,tim+ 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 ! initial scre5+ & m$ical assessm5t describ$ 9 subsections 7b7 & 7c7 %all take place z soon z practicable1 b n lat] ?an #ab h\rs aft] a deta9ee's arrival at a ,,cbp facility4 7#b7 ,high priority individuals ,! initial scre5+ & m$ical assessm5t describ$ 9 subsections 7b7 & 7c7 %all take place z soon z practicable1 b n lat] ?an #f h\rs aft] a deta9ee's arrival at a ,,cbp facility if ! individual reasonably self-id5tifies z hav+ a m$ical condition t requires prompt m$ical att5tion or is-- 7,a7 exhibit+ signs ( acute or pot5tially sev]e physical or m5tal illness1 or o!rwise has an acute or *ronic physical or m5tal disability or illness2 7,b7 pregnant2 7,c7 a *ild 7) priority giv51 z appropriate1 to ! y\nge/ *ildr572 or 7,d7 eld]ly4 7e7 ,fur!r c>e 7#a7 ,9 g5]al ,if1 z a result ( ! initial heal? scre5+ & m$ical assessm5t1 ! lic5s$ m$ical pr(essional conduct+ ! scre5+ or assessm5t det]m9es t "o or m ( ! deta9ee's vital sign measurem5ts are significantly outside normal ranges 9 accordance ) ! ,national ,em]g5cy ,s]vices ,education ,/&>ds1 or if ! deta9ee is id5tifi$ z high-risk or 9 ne$ ( m$ical int]v5tion1 ! deta9ee %all be provid$1 z exp$iti\sly z possible1 ) an 9-p]son or te*nology-facilitat$ m$ical consultation ) a lic5s$ em]g5cy c>e pr(essional4 7#b7 ,re-evaluation 7,a7 ,9 g5]al ,deta9ees describ$ 9 p>agraph 7#a7 %all be re-evaluat$ )9 #bd h\rs & monitor$ !reaft] z det]m9$ by an em]g5cy c>e pr(essional 7& 9 ! c>e ( a consultation provid$ to a *ild1 ) a lic5s$ em]g5cy c>e pr(essional ) a backgr\nd 9 p$iatric c>e74 7,b7 ,reevaluation prior to transportation ,9 addition to ! re-evaluations "u subp>agraph 7,a71 deta9ees %all h all vital signs re-evaluat$ & be cle>$ z safe to travel by a m$ical pr(essional prior to transportation4 7#c7 ,pys*ological & m5tal c>e ,! ,commission] %all ensure t deta9ees :o h exp]i5c$ physical or sexual viol5ce or :o h exp]i5c$ ev5ts t may cause sev]e trauma or toxic /ress1 are provid$ access to basic1 humane1 & supportive psy*ological assi/ance4 7f7 ,int]pret]s ,to ensure t heal? scre5+s & m$ical c>e requir$ "u ?is section are c>ri$ out 9 ! be/ int]e/s ( ! deta9ee1 ! ,commission] %all ensure t language-appropriate int]pretation s]vices1 includ+ indig5\s languages1 are provid$ to ea* deta9ee & t ea* deta9ee is in=m$ ( ! availability ( int]pretation s]vices4 7g7 ,*ap]ones ,to ensure t heal? scre5+s & m$ical c>e requir$ "u ?is section are c>ri$ out 9 ! be/ int]e/s ( ! deta9ee-- 7#a7 ! ,commission] %all e/abli% guidel9es = & ensure ! pres5ce ( *ap]ones = all deta9ees dur+ m$ical scre5+s & exam9ations consi/5t ) relevant guidel9es 9 ! ,am]ican ,m$ical ,association ,code ( ,m$ical ,e?ics1 & recomm5dations ( ! ,am]ican ,academy ( ,p$iatrics2 & 7#b7 to ! ext5t practicable1 ! physical exam9ation ( a *ild %all always be p]=m$ 9 ! pres5ce ( a p>5t or legal gu>dian or 9 ! pres5ce ( ! deta9ee's close/ pres5t adult relative if a p>5t or legal gu>dian is unavailable4 7h7 ,docum5tation ,! ,commission] %all ensure t ! heal? scre5+s & m$ical c>e requir$ "u ?is section1 along ) any o!r m$ical evaluations & int]v5tions = deta9ees1 are docum5t$ 9 accordance ) commonly accept$ /&>ds 9 ! ,unit$ ,/ates = m$ical record docum5tation4 ,su* docum5tation %all be provid$ to any individual :o receiv$ a heal? scre5+ & subsequ5t m$ical treatm5t ^u release f ,,cbp cu/ody4 7i7 ,infra/ructure & equipm5t ,! ,commission] or ! ,adm9i/rator ( ,g5]al ,s]vices %all ensure t ea* location to :i* deta9ees are fir/ transport$ aft] an initial enc\nt] ) an ag5t or (fic] ( ,,cbp has ! foll[+3 7#a7 ,a private space t provides a com=table & consid]ate atmosph]e = ! pati5t & t ensures ! pati5t's dignity & "r to privacy dur+ ! heal? scre5+ & m$ical assessm5t & any necess>y foll[-up c>e4 7#b7 ,all necess>y & appropriate m$ical equipm5t & facilities to conduct ! heal? scre5+s & foll[-up c>e requir$ "u ?is section1 to treat trauma1 to provide em]g5cy c>e1 includ+ resuscitation ( individuals ( all ages1 & to prev5t ! spread ( communicable diseases4 7#c7 ,basic ov]-!-c\nt] m$ications appropriate = all age gr\ps4 7#d7 ,appropriate transportation to m$ical facilities 9 ! case ( a m$ical em]g5cy1 or an on-call s]vice ) ! ability to arrive at ! ,,cbp facility )9 #cj m9utes4 7j7 ,p]sonnel ,! ,commission] or ! ,adm9i/rator ( ,g5]al ,s]vices %all ensure t ea* location to :i* deta9ees are fir/ transport$ aft] an initial enc\nt] has onsite at lea/ "o lic5s$ m$ical pr(essional to conduct heal? scre5+s4 ,o!r p]sonnel t are or may be necess>y = c>ry+ out ! functions describ$ 9 subsection 7e71 su* z lic5s$ em]g5cy c>e pr(essionals1 specialty physicians 7includ+ physicians specializ+ 9 p$iatrics1 family m$ic9e1 ob/etrics & gynecology1 g]iatric m$ic9e1 int]nal m$ic9e1 & infecti\s diseases71 nurse practition]s1 o!r nurses1 physician assi/ants4 lic5s$ social work]s1 m5tal heal? pr(essionals1 public heal? pr(essionals1 dieticians1 int]pret]s1 & *ap]ones1 %all be locat$ on site to ! ext5t practicable1 or if n practicable1 %all be available on call4 7k7 ,e?ical guidel9es ,! ,commission] %all ensure t all m$ical assessm5ts & proc$ures conduct$ pursuant to ?is section are conduct$ 9 accordance ) e?ical guidel9es 9 ! applicable m$ical field1 & respect human dignity4 #c4 ,wat]1 sanitation & hygi5e ,! ,commission] %all ensure t deta9ees h access to-- 7#a7 n less ?an "o gallon ( dr9k+ wat] p] p]son p] day1 & age-appropriate fluids z ne$$2 7#b7 a private1 safe1 clean1 & reliable p]man5t or portable toilet ) prop] wa/e disposal & a h& wa%+ /ation1 ) n less ?an "o toilet available = e #ab male deta9ees1 & #a toilet = e #h female deta9ees2 7#c7 a clean diap] *ang+ facility1 :i* includes prop] wa/e disposal1 a h& wa%+ /ation1 & unre/rict$ access to diap]s2 7#d7 ! opportunity to ba! daily 9 a p]man5t or portable %[] t is private & secure2 & 7#e7 products = individuals ( all age gr\ps & ) disabilities to ma9ta9 basic p]sonal hygi5e1 includ+ soap1 a too?bru%1 too?pa/e1 adult diap]s1 & fem99e hygi5e products1 z well z receptacles = ! prop] /orage & disposal ( su* products4 #d4 ,food & nutrition ,! ,commission] %all ensure t deta9ees h access to-- 7#a7 ?ree meals p] day includ+-- 7,a7 9 ! case ( an individual age #ab or old]1 a diet t conta9s n less ?an #b1jjj calories p] day2 & 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 & weight2 7#b7 accommodations = any diet>y ne$s or re/rictions2 & 7#c7 access to food 9 a mann] t foll[s applicable food safety /&>ds4 #e4 ,%elt] ,! ,commission] %all ensure t ea* facility at :i* a deta9ee is deta9$ 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>dian unless su* an arrangem5t poses safety or security conc]ns4 ,9 no case %all a m9or :o is deta9$ ap>t f an adult relative or legal gu>dian z a result ( su* safety or security conc]ns be deta9$ ) o!r adults4 7#c7 ,9 ! case ( an unaccompani$ m9or arriv+ 9 ! ,unit$ ,/ates )\t an adult relative or legal gu>dian1 su* *ild %all be deta9$ 9 an age-appropriate facility & %all n be deta9$ ) adults4 7#d7 ,a deta9ee ) a tempor>y or p]man5t disability %all be held 9 an accessible location & 9 a mann] t provides = 8 or h] safety1 com=t1 & security1 ) accommodations provid$ z ne$$4 7#e7 ,no deta9ee %all be plac$ 9 a room = any p]iod ( "t if ! deta9ee's placem5t w\ld exce$ ! maximum occupancy level z det]m9$ by ! appropriate build+ code1 fire m>%al1 or o!r au?ority4 7#f7 ,ea* deta9ee %all be provid$ ) temp]ature appropriate clo?+ & b$d+4 7#g7 ,! facility %all be well lit & well v5tilat$1 ) ! humidity & temp]ature kept at com=table levels 7betwe5 #fh & #gd degrees ,fahr5heit74 7#h7 ,deta9ees :o are 9 cu/ody = m ?an #dh h\rs %all h access to ! outdoors = n less ?an #a h\r dur+ ! daylight h\rs dur+ ea* #bd-;h\r p]iod4 7#i7 ,deta9ees %all h ! ability to practice _! religion or n to practice a religion1 z applicable4 7#aj7 ,deta9ees %all h access to light+ & noise levels t are safe & conducive = sleep+ ?r\gh\t ! night betwe5 ! h\rs ( #aj p4m4 & #f a4m4 7#aa7 ,(fic]s1 employees1 & contract$ p]sonnel ( ,,cbp %all-- 7,a7 foll[ m$ical /&>ds = ! isolation & prev5tion ( communicable diseases2 & 7,b7 ensure ! physical & m5tal safety ( deta9ees :o id5tify z lesbian1 gay1 bisexual1 transg5d]1 & int]sex4 7#ab7 ,! facility %all h video-monitor+ to provide = ! safety ( ! deta9$ population & to prev5t sexual abuse & physical h>m ( vuln]able deta9ees4 7#ac7 ,! ,commission] %all ensure t language-appropriate ,deta9ee ,bill ( ,rights1 includ+ indig5\s languages1 are po/$ or o!rwise made available 9 all areas :]e deta9ees are locat$4 ,! ,deta9ee ,bill ( ,rights %all include all rights af=d$ to ! deta9ee "u ?is ,act4 7#ad7 ,video f video-monitor+ mu/ be pres]v$ = #ij days & ! det5tion facility mu/ ma9ta9 c]tifi$ records t ! video-monitor+ is prop]ly work+ at all times4 #f4 ,coord9ation & ,surge capacity ,! ,secret>y ( ,homel& ,security %all ent] into memor&a ( und]/&+ ) appropriate ,f$]al ag5cies1 su* z ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 & applicable em]g5cy gov]nm5t relief s]vices1 z well z contracts ) heal? c>e1 public heal?1 social "w1 & transportation pr(essionals1 = purposes ( address+ surge capacity & ensur+ compliance ) ?is ,act4 #g4 ,tra9+ ,! ,commission] %all ensure t ,,cbp p]sonnel assign$ to ea* %ort-t]m cu/odial facility are pr(essionally tra9$1 includ+ cont9u+ education z ! ,commission] deems appropriate1 9 all subjects necess>y to ensure compliance ) ?is ,act1 includ+-- 7#a7 humanit>ian response protocols & /&>ds2 7#b7 indicators ( physical & m5tal illness1 & m$ical di/ress 9 *ildr5 & adults2 7#c7 indicators ( *ild sexual exploitation & effective responses to miss+ migrant *ildr52 & 7#d7 proc$ures to report incid5ts ( suspect$ *ild sexual abuse & exploitation directly to ! ,national ,c5t] = ,miss+ & ,exploit$ ,*ildr54 #h4 ,int]facility transf] ( c>e 7a7 ,transf] ,:5 a deta9ee is dis*>g$ f a m$ical facility or em]g5cy dep>tm5t1 ! ,commission] %all ensure t responsibility ( c>e is transf]r$ f ! m$ical facility or em]g5cy dep>tm5t to an accept+ lic5s$ heal? c>e provid] ( ,,cbp4 7b7 ,responsibilities ( accept+ provid]s ,su* accept+ lic5s$ heal? c>e provid] %all review ! m$ical facility or em]g5cy dep>tm5t's evaluation1 diagnosis1 treatm5t1 managem5t1 & dis*>ge c>e in/ructions to assess ! safety ( ! dis*>ge & transf] & to provide necess>y foll[-up c>e4 #i4 ,plann+ & initial implem5tation 7a7 ,plann+ ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,homel& ,security %all submit to ,congress a detail$ plan del9eat+ ! timel9e1 process1 & *all5ges ( c>ry+ out ! requirem5ts ( ?is ,act4 7b7 ,implem5tation ,! ,secret>y ( ,homel& ,security %all ensure t ! requirem5ts ( ?is ,act are implem5t$ n lat] ?an #f mon?s aft] ! date ( enactm5t4 #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 adm9i/]$ by ,,cbp or contractors ( ,,cbp2 & 7#b7 submit to ,congress1 reports on ! results ( su* inspections z well z 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 7c7 ,access to facilities ,! ,commission] may n d5y a ,memb] ( ,congress entrance to any facility or build+ us$1 own$1 or op]at$ by ,,cbp4 #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 ,! /udy %all also exam9e ! ext5t to :i* ,,cbp p]sonnel1 9 c>ry+ out ?is ,act1 make abusive1 d]isive1 pr(ane1 or h>ass+ /atem5ts or ge/ures1 or engage 9 any o!r conduct evid5c+ hatr$ or invidi\s prejudice to or ab\t "o p]son or gr\p on acc\nt ( race1 color1 religion1 national orig91 sex1 sexual ori5tation1 age1 or disability1 includ+ on social m$ia4 #ac4 ,rule ( con/ruction ,no?+ 9 ?is ,act %all be con/ru$ to au?orize ,,cbp to deta9 individuals = long] ?an #gb h\rs4 #ad4 ,def9itions ,9 ?is ,act3 7#a7 ,int]pretation s]vices ,! t]m int]pretation s]vices includes translation s]vices t are p]=m$ ei!r 9-p]son or ?r\gh a telephone or video s]vice4 7#b7 ,*ild ,! t]m *ild has ! mean+ giv5 ! t]m 9 section #aja7;b77#a7 ( ! ,immigration & ,nationality ,act 7#h ,u4,s4,c4 #aaja7;b77#a774 7#c7 ,u4,s4 cu/oms & bord] protection facility ,! t]m ,u4,s4 ,cu/oms & ,bord] ,protection ,facility includes-- 7,a7 ,u4,s4 ,bord] ,patrol /ations2 7,b7 ports ( entry2 7,c7 *eckpo9ts2 7,d7 =w>d op]at+ bases2 7,e7 second>y inspection areas2 & 7,f7 %ort-t]m cu/ody facilities4 7#d7 ,=w>d op]at+ base ,! t]m =w>d op]at+ base means a p]man5t facility e/abli%$ by ,,cbp 9 =w>d or remote locations1 & designat$ z su* by ,,cbp4 ,july #ai1 #bjai ,report$ f ! ,committee on ! ,judici>y ) an am5dm5t ,july #ai1 #bjai ,! ,committee on ,homel& ,security dis*>g$2 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union & ord]$ to be pr9t$