,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ajajg  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,augu/ #ac1 #bjbf,mr4 
,torres ( ,new ,york 7= himself & ,mr4  
,latim]7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ! ,judici>y   
,a ,,bill  ,to e/abli% ,f$]al policies &
 proc$ures to notify ! next-(-k9 or o!r 
em]g5cy contact ^u ! dea?1 s]i\s        
illness1 s]i\s injury1 or               
hospitalization ( an individual 9 !     
cu/ody ( ,u4,s4 ,immigration & ,cu/oms  
,en=cem5t1 & = o!r purposes4  #a4 ,%ort 
title  ,?is ,act may be cit$ z !        
,families ,des]ve to ,"k ,act4  #b4     
,em]g5cy contact notification policies &
 proc$ures  7a7 ,9 g5]al ,n lat] ?an    
#ahj days aft] ! date ( ! enactm5t ( ?is
 ,act1 ! ,secret>y ( ,homel& ,security  
%all implem5t policies & proc$ures =    
,u4,s4 ,immigration & ,cu/oms ,en=cem5t 
to notify ! next-(-k9 or o!r em]g5cy    
contact 9 ! ev5t ( a cov]$ dea?1 or !   
s]i\s illness or s]i\s injury ( an      
individual 9 cu/ody1 consi/5t ) !       

requirem5ts ( ?is section4  7b7 ,em]g5cy
 contact in=mation ,! policies &        
proc$ures describ$ 9 subsection 7a7 %all
 address ! collection & use ( em]g5cy   
contact in=mation1 includ+ ! foll[+3    
7#a7 ,in=mation reque/$ ^u tak+ cu/ody  
,at ! "t ( tak+ cu/ody1 ,u4,s4          
,immigration & ,cu/oms ,en=cem5t %all   
ask ! individual-- 7,a7 = ! "n1 la/ kn[n
 address1 telephone numb]1 & email ( any
 p]son or p]sons :o %all be notifi$ 9 ! 
ev5t ( ! individual's dea? or s]i\s     
illness or s]i\s injury1 & :o are       
au?oriz$ to receive ! individual's body2
  7,b7 ! ord] 9 :i* ! individual pref]s 
su* em]g5cy contacts to be notifi$2     
7,c7 :e!r ! individual w\ld l a fai?    
lead] to p>ticipate 9 ! notification    
process &1 if s1 ( :at d5om9ation2 &    
7,d7 :e!r ! individual has 9 place a    
m$ical proxy decision mak] or m$ical p[]
 ( attorney1 advance directive1 or d n  
resuscitate ord]4  7#b7 ,modification   
,u4,s4 ,immigration & ,cu/oms ,en=cem5t 
%all p]mit an individual 9 cu/ody to    

modify ! individual's em]g5cy contact   
in=mation at any "t & %all affirmatively
 (f] ea* individual an opportunity to   
review & update su* in=mation n less    
frequ5tly ?an e #ij days4  7#c7         
,language access ,! reque/1 =m1 & any   
disclosure requir$ "u ?is subsection    
%all be provid$ 9 a language !          
individual und]/&s1 ) int]pretation     
s]vices provid$ z necess>y4  7#d7       
,/&>diz$ =m2 disclosure2 cu/odial record
 ,! policies & proc$ures %all include-- 
7,a7 a /&>diz$ template =m = record+ !  
in=mation describ$ 9 p>agraph 7#a72     
7,b7 a requirem5t t ,u4,s4 ,immigration 
& ,cu/oms ,en=cem5t provide ! individual
 in=mation ab\t ! purpose & p]missible  
uses ( ! in=mation1 includ+ !           
limitations "u subsection 7f72 &  7,c7 a
 requirem5t t ! complet$ =m be includ$ 9
 ! individual's cu/odial record4  7c7   
,notification requirem5ts ,! policies & 
proc$ures describ$ 9 subsection 7a7 %all
 describe ! notification requirem5ts 9 !
 ev5t ( a cov]$ dea? or ! s]i\s illness 

or s]i\s injury ( an individual 9       
cu/ody1 includ+ ! foll[+3  7#a7         
,notification timeframe  7,a7           
,notification ( dea?  ,9 ! ev5t ( a     
cov]$ dea?1 ,u4,s4 ,immigration &       
,cu/oms ,en=cem5t %all notify !         
individual's em]g5cy contact n lat] ?an 
#ab h\rs aft] ! decl>ation ( dea? or    
aft] ,u4,s4 ,immigration & ,cu/oms      
,en=cem5t le>ns ( ! dea?1 :i*ev] is     
e>li]1 & betwe5 ! h\rs ( #f3jj a4m4 &   
midnight 9 ! local "t ( ! p]son notifi$4
  7,b7 ,notification ( s]i\s illness or 
s]i\s injury ,9 ! ev5t ( a s]i\s illness
 or s]i\s injury suff]$ by an individual
 9 cu/ody1 ,u4,s4 ,immigration & ,cu/oms
 ,en=cem5t %all notify ! individual's   
em]g5cy contact z soon z practicable    
aft] ! s]i\s illness or s]i\s injury    
occurs1 & 9 any ev5t n lat] ?an #ab h\rs
 aft] ! individual is admitt$ to a      
hospital1 und]goes em]g5cy surg]y1 is   
admitt$ to an int5sive c>e unit1 or     
becomes incapacitat$ & unable to        
communicate1 & n lat] ?an #bd h\rs aft] 

any o!r s]i\s illness or s]i\s injury4  
,! notification %all occur prior to any 
requir$ m$ical proc$ure1 :]e practical &
 if su* timeframe w n delay treatm5t1 & 
9 any ev5t n lat] ?an any m$ical dis*>ge
 or cle>ance4 ,! "t-(-day limitation 9  
subp>agraph 7,a7 %all n apply to a      
notification "u ?is subp>agraph4  7,c7  
,consul> coord9ation ,u4,s4 ,immigration
 & ,cu/oms ,en=cem5t %all coord9ate ) ! 
appropriate consulate z requir$ by any  
treaty or agreem5t1 except t consul>    
coord9ation %all n delay any            
notification requir$ by ?is p>agraph4   
7,d7 ,c\nsel ( record ,9 ! ev5t ( a     
cov]$ dea? or a s]i\s illness or s]i\s  
injury suff]$ by an individual 9 cu/ody1
 ,u4,s4 ,immigration & ,cu/oms ,en=cem5t
 %all notify any c\nsel ( record = !    
individual 9 any p5d+ immigration       
proce$+ or ,f$]al c\rt proce$+ )9 ! same
 timeframe applicable "u ?is p>agraph4  
7#b7 ,dea? notification in=mation       
requir$ ,ea* notification requir$ to be 
made "u p>agraph 7#a7 relat$ to a cov]$ 

dea? %all include--  7,a7 all p]t95t    
circum/ances surr\nd+ ! dea?1 includ+ ! 
(ficial "t ( dea?2  7,b7 ! cause ( dea? 
7if det]m9$72  7,c7 :e!r ! dea? is "u   
inve/igation & ! reason = op5+ an       
inve/igation2  7,d7 ! facility at :i* ! 
individual 0 held & ! hospital1 if any1 
to :i* ! individual 0 transport$2       
in=mation conc]n+ ! disposition ( !     
individual's rema9s & prop]ty2 &  7,e7 a
 po9t ( contact at ,u4,s4 ,immigration &
 ,cu/oms ,en=cem5t4  ,if ! cause ( dea? 
has n be5 det]m9$ at ! "t (             
notification1 ,u4,s4 ,immigration &     
,cu/oms ,en=cem5t %all foll[ up ) ea*   
p]son notifi$ n lat] ?an #bd h\rs aft]  
su* a det]m9ation4  7#c7 ,s]i\s illness 
or s]i\s injury notification in=mation  
requir$ ,ea* notification requir$ to be 
made "u p>agraph 7#a7 relat$ to a s]i\s 
illness or s]i\s injury suff]$ by an    
individual 9 cu/ody %all include--  7,a7
 ! cause & nature ( ! ev5t2  7,b7 :e!r !
 individual is incapacitat$1 unconsci\s1
 or unable to speak2  7,c7 :e!r any     

m$ical proc$ures or lifesav+ measures 7 
or w be p]=m$2  7,d7 ! "n & location ( !
 facility & provid] provid+ treatm5t2   
7,e7 contact in=mation = ! responsible  
(ficial ( ,u4,s4 ,immigration & ,cu/oms 
,en=cem5t2 &  7,f7 in=mation reg>d+     
proc$ures = communicat+ ) ! individual1 
:5 m$ically appropriate4  7#d7          
,compassionate & pr(essional            
notification ,/&>ds = provid+           
notification 9 a compassionate &        
pr(essional mann]1 9 a language !       
recipi5t und]/&s1 includ+-- 7,a7 a      
description ( :at in=mation _c be       
includ$ 9 a voicemail2  7,b7 an (f] = an
 9-p]son or virtual face-to-face meet+ 9
 ! ev5t a dea? notification is provid$  
dur+ a live telephone conv]sation2 &    
7,c7 a requirem5t t notifications be    
provid$ 9 a private sett+ &1 :5         
practicable1 by a p]son tra9$ 9         
notification be/ practices4  7#e7       
,notification opt out ,/&>ds to ensure t
 notification does n occur :]e !        
individual1 :ile able to communicate1 is

 advis$ ( ! "r to notification &        
in/ructs ,u4,s4 ,immigration & ,cu/oms  
,en=cem5t n to provide x1 or reque/s !  
opportunity to provide su* notification 
p]sonally1 9 :i* case ,u4,s4            
,immigration & ,cu/oms ,en=cem5t %all   
provide ! individual an opportunity to  
deliv] su* notification )9 ! applicable 
"t p]iod4  7#f7 ,belong+s & rema9s      
,/&>ds = h&l+ ! belong+s & rema9s ( an  
individual ^: dea? is a cov]$ dea?1     
includ+--  7,a7 return+ ! belong+s &    
rema9s1 if desir$1 to ! em]g5cy contact 
& provid+ at lea/ #g days = a decision z
 to disposition2  7,b7 assi/ance1 9     
coord9ation ) ! appropriate consulate1 9
 ! repatriation ( rema9s :]e reque/$ by 
! family2  7,c7 foll[-up ) ! em]g5cy    
contact reg>d+ ! outcome ( any review or
 inve/igation n available at ! "t (     
initial notification2 &  7,d7           
docum5tation )9 ! cu/odial record ( any 
unclaim$ or reject$ claim = ! body or   
prop]ty4  7#g7 ,docum5tation ( attempts 
,requirem5ts t ea* notification attempt 

be contemporane\sly docum5t$ & ma9ta9$  
)9 ! cu/odial record1 includ+-- 7,a7 !  
/aff "n & contact in=mation ( ea* p]son 
responsible = ! notification2  7,b7 !   
date1 "t1 & me?od ( ea* successful &    
unsuccessful attempt2  7,c7 ! "n &      
contact in=mation ( ea* p]son to :om an 
attempt 0 made2  7,d7 any ackn[l$gm5t   
receiv$2 &  7,e7 ! reason = any fail$   
attempt or delay4  ,if a requir$        
notification _c be complet$ )9 !        
applicable p]iod1 ,u4,s4 ,immigration & 
,cu/oms ,en=cem5t %all cont9ue dilig5t  
ef=ts n less frequ5tly ?an e #bd h\rs1  
us+ all reasonably available s\rces (   
in=mation1 includ+ ! individual's       
cu/odial record1 ! appropriate          
consulate1 & any c\nsel ( record4  7#h7 
,additional proc$ures 9 ! ev5t ( s]i\s  
illness or injury ,/&>ds to ensure t    
,u4,s4 ,immigration & ,cu/oms           
,en=cem5t-- 7,a7 implem5ts m$ical proxy1
 m$ical p[] ( attorney1 advance         
directive1 & d n resuscitate ord]s2     
7,b7 provides mean+ful opportunity =    

communication betwe5 ! em]g5cy contact &
 ! m$ical /aff c>+ = ! individual2  7,c7
 ensures em]g5cy contacts are giv5 a    
mean+ful opportunity to visit a s]i\sly 
ill or s]i\sly injur$ individual1 )     
9-p]son visitation :5 practicable & a   
writt5 response to any visitation reque/
 )9 #dh h\rs2 &  7,d7 provides !        
individual's em]g5cy contact in=mation  
to an outside hospital & all[s !        
hospital to foll[ its e/abli%$ bylaws   
conc]n+ communication ) next-(-k94  7#i7
 ,autopsy notifications ,requirem5ts t1 
9 ! ev5t an autopsy is p]=m$ foll[+ a   
cov]$ dea?1 ! em]g5cy contact be in=m$ n
 lat] ?an #ab h\rs aft] any det]m9ation 
t an autopsy w be p]=m$1 includ+ !      
reason = ! autopsy & ! proc$ures =      
obta9+ ! report1 & t a copy ( ! autopsy 
report & results be made available to ! 
em]g5cy contact ^u completion4  7d7     
,writt5 notification plan ,! policies & 
proc$ures describ$ 9 subsection 7a7 %all
 require ! ,director ( ,u4,s4           
,immigration & ,cu/oms ,en=cem5t to     

develop a writt5 notification plan      
con=m+ to ?is section1 publi%$ on !     
website ( ! ,dep>tm5t ( ,homel&         
,security 9 ,engli%1 ,spani%1 & ! o!r   
languages mo/ commonly spok5 by         
individuals 9 ! cu/ody ( ,u4,s4         
,immigration & ,cu/oms ,en=cem5t1 & made
 accessible to individuals 9 cu/ody     
?r\gh inclusion 9 intake in=mation1     
h&books1 & o!r mat]ials di/ribut$ ^u    
tak+ cu/ody4  7e7 ,delay exception ,a   
notification requir$ by ?is section may 
be delay$ only if ! ,secret>y ( ,homel& 
,security det]m9es1 9 writ+1 t imm$iate 
notification w\ld pres5t a specific &   
articulable ?reat to public safety1 w\ld
 mat]ially int]f]e ) an active crim9al  
inve/igation1 or w\ld place ! individual
 at sub/antial risk ( s]i\s h>m4 ,any   
delay "u ?is subsection %all be review$ 
e #bd h\rs1 %all be docum5t$ 9 !        
cu/odial record1 & %all n exce$ #gb h\rs
 unless p]sonally approv$ 9 writ+ by !  
,secret>y4  7f7 ,confid5tiality         
,in=mation collect$ "u ?is ,act by      

,u4,s4 ,immigration & ,cu/oms ,en=cem5t1
 or any ag5t or contractor act+ on      
behalf ( ,u4,s4 ,immigration & ,cu/oms  
,en=cem5t1 may n be disclos$ or us$ =   
any purpose except z provid$ 9 ?is ,act4
  7g7 ,volunt>y collection ,no?+ 9 ?is  
,act %all be con/ru$ to require an      
individual 9 cu/ody to provide em]g5cy  
contact in=mation4 ,u4,s4 ,immigration &
 ,cu/oms ,en=cem5t may n attempt to     
co]ce or p]suade ! individual to provide
 su* in=mation1 & may n impose any      
p5alty1 f9e1 or fee on ! individual =   
decl9+ to provide su* in=mation or =    
provid+ in=mation lat] det]m9$ to be    
inaccurate4  7h7 ,inadmissibility ,no   
in=mation disclos$ or us$ 9 violation ( 
?is ,act may be admitt$ into any ,/ate1 
,f$]al1 or o!r c\rt1 or into any        
immigration proce$+1 z evid5ce or = any 
o!r purpose1 except 9 ! case ( in=mation
 t has be5 discov]$ ?r\gh indep5d5t     
means4  #c4 ,applicability  7a7 ,cov]$  
dea?s ,! requirem5ts ( ?is ,act apply ) 
respect to e cov]$ dea?1 includ+ a dea? 

occurr+ dur+ or at ! conclusion ( a     
s]i\s illness or s]i\s injury suff]$ by 
an individual 9 cu/ody & a dea? occurr+ 
)9 #cj days aft] an individual is       
releas$ f cu/ody1 not)/&+ any release f 
cu/ody effect$ dur+ a m$ical em]g5cy or 
episode ( m$ical treatm5t & not)/&+ any 
policy1 directive1 or guidance ( !      
,dep>tm5t ( ,homel& ,security4  7b7     
,contract & int]gov]nm5tal facilities   
7#a7 ,9 g5]al ,?is ,act applies )       
respect to e cov]$ facility )\t reg>d to
 ! own]%ip or op]ation ( ! facility4    
7#b7 ,contract t]ms ,n lat] ?an #ahj    
days aft] ! date ( ! enactm5t ( ?is     
,act1 ! ,secret>y ( ,homel& ,security   
%all ensure t e contract1 subcontract1 &
 int]gov]nm5tal s]vice agreem5t = !     
op]ation ( a cov]$ facility requires    
compliance ) ?is ,act z a mat]ial t]m1  
requires imm$iate report+ to ,u4,s4     
,immigration & ,cu/oms ,en=cem5t ( any  
dea? or a s]i\s illness or s]i\s injury 
suff]$ by an individual 9 cu/ody1 &     
provides t failure to comply--  7,a7    

%all result 9 ! civil p5alties describ$ 
9 p>agraph 7#c72 &  7,b7 9 ! case ( #b  
or m su* failures at ! same cov]$       
facility dur+ any #ab-mon? p]iod1 %all  
result 9 t]m9ation ( ! contract1        
subcontract1 or agreem5t1 & deb>m5t ( ! 
contractor f any contract or agreem5t = 
! op]ation ( a cov]$ facility = a p]iod 
( #c ye>s4  7#c7 ,civil p5alty  7,a7 ,9 
g5]al ,a contractor 7includ+ any        
subcontractor !re(7 t violates ?is ,act1
 %all be subject to a civil p5alty 9 !  
am\nt ( #ajj1jjj = ea* day a            
notification requir$ by ?is ,act rema9s 
unmade4  7,b7 ,no waiv] ,! ,secret>y may
 n waive1 r$uce1 or reimburse a         
contractor = any p5alty "u ?is p>agraph4
  7,c7 ,family ,notification ,fund ,!re 
is e/abli%$ 9 ! g5]al fund ( ! ,treasury
 an acc\nt to be kn[n z ! ,family       
,notification ,fund4 ,am\nts collect$ z 
f9es "u ?is p>agraph %all be deposit$   
into ! fund & %all rema9 available until
 exp5d$ to pay aw>ds ( damages "u       
section #f t are impos$ aga9/ ! ,unit$  

,/ates4 ,su* am\nts may n be reta9$ or  
us$ by ! ,dep>tm5t ( ,homel& ,security4 
#d4 ,report+ & review  7a7              
,congressional notification ,n lat] ?an 
#bd h\rs aft] a cov]$ dea?1 ! ,secret>y 
( ,homel& ,security %all notify !       
appropriate committees ( ,congress ( !  
dea?4  7b7 ,public notification ,n lat] 
?an #b bus9ess days aft] a cov]$ dea?1 !
 ,secret>y %all publi% on a publicly    
available website ( ! ,dep>tm5t (       
,homel& ,security a release id5tify+ !  
facility involv$ & ! kn[n circum/ances (
 ! dea?4  7c7 ,dea? report ,n lat] ?an  
#ij days aft] a cov]$ dea?1 ! ,secret>y 
%all complete & publi% a report on !    
dea?1 includ+ a description ( ! m$ical  
c>e provid$1 a timel9e ( ! ev5ts prec$+ 
! dea?1 & ! results ( any review        
conduct$ "u subsection 7d74  7d7 ,review
 ,! ,secret>y %all ensure t ea* cov]$   
dea? is review$ by ! ,(fice (           
,pr(essional ,responsibility ( ,u4,s4   
,immigration & ,cu/oms ,en=cem5t or an  
equival5t (fice1 ) ! results provid$ to 

! ,(fice = ,civil ,rights & ,civil      
,lib]ties & ! ,inspector ,g5]al ( !     
,dep>tm5t ( ,homel& ,security4  7e7     
,semiannual report ,n lat] ?an #a ye>   
aft] ! date ( ! enactm5t ( ?is ,act1 &  
semiannually !reaft]1 ! ,secret>y %all  
submit to ! appropriate committees (    
,congress a report id5tify+1 = ! prec$+ 
#ahj-;day p]iod--  7#a7 ea* cov]$ dea?1 
& ! "t elaps$ betwe5 ! dea? & ! complet$
 notification ( ! em]g5cy contact2  7#b7
 ea* notification requir$ "u section #b 
t 0 n complet$ )9 ! applicable p]iod1 ) 
an explanation1 & ea* delay invok$ "u   
section #b7;e72  7#c7 ea* release f     
cu/ody grant$1 by field (fice1 :ile an  
individual 0 hospitaliz$1 be+ transport$
 = em]g5cy m$ical c>e1 or exp]i5c+ a    
m$ical em]g5cy1 & :e!r ! individual is  
kn[n to h di$ foll[+ release2 &  7#d7 ! 
numb] ( compla9ts receiv$ "u section    
#e7;b7 & corrective actions tak54  7f7  
,records ,records creat$ "u ?is ,act    
%all be reta9$ = n less ?an #aj ye>s &  
may n be de/roy$ :ile any litigation1   

inve/igation1 or congressional inquiry  
conc]n+ ! dea? or ev5t is p5d+4  #e4    
,ov]sight  7a7 ,inspector g5]al ,n lat] 
?an #a ye> aft] ! date ( ! enactm5t (   
?is ,act1 & bi5nially !reaft]1 !        
,inspector ,g5]al ( ! ,dep>tm5t (       
,homel& ,security %all audit compliance 
) ?is ,act & publi% ! results & any     
recomm5dations = corrective action4  7b7
 ,compla9ts ,! ,(fic] = ,civil ,rights &
 ,civil ,lib]ties ( ! ,dep>tm5t (       
,homel& ,security %all e/abli% a        
me*anism by :i* a family memb]1 em]g5cy 
contact1 or repres5tative ( an          
individual 9 cu/ody may submit a        
compla9t conc]n+ compliance ) ?is ,act1 
& %all report annually to ! appropriate 
committees ( ,congress on compla9ts     
receiv$ & _! resolution4  #f4 ,civil    
action  7a7 ,9 g5]al ,any individual 9  
cu/ody aggriev$ by a violation ( ?is    
,act1 or ! em]g5cy contact1 next-(-k91  
or p]sonal repres5tative ( ! e/ate ( su*
 an individual1 may br+ a civil action =
 any violation ( ?is ,act 9 an          

appropriate di/rict c\rt ( ! ,unit$     
,/ates aga9/ ! ,unit$ ,/ates1 any       
contractor1 subcontractor1 or op]ator ( 
a cov]$ facility1 or any (fic] or       
employee !re( act+ 9 an (ficial         
capacity4  7b7 ,relief ,9 an action "u  
?is section1 ! c\rt %all aw>d to a      
prevail+ pla9tiff-- 7#a7 actual damages 
or /atutory damages ( n less ?an        
#ajj1jjj = ea* violation1 :i*ev] is     
great]2  7#b7 9 ! case ( a willful      
violation1 punitive damages aga9/ any   
def5dant o!r ?an ! ,unit$ ,/ates2  7#c7 
decl>atory & injunctive relief1 z       
appropriate2 &  7#d7 reasonable         
attorney's fees & litigation co/s4  7c7 
,sep>ate violations ,= purposes ( ?is   
section & section #c7;b71 ea* day a     
notification requir$ by ?is ,act rema9s 
unmade con/itutes a sep>ate violation4  
7d7 ,waiv] ( sov]eign immunity ,! ,unit$
 ,/ates %all n be immune f suit "u ?is  
section1 & sov]eign immunity %all n be a
 def5se to any action br\ght "u ?is     
section4  7e7 ,relation%ip to o!r       

rem$ies ,! rem$ies "u ?is section are 9 
addition to1 & n 9 lieu (1 ! civil      
p5alty "u section #c7;b7 & any o!r rem$y
 available "u ,f$]al or ,/ate law1 & may
 n be condition$ on ! exhau/ion ( any   
adm9i/rative rem$y4 ,an aw>d "u ?is     
section %all n r$uce1 satisfy1 or b> !  
civil p5alty "u section #c7;b71 & paym5t
 ( t p5alty %all n b> an action "u ?is  
section4  #g4 ,rules ( con/ruction2     
sev]ability  7a7 ,rules ( con/ruction   
,no?+ 9 ?is ,act may be con/ru$-- 7#a7  
to create any legal or f9ancial         
obligation on ! "p ( any p]son designat$
 z a next-(-k9 or o!r em]g5cy contact2  
7#b7 to conf] any immigration /atus1    
b5efit1 or relief on any p]son2  7#c7 to
 disc\rage1 limit1 or condition !       
release ( any individual f cu/ody1      
includ+ release = m$ical or humanit>ian 
reasons2  7#d7 to alt] exi/+ m$ical     
privacy protections "u ,f$]al law1 or to
 limit any rights o!rwise available to  
individuals 9 cu/ody "u any o!r         
provision ( law2  7#e7 to displace any  

requirem5t ( ! ,dea? 9 ,cu/ody ,report+ 
,act ( #bjac 7#cd ,u4,s4,c4 #fjaje72 or 
7#f7 to au?orize ! det5tion ( any       
individual4  7b7 ,no additional funds   
,no additional funds are au?oriz$ to be 
appropriat$ to c>ry out ?is ,act4 ,?is  
,act %all be c>ri$ out us+ am\nts       
o!rwise made available to ! ,dep>tm5t ( 
,homel& ,security4  7c7 ,sev]ability ,if
 any provision ( ?is ,act or its        
application is held invalid1 ! rema9d] (
 ?is ,act & its application to o!r      
p]sons & circum/ances %all n be affect$4
  #h4 ,def9itions ,9 ?is ,act3  7#a7    
,appropriate committees ( congress ,!   
t]m appropriate committees ( ,congress  
means ! ,committee on ! ,judici>y & !   
,committee on ,homel& ,security ( !     
,h\se ( ,repres5tatives & ! ,committee  
on ! ,judici>y & ! ,committee on ,homel&
 ,security & ,gov]nm5tal ,affairs ( !   
,s5ate4  7#b7 ,cov]$ dea? ,! t]m cov]$  
dea? means ! dea? ( any individual t    
occurs--  7,a7 :ile ! individual is 9   
cu/ody ( ,u4,s4 ,immigration & ,cu/oms  

,en=cem5t2 or  7,b7 )9 #cj days aft] !  
individual's release f ! cu/ody ( ,u4,s4
 ,immigration & ,cu/oms ,en=cem5t1 :5   
,u4,s4 ,immigration & ,cu/oms ,en=cem5t 
kn[s or reasonably %\ld "k ( ! dea?4    
7#c7 ,cov]$ facility ,! t]m cov]$       
facility means any facility at :i*      
individuals are deta9$ by or on behalf (
 ,u4,s4 ,immigration & ,cu/oms          
,en=cem5t1 includ+ a ,s]vice ,process+  
,c5t]1 a contract det5tion facility1 a  
facility op]at$ pursuant to an          
int]gov]nm5tal s]vice agreem5t1 a ,f$]al
 facility1 & any o!r facility op]at$ by 
or "u contract or agreem5t ) ! ,dep>tm5t
 ( ,homel& ,security = ! det5tion (     
individuals 9 ! cu/ody ( ,u4,s4         
,immigration & ,cu/oms ,en=cem5t4  7#d7 
,cu/odial record ,! t]m cu/odial record 
means ! c5tral file ( an individual 9   
cu/ody1 includ+ ! individual's det5tion 
file4  7#e7 ,9 cu/ody ,! t]m 9 cu/ody   
means1 ) respect to an individual1 t !  
individual is-- 7,a7 deta9$ at a cov]$  
facility2  7,b7 be+ transport$ by or on 

behalf ( ,u4,s4 ,immigration & ,cu/oms  
,en=cem5t2 or  7,c7 receiv+ m$ical      
treatm5t at a hospital or o!r m$ical    
facility to :i* ! individual 0          
transport$ f a cov]$ facility or f !    
cu/ody ( ,u4,s4 ,immigration & ,cu/oms  
,en=cem5t1 ?r\gh ! conclusion ( !       
episode ( treatm5t1 not)/&+ any release 
f cu/ody effect$ dur+ su* treatm5t4     
7#f7 ,s]i\s illness or s]i\s injury ,!  
t]m s]i\s illness or s]i\s injury means 
a m$ical ev5t1 episode1 condition1 or   
injury ) respect to :i*1 at m9imum--    
7,a7 )\t imm$iate treatm5t1 dea? is     
imm95t2  7,b7 admission to a hospital is
 requir$2  7,c7 em]g5cy surg]y is       
requir$2  7,d7 admission to an int5sive 
c>e unit occurs2  7,e7 ! individual     
suff]s c>diac arre/1 /roke1 respiratory 
failure1 or s]i\s trauma2  7,f7 !       
individual is unconsci\s or incapacitat$
 su* t ! individual is incapable (      
provid+ cons5t = m$ical treatm5t or (   
communicat+2  7,g7 ! individual has be5 
diagnos$ ) a t]m9al illness2 or  7,h7 a 

lic5s$ physician det]m9es ! condition   
pres5ts a sub/antial risk ( dea? or     
p]man5t impairm5t4  7#g7 ,tak+ cu/ody ,!
 t]m tak+ cu/ody means ! po9t at :i*    
,u4,s4 ,immigration & ,cu/oms ,en=cem5t 
takes cu/ody or control ( an individual1
 includ+ dur+ or prior to book+ or      
intake scre5+1 9 transf] f ano!r        
in/itution or ag5cy1 or z a holdov]4