I 
119TH CONGRESS 
2D SESSION 
H. R. 7335 
To require U.S. Immigration and Customs Enforcement and U.S. Customs 
and Border Protection to perform an initial health screening on detain-
ees, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 3, 2026 
Mr. RUIZ (for himself, Ms. WILSON of Florida, Mr. MOULTON, Ms. ELFRETH, 
Ms. MATSUI, Ms. NORTON, Ms. BARRAGA´N, Ms. SIMON, Ms. GARCIA of 
Texas, Mrs. WATSON COLEMAN, Mr. GARAMENDI, Ms. ANSARI, Ms. 
MORRISON, Ms. CRAIG, Mr. THANEDAR, Mr. TONKO, Mr. ESPAILLAT, 
Ms. 
WASSERMAN
SCHULTZ, 
Ms. 
SCHRIER, 
Ms. 
TOKUDA, 
Mr. 
KRISHNAMOORTHI, Mr. JOHNSON of Georgia, Mrs. GRIJALVA, Ms. ROSS, 
Mr. CORREA, Ms. JACOBS, Mr. BELL, Mr. NEGUSE, Ms. SALINAS, Mr. 
MIN, Mr. LICCARDO, Ms. KAMLAGER-DOVE, Mr. KHANNA, Mr. QUIGLEY, 
Mr. SOTO, Mr. SCOTT of Virginia, Mr. MULLIN, Mr. DAVIS of Illinois, 
Ms. GOODLANDER, Mr. GOLDMAN of New York, Ms. KELLY of Illinois, 
Ms. KAPTUR, Ms. HOYLE of Oregon, Mr. GARCIA of California, Mr. 
CLEAVER, Mr. MORELLE, Mr. WALKINSHAW, Mr. MFUME, Mrs. 
MCCLAIN DELANEY, Ms. BONAMICI, Ms. PETTERSEN, Ms. BROWN, Ms. 
CASTOR
of Florida, Mr. VARGAS, Mr. LEVIN, Mr. GOMEZ, Ms. 
VELA´ZQUEZ, Ms. MCBRIDE, Mr. COHEN, Mr. LYNCH, Mr. NADLER, Mr. 
LIEU, Mr. KENNEDY of New York, Mr. LARSEN of Washington, Ms. 
BROWNLEY, Ms. TITUS, Mr. VEASEY, Ms. DEGETTE, Mrs. CHERFILUS- 
MCCORMICK, Mr. TORRES of New York, Mr. POCAN, Ms. LOFGREN, Mr. 
SUBRAMANYAM, and Ms. LOIS FRANKEL of Florida) introduced the fol-
lowing bill; which was referred to the Committee on the Judiciary, and 
in addition to the Committee on Homeland Security, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
of such provisions as fall within the jurisdiction of the committee con-
cerned 
A BILL 
To require U.S. Immigration and Customs Enforcement and 
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U.S. Customs and Border Protection to perform an ini-
tial health screening on detainees, and for other pur-
poses. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Humanitarian Standards for Individuals in ICE and 
CBP Custody Act’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Initial health screening protocol. 
Sec. 3. Water, sanitation and hygiene. 
Sec. 4. Food and nutrition. 
Sec. 5. Shelter. 
Sec. 6. Coordination and Surge capacity. 
Sec. 7. Training. 
Sec. 8. Interfacility transfer of care. 
Sec. 9. Planning and initial implementation. 
Sec. 10. Contractor compliance. 
Sec. 11. Inspections. 
Sec. 12. GAO report. 
Sec. 13. Rules of construction. 
Sec. 14. Publication of data on complaints of sexual abuse at ICE and CBP 
facilities. 
Sec. 15. Definitions. 
SEC. 2. INITIAL HEALTH SCREENING PROTOCOL. 
(a) IN GENERAL.—The Director of U.S. Immigration 
and Customs Enforcement and the Commissioner of U.S. 
Customs and Border Protection (referred to in this Act 
as the ‘‘Director and Commissioner’’), in consultation with 
the Secretary of Health and Human Services, the Admin-
istrator of the Health Resources and Services Administra-
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tion, and nongovernmental experts in the delivery of 
health care in humanitarian crises and in the delivery of 
health care to children, shall develop guidelines and proto-
cols for the provision of health screenings and appropriate 
medical care for individuals in the custody of U.S. Immi-
gration and Customs Enforcement (referred to in this Act 
as ‘‘ICE’’) or U.S. Customs and Border Protection (re-
ferred to in this Act as ‘‘CBP’’), as the case may be, as 
required under this section. 
(b) INITIAL SCREENING
AND MEDICAL ASSESS-
MENT.—The Director and Commissioner shall ensure that 
any individual who is detained in the custody of ICE or 
CBP, as the case may be, (referred to in this Act as a 
‘‘detainee’’) receives an initial in-person screening by a li-
censed medical professional in accordance with the stand-
ards described in subsection (c)— 
(1) to assess and identify any illness, condition, 
or age-appropriate mental or physical symptoms that 
may have resulted from distressing or traumatic ex-
periences; 
(2) to identify acute conditions and high-risk 
vulnerabilities; and 
(3) to ensure that appropriate healthcare is 
provided to individuals as needed, including pedi-
atric, obstetric, and geriatric care. 
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(c) STANDARDIZATION OF INITIAL SCREENING AND 
MEDICAL ASSESSMENT.— 
(1) IN
GENERAL.—The initial screening and 
medical assessment shall include the following: 
(A) An interview and the use of a stand-
ardized medical intake questionnaire or the 
equivalent. 
(B) Screening of vital signs, including 
pulse rate, body temperature, blood pressure, 
oxygen saturation, and respiration rate. 
(C) Screening for blood glucose for known 
or suspected diabetics. 
(D) Weight assessment of detainees under 
12 years of age. 
(E) A physical examination. 
(F) A risk-assessment and the development 
of a plan for monitoring and care, when appro-
priate. 
(2) PRESCRIPTION MEDICATION.—The medical 
professional shall review any prescribed medication 
that is in the detainee’s possession or that was con-
fiscated by ICE or CBP, as the case may be, upon 
arrival and determine if the medication may be kept 
by the detainee for use during detention, properly 
stored by ICE or CBP, as the case may be, with ap-
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propriate access for use during detention, or main-
tained with the detained individual’s personal prop-
erty. A detainee may not be denied the use of nec-
essary and appropriate medication for the manage-
ment of the detainee’s illness. 
(3) RULE OF CONSTRUCTION.—Nothing in this 
subsection may be construed as requiring detainees 
to disclose their medical status or history. 
(d) TIMING.— 
(1) IN GENERAL.—Except as provided in para-
graph (2), the initial screening and medical assess-
ment described in subsections (b) and (c) shall take 
place as soon as practicable, but not later than 12 
hours after a detainee’s arrival at an ICE or CBP 
facility, as the case may be. 
(2) HIGH PRIORITY INDIVIDUALS.—The initial 
screening and medical assessment described in sub-
sections (b) and (c) shall take place as soon as prac-
ticable, but not later than 6 hours after a detainee’s 
arrival at an ICE or CBP facility, as the case may 
be, if the individual reasonably self-identifies as hav-
ing a medical condition that requires prompt medical 
attention or is— 
(A) exhibiting signs of acute or potentially 
severe physical or mental illness, or otherwise 
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has an acute or chronic physical or mental dis-
ability or illness; 
(B) pregnant; 
(C) a child (with priority given, as appro-
priate, to the youngest children); or 
(D) elderly. 
(e) FURTHER CARE.— 
(1) IN GENERAL.—If, as a result of the initial 
health screening and medical assessment, the li-
censed medical professional conducting the screening 
or assessment determines that one or more of the 
detainee’s vital sign measurements are significantly 
outside normal ranges in accordance with the Na-
tional Emergency Services Education Standards, or 
if the detainee is identified as high-risk or in need 
of medical intervention, the detainee shall be pro-
vided, as expeditiously as possible, with an in-person 
or technology-facilitated medical consultation with a 
licensed emergency care professional. 
(2) RE-EVALUATION.— 
(A) IN GENERAL.—Detainees described in 
paragraph (1) shall be re-evaluated within 24 
hours and monitored thereafter as determined 
by an emergency care professional (and in the 
care of a consultation provided to a child, with 
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a licensed emergency care professional with a 
background in pediatric care). 
(B) REEVALUATION PRIOR TO TRANSPOR-
TATION.—In addition to the re-evaluations 
under subparagraph (A), detainees shall have 
all vital signs re-evaluated and be cleared as 
safe to travel by a medical professional prior to 
transportation. 
(3) PYSCHOLOGICAL AND MENTAL CARE.—The 
Director and Commissioner shall ensure that detain-
ees who have experienced physical or sexual violence 
or who have experienced events that may cause se-
vere trauma or toxic stress, are provided access to 
basic, humane, and supportive psychological assist-
ance. 
(f) 
INTERPRETERS.—To 
ensure 
that 
health 
screenings and medical care required under this section 
are carried out in the best interests of the detainee, the 
Director and Commissioner shall ensure that language-ap-
propriate interpretation services, including indigenous lan-
guages, are provided to each detainee and that each de-
tainee is informed of the availability of interpretation serv-
ices. 
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(g) CHAPERONES.—To ensure that health screenings 
and medical care required under this section are carried 
out in the best interests of the detainee— 
(1) the Director and Commissioner shall estab-
lish guidelines for and ensure the presence of chap-
erones for all detainees during medical screenings 
and examinations consistent with relevant guidelines 
in the American Medical Association Code of Med-
ical Ethics, and recommendations of the American 
Academy of Pediatrics; and 
(2) to the extent practicable, the physical exam-
ination of a child shall always be performed in the 
presence of a parent or legal guardian or in the 
presence of the detainee’s closest present adult rel-
ative if a parent or legal guardian is unavailable. 
(h) DOCUMENTATION.—The Director and Commis-
sioner shall ensure that the health screenings and medical 
care required under this section, along with any other 
medical evaluations and interventions for detainees, are 
documented in accordance with commonly accepted stand-
ards in the United States for medical record documenta-
tion. Such documentation shall be provided to any indi-
vidual who received a health screening and subsequent 
medical treatment upon release from ICE or CBP custody, 
as the case may be. 
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(i) INFRASTRUCTURE AND EQUIPMENT.—The Direc-
tor and Commissioner or the Administrator of General 
Services shall ensure that each location to which detainees 
are first transported after an initial encounter with an 
agent or officer of ICE or CBP, as the case may be, has 
the following: 
(1) A private space that provides a comfortable 
and considerate atmosphere for the patient and that 
ensures the patient’s dignity and right to privacy 
during the health screening and medical assessment 
and any necessary follow-up care. 
(2) All necessary and appropriate medical 
equipment and facilities to conduct the health 
screenings and follow-up care required under this 
section, to treat trauma, to provide emergency care, 
including resuscitation of individuals of all ages, and 
to prevent the spread of communicable diseases. 
(3) Basic over-the-counter medications appro-
priate for all age groups. 
(4) Appropriate transportation to medical facili-
ties in the case of a medical emergency, or an on- 
call service with the ability to arrive at the ICE or 
CBP facility, as the case may be, within 30 minutes. 
(j) PERSONNEL.—The Director and Commissioner or 
the Administrator of General Services shall ensure that 
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each location to which detainees are first transported after 
an initial encounter has onsite at least one licensed med-
ical professional to conduct health screenings. Other per-
sonnel that are or may be necessary for carrying out the 
functions described in subsection (e), such as licensed 
emergency care professionals, specialty physicians (includ-
ing physicians specializing in pediatrics, family medicine, 
obstetrics and gynecology, geriatric medicine, internal 
medicine, and infectious diseases), nurse practitioners, 
other nurses, physician assistants. licensed social workers, 
mental health professionals, public health professionals, 
dieticians, interpreters, and chaperones, shall be located 
on site to the extent practicable, or if not practicable, shall 
be available on call. 
(k) ETHICAL GUIDELINES.—The Director and Com-
missioner shall ensure that all medical assessments and 
procedures conducted pursuant to this section are con-
ducted in accordance with ethical guidelines in the applica-
ble medical field, and respect human dignity. 
SEC. 3. WATER, SANITATION AND HYGIENE. 
The Director and Commissioner shall ensure that de-
tainees have access to the following: 
(1) Not less than 1 gallon of drinking water per 
person per day, and age-appropriate fluids as need-
ed. 
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