Title: Stop Shackling and Detaining Pregnant Women Act
Policy area: Immigration

Summary:
Stop Shackling and Detaining Pregnant Women Act
This bill prohibits the Department of Homeland Security (DHS) from detaining a woman during pregnancy or postpartum recovery and must immediately release any detainee found to be pregnant, unless such woman presents an immediate and serious threat of hurting herself or others.
A DHS detention facility may not use a restraint on a detainee who is known to be pregnant, including during labor, transport to a medical facility or birthing center, and delivery, or during postpartum recovery, except for medical or safety purposes. The bill requires DHS to use the least restrictive restraint necessary and prohibits certain specified restraint types, including four-point restraints and binding a detainee's hands behind her back.
The bill prohibits DHS detention officers from being present during a pelvic exam of a detainee, labor, delivery, or treatment relating to a pregnancy, unless specifically requested by medical personnel. If a detention officer is requested by medical personnel, such officer shall be female, if practicable, and remain at a reasonable distance from the detainee.
The bill requires that a pregnant detainee shall have access to health care services, including comprehensive services relating to reproductive health care and pregnancy.

[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 648 Introduced in Senate (IS)]

<DOC>






116th CONGRESS
  1st Session
                                 S. 648

  To ensure the humane treatment of pregnant women by reinstating the 
  presumption of release and prohibiting shackling, restraining, and 
other inhumane treatment of pregnant detainees, and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             March 5, 2019

Mrs. Murray (for herself, Ms. Baldwin, Mr. Blumenthal, Mr. Booker, Mr. 
    Carper, Mr. Casey, Mr. Coons, Ms. Cortez Masto, Mr. Durbin, Ms. 
Duckworth, Mrs. Feinstein, Mrs. Gillibrand, Ms. Harris, Ms. Hirono, Ms. 
 Klobuchar, Mr. Leahy, Mr. Markey, Mr. Menendez, Mr. Murphy, Mr. Reed, 
     Mr. Sanders, Ms. Smith, Mr. Udall, Ms. Warren, and Mr. Wyden) 
introduced the following bill; which was read twice and referred to the 
                       Committee on the Judiciary

_______________________________________________________________________

                                 A BILL


 
  To ensure the humane treatment of pregnant women by reinstating the 
  presumption of release and prohibiting shackling, restraining, and 
other inhumane treatment of pregnant detainees, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Stop Shackling and Detaining 
Pregnant Women Act''.

SEC. 2. LIMITATION ON DETENTION OF PREGNANT WOMEN AND MOTHERS OF 
              NEWBORNS.

    (a) Presumption of Release.--
            (1) In general.--Except as provided in paragraph (2), the 
        Secretary--
                    (A) shall not detain a person under any provision 
                of the Immigration and Nationality Act (8 U.S.C. 1101 
                et seq.) during pregnancy or postpartum recovery, 
                pending a decision with respect to whether the person 
                is to be removed from the United States; and
                    (B) shall immediately release any detainee found to 
                be pregnant.
            (2) Exceptions.--The Secretary may detain pursuant to the 
        Immigration and Nationality Act (8 U.S.C. 1101 et seq.) a 
        person during pregnancy or postpartum recovery under 
        extraordinary circumstances in which the Secretary makes an 
        individualized determination that credible, reasonable grounds 
        exist to believe that the person presents an immediate and 
        serious threat of hurting herself or others.
            (3) Removal.--In a case in which detention is the least 
        restrictive means of effectuating the removal from the United 
        States of a pregnant person who is the subject of a final order 
        of deportation or removal, the Secretary may, solely for the 
        purpose of such removal, detain the pregnant person for a 
        period that is--
                    (A) the shortest possible period immediately 
                preceding the removal of the person from the United 
                States; and
                    (B) not more than 5 days.
    (b) Weekly Review Required.--
            (1) In general.--With respect to a detainee detained under 
        paragraph (2) of subsection (a), not less frequently than once 
        each week, the Secretary shall conduct an individualized review 
        to determine whether the detainee continues to be subject to 
        detention under that paragraph.
            (2) Release.--In the case of a determination under 
        paragraph (1) that a pregnant detainee is not subject to 
        detention under subsection (a)(2), not later than 1 day after 
        the date on which the Secretary makes the determination, the 
        Secretary shall release the detainee.

SEC. 3. HUMANE TREATMENT OF PREGNANT WOMEN WHILE IN DETENTION.

    (a) Prohibition on Restraint of Pregnant Detainees.--
            (1) Prohibition.--Except as provided in paragraph (2), a 
        detention facility shall not use a restraint on a detainee--
                    (A) known to be pregnant, including during--
                            (i) labor;
                            (ii) transport to a medical facility or 
                        birthing center; and
                            (iii) delivery; or
                    (B) during postpartum recovery.
            (2) Use of restraints for medical purposes and in 
        extraordinary circumstances.--
                    (A) In general.--Notwithstanding paragraph (1), 
                subject to subparagraph (B), use of a restraint on a 
                detainee described in paragraph (1) may be permitted 
                only--
                            (i) for a medical purpose if the lead 
                        medical staff of the detention facility who is 
                        a licensed health care provider has ordered the 
                        use of the restraint for the medical purpose; 
                        or
                            (ii) in an extraordinary circumstance, 
                        except for a medical purpose, in which the 
                        facility administrator has ordered the use of 
                        the restraint after making an individualized 
                        determination that--
                                    (I) credible, reasonable grounds 
                                exist to believe the detainee presents 
                                an immediate and serious threat of 
                                hurting staff or others; or
                                    (II) reasonable grounds exist to 
                                believe the detainee presents an 
                                immediate and credible risk of escape 
                                that cannot be reasonably minimized 
                                through any other method.
                    (B) Requirement for least restrictive restraints.--
                In the rare event of an extraordinary circumstance 
                described in subparagraph (A)(ii), only the least 
                restrictive restraint necessary shall be used, except 
                that--
                            (i) if a doctor, nurse, or other health 
                        professional treating a detainee described in 
                        paragraph (1) requests that a restraint not be 
                        used, the detention officer accompanying the 
                        detainee shall immediately remove any 
                        restraint;
                            (ii) under no circumstance shall a leg, 
                        waist, or four-point restraint be used;
                            (iii) under no circumstance shall a wrist 
                        restraint be used to bind the hands of a 
                        detainee described in paragraph (1) behind her 
                        back or to another person; and
                            (iv) under no circumstance shall any 
                        restraint be used on any detainee who is in 
                        labor or delivery.
            (3) Record of extraordinary circumstances.--
                    (A) Requirements.--If a restraint is used on a 
                detainee pursuant to paragraph (2)(A), not later than 5 
                days after the date on which the restraint was used, 
                the facility administrator shall--
                            (i) make a written finding that describes 
                        the extraordinary circumstance that dictated 
                        the use of the restraint; and
                            (ii) submit the finding to the Director.
                    (B) Retention.--
                            (i) Detention facility.--With respect to a 
                        written finding under subparagraph (A)(i), the 
                        facility administrator shall--
                                    (I) keep the finding on file at the 
                                applicable detention facility for not 
                                less than 5 years after the date on 
                                which the restraint was used; and
                                    (II) shall make the finding 
                                available for public inspection.
                            (ii) Immigration and customs enforcement.--
                        With respect to a written finding submitted to 
                        the Director under subparagraph (A)(ii), the 
                        Director shall maintain the written finding and 
                        make the finding available for public 
                        inspection.
                            (iii) Privacy.--With respect to a written 
                        finding made available for public inspection 
                        under clause (i) or (ii), the individually 
                        identifying information of a detainee shall not 
                        be made available for public inspection without 
                        the prior written consent of the detainee.
    (b) Prohibition on Presence of Detention Officers.--
            (1) In general.--Except as provided in paragraph (2), no 
        detention officer shall be present in the room during a pelvic 
        exam, labor, delivery, or treatment of any other symptom 
        relating to a pregnancy of a detainee, unless specifically 
        requested by medical personnel.
            (2) Exception.--If the presence of a detention officer is 
        requested by medical personnel, the detention officer shall--
                    (A) be female, if practicable; and
                    (B) remain at a reasonable distance from the 
                detainee and toward her head to protect her privacy.
            (3) Use of restraints.--If a restraint is used on a 
        detainee pursuant to subsection (a)(2)(A), a detention officer 
        shall remain immediately outside the room at all times so that 
        the officer may promptly remove the restraint if requested by 
        medical personnel, as required by subsection (a)(2)(B)(i).
    (c) Access to Services.--A pregnant detainee shall have access to 
health care services, including comprehensive services relating to 
reproductive health care and pregnancy, including--
            (1) routine or specialized prenatal care;
            (2) comprehensive counseling and assistance;
            (3) postpartum follow-up;
            (4) lactation services; and
            (5) abortion services.

SEC. 4. REPORTING; RULEMAKING.

    (a) Reports.--
            (1) Reports by facility administrators.--Not later than 30 
        days after the end of each quarter of a fiscal year, the 
        facility administrator of each detention facility that detained 
        a pregnant detainee during the quarter shall submit to the 
        Secretary a written report that includes, with respect to the 
        quarter, the following:
                    (A) An account of every instance of the use of a 
                restraint on a pregnant detainee, including the 
                justification for such restraint and the name of the 
                facility administrator who made the individualized 
                determination under section 3(a)(2)(A)(ii).
                    (B) The number of pregnant detainees held at the 
                facility.
                    (C) The average length of detention of pregnant 
                detainees.
                    (D) The number of pregnant detainees detained 
                longer than 15 days.
                    (E) The number of pregnant detainees detained 
                longer than 30 days.
            (2) Audit and reports by secretary.--Not later than 90 days 
        after the end of each fiscal year, the Secretary shall--
                    (A) complete an audit of the information submitted 
                under subparagraphs (B) through (E) of paragraph (1); 
                and
                    (B) submit to the appropriate committees of 
                Congress a report that includes all of the information 
                submitted to the Secretary under paragraph (1), 
                disaggregated by facility.
            (3) Privacy.--A report submitted under this subsection 
        shall not contain the individually identifying information of 
        any detainee.
            (4) Public inspection.--
                    (A) In general.--Except as provided in subparagraph 
                (B), a report submitted under this subsection shall be 
                made available for public inspection.
                    (B) Facility administrator.--A report submitted 
                under this subsection that is made available for public 
                inspection shall not contain the name of the facility 
                administrator otherwise included under paragraph 
                (1)(A).
    (b) Rulemaking.--The Secretary and the Attorney General shall adopt 
regulations or policies to carry out this Act at every detention 
facility.

SEC. 5. DEFINITIONS.

    In this Act:
            (1) Appropriate committees of congress.--The term 
        ``appropriate committees of Congress'' means--
                    (A) the Committee on the Judiciary and the 
                Committee on Appropriations of the Senate; and
                    (B) Committee on the Judiciary and the Committee on 
                Appropriations of the House of Representatives.
            (2) Detainee.--The term ``detainee'' includes any adult or 
        juvenile person detained by any Federal, State, or local law 
        enforcement agency (including under contract or agreement with 
        such agency) under the Immigration and Nationality Act (8 
        U.S.C. 1101 et seq.).
            (3) Detention facility.--The term ``detention facility'' 
        means a Federal, State, or local government facility, or a 
        privately owned and operated facility, that is used, in whole 
        or in part, to hold individuals under the authority of the 
        Director of U.S. Immigration and Customs Enforcement or the 
        Commissioner of U.S. Customs and Border Protection, including a 
        facility that--
                    (A) holds such individuals under a contract or 
                agreement with the Director or Commissioner; or
                    (B) is used, in whole or in part, to hold 
                individuals pursuant to an immigration detainer or 
                similar request.
            (4) Detention officer.--The term ``detention officer'' 
        means an individual who works at a detention facility, 
        including an individual who works at a detention facility 
        pursuant to contract or subcontract.
            (5) Director.--The term ``Director'' means the Director of 
        U.S. Immigration and Customs Enforcement.
            (6) Facility administrator.--The term ``facility 
        administrator'' means the official who is responsible for 
        oversight of a detention facility or the designee of such 
        official.
            (7) Postpartum recovery.--The term ``postpartum recovery'' 
        means the 6-week period, or longer, as determined by the 
        licensed health care provider of a person, following delivery, 
        including the entire period during which the person is in a 
        medical facility, birthing center, or infirmary after birth.
            (8) Restraint.--The term ``restraint'' means any physical 
        restraint or mechanical device used to control the movement of 
        the body or limbs of a detainee body, including--
                    (A) flex cuffs;
                    (B) soft restraints;
                    (C) hard metal handcuffs;
                    (D) a black box;
                    (E) Chubb cuffs;
                    (F) leg irons;
                    (G) belly chains;
                    (H) a security (tether) chain; and
                    (I) a convex shield.
            (9) Secretary.--The term ``Secretary'' means the Secretary 
        of Homeland Security.
                                 <all>