,,ib  ,union ,calendar ,no4 #afg  #aafth
 ,,congress  #ast ,session  ,h4 ,r4     
#cebe  ,report ,no4 #aaf-baa  ,,in ,,the
 ,,house ,,of ,,representatives  ,june  
#bg1 #bjai ,ms4 ,underwood introduced   
the following bill2 which was referred  
to the ,committee on ,homeland ,security
  ,september #ah1 #bjai;,additional     
sponsors3 ,mr4 ,payne1 ,mr4 ,richmond1  
,mr4 ,thompson of ,mississippi1 ,mr4    
,meeks1 ,mr4 ,veasey1 ,mr4 ,johnson of  
,georgia1 ,mrs4 ,beatty1 ,mr4 ,evans1   
,ms4 ,pressley1 ,ms4 ,lee of            
,california1 ,ms4 ,kelly of ,illinois1  
,ms4 ,clarke of ,new ,york1 ,mrs4       
,watson ,coleman1 ,ms4 ,fudge1 ,ms4     
,johnson of ,texas1 ,mr4 ,danny ,k4     
,davis of ,illinois1 ,mr4 ,rush1 ,mr4   
,lewis1 ,mr4 ,clyburn1 ,mr4 ,suozzi1 and
 ,mr4 ,welch  ,september #ah1 #bjai     
,reported with an amendment1 committed  
to the ,committee of the ,whole ,house  
on the ,state of the ,union1 and ordered
 to be printed ,strike out all after the
 enacting clause and insert the part    

printed in italic ,for text of          
introduced bill1 see copy of bill as    
introduced on ,june #bg1 #bjai  ,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 shall1 not later than #cj 
days after the date of the enactment of 
this section1 establish uniform         
processes and training to ensure        
consistent and efficient medical        
screening of all individuals1 with      
priority given to children who have not 
yet attained the age of #ah1 so         
interdicted before transfer from ,u4,s4 
,customs and ,border ,protection        
custody1 but in no case longer than #ab 
hours after such interdiction1 or #f    
hours in the case of a high priority    
individual4 ,such screening should be   
conducted by a medical professional and 
should be developed in collaboration    
with non-governmental experts in the    
delivery of health care in humanitarian 
crises and in the delivery of health    
care to children4  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 in-person     
screening that includes documentation of
 the following3 7,a7 ,visual assessment 
of overall physical and behavioral      
state1 including any possible           
disability4  7,b7 ,a brief medical      
history1 including demographic          
information1 current medications        
7including a list of confiscated        
medications and whether such have been  
replaced71 and any chronic or past      
illnesses4  7,c7 ,any current medical   
complaints4  7,d7 ,a physical           
examination that includes the screening 
of vital signs such as body temperature1
 pulse rate1 and blood pressure4  7#b7  
,criteria for determining when to make a
 referral to higher medical care and a  
process to execute such referral4  7#c7 
,recordkeeping requirements regarding   
how information is to be recorded for   
each initial screening under paragraph  

7#a71 including information on the use  
of interpretation services4  7#d7       
,review by a medical professional of any
 prescribed medication that is in the   
detainee's possession or that was       
confiscated upon arrival to determine if
 such medication may be kept by such    
detainee for use during detention1      
properly stored with appropriate access 
for use during detention1 or maintained 
with a detainee's personal property4    
7#e7 ,chaperones for the physical       
examination of minors1 including1 as    
appropriate1 the parent1 legal guardian1
 or the such minors' closest present    
adult relative1 or a ,u4,s4 ,border     
,patrol agent of the same gender4  7c7  
,pediatric expertise ,a pediatric       
medical expert shall be on site in every
 ,u4,s4 ,border ,patrol sector1         
including at ,u4,s4 ,border ,patrol     
processing centers and at ,u4,s4 ,border
 ,patrol facilities at which #bj percent
 or more of detained individuals over   
the immediately preceding six month     

period are minors4 ,the ,chief of the   
,u4,s4 ,border ,patrol shall prepare a  
plan to deploy in-person or             
technology-facilitated medical          
consultation with a licensed medical    
professional to ,u4,s4 ,border ,patrol  
facilities that experience an increase  
in apprehensions of children greater    
than #aj percent over the preceding #fj 
days4  7d7 ,definition ,in this section1
 the term high priority individual means
 an individual who self-identifies as   
having a medical condition needing      
prompt attention1 exhibits signs of     
acute illness1 is pregnant1 is a child1 
or is elderly4  7e7 ,training ,not later
 than #fj days after the issuance of the
 uniform processes and training         
established under subsection 7a71 the   
,commissioner of ,u4,s4 ,customs and    
,border ,protection shall ensure that   
any individual carrying out medical     
screening under this section at a ,u4,s4
 ,customs and ,border ,protection       
facility of individuals interdicted by  

the ,u4,s4 ,border ,patrol between ports
 of entry shall complete training on    
such uniform processes4  4  7b7 ,rule of
 construction ,nothing in this section  
or the amendment made by this section   
may be construed as authorizing ,u4,s4  
,customs and ,border ,protection to     
detain individuals for longer than #gb  
hours4  7c7 ,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 comprehensive
 medical screening of individuals1      
particularly children1 pregnant women1  
the elderly1 and other vulnerable       
populations1 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 and         
non-governmental experts in emergency1  
nursing1 and other medical care1        
including 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              
implementation  7a7 ,in general ,not    
later than #cj days after the date of   
the enactment of this ,act1 the ,chief  
,information ,officer of the ,department
 of ,homeland ,security1 in coordination
 with the ,chief ,medical ,officer of   
the ,department1 shall establish within 
the ,department an electronic health    
record system that can be accessed by   
all departmental components operating   
along the borders of the ,united ,states
 for individuals in the custody of such 
components4  7b7 ,assessment ,not later 

than #abj days after the implementation 
of the electronic health records system1
 the ,chief ,information ,officer1 in   
coordination with the ,chief ,medical   
,officer1 shall conduct an assessment of
 such system to determine system        
capacity for improvement and            
interoperability4  ,september #ah1 #bjai
 ,reported with an amendment1 committed 
to the ,committee of the ,whole ,house  
on the ,state of the ,union1 and ordered
 to be printed