,i #aai? ,,congress #a/ ,session ,h4 ,r4 #dffd ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,july #bc1 #bjbe,ms4 ,g>cia ( ,texas 7= h]self1 ,mr4 ,?ompson ( ,mississippi1 ,ms4 ,velzquez1 ,mr4 ,takano1 ,ms4 ,wat]s1 ,mr4 ,espaillat1 ,ms4 ,cl>ke ( ,new ,york1 ,ms4 ,leg] ,f]n&ez1 ,mr4 ,ca/ro ( ,texas1 ,mrs4 ,ramirez1 ,mr4 ,johnson ( ,georgia1 ,ms4 ,norton1 ,mr4 ,evans ( ,p5nsylvania1 ,mrs4 ,watson ,coleman1 ,ms4 ,de,gette1 ,mr4 ,davis ( ,ill9ois1 ,ms4 ,sewell1 ,ms4 ,simon1 ,ms4 ,tlaib1 ,mr4 ,c>son1 ,mr4 ,kri%namoor?i1 ,mr4 ,correa1 ,ms4 ,ross1 ,mr4 ,v>gas1 ,ms4 ,williams ( ,georgia1 ,mr4 ,fields1 ,ms4 ,crockett1 ,ms4 ,wilson ( ,florida1 ,mr4 ,bell1 ,ms4 ,s*ak[sky1 ,mr4 ,gre5 ( ,texas1 ,ms4 ,kelly ( ,ill9ois1 ,ms4 ,om>1 ,mr4 ,?an$>1 ,mr4 ,goldman ( ,new ,york1 ,mr4 ,jackson ( ,ill9ois1 ,ms4 ,b>ragn1 ,ms4 ,mc,collum1 ,mr4 ,khanna1 ,mr4 ,soto1 ,mr4 ,figures1 ,ms4 ,lee ( ,p5nsylvania1 ,ms4 ,br[nley1 ,mr4 ,g>ca ( ,ill9ois1 & ,ms4 ,ocasio-,cortez7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ! ,judici>y ,a ,,bill ,to safegu>d ! humane treatm5t ( pregnant & po/p>tum wom5 by ensur+ ! presumption ( release & prohibit+ %ackl+1 re/ra9+1 & o!r inhumane treatm5t1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,/op ,%ackl+ & ,deta9+ ,pregnant ,wom5 ,act4 #b4 ,def9itions ,9 ?is ,act3 7#a7 ,appropriate committees ( congress ,! t]m appropriate committees ( ,congress means-- 7,a7 ! ,committee on ,homel& ,security & ,gov]nm5tal ,affairs ( ! ,s5ate2 7,b7 ! ,committee on ! ,judici>y ( ! ,s5ate2 7,c7 ! ,committee on ,appropriations ( ! ,s5ate2 7,d7 ! ,committee on ,homel& ,security ( ! ,h\se ( ,repres5tatives2 7,e7 ! ,committee on ! ,judici>y ( ! ,h\se ( ,repres5tatives2 & 7,f7 ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives4 7#b7 ,commission] ,! t]m ,commission] means ! ,commission] = ,u4,s4 ,cu/oms & ,bord] ,protection4 7#c7 ,deta9$ noncitiz5 ,! t]m deta9$ noncitiz5 includes any adult or juv5ile individual deta9$ by any ,f$]al1 ,/ate1 or local law en=cem5t ag5cy 7includ+ "u contract or agreem5t ) su* ag5cy7 "u ! ,immigration & ,nationality ,act 7#h ,u4,s4,c4 #aaja et seq474 7#d7 ,det5tion (fic] ,! t]m det5tion (fic] means an individual :o-- 7,a7 works at a facility1 includ+ an individual :o works at a facility pursuant to a contract or subcontract2 & 7,b7 p]=ms duties relat+ to ! security1 cu/ody1 or transport ( individuals 9 cu/ody4 7#e7 ,director ,! t]m ,director means ! ,director = ,u4,s4 ,immigration & ,cu/oms ,en=cem5t4 7#f7 ,facility ,! t]m facility means a ,f$]al1 ,/ate1 or local gov]nm5t facility1 or a privately own$ & op]at$ facility1 t is us$1 9 :ole or 9 "p1 to hold individuals "u ! au?ority ( ! ,secret>y ( ,homel& ,security1 includ+ a facility t-- 7,a7 holds su* individuals "u a contract or agreem5t ) ! ,director or ! ,commission]2 or 7,b7 is us$1 9 :ole or 9 "p1 to hold individuals pursuant to an immigration deta9] or simil> reque/4 7#g7 ,facility adm9i/rator ,! t]m facility adm9i/rator means ! (ficial responsible = ov]sight ( a facility1 or ! designee ( su* (ficial4 7#h7 ,po/p>tum ,! t]m po/p>tum means dur+ ! #a-ye> p]iod1 or long]1 z det]m9$ by ! lic5s$ heal? c>e provid] ( ! individual conc]n$1 foll[+ deliv]y1 includ+ ! entire p]iod dur+ :i* ! individual is 9 a m$ical facility1 bir?+ c5t]1 or infirm>y aft] bir?4 7#i7 ,re/ra9t ,! t]m re/ra9t-- 7,a7 means any physical re/ra9t or me*anical device us$ to control ! movem5t ( ! body or limbs ( a deta9$ noncitiz5's body = cu/ody purposes1 includ+-- 7i7 flex cuffs2 7ii7 s(t re/ra9ts2 7iii7 h>d metal h&cuffs2 7iv7 a black box2 7v7 ,*ubb cuffs2 7vi7 leg irons2 7vii7 belly *a9s2 7viii7 a security 7te!r7 *a92 7ix7 a convex %ield2 & 7x7 any o!r type ( %ackles2 & 7,b7 does n include m$ical re/ra9ts4 7#aj7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,homel& ,security4 #c4 ,limitation on det5tion ( pregnant wom5 & mo!rs ( newborns 7a7 ,access to pregnancy te/+ ,! ,secret>y %all provide e individual be+ process$ into cu/ody access to pregnancy te/+ dur+ ! initial m$ical scre5+4 7b7 ,presumption ( release 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 ! ,secret>y-- 7,a7 may n deta91 arre/1 or take into cu/ody an individual "u any provision ( ! ,immigration & ,nationality ,act 7#h ,u4,s4,c4 #aaja et seq47 :o is kn[n to be pregnant1 lactat+1 or po/p>tum1 p5d+ a decision ) respect to :e!r ! noncitiz5 is to be remov$ f ! ,unit$ ,/ates2 & 7,b7 %all imm$iately release any deta9$ noncitiz5 f\nd to be pregnant4 7#b7 ,exceptions ,! ,secret>y1 pursuant to *apt] #d ( title ,,ii ( ! ,immigration & ,nationality ,act 7#h ,u4,s4,c4 #abba et seq471 may deta9 an individual :o is kn[n to be pregnant1 lactat+1 or po/p>tum-- 7,a7 "u extraord9>y circum/ances 9 :i* ! ,secret>y makes an individualiz$ det]m9ation t cr$ible1 reasonable gr\nds exi/ to believe t-- 7i7 su* individual poses an imm$iate & s]i\s risk ( physical h>m to o!rs2 & 7ii7 enrollm5t 9 an alt]native to det5tion program _c mitigate public safety ?reats associat$ ) su* individual2 & 7,b7 if su* det5tion is ! only means available to mitigate su* ?reats4 7#c7 ,removal ,if det5tion is ! only means ( effectuat+ ! removal f ! ,unit$ ,/ates ( a pregnant individual subject to a f9al ord] ( deportation or removal1 ! ,secret>y1 solely = ! purpose ( su* deportation or removal1 may deta9 ! pregnant individual 9 tempor>y h\s+ 9 accordance ) applicable tempor>y h\s+ /&>ds = a p]iod equal to ! %ort] (-- 7,a7 ! %orte/ possible p]iod imm$iately prec$+ ! deportation or removal ( ! individual f ! ,unit$ ,/ates2 & 7,b7 #e days4 7c7 ,weekly review 7#a7 ,9 g5]al ,! ,secret>y %all conduct an individualiz$ review ( ea* noncitiz5 deta9$ pursuant to subsection 7b77#b7 n less frequ5tly ?an weekly to det]m9e :e!r su* noncitiz5 cont9ues to be subject to det5tion "u su* subsection4 ,ea* su* review %all be complet$ )9 #gb h\rs aft] be+ initiat$4 7#b7 ,release ,n lat] ?an #bd h\rs aft] ! ,secret>y det]m9es pursuant to p>agraph 7#a7 t a pregnant noncitiz5 is no long] subject to det5tion "u subsection 7b77#b71 ! noncitiz5 %all be releas$ f ! facility 9 :i* ! noncitiz5 _h be5 deta9$ 9 accordance ) safe release /&>ds4 ,9 c>ry+ out su* release1 an (fic] at su* facility %all-- 7,a7 prep>e ! noncitiz5's complete m$ical records1 m$ications1 & any supplies requir$ to ma9ta9 ! noncitiz5's /ate ( heal? until ! noncitiz5 c be se5 by a community heal? pr(essional2 & 7,b7 communicate ) ! noncitiz5's attorney ( record1 sponsor1 or any po/-release s]vice provid] z soon z details ( ! noncitiz5's plann$ release are available4 #d4 ,humane treatm5t ( pregnant deta9$ noncitiz5s :ile 9 det5tion & cu/ody 7a7 ,prohibition on re/ra9t ( pregnant deta9$ noncitiz5s 7#a7 ,prohibition ,except z provid$ 9 p>agraph 7#b71 re/ra9ts may n be us$ on a noncitiz5 :o is 9 ! physical cu/ody ( ! ,dep>tm5t ( ,homel& ,security1 includ+ dur+ transport1 if ! noncitiz5 is kn[n to be-- 7,a7 pregnant1 includ+ dur+ labor & deliv]y2 7,b7 lactat+2 or 7,c7 po/p>tum4 7#b7 ,exceptions 7,a7 ,9 g5]al ,not)/&+ p>agraph 7#a71 & subject to subp>agraph 7,b71 use ( a re/ra9t on a deta9$ noncitiz5 describ$ 9 p>agraph 7#a7 may be p]mitt$ only 9 an extraord9>y circum/ance1 except 9 ! case ( a m$ical contra9dication1 9 :i* ! facility adm9i/rator has ord]$ ! use ( ! re/ra9t aft] mak+ an individualiz$ det]m9ation t-- 7i7 cr$ible1 reasonable gr\nds exi/ to believe ! deta9$ noncitiz5 poses an imm$iate & s]i\s risk ( physical h>m to o!rs2 or 7ii7 reasonable gr\nds exi/ to believe ! deta9$ noncitiz5 pres5ts an imm$iate & cr$ible risk ( escape t _c be reasonably m9imiz$ ?r\gh any o!r me?od4 7,b7 ,requirem5t = lea/ re/rictive re/ra9ts ,9 ! r>e ev5t ( an extraord9>y circum/ance describ$ 9 subp>agraph 7,a71 only ! lea/ re/rictive re/ra9t necess>y %all be us$1 except t-- 7i7 if a doctor1 nurse1 or o!r heal? pr(essional treat+ a deta9$ noncitiz5 reque/s t a re/ra9t n be us$1 ! det5tion (fic] accompany+ ! deta9$ noncitiz5 %all imm$iately remove any re/ra9t2 & 7ii7 "u no circum/ance %all-- 7,i7 a leg1 wai/1 or #d-po9t re/ra9t be us$2 7,,ii7 a wri/ re/ra9t be us$ to b9d ! h&s ( su* a deta9$ noncitiz5 beh9d ! back ( ! deta9$ noncitiz5 or to ano!r individual2 7,,iii7 a deta9$ noncitiz5 be re/ra9$ 9 a face-d[n position or on _! back2 or 7,,iv7 any re/ra9t be us$ on any deta9$ noncitiz5 :o is 9 labor or deliv]+4 7#c7 ,record ( extraord9>y circum/ances 7,a7 ,requirem5ts ,if a re/ra9t is us$ on a deta9$ noncitiz5 pursuant to p>agraph 7#b77;,a71 n lat] ?an #e days aft] ! date on :i* ! re/ra9t 0 us$1 ! facility adm9i/rator %all-- 7i7 record 9 writ+ ! f9d+ t describes ! m$ical purpose or extraord9>y circum/ance t dictat$ ! use ( ! re/ra9t2 & 7ii7 submit ! f9d+ to ! ,director4 7,b7 ,ret5tion 7i7 ,facility ,) respect to a writt5 f9d+ "u subp>agraph 7,a77i71 ! facility adm9i/rator %all-- 7,i7 keep ! f9d+ on file at ! applicable facility = n less ?an #e ye>s aft] ! date on :i* ! re/ra9t 0 us$2 & 7,,ii7 make a copy ( ! f9d+ available = public inspection on reque/1 only aft] mak+ appropriate r$actions s z to protect p]sonally id5tifiable in=mation4 7ii7 ,u4,s4 immigration & cu/oms en=cem5t ,! ,director %all ma9ta9 a writt5 f9d+ submitt$ to ! ,director pursuant to subp>agraph 7,a77ii7 & make su* f9d+ available = public inspection only aft] mak+ appropriate r$actions to protect p]sonally id5tifiable in=mation4 7b7 ,prohibition on pres5ce ( nonm$ical /aff 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 nonm$ical /aff may n be pres5t 9 a room 9 :i* a pelvic or brea/ exam1 labor1 deliv]y 7:e!r vag9al or by ces>ean deliv]y71 or treatm5t ( any o!r symptom relat+ to a pregnancy ( a deta9$ noncitiz5 is occurr+ unless _! pres5ce is specifically reque/$ by m$ical p]sonnel & only = a duration t is actually requir$ to fulfill su* reque/4 7#b7 ,exception ,if ! pres5ce ( nonm$ical /aff is reque/$ by m$ical p]sonnel1 ! nonm$ical /aff %all-- 7,a7 be ( ! deta9$ noncitiz5's g5d] ( *oice1 if practicable2 & 7,b7 rema9 at a reasonable di/ance f ! deta9$ noncitiz5 & face t[>d ! deta9$ noncitiz5's head to protect ! privacy ( ! deta9$ noncitiz54 7#c7 ,use ( re/ra9ts ,if a re/ra9t is us$ on a deta9$ noncitiz5 pursuant to subsection 7a77#b77;,a71 an employee ( ! ,dep>tm5t ( ,homel& ,security %all rema9 imm$iately outside ! room at all times s t ! employee may promptly remove ! re/ra9t if reque/$ by m$ical p]sonnel pursuant to subsection 7a77#b77;,b77i74 7c7 ,access to s]vices 7#a7 ,u4,s4 immigration & cu/oms en=cem5t cu/ody ,a deta9$ noncitiz5 9 ! cu/ody ( ,u4,s4 ,immigration & ,cu/oms ,en=cem5t %all h access to heal? c>e s]vices1 includ+ compreh5sive c\nsel+ & s]vices relat+ to reproductive heal? c>e & pregnancy1 includ+-- 7,a7 r\t9e & specializ$ pr5atal c>e1 includ+ adequate nutrition & ex]cise1 ,,hiv te/+ & treatm5t1 & pr5atal vitam9s & vacc9es2 7,b7 labor & deliv]y2 7,c7 treatm5t = complications f pregnancy2 7,d7 sub/ance use disord] treatm5t2 7,e7 po/p>tum physical & m5tal heal? c>e1 includ+ po/p>tum rev]sible contraceptive me?ods2 7,f7 no-co/ supply ( m5/rual hygi5e products2 7,g7 lactation s]vices2 & 7,h7 family plann+1 cont9uation ( pre-det5tion contraceptive me?ods1 & abortion s]vices4 7#b7 ,u4,s4 cu/oms & bord] protection cu/ody ,! ,commission] %all ensure t m9imum /&>ds ( c>e are met = pregnant deta9$ noncitiz5s :o are 9 ! cu/ody ( ,u4,s4 ,cu/oms & ,bord] ,protection4 7d7 ,requirem5t = in=m$ m$ical cons5t ,s]vices describ$ 9 subsection 7c77#a7 may n be p]=m$ on a deta9$ noncitiz5 until ! provid] ( su* s]vices obta9s in=m$ cons5t f ! noncitiz54 ,m$ical treatm5t may n be adm9i/]$ to a deta9$ noncitiz5 aga9/ su* noncitiz5's w4 7e7 ,m$ical c5t] arrangem5ts ,ea* facility adm9i/rator %all ma9ta9-- 7#a7 an arrangem5t ) ! ne>e/ mat]nity hospital & ensure facility /aff "k :]e to take pregnant deta9$ noncitiz5s 9 case ( em]g5cy2 & 7#b7 a policy to ensure ! provision ( prop] c>e if a deta9$ noncitiz5 _c be mov$ ) imm$iacy to a m$ical c5t]4 #e4 ,notice ( rights & tra9+ 7a7 ,notice ( deta9$ noncitiz5 rights ,! ,secret>y %all provide to ea* deta9$ noncitiz51 9 a language or mann] t su* noncitiz5 c und]/&1 notice ( ! deta9$ noncitiz5's rights "u ?is ,act4 7b7 ,tra9+ = ,dep>tm5t ( ,homel& ,security employees ,at ! "t ( hir+1 & annually !reaft]1 ! ,secret>y %all provide tra9+ reg>d+ ! requirem5ts "u ?is ,act to ea* employee ( ! ,dep>tm5t ( ,homel& ,security :o is involv$ 9 ! det5tion or c>e ( a pregnant deta9$ noncitiz5 or a po/p>tum p>5t ( a newborn :o is be+ deta9$ pursuant to *apt] #d ( title ,,ii ( ! ,immigration & ,nationality ,act 7#h ,u4,s4,c4 #abba et seq474 #f4 ,reports2 rulemak+ 7a7 ,reports 7#a7 ,reports by facility adm9i/rators ,n lat] ?an #cj days aft] ! end ( ea* cal5d> qu>t]1 ! facility adm9i/rator ( ea* det5tion facility 9 :i* #a or m pregnant noncitiz5s 7 deta9$ dur+ su* qu>t] %all submit a writt5 report to ! ,secret>y t includes1 ) respect to ! facility dur+ su* qu>t]-- 7,a7 an acc\nt ( e in/ance ( ! use ( a re/ra9t on a pregnant deta9$ noncitiz5 dur+ pregnancy1 labor1 or po/p>tum recov]y1 includ+-- 7i7 ! type ( re/ra9t2 7ii7 ! ju/ification = ! use ( su* re/ra9t2 & 7iii7 ! "n ( ! facility adm9i/rator :o made ! individualiz$ det]m9ation pursuant to section #d7;a77#b77;,a72 7,b7 ! numb] ( pregnant noncitiz5s held at su* facility2 7,c7 ! numb] ( releas$ pregnant noncitiz5s :o 7 held at su* facility2 7,d7 ! av]age l5g? ( det5tion ( pregnant noncitiz5s2 7,e7 ! numb] ( pregnant noncitiz5s :o 7 deta9$ = betwe5 #ae & #cj days2 7,f7 ! numb] ( pregnant noncitiz5s :o 7 deta9$ long] ?an #cj days2 & 7,g7 ! numb] ( pregnant noncitiz5s :o gave bir? :ile deta9$ & a description ( ! outcomes ( any pregnancies t end$ 9 cu/ody1 includ+ any pregnancy t result$ 9 a live bir?1 a /illbir?1 a misc>riage1 an abortion1 an ectopic pregnancy1 mat]nal morbidity1 mat]nal dea?1 neonatal dea?1 or pret]m bir?4 7#b7 ,audit & reports by ,secret>y ,n lat] ?an #ij days aft] ! la/ day ( ea* fiscal ye>1 ! ,secret>y %all-- 7,a7 complete an audit ( ! in=mation describ$ 9 subp>agraphs 7,b7 ?r\gh 7,e7 ( p>agraph 7#a7 conta9$ 9 reports cov]+ su* fiscal ye>2 7,b7 submit a report to ! appropriate committees ( ,congress t includes a summ>y ( ! in=mation submitt$ pursuant to p>agraph 7#a71 disaggregat$ by facility2 & 7,c7 issue regulations 9 accordance ) relevant national /&>ds t set m9imum /&>ds = facilities provid+ m$ical c>e to pregnant noncitiz5s4 7#c7 ,privacy ,none ( ! reports submitt$ pursuant to p>agraph 7#a7 or 7#b7 may conta9 ! individually id5tify+ in=mation ( any deta9$ noncitiz5 or ! noncitiz5's heal? c>e provid]4 7#d7 ,public inspection 7,a7 ,9 g5]al ,except z provid$ 9 subp>agraph 7,b71 ea* report submitt$ "u ?is subsection %all be made available on a publicly accessible website ( ! relevant ag5cy4 7,b7 ,facility adm9i/rator ,none ( ! reports submitt$ "u p>agraph 7#a7 or 7#b7 t is po/$ on a publicly accessible website may conta9 ! "n ( ! facility adm9i/rator ref]r$ to 9 p>agraph 7#a77;,a77iii74 7b7 ,rulemak+ ,! ,secret>y %all adopt regulations or policies to implem5t ! requirem5ts "u ?is ,act at ea* det5tion facility manag$ or ov]se5 by ! ,dep>tm5t ( ,homel& ,security4