psychological first aid, including a basic, humane, and 
supportive response to ensure that basic needs are met. 
(h) DOCUMENTATION.—The Commissioner shall en-
sure that the health screenings and medical care required 
under subsections (a) and (f) and any other medical eval-
uations and interventions for detainees are documented in 
accordance with commonly accepted standards in the 
United States for medical record documentation. 
(i) RELEASE FROM CBP.—Before being released 
from CBP custody, each detainee in a high-priority popu-
lation, or requiring intervention, or in need of health care 
followup upon release, shall receive medical records that 
outline the health screening and medical care that was 
conducted under this section with respect to the detainee, 
as well as documentation of medical issues, evaluations, 
interventions, and immunizations. 
(j) INFRASTRUCTURE, EQUIPMENT, 
AND
PER-
SONNEL.—The Commissioner and the Administrator of 
General Services, as the case may be, shall ensure that 
each location at which a detainee is first transported after 
such detainee’s initial encounter with an agent or officer 
of CBP has the following: 
(1) A private space for the health screening re-
quired under subsection (a), including for any nec-
essary follow-up exam or care management. 
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(2) Appropriate equipment to carry out such 
screening, monitor health, provide emergency care, 
treat traumas and perform resuscitations (including 
paramedic bags with equipment suitable for neo-
nates, infants, and toddlers). 
(3) A designated area and necessary equipment 
to prevent the spread of communicable diseases. 
(4) Basic over-the-counter and prescription 
medications for all age groups, including all pedi-
atric age groups, including the medications nec-
essary to ensure that detainees are not deprived of 
their medication required to manage their chronic 
illness. 
(5) A medical professional trained and certified 
to conduct such health screening. 
(6) An emergency medicine physician or emer-
gency care provider on site, or if such a physician 
is not available, an emergency medicine physician or 
emergency care provider on call at all times for con-
sultation. 
(7) Other professionals to meet the require-
ments of this section, such as physicians specializing 
in pediatrics, family medicine, emergency medicine, 
obstetrics and gynecology, geriatric medicine, inter-
nal medicine, and infectious diseases; nurse practi-
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tioners; other nurses; physician assistants; licensed 
social workers; mental health professionals; public 
health professionals; and dieticians. 
(8) Interpreters on site, or if an interpreter is 
not available, an interpreter on call at all times. 
(9) The capability to provide appropriate trans-
portation in the case of a medical emergency on site 
or on call to arrive on site within 30 minutes. 
(k) ETHICAL GUIDELINES.—The Commissioner shall 
ensure that all medical assessments and procedures con-
ducted pursuant to this section— 
(1) are conducted in accordance with ethical 
guidelines in the applicable medical field; and 
(2) respect human dignity. 
SEC. 3. WATER, SANITATION, AND HYGIENE. 
The Commissioner shall ensure that a detainee has 
access to the following: 
(1) Not less than one gallon of drinking water 
per day, including age-appropriate fluids. 
(2) A private, safe, clean, and reliable toilet 
with proper waste disposal and a hand washing sta-
tion, with not less than one toilet available for every 
12 male detainees, and 1 toilet per 8 female detain-
ees. 
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(3) A clean diaper changing facility, which in-
cludes proper waste disposal, a hand washing sta-
tion, and unrestricted access to diapers. 
(4) Accommodations to ensure hygiene for el-
derly individuals and individuals with disabilities. 
(5) The opportunity to bathe every day in a pri-
vate and secure manner. 
(6) Adult diapers, in the case of an individual 
who is incontinent. 
(7) Products to maintain basic personal hy-
giene, including— 
(A) soap, a toothbrush, toothpaste, and 
feminine hygiene products; and 
(B) proper handling and disposal methods 
for used products. 
SEC. 4. FOOD AND NUTRITION. 
The Commissioner shall ensure that a detainee has 
access to the following: 
(1) In the case of an individual age 12 or older, 
a diet that contains not less than 2,000 calories per 
day. 
(2) In the case of a child who is under the age 
of 12, a diet that contains an appropriate number of 
calories per day based on the child’s age and weight. 
(3) Three meals per day. 
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(4) Accommodations for any dietary need or re-
striction in the case of a pregnant or breastfeeding 
woman, an infant, a child, an elderly individual, an 
individual with a disability, an individual with a food 
allergy, or an individual with religious dietary re-
strictions. 
(5) Access to food in a manner that follows ap-
plicable food safety standards. 
SEC. 5. SHELTER. 
The Commissioner shall ensure that each facility at 
which a detainee is detained meets the following require-
ments: 
(1) Except as provided in paragraph (2), males 
and females shall be detained separately. 
(2) In the case of a minor child arriving in the 
United States with an adult relative or legal guard-
ian, such child shall be detained with such relative 
or legal guardian, with family cohesion maintained— 
(A) unless this arrangement incites safety 
or security concerns; and 
(B) in no case shall such minor be de-
tained apart from such adult relative or legal 
guardian, pursuant to subparagraph (A), with 
other adults. 
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