,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #dab  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #g1 #bjai ,mr4
 ,he9ri* 7= himself1 ,mrs4 ,fe9/e91 ,mr4
 ,udall1 & ,ms4 ,h>ris7 introduc$ !     
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,homel& ,security &  
,gov]nm5tal ,affairs  ,a ,,bill  ,to    
provide a pay inc5tive = bord] patrol   
ag5ts to complete em]g5cy m$ical        
te*nician & p>am$ic tra9+1 to ensure t  
language int]pretation s]vices are      
available at all ,u4,s4 ,bord] ,patrol  
/ations1 & = o!r purposes4  #a4 ,%ort   
titles ,?is ,act may be cit$ z !        
,remote1 ,em]g5cy1 ,m$ical1 ,onl9e      
,tra9+1 ,teleheal?1 & ,,emt ,act or !   
,,remote ,act4  #b4 ,m$ical tra9+ =     
bord] patrol ag5ts  7a7 ,def9$ t]m ,9   
?is section1 ! t]m *ildr5 means         
individuals :o h n atta9$ #ah ye>s (    
age4  7b7 ,m$ical tra9+  7#a7 ,9 g5]al  
,section #daa ( ! ,homel& ,security ,act
 ( #bjjb 7#f ,u4,s4,c4 #baa7 is am5d$-- 
7,a7 9 subsection 7c77#ag71 by /rik+    

subsection 7l7 & ins]t+ subsections 7l7 
& 7m72  7,b7 by r$esignat+ subsections  
7m71 7n71 7o71 7p71 7q71 & 7r7 z        
subsections 7n71 7o71 7p71 7q71 7r71 &  
7s71 respectively2 &  7,c7 by ins]t+    
aft] subsection 7l7 ! foll[+3  7m7      
,m$ical tra9+ = bord] patrol ag5ts  7#a7
 ,9 g5]al  7,a7 ,availability ,beg9n+ n 
lat] ?an #f mon?s aft] ! date ( !       
enactm5t ( ?is subsection1 !            
,commission] ( ,u4,s4 ,cu/oms & ,bord]  
,protection %all make available1 at no  
co/ to ,u4,s4 ,bord] ,patrol ag5ts      
select$ = su* tra9+1 em]g5cy m$ical     
te*nician 7ref]r$ to 9 ?is subsection z 
,,emt7 & p>am$ic tra9+ 9 ea* ,u4,s4     
,bord] ,patrol sector along ! s\!rn l&  
bord] ( ! ,unit$ ,/ates4 ,su* tra9+ %all
 include p$iatric m$ical tra9+1 :i* %all
 utilize nationally recogniz$ p$iatric  
tra9+ curricula t includes em]g5cy      
p$iatric c>e4  7,b7 ,use ( (ficial duty 
"t ,a ,u4,s4 ,bord] ,patrol ag5t %all be
 cr$it$ ) "w "t = any ,,emt or p>am$ic  
tra9+ provid$ to su* ag5t pursuant to   

subp>agraph 7,a7 9 ord] to a*ieve or    
ma9ta9 an ,,emt or p>am$ic c]tification4
  7,c7 ,lodg+ & p] diem ,lodg+ & p] diem
 %all be made available to bord] patrol 
ag5ts att5d+ tra9+ describ$ 9           
subp>agraph 7,b7 if su* tra9+ is n      
available at a location )9 commut+      
di/ance ( ! ag5t's resid5ce or worksite4
  7,d7 ,s]vice commitm5t ,any ,u4,s4    
,bord] ,patrol ag5t :o completes a      
p>am$ic c]tification prep>ation program 
pursuant to subp>agraph 7,a7 %all--  7i7
 complete #c ye>s ( s]vice z a ,u4,s4   
,bord] ,patrol ag5t foll[+ ! completion 
( su* tra9+2 or  7ii7 reimburse ,u4,s4  
,cu/oms & ,bord] ,protection 9 an am\nt 
equal to ! product (-- 7,i7 ! co/ (     
provid+ su* tra9+ to su* ag5t2 multipli$
 by  7,,ii7 ! p]c5tage ( ! s]vice       
requir$ "u clause 7i7 t ! ag5t fail$ to 
complete4  7#b7 ,increase 9 rate ( pay =
 bord] patrol m$ical c]tification  7,a7 
,,emt c]tification ,a ,u4,s4 ,bord]     
,patrol ag5t :o has complet$ ,,emt tra9+
 pursuant to p>agraph 7#a77;,a7 & has a 

curr5t1 ,/ate-issu$ or ,/ate-recogniz$  
c]tification z an ,,emt %all receive1 9 
addition to ! pay to :i* ! ag5t is      
o!rwise entitl$ "u ?is section1 an am\nt
 equal to #e p]c5t ( su* pay4  7,b7     
,p>am$ic c]tification ,a ,u4,s4 ,bord]  
,patrol ag5t :o has complet$ p>am$ic    
tra9+ pursuant to p>agraph 7#a77;,a7 &  
has a curr5t1 ,/ate-issu$ or            
,/ate-recogniz$ c]tification z a p>am$ic
 %all receive1 9 addition to ! pay to   
:i* ! ag5t is o!rwise entitl$ "u ?is    
section 7except = subp>agraph 7,a771 an 
am\nt equal to #aj p]c5t ( su* pay4     
7,c7 ,exi/+ c]tifications ,a ,u4,s4     
,bord] ,patrol ag5t :o did n p>ticipate 
9 ! tra9+ made available pursuant to    
p>agraph 7#a77;,a71 b1 z ( ! date ( !   
enactm5t ( ! ,,remote ,act1 has a curr5t
 ,/ate-issu$ or ,/ate-recogniz$ ,,emt or
 p>am$ic c]tification1 %all receive1 9  
addition to ! pay to :i* ! ag5t is      
o!rwise entitl$ "u ?is section 7except =
 subp>agraph 7,a7 or 7,b771 an am\nt    
equal to--  7i7 #e p]c5t ( su* pay = an 

,,emt c]tification2 &  7ii7 #aj p]c5t ( 
su* pay = a p>am$ic c]tification4  7#c7 
,availability ( m$ically tra9$ bord]    
patrol ag5ts ,n lat] ?an #c ye>s aft] ! 
date ( ! enactm5t ( ! ,,remote ,act1 !  
,commission] ( ,u4,s4 ,cu/oms & ,bord]  
,protection %all-- 7,a7 ensure t--  7i7 
,u4,s4 ,bord] ,patrol ag5ts ) curr5t    
,,emt or p>am$ic c]tifications are      
/ation$ at ea* ,u4,s4 ,bord] ,patrol    
sector & remote /ation along ! s\!rn    
bord] to ! greate/ ext5t possible2  7ii7
 #aj p]c5t ( all ,u4,s4 ,bord] ,patrol  
ag5ts h ,,emt c]tifications & comprise n
 few] ?an #aj p]c5t ( all bord] patrol  
ag5ts assign$ to ea* ,u4,s4 ,bord]      
,patrol sector2 &  7iii7 #a p]c5t ( all 
,u4,s4 ,bord] ,patrol ag5ts h p>am$ic   
c]tifications & comprise n few] ?an #a  
p]c5t ( all ,u4,s4 ,bord] ,patrol ag5ts 
assign$ to ea* ,u4,s4 ,bord] ,patrol    
sector2 &  7,b7 9 det]m9+ ! assign$ po/s
 ( ,u4,s4 ,bord] ,patrol ag5ts :o h     
receiv$ tra9+ "u p>agraph 7#a77;,a71    
give priority to remote /ations & =w>d  

op]at+ bases4  7#d7 ,m$ical supplies    
7,a7 ,m9imum li/ ,! ,commission] (      
,u4,s4 ,cu/oms & ,bord] ,protection %all
 provide m9imum m$ical supplies to ea*  
,u4,s4 ,bord] ,patrol ag5t ) an ,,emt or
 p>am$ic c]tification & to ea* ,u4,s4   
,bord] ,patrol sector1 includ+ all      
remote /ations & =w>d op]at+ bases & =  
use :ile on patrol4 ,su* supplies %all  
include--  7i7 supplies design$ =       
*ildr52  7ii7 fir/ aid kits2 &  7iii7   
oral hydration1 su* z wat]4  7,b7       
,consultation ,9 develop+ ! m9imum li/ (
 m$ical supplies requir$ "u subp>agraph 
7,a71 ! ,commission] %all consult       
national organizations ) exp]tise 9     
em]g5cy m$ical c>e1 includ+ em]g5cy     
m$ical c>e ( *ildr54  7#e7 ,motor       
vehicles ,! ,commission] ( ,u4,s4       
,cu/oms & ,bord] ,protection %all make  
available appropriate motor vehicles to 
,u4,s4 ,bord] ,patrol ag5ts ) curr5t    
,,emt or p>am$ic c]tifications to enable
 !m to provide necess>y em]g5cy m$ical  
assi/ance4  4  7#b7 ,au?orization (     

appropriations ,!re is au?oriz$ to be   
appropriat$ su* sums z may be necess>y  
to c>ry out section #eeej7;g7 ( title   
#e1 ,unit$ ,/ates ,code1 z add$ by      
p>agraph 7#a74  7c7 ,id5tify+ & treat+  
individuals exp]i5c+ m$ical di/ress     
7#a7 ,onl9e tra9+  7,a7 ,9 g5]al ,beg9n+
 on ! date t is #ij days aft] ! date ( !
 enactm5t ( ?is ,act1 ! ,commission] (  
,u4,s4 ,cu/oms & ,bord] ,protection %all
 require all bord] patrol ag5ts &       
(fic]s1 includ+ ag5ts & (fic]s ) ,,emt  
or p>am$ic c]tification1 to complete an 
onl9e tra9+ program t meets nationally  
recogniz$ /&>ds = ! m$ical c>e ( *ildr5 
t w enable ,u4,s4 ,bord] ,patrol ag5ts &
 (fic]s--  7i7 to id5tify common signs (
 m$ical di/ress 9 *ildr52 &  7ii7 to    
ensure ! timely transport ( sick or     
injur$ *ildr5 to an appropriate m$ical  
provid]4  7,b7 ,contract ,9 develop+ or 
select+ an onl9e tra9+ program "u       
subp>agraph 7,a71 ! ,commission] may    
ent] into a contract ) a national       
pr(essional m$ical association (        

p$iatric m$ical provid]s4  7#b7 ,voice  
access to m$ical pr(essionals ,!        
,commission] ( ,u4,s4 ,cu/oms & ,bord]  
,protection %all ensure t all remote    
,u4,s4 ,bord] ,patrol /ations1 =w>d     
op]at+ bases1 & remote ports ( entry on 
! s\!rn bord] h #bd-;h\r voice access to
 a m$ical comm& physician ^: bo>d       
c]tification includes ! ability to p]=m 
?is role or a mid-level heal? c>e       
provid] ) p$iatric tra9+ = consultations
 reg>d+ ! m$ical ne$s ( individuals1    
includ+ *ildr51 tak5 into cu/ody ne> !  
,unit$ ,/ates bord]4 ,access "u ?is     
p>agraph may be accompli%$ ?r\gh mobile 
phones1 satellite mobile radios1 or o!r 
means prescrib$ by ! ,commission]4  #c4 
,language int]pretation s]vices ,!      
,commission] ( ,u4,s4 ,cu/oms & ,bord]  
,protection %all ensure t language      
int]pretation s]vices1 ei!r 9 p]son or  
remotely ?r\gh electronic te*nology1 are
 cont9u\sly available at all remote     
,u4,s4 ,bord] ,patrol /ations1 =w>d     
op]at+ bases1 & remote ports ( entry on 

! s\!rn bord] = any language t is       
commonly spok5 by migrants seek+ to ent]
 ! ,unit$ ,/ates ?r\gh ! s\!rn bord]4