I 
114TH CONGRESS 
2D SESSION 
H. R. 4451 
To amend the Homeland Security Act of 2002 to establish a program to 
prioritize efforts to secure the international borders of the United States, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 3, 2016 
Ms. MCSALLY (for herself, Mr. FRANKS of Arizona, Mr. ZINKE, and Mr. 
MCCAUL) introduced the following bill; which was referred to the Com-
mittee on Homeland Security 
A BILL 
To amend the Homeland Security Act of 2002 to establish 
a program to prioritize efforts to secure the international 
borders of the United States, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Border Security 
Health Initiative Act’’. 
SEC. 2. PROGRAM. 
(a) IN GENERAL.—Subtitle C of title IV of the 
Homeland Security Act of 2002 (6 U.S.C. 231 et seq.) 
is amended by adding at the end the following new section: 
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‘‘SEC. 434. BORDER SECURITY PRIORITIZATION. 
‘‘(a) ESTABLISHMENT OF PROGRAM.—To ensure the 
prioritization of efforts to secure the international borders 
of the United States, the Commissioner of U.S. Customs 
and Border Protection, in consultation with the Chief 
Medical Officer of the Department, shall establish a pro-
gram to decrease the number of Border Patrol agents who 
are removed from border security operations for the pur-
pose of accompanying to medical treatment facilities ill or 
injured individuals interdicted by the Border Patrol. 
‘‘(b) PROGRAM REQUIREMENTS.—The program es-
tablished in accordance with subsection (a) shall place ap-
propriate medical personnel from the Department at Bor-
der Patrol stations along the Southwest border to ensure 
Border Patrol agents are able to prioritize securing the 
international borders of the United States.’’. 
(b) CLERICAL AMENDMENT.—The table of contents 
in section 1(b) of the Homeland Security Act of 2002 is 
amended by inserting after the item relating to section 
433 the following new item: 
‘‘Sec. 434. Border security prioritization.’’. 
SEC. 3. REPORT. 
Not later than one year after the date of the enact-
ment of this Act and two years thereafter, the Commis-
sioner of U.S. Customs and Border Protection, in coordi-
nation with the Chief Medical Officer of the Department 
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of Homeland Security, shall submit to the Committee on 
Homeland Security of the House of Representatives and 
the Committee on Homeland Security and Governmental 
Affairs of the Senate a report on implementation of the 
program established pursuant to section 434 of the Home-
land Security Act of 2002, as added by section 2 of this 
Act, including a list of Border Patrol stations within which 
such program is operational, statistics on Border Patrol 
agent hours spent on border security operations that 
would have otherwise been spent accompanying to medical 
treatment facilities ill or injured detainees, and an esti-
mation of efficiencies and costs savings gained from imple-
mentation of such program versus treating at local med-
ical treatment facilitates ill or injured detainees. 
Æ 
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