(GACMTEUD\16IMM\HR3239\HR3239_ANS.XML
AMENDMENT IN THE NATURE OF A SUBSTITUTE
To HLR. 3239
Orrerep By MY. Nadler
Strike all that follows after the enacting clause and
insert the following:
SECTION 1. SHORT TITLE; TARLE OF CONTENTS.
(a) SuoRY Trr1E—This Act may be cited as the
“Humanitarian Standards for Individuals in Customs and
Border Protection Custody Act”
(b) TABLE OF ConTENTS.—The table of contents of
aun wn
this Act is as follows:
See, 1. Short ttle; table of contents
See, 2, Initial heath sereening protocol
See, 3, Watar, sanitation and hygiene.
See, 4, Rood snd mutition
Bee, 6, Shelter
Soe, 6, Coordination and Surge capacity
See. 7. Training,
See, 8 Interfacilty transfer of eave,
See. 9. Planning and initial implementation
See, 10, Contractor eomplinnes
See. 11. Inspections.
See, 12. GAO report
See. 13. Rule of eonstruetion,
See. 14, Definitions,
7 SEC, 2, INITIAL HEALTH SCREENING PROTOCOL.
8 (a) IN GENERAL.—The Commissioner of U.S. Cus-
9 toms and Border Protection (referred to in this Act as
10 the “Commissioner”), in consultation with the Secretary
11 of Health and Human Services, the Administrator of the
BWHLCOT 4191071419008 (74022116)
Sty 14, 2019 (8:16 pm)GACMTEVD\6UMMNHR3239\HR3239_ANS.XML
2
1 Health Resources and Services Administration, and non-
governmental experts in the delivery of health care in hu-
manitarian crises and in the delivery of health care to chil-
dren, shall develop guidelines and protocols for the provi-
sion of health screenings and appropriate medical care for
Protection (referred to in this Act as “CBP”), as required
under this section.
2
3
4
5
6 individuals in the custody of U.S. Customs and Border
7
8
9 (b) INITIAL SCREENING AND MEDICAL ASSESS-
0
MENT.—The Commissioner shall ensure that any indi-
11 vidual who is detained in the custody of CBP (referred
12 to in this Act as a “detainee”) receives an initial in-person
13. sereening by a licensed medical professional in accordance
14 with the standards described in subsection (¢)—
15 (1) to assess and identify any illness, condition,
16 or age-appropriate mental or physical symptoms that
17 may have resulted from distressing or traumatic ox-
18 periences;
19 (2) to identify acute conditions and high-risk
20 vulnerabilities; and
21 (3) to ensure that appropriate healtheare is
22 provided to individuals as needed, including pedi-
23 atric, obstetric, and geriatrie care
24 (ce) STANDARDIZATION OF INITIAL SCREENING AND
25 MeEpicaL ASSESSMENT.—
GIVHLOWTss19071412.003xm1 (74022116)
‘hay 14, 2019 (816 pm)(GACMTEMD\I6UMM\HR3239\HR3239_ANS.XML
1 (1) IN GENERAL.—The initial sereening and
2 medical assessment shall include—
3 (A) an interview and the use of a stand-
4 ardized medical intake questionaire or the
5 equivalent;
6 (B) screening of vital signs, ineluding pulse
7 rate, body temperature, blood pressure, oxygen
8 saturation, and vespiration rate;
9 (C) screening for blood glucose for known
10 or suspected diabetics;
u (D) weight assessment of detainees under
12 12 years of age;
13 (B) a physical examination; and
14 (F) a risk-assessment and the development
15 of & plan for monitoring and care, when appro-
16 priate,
17 (2) PRESCRIPTION MEDICATION—The medical
18 professional shall review any prescribed medication
19 that is in the detainee’s possession or that was con-
20 fiseated by CBP upon arrival and determine if the
21 medication may be kept by the detainee for use dur-
22 ing detention, properly stored by CBP with appro-
23 priate access for use during detention, or maintained
24 with the detained individual's personal property. A
25 detainee may not be denied the use of necessary and
a\waLcioriaiio7sa8.008am 740206
uly 44,2018 (8:46 p.m)