(2) inform detainees of the availability of inter-
pretation services. 
(c) CHAPERONES.—To ensure that health screenings 
and medical care required under subsections (a) and (f) 
are carried out in the best interests of the detainees receiv-
ing such screenings and care— 
(1) the Commissioner shall provide chaperones 
when necessary according to standard United States 
medical practice to protect a person’s dignity, cul-
ture, and gender-specific sensitivities; and 
(2) the physical examination of infants, tod-
dlers, children, or any minors 17 years of age or 
younger shall, to the extent practicable, always be 
performed— 
(A) in the presence of a parent or legal 
guardian; or 
(B) in the absence of a parent or legal 
guardian, in the presence of the detainee’s clos-
est present adult relative. 
(d) PRIORITIZATION.—The Commissioner shall en-
sure that the initial screening required by subsection (a) 
is prioritized and conducted within 3 hours of being ini-
tially detained for the following high-priority populations: 
(1) Individuals who are exhibiting signs of 
acute or potentially severe physical or mental illness. 
VerDate Sep 11 2014 
00:24 Jun 19, 2019
Jkt 089200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H3239.IH
H3239
SSpencer on DSKBBXCHB2PROD with BILLS
(2) Pregnant women. 
(3) Infants. 
(4) Children. 
(5) Any minors 17 years of age or younger. 
(6) Elderly individuals. 
(7) Individuals who are visibly physically or 
mentally disabled. 
(8) Any other individual who self-identifies as 
having a medical condition that requires prompt 
medical attention, such as the following: 
(A) A disability. 
(B) A mental health issue. 
(C) HIV positive. 
(D) A chronic disease, such as diabetes. 
(e) STANDARDIZATION OF SCREENING.— 
(1) IN GENERAL.— 
(A) CONSULTATION
AND
DEVELOPMENT 
OF GUIDELINES AND PROTOCOL.—The Commis-
sioner, in consultation with the Secretary of 
Health and Human Services and nongovern-
mental experts in delivery of health care in hu-
manitarian crises, shall develop guidelines and 
protocols for the health screenings and medical 
care required under subsections (a) and (f). 
VerDate Sep 11 2014 
00:24 Jun 19, 2019
Jkt 089200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H3239.IH
H3239
SSpencer on DSKBBXCHB2PROD with BILLS
(B) ASSESSMENT OF APPROPRIATE LEVEL 
OF
CARE.—The guidelines and protocols re-
quired by subparagraph (A) shall require that 
each detainee be administered a health screen-
ing to assess and identify age-appropriate signs, 
symptoms, risks, and experiences, including 
mental health risks and distressing or trau-
matic experiences, to determine the appropriate 
level of care needed. 
(C) STANDARDIZED
MEDICAL
INTAKE.— 
The guidelines and protocols required by sub-
paragraph (A) shall ensure that each such 
screening makes use of a standardized medical 
intake questionnaire or the equivalent of such a 
questionnaire, such as relevant portions of the 
Performance-Based National Detention Stand-
ards questionnaire administered by U.S. Immi-
gration and Customs Enforcement. 
(D) CONSULTATION.—In developing the 
guidelines and protocols required by subpara-
graph (A), the Commissioner shall consult with 
the Administrator of the Health Resources and 
Services 
Administration 
regarding 
health 
screening and medical care under the Emer-
gency Medical Services for Children Program. 
VerDate Sep 11 2014 
00:24 Jun 19, 2019
Jkt 089200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H3239.IH
H3239
SSpencer on DSKBBXCHB2PROD with BILLS
(2) CONTENTS.—The guidelines and protocols 
required by paragraph (1) shall require, with respect 
to each detainee— 
(A) an interview and questionnaire; 
(B) screening for vital signs, including 
pulse rate, temperature, blood pressure, oxygen 
saturation, and respiration rate; 
(C) screening for blood glucose for known 
diabetics; 
(D) weight for detainees under 12 years of 
age; 
(E) a physical exam; and 
(F) an assessment and development of a 
plan for risk-assessment, required interventions, 
and continued monitoring and care. 
(3) RULE OF CONSTRUCTION.—Nothing in this 
subsection shall be construed as requiring detainees 
to disclose their medical status or history. 
(f) FURTHER CARE.— 
(1) IN GENERAL.—If an initial health screening 
of a detainee displays values outside of normal 
ranges per National Emergency Services Education 
Standards or if an individual is identified as high- 
risk or is in need of medical intervention, the Com-
missioner shall ensure such detainee is provided with 
VerDate Sep 11 2014 
00:24 Jun 19, 2019
Jkt 089200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H3239.IH
H3239
SSpencer on DSKBBXCHB2PROD with BILLS
an in-person or technology-facilitated medical con-
sultation with a readily available licensed emergency 
care professional. 
(2) AVAILABILITY.—The Commissioner shall 
ensure that— 
(A) a licensed emergency care professional 
is on call at all times with respect to detainees; 
and 
(B) appropriate emergency transportation 
is on site or on call to arrive on site within 30 
minutes of being called. 
(3) RE-EVALUATIONS.—Detainees who present 
with any abnormalities during a health screening 
under subsection (a) shall— 
(A) be re-evaluated and monitored as de-
termined by the emergency care professional 
and at least once every 24 hours; and 
(B) notwithstanding subparagraph (A), 
have safety health clearance prior to transpor-
tation, including reevaluation of vital signs. 
(g) PSYCHOLOGICAL
AND
MENTAL
CARE.—The 
Commissioner shall ensure that detainees who have experi-
enced physical or sexual violence or other potentially life- 
threatening events, or who have witnessed atrocities that 
may cause severe, traumatic, or toxic stress, are provided 
VerDate Sep 11 2014 
00:24 Jun 19, 2019
Jkt 089200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H3239.IH
H3239
SSpencer on DSKBBXCHB2PROD with BILLS