,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #bace  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #ag1 #bjai,mr4   
,udall 7= himself1 ,mr4 ,br[n1 & ,mr4   
,he9ri*7 introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on !
 ,judici>y  ,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 ,def9itions4  
,sec4 #c4 ,initial heal? scre5+         
protocol4 ,sec4 #d4 ,wat]1 sanitation1 &
 hygi5e4 ,sec4 #e4 ,food & nutrition4   
,sec4 #f4 ,%elt]4 ,sec4 #g4 ,coord9ation
 & surge capacity4 ,sec4 #h4 ,tra9+4    
,sec4 #i4 ,int]facility transf] ( c>e4  
,sec4 #aj4 ,plann+ & initial            
implem5tation4 ,sec4 #aa4 ,contractor   

compliance4 ,sec4 #ab4 ,inspections4    
,sec4 #ac4 ,,gao report4 ,sec4 #ad4     
,rule ( con/ruction4  #b4 ,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  #c4 ,initial 
heal? scre5+ protocol  7a7 ,9 g5]al ,!  
,commission] ( ,u4,s4 ,cu/oms & ,bord]  
,protection 7ref]r$ to 9 ?is ,act z !   

8,commission]071 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     
8,,cbp071 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         
8deta9ee07 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$ical assessm5t requir$ "u    
subsection 7b7 %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 :o are y\ng] ?an   
#ab ye>s ( age2  7,e7 a physical        
exam9ation2 &  7,f7 a risk assessm5t & !
 developm5t ( a plan = monitor+ & c>e1 z
 appropriate4  7#b7 ,prescription       
m$ication ,! m$ical pr(essional conduct+
 ! initial scre5+ & m$ical assessm5t    
%all review any prescrib$ 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$ication = ! managem5t ( ! 
deta9ee's *ronic illness4  7#c7 ,rule ( 
con/ruction ,no?+ 9 ?is subsection may  
be con/ru$ 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$ical assessm5t requir$ "u ?is section 
%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$ical assessm5t requir$ "u ?is
 section %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$ical pr(essional 
conduct+ ! scre5+ or assessm5t det]m9es 
t #a or m ( ! deta9ee's vital sign      
measurem5ts are outside normal ranges 9 
accordance ) ! ,national ,em]g5cy       
,s]vices ,education ,/&>ds1 or if !     
deta9ee is id5tifi$ 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 reevaluat$ )9 #bd h\rs &   
monitor$ !reaft] z det]m9$ by an em]g5cy
 c>e pr(essional4  7,b7 ,reevaluation   

prior to transportation ,9 addition to !
 reevaluations "u subp>agraph 7,a71     
deta9ees %all h all vital signs         
reevaluat$ & be cle>$ z safe to travel  
by a m$ical pr(essional be=e be+        
transport$4  7#c7 ,pys*ological & m5tal 
c>e ,! ,commission] %all ensure t       
deta9ees :o h exp]i5c$ 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 & ,am]ican ,association (  
,p$iatrics ,code ( ,m$ical ,e?ics2 &    
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--
  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$ical assessm5t & any necess>y foll[-up
 c>e2  7#b7 all necess>y & appropriate  
m$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     
diseases2  7#c7 basic ov]-!-c\nt]       
m$ications appropriate = all age gr\ps2 
&  7#d7 appropriate transportation to   
m$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/ #a  
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 ?is section1 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/ants1 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  #d4    
,wat]1 sanitation1 & hygi5e ,!          
,commission] %all ensure t deta9ees h   

access to-- 7#a7 n less ?an #a gallon ( 
dr9k+ wat] 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 #a 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  #e4 ,food & nutrition  
,! ,commission] %all ensure t deta9ees h
 access to-- 7#a7 #c meals p] day       
includ+--  7,a7 9 ! case ( an individual
 :o is at lea/ #ab ye>s ( age1 a diet t 
conta9s n less ?an #b1jjj calories p]   

day2 &  7,b7 9 ! case ( a *ild :o is    
y\ng] ?an #ab ye>s ( age1 a diet t      
conta9s an appropriate numb] ( calories 
p] day bas$ on ! *ild's age & weight2   
7#b7 accommodations = any diet>y ne$s or
 re/rictions2 &  7#c7 access to food 9 a
 mann] t foll[s applicable food safety  
/&>ds4  #f4 ,%elt] ,! ,commission] %all 
ensure t ea* facility at :i* a deta9ee  
is deta9$ 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 a mann] t provides = 8 or h]     
safety1 com=t1 & security4  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>%all1 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$ical /&>ds = !      
isolation & prev5tion ( communicable    
diseases2 &  7,b7 ensure ! physical &   
m5tal safety ( lesbian1 gay1 bisexual1  
transg5d]1 & int]sex deta9ees4  7#ab7 ,!
 facility %all h video-monitor+ to      
provide = ! safety ( ! deta9$ population
 & to prev5t sexual abuse & physical h>m
 ( vuln]able deta9ees4  #g4 ,coord9ation
 & surge capacity ,! ,secret>y ( ,homel&
 ,security %all ent] into memor&a (     
und]/&+ ) appropriate ,f$]al ag5cies1   
su* z ! ,dep>tm5t ( ,heal? & ,human     
,s]vices1 & applicable em]g5cy gov]nm5t 
relief s]vices1 z well z contracts )    
heal? c>e1 public heal?1 social "w1 &   
transportation pr(essionals1 = purposes 
( address+ surge capacity & ensur+      
compliance ) ?is ,act4  #h4 ,tra9+ ,!   
,commission] %all ensure t ,,cbp        
p]sonnel assign$ 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  #i4
 ,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 ,an accept+ lic5s$ heal? c>e   
provid] receiv+ a deta9ee %all review ! 
m$ical facility or em]g5cy dep>tm5t's   
evaluation1 diagnosis1 treatm5t1        
managem5t1 & dis*>ge c>e in/ructions )  

respect to ! deta9ee to assess ! safety 
( ! dis*>ge & transf] & to provide      
necess>y foll[-up c>e4  #aj4 ,plann+ &  
initial implem5tation  7a7 ,plann+ ,n   
lat] ?an #fj days aft] ! date ( enactm5t
 ( ?is ,act1 ! ,secret>y ( ,homel&      
,security %all submit a detail$ plan to 
,congress t del9eates ! 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 ( ! enactm5t ( ?is    
,act4  #aa4 ,contractor compliance ,!   
,secret>y ( ,homel& ,security %all      
ensure t all p]sonnel contract$ to c>ry 
out ?is ,act d s 9 accordance ) !       
requirem5ts "u ?is ,act4  #ab4          
,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 reports to        
,congress t-- 7,a7 describe ! results ( 
! inspections conduct$ pursuant to      
p>agraph 7#a72 &  7,b7 relate to cu/ody 
op]ations4  7b7 ,p>ticul> att5tion ,9   
c>ry+ out subsection 7a71 ! ,inspector  
,g5]al %all pay p>ticul> att5tion to--  
7#a7 ! degree ( compliance by ,,cbp ) ! 
requirem5ts "u ?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  #ac4 ,,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$ "u         
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  #ad4 ,rule ( con/ruction     
,no?+ 9 ?is ,act may be con/ru$ to      
au?orize ,,cbp to deta9 individuals =   
long] ?an #gb h\rs4