,,ii  #aag? ,,congress  #a/ ,session    
,s4 #aeae  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #bi1 #bjba,mr4  
,he9ri* 7= himself1 ,mr4 ,cornyn1 & ,ms4
 ,s9ema7 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 & =  
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+ = ,u4,s4 ,bord] ,patrol   
ag5ts  7a7 ,9 g5]al ,section #daa ( !   
,homel& ,security ,act ( #bjjb 7#f      
,u4,s4,c4 #baa7 is am5d$-- 7#a7 9       
subsection 7l7-- 7,a7 by /rik+ ,!       
,commission] & ins]t+ ! foll[+3  7#a7   
,cont9u+ education ,! ,commission]  2 & 
7,b7 by add+ at ! end ! foll[+3  7#b7   
,m$ical tra9+ = ,u4,s4 bord] patrol     
ag5ts  7,a7 ,9 g5]al  7i7 ,availability 
,beg9n+ n lat] ?an #f mon?s aft] ! date 

( ! enactm5t ( ! ,,remote ,act1 !       
,commission] %all make available1 9 ea* 
,u4,s4 ,bord] ,patrol sector1 at no co/ 
to ,u4,s4 ,bord] ,patrol ag5ts select$ =
 su* tra9+1 em]g5cy m$ical te*nician    
7ref]r$ to 9 ?is p>agraph z ,,emt7 &    
p>am$ic tra9+1 includ+ p$iatric m$ical  
tra9+1 :i* %all utilize nationally      
recogniz$ p$iatric tra9+ curricula t    
includes em]g5cy p$iatric c>e4  7ii7    
,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 "u clause 7i7 9 ord] to a*ieve 
or ma9ta9 an ,,emt or p>am$ic           
c]tification4  7iii7 ,obligat$ ov]time  
,a ,u4,s4 ,bord] ,patrol ag5t %all n    
accrue any debt ( obligat$ ov]time h\rs 
t ! ag5t may h incurr$1 pursuant to     
section #eeej7;b7 ( title #e1 ,unit$    
,/ates ,code1 9 ord] to a*ieve or ma9ta9
 a p>am$ic c]tification4  7iv7 ,lodg+ & 
p] diem ,lodg+ & p] diem %all be made   
available to ,u4,s4 ,bord] ,patrol ag5ts
 att5d+ tra9+ describ$ 9 clause 7i7 if  

su* tra9+ is n available at a location  
)9 commut+ di/ance ( ! ag5t's resid5ce  
or worksite4  7v7 ,s]vice commitm5t ,any
 ,u4,s4 ,bord] ,patrol ag5t :o completes
 a c]tification prep>ation program      
pursuant to clause 7i7 %all-- 7,i7      
complete #a ye> ( s]vice z a ,u4,s4     
,bord] ,patrol ag5t foll[+ ! completion 
( ,,emt tra9+2  7,,ii7 complete #c ye>s 
( s]vice z a ,u4,s4 ,bord] ,patrol ag5t 
foll[+ ! completion ( p>am$ic tra9+2 or 
7,,iii7 reimburse ,u4,s4 ,cu/oms &      
,bord] ,protection 9 an am\nt equal to !
 product (-- 7aa7 ! co/ ( provid+ su*   
tra9+ to su* ag5t2 multipli$ by  7bb7 ! 
p]c5tage ( ! s]vice requir$ "u          
subclauses 7,i7 & 7,,ii7 t ! ag5t fail$ 
to complete4  7,b7 ,increase 9 rate (   
pay = bord] patrol m$ical c]tification  
7i7 ,emt c]tification ,a ,u4,s4 ,bord]  
,patrol ag5t :o has complet$ ,,emt tra9+
 pursuant to subp>agraph 7,a77i7 & 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  7ii7     
,p>am$ic c]tification ,a ,u4,s4 ,bord]  
,patrol ag5t :o has complet$ p>am$ic    
tra9+ pursuant to subp>agraph 7,a77i7 & 
has a curr5t1 ,/ate-issu$ 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     
7iii7 ,exi/+ c]tifications ,a ,u4,s4    
,bord] ,patrol ag5t :o did n p>ticipate 
9 ! tra9+ made available pursuant to    
subp>agraph 7,a77i71 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 7exclud+ 
! application ( clause 7i7 & 7ii771 an  
am\nt equal to-- 7,i7 #e p]c5t ( su* pay
 = an ,,emt c]tification2 &  7,,ii7 #aj 
p]c5t ( su* pay = a p>am$ic             
c]tification4  7,c7 ,availability (     

m$ically tra9$ bord] patrol ag5ts ,n    
lat] ?an #f mon?s aft] ! date ( !       
enactm5t ( ! ,,remote ,act1 !           
,commission] ( ,u4,s4 ,cu/oms & ,bord]  
,protection %all-- 7i7 ensure t-- 7,i7  
,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      
7,,ii7 n few] ?an #aj p]c5t ( all ,u4,s4
 ,bord] ,patrol ag5ts assign$ to ea*    
,u4,s4 ,bord] ,patrol sector h ,,emt    
c]tifications2 &  7,,iii7 n few] ?an #a 
p]c5t ( all ,u4,s4 ,bord] ,patrol ag5ts 
assign$ to ea* ,u4,s4 ,bord] ,patrol    
sector h p>am$ic c]tifications2 &  7ii7 
9 det]m9+ ! assign$ po/s ( ,u4,s4 ,bord]
 ,patrol ag5ts :o h receiv$ tra9+ "u    
subp>agraph 7,a77i71 give priority to   
remote /ations & =w>d op]at+ bases4     
7,d7 ,m$ical supplies  7i7 ,m9imum li/  
,! ,commission] ( ,u4,s4 ,cu/oms &      
,bord] ,protection %all provide m9imum  
m$ical supplies to ea* ,u4,s4 ,bord]    

,patrol ag5t ) an ,,emt or p>am$ic      
c]tification & to ea* ,u4,s4 ,bord]     
,patrol sector1 includ+ all remote      
/ations & =w>d op]at+ bases1 = use :ile 
on patrol1 includ+-- 7,i7 supplies      
design$ = *ildr52  7,,ii7 fir/ aid kits2
 &  7,,iii7 oral hydration1 su* z wat]4 
7ii7 ,consultation ,9 develop+ ! m9imum 
li/ ( m$ical supplies requir$ "u clause 
7i71 ! ,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  7,f7 ,,gao report ,n lat]   
?an #c ye>s aft] ! date ( ! enactm5t ( !
 ,,remote ,act1 ! ,comptroll] ,g5]al ( !
 ,unit$ ,/ates %all-- 7i7 review !      
progress ( ! ,u4,s4 ,cu/oms & ,bord]    
,protection's promotion 9 rea*+ ! goal (

 up to #aj p]c5t ( all ,u4,s4 ,bord]    
,patrol ag5ts hav+ ,,emt or p>am$ic     
c]tifications2 &  7ii7 provide a        
recomm5dation to ,congress z to :e!r--  
7,i7 ! ,commission] ( ,u4,s4 ,cu/oms &  
,bord] ,protection has effectively &    
vigor\sly und]tak5 an ag5cy-wide ef=t to
 enc\rage & promote ! m&ate = m$ical    
tra9+ = ,u4,s4 ,bord] ,patrol ag5ts "u  
?is p>agraph2  7,,ii7 additional        
inc5tive modifications are ne$$ to      
a*ieve or ma9ta9 ! goal1 includ+ pay    
diff]5tials2 &  7,,iii7 ! #aj p]c5t goal
 is prop]ly scop$ to mat]ially          
contribute to ! pres]vation ( life & !  
effectiv5ess & effici5cy ( ,u4,s4 ,bord]
 ,patrol op]ations1 includ+ :e!r ! numb]
 is too high or too l[4  2 &  7#b7 9    
subsection 7r71 by /rik+ section1 ! t]ms
 & ins]t+ ! foll[+3 8section--  7#a7 !  
t]m *ild means any individual :o has n  
rea*$ #ah ye>s ( age2 &  7#b7 ! t]ms  4 
7b7 ,au?orization ( appropriations ,!re 
are au?oriz$ to be appropriat$ su* sums 
z may be necess>y to c>ry out section   

#daa7l77#b7 ( ! ,homel& ,security ,act (
 #bjjb1 z add$ by subsection 7a74  #c4  
,id5tify+ & treat+ individuals exp]i5c+ 
m$ical di/ress  7a7 ,onl9e tra9+  7#a7  
,9 g5]al ,beg9n+ on ! date t is #ij days
 aft] ! date ( ! enactm5t ( ?is ,act1 ! 
,commission] ( ,u4,s4 ,cu/oms & ,bord]  
,protection %all require all ,u4,s4     
,bord] ,patrol ag5ts1 includ+ ag5ts )   
,,emt or p>am$ic c]tification1 to       
complete an onl9e tra9+ program t meets 
nationally recogniz$ /&>ds = ! m$ical   
c>e ( *ildr5 to enable ,u4,s4 ,bord]    
,patrol ag5ts-- 7,a7 to id5tify common  
signs ( m$ical di/ress 9 *ildr52 &  7,b7
 to ensure ! timely transport ( sick or 
injur$ *ildr5 to an appropriate m$ical  
provid]4  7#b7 ,contract ,9 develop+ or 
select+ an onl9e tra9+ program "u       
p>agraph 7#a71 ! ,commission] may ent]  
into a contract ) a national pr(essional
 m$ical association ( p$iatric m$ical   
provid]s4  7b7 ,voice access to m$ical  
pr(essionals  7#a7 ,9 g5]al ,!          
,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    
along ! s\!rn bord] ( ! ,unit$ ,/ates 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 
7#b7 ,acceptable means ( access ,access 
"u p>agraph 7#a7 may be accompli%$ ?r\gh
 mobile phones1 satellite mobile radios1
 or o!r means prescrib$ by !            
,commission]4