,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #cebe  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #bg1 #bjai,ms4  
,und]wood introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,homel&      
,security  ,a ,,bill  ,to am5d ! ,homel&
 ,security ,act ( #bjjb to direct !     
,commission] ( ,u4,s4 ,cu/oms & ,bord]  
,protection to e/abli% uni=m processes =
 m$ical scre5+ ( individuals int]dict$  
betwe5 ports ( entry1 & = o!r purposes4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,u4,s4 ,bord] ,patrol ,m$ical ,scre5+ 
,/&>ds ,act 4  #b4 ,uni=m processes =   
m$ical scre5+ ( individuals int]dict$   
betwe5 ports ( entry  7a7 ,9 g5]al      
,subtitle ,c ( title ,,iv ( ! ,homel&   
,security ,act ( #bjjb 7#f ,u4,s4,c4    
#bca7 is am5d$ by add+ at ! end ! foll[+
 new section3  #dcg4 ,m$ical scre5+ (   
individuals int]dict$ betwe5 ports (    
entry  7a7 ,9 g5]al ,to improve bord]   
security & ! process+ ( individuals &   
families int]dict$ by ! ,u4,s4 ,bord]   
,patrol betwe5 ports ( entry1 !         

,commission] ( ,u4,s4 ,cu/oms & ,bord]  
,protection1 9 coord9ation ) ! ,*ief    
,m$ical ,(fic] ( ! ,dep>tm5t1 %all      
e/abli% uni=m processes & tra9+ to      
ensure consi/5t & effici5t m$ical scre5+
 ( all individuals s int]dict$ )9 #ab   
h\rs ( su* int]diction4  7b7 ,scre5+    
process compon5ts ,at a m9imum1 ! uni=m 
processes & tra9+ e/abli%$ "u subsection
 7a7 %all include ! foll[+3  7#a7       
,requirem5ts = initial scre5+ t includes
 docum5tation ( ! foll[+3 7,a7 ,curr5t  
m$ical compla9ts & conc]ns4  7,b7 ,a    
brief m$ical hi/ory to id5tify curr5t   
m$ications & any *ronic or pa/          
illnesses4  7,c7 ,basic vital /ati/ics4 
7#b7 ,crit]ia = det]m9+ :5 to make a    
ref]ral to high] m$ical c>e & a process 
to execute su* ref]ral4  7#c7           
,recordkeep+ requirem5ts4  7c7          
,dissem9ation & tra9+ ,! uni=m processes
 & tra9+ %all be made available to      
appropriate p]sonnel ( ,u4,s4 ,cu/oms & 
,bord] ,protection & o!r ,dep>tm5t      
compon5ts1 (fices1 & contractors1 z     

appropriate4  4  7b7 ,cl]ical am5dm5t ,!
 table ( cont5ts 9 section #a7;b7 ( !   
,homel& ,security ,act ( #bjjb is am5d$ 
by ins]t+ aft] ! item relat+ to section 
#dcf ! foll[+ new item3  ,sec4 #dcg4    
,m$ical scre5+ ( individuals int]dict$  
betwe5 ports ( entry4  4  #c4 ,rese>*   
reg>d+ provision ( m$ical scre5+ (      
individuals int]dict$ by ,u4,s4 ,cu/oms 
& ,bord] ,protection betwe5 ports (     
entry  7a7 ,9 g5]al ,n lat] ?an "o ye>  
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y ( ,homel& ,security1 act+     
?r\gh ! ,"u ,secret>y = ,sci5ce &       
,te*nology ( ! ,dep>tm5t ( ,homel&      
,security1 9 coord9ation ) !            
,commission] ( ,u4,s4 ,cu/oms & ,bord]  
,protection & ! ,*ief ,m$ical ,(fic] ( !
 ,dep>tm5t1 %all rese>* innovative      
approa*es to address capability gaps    
reg>d+ ! provision ( m$ical scre5+ (    
individuals int]dict$ by ,u4,s4 ,cu/oms 
& ,bord] ,protection betwe5 ports (     
entry & issue to ! ,secret>y            
recomm5dations = any necess>y corrective

 actions4  7b7 ,consultation ,9 c>ry+   
out ! rese>* requir$ "u subsection 7a71 
! ,"u ,secret>y = ,sci5ce & ,te*nology (
 ! ,dep>tm5t ( ,homel& ,security %all   
consult ) appropriate national          
pr(essional associations ) exp]tise 9   
em]g5cy1 nurs+1 & o!r m$ical c>e1       
includ+ exp]tise 9 p$iatric c>e4  7c7   
,report ,! ,secret>y ( ,homel& ,security
 %all submit to ! ,committee on ,homel& 
,security ( ! ,h\se ( ,repres5tatives & 
! ,committee on ,homel& ,security &     
,gov]nm5tal ,affairs ( ! ,s5ate a report
 conta9+ ! recomm5dations ref]r$ to 9   
subsection 7a71 toge!r ) in=mation      
relat+ to :at actions1 if any1 !        
,secret>y plans to take 9 response to   
su* recomm5dations4  #d4 ,electronic    
heal? records int]op]ability assessm5t &
 implem5tation plan  7a7 ,assessm5t     
7#a7 ,9 g5]al ,n lat] ?an #abj days aft]
 ! date ( ! enactm5t ( ?is ,act1 ! ,*ief
 ,in=mation ,(fic] ( ! ,dep>tm5t (      
,homel& ,security %all submit to !      
,secret>y ( ,homel& ,security an        

assessm5t ( ! *all5ges to a*iev+        
int]op]ability ( electronic heal?       
records1 ) appropriate privacy & o!r    
safegu>ds1 )9 ! ,dep>tm5t's in=mation   
te*nology sy/ems ( individuals :o       
receive m$ical scre5+ aft] be+ int]dict$
 by ,u4,s4 ,cu/oms & ,bord] protection  
betwe5 ports ( entry 9 accordance )     
section #dcg ( ! ,homel& ,security ,act 
( #bjjb 7z add$ by section #b74  7#b7   
,cont5ts ,! assessm5t requir$ "u        
p>agraph 7#a7 %all include in=mation on 
programmatic1 policy1 & op]ational      
options to ov]come *all5ges describ$ 9  
su* assessm5t & a co/ & b5efit analyses 
= ea* su* option4  7b7 ,implem5tation   
plan ,n lat] ?an #abj days aft] receipt 
( ! assessm5t requir$ "u subsection 7a71
 ! ,secret>y ( ,homel& ,security %all   
submit to ! ,committee on ,homel&       
,security ( ! ,h\se ( ,repres5tatives & 
! ,committee on ,homel& ,security &     
,gov]nm5tal ,affairs ( ! ,s5ate an      
implem5tation plan1 includ+ b5*m>ks &   
metrics1 = a*iev+ ! int]op]ability      

describ$ 9 su* subsection4