,,ii #aafth ,,congress #ast ,session ,s4 #bhgj ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,november #ad1 #bjai,mr4 ,durbin 7for himself1 ,mr4 ,booker1 ,ms4 ,harris1 and ,mr4 ,schatz7 introduced the following bill2 which was read twice and referred to the ,committee on the ,judiciary ,a ,,bill ,to limit the use of solitary confinement and other forms of restrictive housing in immigration detention1 and for other purposes4 #a4 ,short title2 table of contents 7a7 ,short title ,this ,act may be cited as the ,restricting ,solitary ,confinement in ,immigration ,detention ,act of #bjai4 7b7 ,table of contents ,the table of contents for this ,act is as follows3 ,sec4 #a4 ,short title2 table of contents4,sec4 #b4 ,definitions4,sec4 #c4 ,solitary confinement reforms4,sec4 #d4 ,reassessment of detained alien mental health4,sec4 #e4 ,oversight responsibilities4,sec4 #f4 ,rulemaking4,sec4 #g4 ,authorization of appropriations4,sec4 #h4 ,effective date4 #b4 ,definitions ,in this ,act3 7#a7 ,administrative segregation ,the term administrative segregation means a nonpunitive form of solitary confinement that removes a detained alien from the general population of a detention center or other facility in which the alien is being detained for-- 7,a7 investigative1 protective1 or preventative reasons because of a substantial and immediate threat to the safety or security of the detained alien1 other detained aliens1 staff1 or the public2 or 7,b7 temporary administrative reasons4 7#b7 ,appropriate level of care ,the term appropriate level of care means the appropriate treatment setting for mental health care that a detained alien with mental illness requires1 which may include outpatient care1 emergency or crisis services1 day treatment1 supported residential housing1 infirmary care1 or inpatient psychiatric hospitalization services4 7#c7 ,intellectual disability ,the term intellectual disability means a significant mental impairment characterized by significant limitations in intellectual functioning and adaptive behavior4 7#d7 ,multidisciplinary staff committee ,the term multidisciplinary staff committee means a committee-- 7,a7 composed of staff at the facility at which a detained alien resides who are responsible for reviewing the initial placement of the alien in solitary confinement and any extensions of time in solitary confinement2 and 7,b7 that includes-- 7i7 not fewer than #a licensed mental health professional2 7ii7 not fewer than #a medical professional2 and 7iii7 not fewer than #a member of the leadership of the facility4 7#e7 ,protection case ,the term protection case means a detained alien who1 by the request of the alien or through a staff determination1 requires protection4 7#f7 ,secretary ,the term ,secretary means the ,secretary of ,homeland ,security4 7#g7 ,serious mental illness ,the term serious mental illness means-- 7,a7 a finding by a qualified mental health professional that the detained alien is at serious risk of substantially deteriorating mentally or emotionally while confined in solitary confinement1 or already has so deteriorated while confined in solitary confinement1 such that diversion or removal is deemed to be clinically appropriate by a qualified mental health professional2 or 7,b7 a current or recent diagnosis by a qualified mental health professional of #a or more of the following disorders described in the most recent edition of the ,diagnostic and ,statistical ,manual of ,mental ,disorders3 7i7 ,schizophrenia or another psychotic disorder4 7ii7 ,major depressive disorder4 7iii7 ,any type of bipolar disorder4 7iv7 ,a neurodevelopmental disorder1 dementia or other cognitive disorder4 7v7 ,any disorder commonly characterized by breaks with reality or perceptions of reality4 7vi7 ,any type of anxiety disorders4 7vii7 ,trauma or stressor related disorder4 7viii7 ,severe personality disorders4 7#h7 ,solitary confinement ,the term solitary confinement means confinement characterized by substantial isolation in a cell1 whether alone or with other detained aliens1 including administrative segregation and disciplinary segregation4 7#i7 ,substantial and immediate threat ,the term substantial and immediate threat means any set of circumstances that require immediate action in order to combat a significant threat to the safety of a detained alien1 other detained aliens1 staff1 or the public4 7#aj7 ,u4,s4 immigration and customs enforcement facility ,the term ,u4,s4 ,immigration and ,customs ,enforcement facility means-- 7,a7 a detention facility owned and administered by ,u4,s4 ,immigration and ,customs ,enforcement2 or 7,b7 a ,federal1 ,state1 local1 or private facility that has contracted 7directly or indirectly7 with ,u4,s4 ,immigration and ,customs ,enforcement to detain aliens in ,federal custody1 including a ,u4,s4 ,marshals facility that houses alien detainees1 and regardless of any time limits that exist for the duration of the detention in such a facility4 #c4 ,solitary confinement reforms 7a7 ,use of solitary confinement 7#a7 ,in general ,a detained alien may not be placed in solitary confinement within a ,u4,s4 ,immigration and ,customs ,enforcement facility unless such confinement-- 7,a7 is limited to the briefest term and the least restrictive conditions practicable1 including not fewer than #d hours of out-of-cell time every day2 7,b7 is consistent with the rationale for placement and with the progress achieved by the detained alien2 7,c7 allows the detained alien to participate in meaningful programming opportunities and privileges that are similar to those available in the general population as practicable1 either individually or in a classroom setting2 7,d7 allows the detained alien to have as much meaningful interaction with others1 such as other detained aliens1 counsel1 visitors1 clergy1 or licensed mental health professionals1 as practicable2 and 7,e7 complies with the provisions of this section4 7#b7 ,specific limitations on administrative segregation and disciplinary segregation ,the ,secretary-- 7,a7 shall limit administrative segregation in ,u4,s4 ,immigration and ,customs ,enforcement facilities-- 7i7 to situations in which such segregation is necessary to control a substantial and immediate threat that cannot be addressed through alternative housing2 and 7ii7 to a duration of not more than #ad consecutive days1 and not more than #ad days in a #ba-;day period1 unless-- 7,i7 the detained alien is considered a protection case and requests to remain in administrative segregation under paragraph 7#c77;,b77i72 or 7,,ii7 to address the continued existence of a substantial and immediate threat1 a multidisciplinary staff committee approves a temporary extension1 which-- 7aa7 shall be in writing and include a thorough explanation of the reasons for which the extension is warranted1 including any factors weighing against the extension2 7bb7 shall be reviewed-- 7,,aa7 by the multidisciplinary staff committee every #c days during the period of the extension1 in order to confirm the continued existence of the substantial and immediate threat2 7,,bb7 by the appropriate ,enforcement and ,removal ,operations ,field ,office ,director within ,u4,s4 ,immigration and ,customs ,enforcement after the initial extension and every #g days thereafter during the period of the extension1 in order to review the findings of the multidisciplinary staff committee and determine whether such extensions are permissible2 and 7,,cc7 by a subcommittee of the ,detention ,monitoring ,council within ,u4,s4 ,immigration and ,customs ,enforcement1 which shall be chaired by the ,custody ,management ,division and shall include representatives from ,enforcement and ,removal ,operations ,field ,operations1 the ,health ,service ,corps1 the ,office of the ,principal ,legal ,advisor1 the ,office of ,professional ,responsibility1 the ,office of ,acquisition ,management1 and the ,department of ,homeland ,security's ,office for ,civil ,rights and ,civil ,liberties1 after any extension is approved by an ,enforcement and ,removal ,operations ,field ,office ,director2 and 7cc7 shall include additional out of cell time1 socialization1 and programming opportunities for the detained alien1 so that each detained alien placed in solitary confinement for more than #ad days is given not fewer than #d hours of out of cell time each day2 and 7,b7 may not permit the use of solitary confinement as a form of discipline4 7#c7 ,protective custody ,the ,secretary-- 7,a7 shall establish policies to ensure that an alien who is considered a protection case1 upon the request of the alien1 is transferred to a safer alternative1 such as-- 7i7 an alternative general population unit in the ,u4,s4 ,immigration and ,customs ,enforcement facility2 7ii7 an alternative ,u4,s4 ,immigration and ,customs ,enforcement facility2 or 7iii7 an alternative to detention2 and 7,b7 may not place a detained alien who is considered to be a protection case in solitary confinement due to the status of the alien as a protection case unless-- 7i7 the alien requests to be placed in solitary confinement1 in which case1 at the request of the alien to be released from solitary confinement1 the alien shall be transferred to a safer alternative1 such as-- 7,i7 an alternative general population unit2 7,,ii7 an alternative ,u4,s4 ,immigration and ,customs ,enforcement facility2 or 7,,iii7 an alternative to detention2 or 7ii7 such confinement is limited to-- 7,i7 not more than #e days of administrative segregation2 and 7,,ii7 is necessary to protect the alien during preparation for transfer to a safer alternative1 such as #a of the alternatives described in subclauses 7,i7 through 7,,iii7 of clause 7i74 7#d7 ,vulnerable populations ,a ,u4,s4 ,immigration and ,customs ,enforcement facility may not place a detained alien in solitary confinement if-- 7,a7 the detained alien is younger than #ah years of age1 unless-- 7i7 such confinement is a temporary response to the behavior of the detained alien1 which poses a substantial and immediate threat2 7ii7 all other options to de-escalate the situation have been exhausted1 including less restrictive techniques such as-- 7,i7 penalizing the detained alien through loss of privileges2 7,,ii7 speaking with the detained alien in an attempt to de-escalate the situation2 and 7,,iii7 providing an appropriate level of care through a licensed mental health professional2 7iii7 such confinement is limited to-- 7,i7 #c hours after the detained alien is placed in solitary confinement1 if the alien poses a substantial and immediate threat to others2 or 7,,ii7 #cj minutes after the detained alien is placed in solitary confinement1 if the alien poses a substantial and immediate threat only to his self or her self2 and 7iv7 if1 after the applicable maximum period of confinement under subclause 7,i7 or 7,,ii7 of clause 7iii7 has expired1 the detained alien continues to pose a substantial and immediate threat described in that subclause-- 7,i7 the detained alien shall be transferred to another facility or internal location where services can be provided to the alien without relying on solitary confinement2 or 7,,ii7 if a qualified mental health professional believes the level of crisis service needed is not currently available1 a staff member of the facility shall initiate a referral to a location that can meet the needs of the detained alien2 7,b7 the detained alien has a serious mental illness1 has an intellectual disability1 has a physical disability that a licensed medical professional determines is likely to be exacerbated by placement in solitary confinement or that solitary confinement is clinically contraindicated1 is pregnant1 or is in the first #h weeks of the post-partum recovery period after giving birth1 or has been determined by a licensed mental health professional to likely be significantly adversely affected by placement in solitary confinement1 unless-- 7i7 the detained alien poses a substantial and immediate threat2 7ii7 all other options to de-escalate the situation have been exhausted1 including less restrictive techniques such as-- 7,i7 penalizing the detained alien through loss of privileges2 7,,ii7 speaking with the detained alien in an attempt to de-escalate the situation2 and 7,,iii7 providing an appropriate level of care through a licensed mental health professional2 7iii7 such confinement is limited to the briefest term and the least restrictive conditions practicable1 including access to medical and mental health treatment2 7iv7 such confinement is reviewed by a multidisciplinary staff committee for appropriateness every #bd hours2 and 7v7 as soon as practicable1 but not later than #e days after such confinement begins1 the detained alien is diverted1 upon release from solitary confinement1 to a general population unit1 a mental health treatment program described in subsection 7b77#b71 or an alternative to detention2 7,c7 the detained alien is lesbian1 gay1 bisexual1 transgender 7as defined in section #aae4e of title #bh1 ,code of ,federal ,regulations1 or any successor regulation71 intersex 7as defined in section #aae4e of title #bh1 ,code of ,federal ,regulations1 or any successor regulation71 or gender nonconforming 7as defined in section #aae4e of title #bh1 ,code of ,federal ,regulations1 or any successor regulation71 if such placement is based 7in whole or in part7 on such identification or status2 7,d7 the alien is ,,hiv positive1 if the placement is based 7in whole or in part7 on the ,,hiv positive status of the alien2 7,e7 the placement is based 7in whole or in part7 on the alien's race1 religion1 or nationality2 or 7,f7 the placement is based 7in whole or in part7 on a detained alien's report of an incident of abuse or misconduct1 a detained alien's decision to engage in a hunger strike1 or any other form of retaliation against a detained alien1 unless the alien has been classified as a protection case under paragraph 7#c74 7#e7 ,access to counsel ,aliens placed in solitary confinement shall be offered access to counsel to the same extent that detained aliens in the general population are offered access to counsel4 7#f7 ,right to review placement in solitary confinement ,the ,secretary shall ensure that each alien placed in solitary confinement has access to-- 7,a7 written and verbal notice provided in a language that the alien understands that thoroughly details the basis for placement or continued placement in solitary confinement not later than #f hours after the beginning of such placement1 including-- 7i7 thorough documentation explaining why such confinement is permissible and necessary under this subsection2 and 7ii7 if an exception under paragraph 7#b77;,a77ii71 7#c77;,b71 7#d77;,a71 or 7#d77;,b7 is used to justify placement in solitary confinement1 thorough documentation explaining why such an exception applies2 7,b7 a timely1 thorough1 and continuous review process that-- 7i7 occurs not fewer than #c days after placement in solitary confinement1 and thereafter at least on a weekly basis1 unless required more frequently under this section2 7ii7 includes private1 face-to-face interviews with a multidisciplinary staff committee2 and 7iii7 examines whether-- 7,i7 placement in solitary confinement was and remains necessary2 7,,ii7 the conditions of confinement comply with this section2 and 7,,iii7 any exception under paragraph 7#b77;,a77ii71 7#c77;,b71 7#d77;,a71 or 7#d77;,b7 used to justify placement in solitary confinement was and remains warranted2 7,c7 a process to appeal the initial placement or continued placement of the detained alien in solitary confinement2 7,d7 prompt and timely written notice of the appeal procedures2 and 7,e7 copies of all documents1 files1 and records relating to the detained alien's placement in solitary confinement1 unless such documents contain contraband1 classified information1 or sensitive security-related information4 7b7 ,mental health care for aliens in solitary confinement 7#a7 ,mental health screening ,not later than #f hours after a detained alien is placed in solitary confinement in a ,u4,s4 ,immigration and ,customs ,enforcement facility1 the alien shall receive a comprehensive1 face-to-face mental health evaluation by a licensed mental health professional in a confidential setting4 7#b7 ,mental health treatment program ,a detained alien diagnosed with a serious mental illness after an evaluation under paragraph 7#a7-- 7,a7 may not be placed in solitary confinement under subsection 7a77#d77;,b72 and 7,b7 shall receive an appropriate level of care to address the detained alien's mental health needs4 7#c7 ,continuing evaluations ,after each #g-;day period during which a detained alien is held in continuous placement in solitary confinement-- 7,a7 a licensed mental health professional shall conduct a comprehensive1 face-to-face1 out-of-cell mental health evaluation of the alien in a confidential setting2 and 7,b7 the ,secretary shall adjust the placement of the alien in accordance with this subsection4 7c7 ,training for detention center staff 7#a7 ,training ,all employees of a ,u4,s4 ,immigration and ,customs ,enforcement facility who interact with aliens on a regular basis shall be required to complete training in-- 7,a7 recognizing the symptoms of mental illness2 7,b7 the potential risks and side effects of psychiatric medications2 7,c7 de-escalation techniques for safely managing individuals with mental illness2 7,d7 the consequences of untreated mental illness2 7,e7 the long- and short-term psychological effects of solitary confinement2 and 7,f7 de-escalation and communication techniques to divert detained aliens from situations that may lead to the alien being placed in solitary confinement4 7#b7 ,notification to medical staff ,an employee of a ,u4,s4 ,immigration and ,customs ,enforcement facility shall immediately notify a member of the facility's medical or mental health staff if the employee-- 7,a7 observes a detained alien with signs of mental illness1 unless such employee has knowledge that the alien's signs of mental illness have previously been reported2 or 7,b7 observes a detained alien with signs of a mental health crisis2 7d7 ,reporting requirements 7#a7 ,daily tracking of use of solitary confinement ,each ,u4,s4 ,immigration and ,customs ,enforcement facility shall submit a daily report to the ,director of ,u4,s4 ,immigration and ,customs ,enforcement that identifies1 for the applicable day-- 7,a7 any detained aliens who were placed in solitary confinement1 including-- 7i7 the rationale behind each such placement2 and 7ii7 whether any exception under subsection 7a7 used to justify placement in solitary confinement or increased restrictive conditions in solitary confinement was applied2 7,b7 the continued detention of any aliens in solitary confinement1 including-- 7i7 the number of days such aliens have been detained in solitary confinement2 and 7ii7 an explanation of the application of any exception under subsection 7a7 used to justify an adjustment to the alien's time or conditions in solitary confinement2 and 7,c7 the release of any detained aliens from solitary confinement4 7#b7 ,publication of use of solitary confinement ,without revealing personally identifiable information1 the ,secretary shall publish online weekly updates regarding-- 7,a7 the number of aliens in solitary confinement at each ,u4,s4 ,immigration and ,customs ,enforcement facility2 and 7,b7 any instances in which a facility has placed a detained alien in solitary confinement for more than #ae days4 7#c7 ,internal review of data 7,a7 ,weekly reviews ,the appropriate ,enforcement and ,removal ,operations ,field ,office ,director within ,u4,s4 ,immigration and ,customs ,enforcement shall-- 7i7 on a weekly basis1 review the daily reports from each ,u4,s4 ,immigration and ,customs ,enforcement facility under his or her jurisdiction to ensure that each facility is in compliance with this ,act2 7ii7 report any instances in which a ,u4,s4 ,immigration and ,customs ,enforcement facility failed to comply1 or is suspected of failing to comply1 with this ,act to the subcommittee established under subsection 7a77#b77;,a77ii77,,ii77bb77,,cc7 for review2 and 7iii7 direct a ,u4,s4 ,immigration and ,customs ,enforcement facility that failed to comply1 or is suspected of failing to comply1 with this ,act to immediately address any such failures to comply1 including by immediately removing a detained alien from solitary confinement if the alien's placement or continued detention in solitary confinement was not in compliance with this ,act4 7,b7 ,monthly reports ,the subcommittee established under subsection 7a77#b77;,a77ii77,,ii77bb77,,cc7 shall-- 7i7 promptly review any reports received pursuant to subparagraph 7,a77ii72 and 7ii7 submit monthly reports to the full ,detention ,monitoring ,council and the ,director of ,u4,s4 ,immigration and ,customs ,enforcement that identify areas of concern regarding particular cases or facilities that warrant further examination4 #d4 ,reassessment of detained alien mental health ,not later than #ahj days after the date of the enactment of this ,act1 the ,secretary shall-- 7#a7 assemble a team of licensed mental health professionals1 which may include licensed mental health professionals who are not employed by the ,department of ,homeland ,security1 to conduct a comprehensive mental health reevaluation for each alien held in solitary confinement for more than #ad days 7as of the date of enactment of this ,act71 including a confidential1 face-to-face1 out-of-cell interview by a licensed mental health professional2 and 7#b7 adjust the placement of each alien in accordance with this ,act4 #e4 ,oversight responsibilities 7a7 ,in general ,section #gje of the ,homeland ,security ,act of #bjjb 7#f ,u4,s4,c4 #cde7 is amended by adding at the end the following3 7c7 ,immigration detention 7#a7 ,defined term ,in this subsection1 the term ,u4,s4 ,immigration and ,customs ,enforcement facility has the meaning given the term in section #b of the ,restricting ,solitary ,confinement in ,immigration ,detention ,act of #bjai4 7#b7 ,internal reporting ,the ,secretary shall ensure that each ,u4,s4 ,immigration and ,customs ,enforcement facility provides multiple internal ways for aliens and others to promptly report violations of section #c of the ,restricting ,solitary ,confinement in ,immigration ,detention ,act of #bjai to the ,officer for ,civil ,rights and ,civil ,liberties1 including-- 7,a7 not less than #b procedures for aliens and others to report violations of section #c of such ,act to an entity or office that is not part of the facility1 and that is able to receive and immediately forward reports to the ,officer for ,civil ,rights and ,civil ,liberties1 allowing the alien to remain anonymous upon request2 and 7,b7 not less than #b procedures for aliens and others to report violations of section #c of such ,act to the ,officer for ,civil ,rights and ,civil ,liberties in a confidential manner1 allowing the alien to remain anonymous upon request4 7#c7 ,notice to detainees ,the ,secretary shall ensure that each ,u4,s4 ,immigration and ,customs ,enforcement facility provides aliens with-- 7,a7 notice of how to report violations of section #d of the ,restricting ,solitary ,confinement in ,immigration ,detention ,act of #bjai in accordance with paragraph 7#b71 including-- 7i7 notice prominently posted in the living and common areas of each such facility2 7ii7 individual notice to aliens at initial intake into a ,u4,s4 ,immigration and ,customs ,enforcement facility1 when transferred to a new facility1 and when placed in solitary confinement2 7iii7 notice to aliens with disabilities in accessible formats2 and 7iv7 written or verbal notice in a language the alien understands2 and 7,b7 notice of permissible practices related to solitary confinement in ,u4,s4 ,immigration and ,customs ,enforcement facilities1 including the requirements under section #c of such ,act4 7#d7 ,access ,the ,officer for ,civil ,rights and ,civil ,liberties-- 7,a7 shall have unrestricted access to ,u4,s4 ,immigration and ,customs ,enforcement facilities2 and 7,b7 shall be able to review documents1 request and review information1 and speak privately with aliens1 contractors1 volunteers1 and ,u4,s4 ,immigration and ,customs ,enforcement facility staff4 7#e7 ,annual assessment of solitary confinement use in immigration detention 7,a7 ,objectives ,not later than #ij days after the last day of each fiscal year1 the ,officer for ,civil ,rights and ,civil ,liberties shall submit an assessment to the ,committee on ,homeland ,security and ,governmental ,affairs of the ,senate1 the ,committee on the ,judiciary of the ,senate1 the ,committee on ,homeland ,security of the ,house of ,representatives1 and the ,committee on the ,judiciary of the ,house of ,representatives that analyzes the use of solitary confinement in ,u4,s4 ,immigration and ,customs ,enforcement facilities during such fiscal year4 7,b7 ,data ,each assessment submitted under subparagraph 7,a7 shall include aggregated and disaggregated data reported by ,u4,s4 ,immigration and ,customs ,enforcement facilities1 to be provided by ,u4,s4 ,immigration and ,customs ,enforcement to the ,officer for ,civil ,rights and ,civil ,liberties not later than #cj days after the last day of each fiscal year1 including-- 7i7 the policies and regulations of ,u4,s4 ,immigration and ,customs ,enforcement1 including-- 7,i7 any changes in policies and regulations1 for determining which aliens are placed in solitary confinement2 and 7,,ii7 a detailed description of the conditions and restrictions of solitary confinement2 7ii7 the number of aliens in ,u4,s4 ,immigration and ,customs ,enforcement facilities who were housed in solitary confinement for any period and the percentage of all aliens who spent at least some time in solitary confinement during the reporting period2 7iii7 the demographics of all aliens housed in solitary confinement1 including race1 ethnicity1 religion1 age1 and gender2 7iv7 the policies and regulations of ,u4,s4 ,immigration and ,customs ,enforcement facilities1 including any updates in policies and regulations1 for subsequent reviews or appeals of the placement of a detained alien into or out of solitary confinement2 7v7 the number of reviews of and challenges to the placement of a detained alien in solitary confinement during the reporting period and the number of reviews or appeals that directly resulted in a change of placement2 7vi7 a detailed description of the conditions and restrictions for solitary confinement1 including the number of hours spent in isolation and the percentage of time these conditions involve #b aliens celled together in solitary confinement2 7vii7 the mean and median length of stay in solitary confinement1 based on all individuals released from solitary confinement during the reporting period1 and any maximum length of stay during the reporting period2 7viii7 the cost for each form of solitary confinement described in subparagraph 7,a7 in use during the reporting period1 including as compared with the average daily cost of housing a detained alien in the general population2 7ix7 the policies for mental health screening1 mental health treatment1 and subsequent mental health reviews for all detained aliens1 including any update to the policies1 and any additional screening1 treatment1 and monitoring for detained aliens in solitary confinement2 7x7 a statement of the types of mental health staff that conducted mental health assessments for ,u4,s4 ,immigration and ,customs ,enforcement facilities during the reporting period1 a description of the different positions in the mental health staff of ,u4,s4 ,immigration and ,customs ,enforcement facilities1 and the number of part- and full-time psychologists and psychiatrists employed by ,u4,s4 ,immigration and ,customs ,enforcement facilities during the reporting period2 7xi7 data on mental health and medical indicators for all detained aliens in solitary confinement1 including-- 7,i7 the number of aliens requiring medication for mental health conditions2 7,,ii7 the number diagnosed with an intellectual disability2 7,,iii7 the number diagnosed with serious mental illness2 7,,iv7 the number of suicides2 7,v7 the number of attempted suicides and number of aliens placed on suicide watch2 7,,vi7 the number of instances of self-harm committed by aliens2 7,,vii7 the number of aliens with physical disabilities1 including blind1 deaf1 and mobility-impaired aliens2 and 7,,viii7 the number of instances of forced feeding of aliens2 7xii7 any instances in which an ,enforcement and ,removal ,operations ,field ,office ,director reported that a ,u4,s4 ,immigration and ,customs ,enforcement facility in his or her jurisdiction failed to comply with or was suspected of failing to comply with the ,restricting ,solitary ,confinement in ,immigration ,detention ,act of #bjai2 and 7xiii7 any other relevant data4 7,c7 ,content ,each assessment submitted under subparagraph 7,a7 shall include-- 7i7 an analysis of the data provided under subparagraph 7,b72 7ii7 recommendations for reform offered to the ,director of ,u4,s4 ,immigration and ,customs ,enforcement and the ,secretary under paragraph 7#f72 and 7iii7 the response from ,u4,s4 ,immigration and ,customs ,enforcement and the ,department to such recommendations for reform4 7,d7 ,authority on final report ,each assessment submitted under subparagraph 7,a7 may be reviewed by ,u4,s4 ,immigration and ,customs ,enforcement and the ,secretary before submission1 but the ,officer for ,civil ,rights and ,civil ,liberties has final authority on the text and release of the assessment4 7#f7 ,regular meetings with the secretary and the director of u4s4 immigration and customs enforcement ,the ,officer for ,civil ,rights and ,civil ,liberties shall meet regularly with the ,secretary and the ,director of ,u4,s4 ,immigration and ,customs ,enforcement-- 7,a7 to identify problems with the solitary confinement policies and practices in ,u4,s4 ,immigration and ,customs ,enforcement facilities1 including overuse of solitary confinement2 and 7,b7 to present recommendations for such administrative action as may be appropriate to resolve problems relating to solitary confinement policies and practices in ,u4,s4 ,immigration and ,customs ,enforcement facilities4 4 7b7 ,annual report ,not later than ,december #ca of each year1 the ,inspector ,general of the ,department of ,homeland ,security shall issue a report analyzing-- 7#a7 the use of solitary confinement in ,u4,s4 ,immigration and ,customs ,enforcement facilities2 and 7#b7 the ,department's compliance with this ,act and the amendments made by this ,act4 #f4 ,rulemaking ,the ,secretary and the ,director of ,u4,s4 ,immigration and ,customs ,enforcement shall prescribe rules1 in accordance with section #eec of title #e1 ,united ,states ,code1 to carry out this ,act and the amendments made by this ,act4 #g4 ,authorization of appropriations ,there are authorized to be appropriated to the ,secretary such sums as may be necessary to carry out this ,act and the amendments made by this ,act4 #h4 ,effective date ,except as otherwise provided1 this ,act and the amendments made by this ,act shall take effect on the date that is #ah months after the date of the enactment of this ,act4