,,ii #aafth ,,congress #ast ,session ,s4 #dab ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,february #g1 #bjai ,mr4 ,heinrich 7for himself1 ,mrs4 ,feinstein1 ,mr4 ,udall1 and ,ms4 ,harris7 introduced the following bill2 which was read twice and referred to the ,committee on ,homeland ,security and ,governmental ,affairs ,a ,,bill ,to provide a pay incentive for border patrol agents to complete emergency medical technician and paramedic training1 to ensure that language interpretation services are available at all ,u4,s4 ,border ,patrol stations1 and for other purposes4 #a4 ,short titles ,this ,act may be cited as the ,remote1 ,emergency1 ,medical1 ,online ,training1 ,telehealth1 and ,,emt ,act or the ,,remote ,act4 #b4 ,medical training for border patrol agents 7a7 ,defined term ,in this section1 the term children means individuals who have not attained #ah years of age4 7b7 ,medical training 7#a7 ,in general ,section #daa of the ,homeland ,security ,act of #bjjb 7#f ,u4,s4,c4 #baa7 is amended-- 7,a7 in subsection 7c77#ag71 by striking subsection 7l7 and inserting subsections 7l7 and 7m72 7,b7 by redesignating subsections 7m71 7n71 7o71 7p71 7q71 and 7r7 as subsections 7n71 7o71 7p71 7q71 7r71 and 7s71 respectively2 and 7,c7 by inserting after subsection 7l7 the following3 7m7 ,medical training for border patrol agents 7#a7 ,in general 7,a7 ,availability ,beginning not later than #f months after the date of the enactment of this subsection1 the ,commissioner of ,u4,s4 ,customs and ,border ,protection shall make available1 at no cost to ,u4,s4 ,border ,patrol agents selected for such training1 emergency medical technician 7referred to in this subsection as ,,emt7 and paramedic training in each ,u4,s4 ,border ,patrol sector along the southern land border of the ,united ,states4 ,such training shall include pediatric medical training1 which shall utilize nationally recognized pediatric training curricula that includes emergency pediatric care4 7,b7 ,use of official duty time ,a ,u4,s4 ,border ,patrol agent shall be credited with work time for any ,,emt or paramedic training provided to such agent pursuant to subparagraph 7,a7 in order to achieve or maintain an ,,emt or paramedic certification4 7,c7 ,lodging and per diem ,lodging and per diem shall be made available to border patrol agents attending training described in subparagraph 7,b7 if such training is not available at a location within commuting distance of the agent's residence or worksite4 7,d7 ,service commitment ,any ,u4,s4 ,border ,patrol agent who completes a paramedic certification preparation program pursuant to subparagraph 7,a7 shall-- 7i7 complete #c years of service as a ,u4,s4 ,border ,patrol agent following the completion of such training2 or 7ii7 reimburse ,u4,s4 ,customs and ,border ,protection in an amount equal to the product of-- 7,i7 the cost of providing such training to such agent2 multiplied by 7,,ii7 the percentage of the service required under clause 7i7 that the agent failed to complete4 7#b7 ,increase in rate of pay for border patrol medical certification 7,a7 ,,emt certification ,a ,u4,s4 ,border ,patrol agent who has completed ,,emt training pursuant to paragraph 7#a77;,a7 and has a current1 ,state-issued or ,state-recognized certification as an ,,emt shall receive1 in addition to the pay to which the agent is otherwise entitled under this section1 an amount equal to #e percent of such pay4 7,b7 ,paramedic certification ,a ,u4,s4 ,border ,patrol agent who has completed paramedic training pursuant to paragraph 7#a77;,a7 and has a current1 ,state-issued or ,state-recognized certification as a paramedic shall receive1 in addition to the pay to which the agent is otherwise entitled under this section 7except for subparagraph 7,a771 an amount equal to #aj percent of such pay4 7,c7 ,existing certifications ,a ,u4,s4 ,border ,patrol agent who did not participate in the training made available pursuant to paragraph 7#a77;,a71 but1 as of the date of the enactment of the ,,remote ,act1 has a current ,state-issued or ,state-recognized ,,emt or paramedic certification1 shall receive1 in addition to the pay to which the agent is otherwise entitled under this section 7except for subparagraph 7,a7 or 7,b771 an amount equal to-- 7i7 #e percent of such pay for an ,,emt certification2 and 7ii7 #aj percent of such pay for a paramedic certification4 7#c7 ,availability of medically trained border patrol agents ,not later than #c years after the date of the enactment of the ,,remote ,act1 the ,commissioner of ,u4,s4 ,customs and ,border ,protection shall-- 7,a7 ensure that-- 7i7 ,u4,s4 ,border ,patrol agents with current ,,emt or paramedic certifications are stationed at each ,u4,s4 ,border ,patrol sector and remote station along the southern border to the greatest extent possible2 7ii7 #aj percent of all ,u4,s4 ,border ,patrol agents have ,,emt certifications and comprise not fewer than #aj percent of all border patrol agents assigned to each ,u4,s4 ,border ,patrol sector2 and 7iii7 #a percent of all ,u4,s4 ,border ,patrol agents have paramedic certifications and comprise not fewer than #a percent of all ,u4,s4 ,border ,patrol agents assigned to each ,u4,s4 ,border ,patrol sector2 and 7,b7 in determining the assigned posts of ,u4,s4 ,border ,patrol agents who have received training under paragraph 7#a77;,a71 give priority to remote stations and forward operating bases4 7#d7 ,medical supplies 7,a7 ,minimum list ,the ,commissioner of ,u4,s4 ,customs and ,border ,protection shall provide minimum medical supplies to each ,u4,s4 ,border ,patrol agent with an ,,emt or paramedic certification and to each ,u4,s4 ,border ,patrol sector1 including all remote stations and forward operating bases and for use while on patrol4 ,such supplies shall include-- 7i7 supplies designed for children2 7ii7 first aid kits2 and 7iii7 oral hydration1 such as water4 7,b7 ,consultation ,in developing the minimum list of medical supplies required under subparagraph 7,a71 the ,commissioner shall consult national organizations with expertise in emergency medical care1 including emergency medical care of children4 7#e7 ,motor vehicles ,the ,commissioner of ,u4,s4 ,customs and ,border ,protection shall make available appropriate motor vehicles to ,u4,s4 ,border ,patrol agents with current ,,emt or paramedic certifications to enable them to provide necessary emergency medical assistance4 4 7#b7 ,authorization of appropriations ,there is authorized to be appropriated such sums as may be necessary to carry out section #eeej7;g7 of title #e1 ,united ,states ,code1 as added by paragraph 7#a74 7c7 ,identifying and treating individuals experiencing medical distress 7#a7 ,online training 7,a7 ,in general ,beginning on the date that is #ij days after the date of the enactment of this ,act1 the ,commissioner of ,u4,s4 ,customs and ,border ,protection shall require all border patrol agents and officers1 including agents and officers with ,,emt or paramedic certification1 to complete an online training program that meets nationally recognized standards for the medical care of children that will enable ,u4,s4 ,border ,patrol agents and officers-- 7i7 to identify common signs of medical distress in children2 and 7ii7 to ensure the timely transport of sick or injured children to an appropriate medical provider4 7,b7 ,contract ,in developing or selecting an online training program under subparagraph 7,a71 the ,commissioner may enter into a contract with a national professional medical association of pediatric medical providers4 7#b7 ,voice access to medical professionals ,the ,commissioner of ,u4,s4 ,customs and ,border ,protection shall ensure that all remote ,u4,s4 ,border ,patrol stations1 forward operating bases1 and remote ports of entry on the southern border have #bd-;hour voice access to a medical command physician whose board certification includes the ability to perform this role or a mid-level health care provider with pediatric training for consultations regarding the medical needs of individuals1 including children1 taken into custody near the ,united ,states border4 ,access under this paragraph may be accomplished through mobile phones1 satellite mobile radios1 or other means prescribed by the ,commissioner4 #c4 ,language interpretation services ,the ,commissioner of ,u4,s4 ,customs and ,border ,protection shall ensure that language interpretation services1 either in person or remotely through electronic technology1 are continuously available at all remote ,u4,s4 ,border ,patrol stations1 forward operating bases1 and remote ports of entry on the southern border for any language that is commonly spoken by migrants seeking to enter the ,united ,states through the southern border4