,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #cebe  ,,in ,,the ,,house ,,of  
,,representatives  ,june #bg1 #bjai,ms4 
,underwood introduced the following     
bill2 which was referred to the         
,committee on ,homeland ,security  ,a   
,,bill  ,to amend the ,homeland         
,security ,act of #bjjb to direct the   
,commissioner of ,u4,s4 ,customs and    
,border ,protection to establish uniform
 processes for medical screening of     
individuals interdicted between ports of
 entry1 and for other purposes4  #a4    
,short title ,this ,act may be cited as 
the ,u4,s4 ,border ,patrol ,medical     
,screening ,standards ,act 4  #b4       
,uniform processes for medical screening
 of individuals interdicted between     
ports of entry  7a7 ,in general         
,subtitle ,c of title ,,iv of the       
,homeland ,security ,act of #bjjb 7#f   
,u4,s4,c4 #bca7 is amended by adding at 
the end the following new section3      
#dcg4 ,medical screening of individuals 
interdicted between ports of entry  7a7 

,in general ,to improve border security 
and the processing of individuals and   
families interdicted by the ,u4,s4      
,border ,patrol between ports of entry1 
the ,commissioner of ,u4,s4 ,customs and
 ,border ,protection1 in coordination   
with the ,chief ,medical ,officer of the
 ,department1 shall establish uniform   
processes and training to ensure        
consistent and efficient medical        
screening of all individuals so         
interdicted within #ab hours of such    
interdiction4  7b7 ,screening process   
components ,at a minimum1 the uniform   
processes and training established under
 subsection 7a7 shall include the       
following3  7#a7 ,requirements for      
initial screening that includes         
documentation of the following3 7,a7    
,current medical complaints and         
concerns4  7,b7 ,a brief medical history
 to identify current medications and any
 chronic or past illnesses4  7,c7 ,basic
 vital statistics4  7#b7 ,criteria for  
determining when to make a referral to  

higher medical care and a process to    
execute such referral4  7#c7            
,recordkeeping requirements4  7c7       
,dissemination and training ,the uniform
 processes and training shall be made   
available to appropriate personnel of   
,u4,s4 ,customs and ,border ,protection 
and other ,department components1       
offices1 and contractors1 as            
appropriate4  4  7b7 ,clerical amendment
 ,the table of contents in section      
#a7;b7 of the ,homeland ,security ,act  
of #bjjb is amended by inserting after  
the item relating to section #dcf the   
following new item3  ,sec4 #dcg4        
,medical screening of individuals       
interdicted between ports of entry4  4  
#c4 ,research regarding provision of    
medical screening of individuals        
interdicted by ,u4,s4 ,customs and      
,border ,protection between ports of    
entry  7a7 ,in general ,not later than  
one year after the date of the enactment
 of this ,act1 the ,secretary of        
,homeland ,security1 acting through the 

,under ,secretary for ,science and      
,technology of the ,department of       
,homeland ,security1 in coordination    
with the ,commissioner of ,u4,s4        
,customs and ,border ,protection and the
 ,chief ,medical ,officer of the        
,department1 shall research innovative  
approaches to address capability gaps   
regarding the provision of medical      
screening of individuals interdicted by 
,u4,s4 ,customs and ,border ,protection 
between ports of entry and issue to the 
,secretary recommendations for any      
necessary corrective actions4  7b7      
,consultation ,in carrying out the      
research required under subsection 7a71 
the ,under ,secretary for ,science and  
,technology of the ,department of       
,homeland ,security shall consult with  
appropriate national professional       
associations with expertise in          
emergency1 nursing1 and other medical   
care1 including expertise in pediatric  
care4  7c7 ,report ,the ,secretary of   
,homeland ,security shall submit to the 

,committee on ,homeland ,security of the
 ,house of ,representatives and the     
,committee on ,homeland ,security and   
,governmental ,affairs of the ,senate a 
report containing the recommendations   
referred to in subsection 7a71 together 
with information relating to what       
actions1 if any1 the ,secretary plans to
 take in response to such               
recommendations4  #d4 ,electronic health
 records interoperability assessment and
 implementation plan  7a7 ,assessment   
7#a7 ,in general ,not later than #abj   
days after the date of the enactment of 
this ,act1 the ,chief ,information      
,officer of the ,department of ,homeland
 ,security shall submit to the          
,secretary of ,homeland ,security an    
assessment of the challenges to         
achieving interoperability of electronic
 health records1 with appropriate       
privacy and other safeguards1 within the
 ,department's information technology   
systems of individuals who receive      
medical screening after being           

interdicted by ,u4,s4 ,customs and      
,border protection between ports of     
entry in accordance with section #dcg of
 the ,homeland ,security ,act of #bjjb  
7as added by section #b74  7#b7         
,contents ,the assessment required under
 paragraph 7#a7 shall include           
information on programmatic1 policy1 and
 operational options to overcome        
challenges described in such assessment 
and a cost and benefit analyses for each
 such option4  7b7 ,implementation plan 
,not later than #abj days after receipt 
of the assessment required under        
subsection 7a71 the ,secretary of       
,homeland ,security shall submit to the 
,committee on ,homeland ,security of the
 ,house of ,representatives and the     
,committee on ,homeland ,security and   
,governmental ,affairs of the ,senate an
 implementation plan1 including         
benchmarks and metrics1 for achieving   
the interoperability described in such  
subsection4