,,ib  ,union ,cal5d> ,no4 #afg  #aaf?   
,,congress  #a/ ,session  ,h4 ,r4 #cebe 
,report ,no4 #aaf-baa  ,,9 ,,! ,,h\se   
,,( ,,repres5tatives  ,june #bg1 #bjai  
,ms4 ,und]wood introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on ,homel& 
,security  ,septemb] #ah1               
#bjai;,additional sponsors3 ,mr4 ,payne1
 ,mr4 ,ri*mond1 ,mr4 ,?ompson (         
,mississippi1 ,mr4 ,meeks1 ,mr4 ,veasey1
 ,mr4 ,johnson ( ,georgia1 ,mrs4        
,beatty1 ,mr4 ,evans1 ,ms4 ,pressley1   
,ms4 ,lee ( ,cali=nia1 ,ms4 ,kelly (    
,ill9ois1 ,ms4 ,cl>ke ( ,new ,york1     
,mrs4 ,watson ,coleman1 ,ms4 ,fudge1    
,ms4 ,johnson ( ,texas1 ,mr4 ,danny ,k4 
,davis ( ,ill9ois1 ,mr4 ,ru%1 ,mr4      
,lewis1 ,mr4 ,clyburn1 ,mr4 ,suozzi1 &  
,mr4 ,wel*  ,septemb] #ah1 #bjai        
,report$ ) an am5dm5t1 committ$ to !    
,committee ( ! ,:ole ,h\se on ! ,/ate ( 
! ,union1 & ord]$ to be pr9t$ ,/rike out
 all aft] ! enact+ clause & ins]t ! "p  
pr9t$ 9 italic ,= text ( introduc$ bill1
 see copy ( bill z introduc$ on ,june   

#bg1 #bjai  ,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     
%all1 n lat] ?an #cj days aft] ! date ( 
! enactm5t ( ?is section1 e/abli% uni=m 

processes & tra9+ to ensure consi/5t &  
effici5t m$ical scre5+ ( all            
individuals1 ) priority giv5 to *ildr5  
:o h n yet atta9$ ! age ( #ah1 s        
int]dict$ be=e transf] f ,u4,s4 ,cu/oms 
& ,bord] ,protection cu/ody1 b 9 no case
 long] ?an #ab h\rs aft] su*            
int]diction1 or #f h\rs 9 ! case ( a    
high priority individual4 ,su* scre5+   
%\ld be conduct$ by a m$ical pr(essional
 & %\ld be develop$ 9 collaboration )   
non-gov]nm5tal exp]ts 9 ! deliv]y (     
heal? c>e 9 humanit>ian crises & 9 !    
deliv]y ( heal? c>e to *ildr54  7b7     
,scre5+ process compon5ts ,at a m9imum1 
! uni=m processes & tra9+ e/abli%$ "u   
subsection 7a7 %all include ! foll[+3   
7#a7 ,requirem5ts = initial 9-p]son     
scre5+ t includes docum5tation ( !      
foll[+3 7,a7 ,visual assessm5t ( ov]all 
physical & behavioral /ate1 includ+ any 
possible disability4  7,b7 ,a brief     
m$ical hi/ory1 includ+ demographic      
in=mation1 curr5t m$ications 7includ+ a 
li/ ( confiscat$ m$ications & :e!r su* h

 be5 replac$71 & any *ronic or pa/      
illnesses4  7,c7 ,any curr5t m$ical     
compla9ts4  7,d7 ,a physical exam9ation 
t includes ! scre5+ ( vital signs su* z 
body temp]ature1 pulse rate1 & blood    
pressure4  7#b7 ,crit]ia = det]m9+ :5 to
 make a ref]ral to high] m$ical c>e & a 
process to execute su* ref]ral4  7#c7   
,recordkeep+ requirem5ts reg>d+ h[      
in=mation is to be record$ = ea* initial
 scre5+ "u p>agraph 7#a71 includ+       
in=mation on ! use ( int]pretation      
s]vices4  7#d7 ,review by a m$ical      
pr(essional ( any prescrib$ m$ication t 
is 9 ! deta9ee's possession or t 0      
confiscat$ ^u arrival to det]m9e if su* 
m$ication may be kept by su* deta9ee =  
use dur+ det5tion1 prop]ly /or$ )       
appropriate access = use dur+ det5tion1 
or ma9ta9$ ) a deta9ee's p]sonal        
prop]ty4  7#e7 ,*ap]ones = ! physical   
exam9ation ( m9ors1 includ+1 z          
appropriate1 ! p>5t1 legal gu>dian1 or !
 su* m9ors' close/ pres5t adult         
relative1 or a ,u4,s4 ,bord] ,patrol    

ag5t ( ! same g5d]4  7c7 ,p$iatric      
exp]tise ,a p$iatric m$ical exp]t %all  
be on site 9 e ,u4,s4 ,bord] ,patrol    
sector1 includ+ at ,u4,s4 ,bord] ,patrol
 process+ c5t]s & at ,u4,s4 ,bord]      
,patrol facilities at :i* #bj p]c5t or m
 ( deta9$ individuals ov] ! imm$iately  
prec$+ six mon? p]iod are m9ors4 ,!     
,*ief ( ! ,u4,s4 ,bord] ,patrol %all    
prep>e a plan to deploy 9-p]son or      
te*nology-facilitat$ m$ical consultation
 ) a lic5s$ m$ical pr(essional to ,u4,s4
 ,bord] ,patrol facilities t exp]i5ce an
 increase 9 appreh5sions ( *ildr5 great]
 ?an #aj p]c5t ov] ! prec$+ #fj days4   
7d7 ,def9ition ,9 ?is section1 ! t]m    
high priority individual means an       
individual :o self-id5tifies z hav+ a   
m$ical condition ne$+ prompt att5tion1  
exhibits signs ( acute illness1 is      
pregnant1 is a *ild1 or is eld]ly4  7e7 
,tra9+ ,n lat] ?an #fj days aft] !      
issuance ( ! uni=m processes & tra9+    
e/abli%$ "u subsection 7a71 !           
,commission] ( ,u4,s4 ,cu/oms & ,bord]  

,protection %all ensure t any individual
 c>ry+ out m$ical scre5+ "u ?is section 
at a ,u4,s4 ,cu/oms & ,bord] ,protection
 facility ( individuals int]dict$ by !  
,u4,s4 ,bord] ,patrol betwe5 ports (    
entry %all complete tra9+ on su* uni=m  
processes4  4  7b7 ,rule ( con/ruction  
,no?+ 9 ?is section or ! am5dm5t made by
 ?is section may be con/ru$ z au?oriz+  
,u4,s4 ,cu/oms & ,bord] ,protection to  
deta9 individuals = long] ?an #gb h\rs4 
7c7 ,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$ical ,(fic] ( !
 ,dep>tm5t1 %all rese>* innovative      
approa*es to address capability gaps    
reg>d+ ! provision ( compreh5sive m$ical
 scre5+ ( individuals1 p>ticul>ly       
*ildr51 pregnant wom51 ! eld]ly1 & o!r  
vuln]able populations1 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 & non-gov]nm5tal
 exp]ts 9 em]g5cy1 nurs+1 & o!r m$ical  
c>e1 includ+ p$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 implem5tation  7a7 ,9     
g5]al ,n lat] ?an #cj days aft] ! date (
 ! enactm5t ( ?is ,act1 ! ,*ief         
,in=mation ,(fic] ( ! ,dep>tm5t (       
,homel& ,security1 9 coord9ation ) !    
,*ief ,m$ical ,(fic] ( ! ,dep>tm5t1 %all
 e/abli% )9 ! ,dep>tm5t an electronic   
heal? record sy/em t c be access$ by all
 dep>tm5tal compon5ts op]at+ along !    
bord]s ( ! ,unit$ ,/ates = individuals 9
 ! cu/ody ( su* compon5ts4  7b7         
,assessm5t ,n lat] ?an #abj days aft] ! 
implem5tation ( ! electronic heal?      
records sy/em1 ! ,*ief ,in=mation       
,(fic]1 9 coord9ation ) ! ,*ief ,m$ical 
,(fic]1 %all conduct an assessm5t ( su* 
sy/em to det]m9e sy/em capacity =       
improvem5t & int]op]ability4  ,septemb] 
#ah1 #bjai ,report$ ) an am5dm5t1       

committ$ to ! ,committee ( ! ,:ole ,h\se
 on ! ,/ate ( ! ,union1 & ord]$ to be   
pr9t$