In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Opioid Use Disorder Treatment 
Expansion and Modernization Act''.

SEC. 2. FINDING.

    The Congress finds that opioid use disorder has become a public 
health epidemic that must be addressed by increasing awareness and 
access to all treatment options for opioid use disorder, overdose 
reversal, and relapse prevention.

SEC. 3. OPIOID USE DISORDER TREATMENT MODERNIZATION.

    (a) In General.--Section 303(g)(2) of the Controlled Substances Act 
(21 U.S.C. 823(g)(2)) is amended--
            (1) in subparagraph (B), by striking clauses (i), (ii), and 
        (iii) and inserting the following:
            ``(i) The practitioner is a qualifying practitioner (as 
        defined in subparagraph (G)).
            ``(ii) With respect to patients to whom the practitioner 
        will provide such drugs or combinations of drugs, the 
        practitioner has the capacity to provide directly, by referral, 
        or in such other manner as determined by the Secretary--
                    ``(I) all schedule III, IV, and V drugs, as well as 
                unscheduled medications approved by the Food and Drug 
                Administration, for the treatment of opioid use 
                disorder, including such drugs and medications for 
                maintenance, detoxification, overdose reversal, and 
                relapse prevention, as available; and
                    ``(II) appropriate counseling and other appropriate 
                ancillary services.
            ``(iii)(I) The total number of such patients of the 
        practitioner at any one time will not exceed the applicable 
        number. Except as provided in subclause (II), the applicable 
        number is 30.
            ``(II) The applicable number is 100 if, not sooner than 1 
        year after the date on which the practitioner submitted the 
        initial notification, the practitioner submits a second 
        notification to the Secretary of the need and intent of the 
        practitioner to treat up to 100 patients.
            ``(III) The Secretary may by regulation change such total 
        number.
            ``(IV) The Secretary may exclude from the applicable number 
        patients to whom such drugs or combinations of drugs are 
        directly administered by the qualifying practitioner in the 
        office setting.
            ``(iv) If the Secretary by regulation increases the total 
        number of patients which a qualifying practitioner is permitted 
        to treat pursuant to clause (iii)(II), the Secretary shall 
        require such a practitioner to obtain a written agreement from 
        each patient, including the patient's signature, that the 
        patient--
                    ``(I) will receive an initial assessment and 
                treatment plan and periodic assessments and treatment 
                plans thereafter;
                    ``(II) will be subject to medication adherence and 
                substance use monitoring;
                    ``(III) understands available treatment options, 
                including all drugs approved by the Food and Drug 
                Administration for the treatment of opioid use 
                disorder, including their potential risks and benefits; 
                and
                    ``(IV) understands that receiving regular 
                counseling services is critical to recovery.
            ``(v) The practitioner will comply with the reporting 
        requirements of subparagraph (D)(i)(IV).'';
            (2) in subparagraph (D)--
                    (A) in clause (i), by adding at the end the 
                following:
            ``(IV) The practitioner reports to the Secretary, at such 
        times and in such manner as specified by the Secretary, such 
        information and assurances as the Secretary determines 
        necessary to assess whether the practitioner continues to meet 
        the requirements for a waiver under this paragraph.'';
                    (B) in clause (ii), by striking ``Upon receiving a 
                notification under subparagraph (B)'' and inserting 
                ``Upon receiving a determination from the Secretary 
                under clause (iii) finding that a practitioner meets 
                all requirements for a waiver under subparagraph (B)''; 
                and
                    (C) in clause (iii)--
                            (i) by inserting ``and shall forward such 
                        determination to the Attorney General'' before 
                        the period at the end of the first sentence; 
                        and
                            (ii) by striking ``physician'' and 
                        inserting ``practitioner'';
            (3) in subparagraph (G)--
                    (A) by amending clause (ii)(IV) to read as follows:
                    ``(IV) The physician has, with respect to the 
                treatment and management of opiate-dependent patients, 
                completed not less than 8 hours of training (through 
                classroom situations, seminars at professional society 
                meetings, electronic communications, or otherwise) that 
                is provided by the American Society of Addiction 
                Medicine, the American Academy of Addiction Psychiatry, 
                the American Medical Association, the American 
                Osteopathic Association, the American Psychiatric 
                Association, or any other organization that the 
                Secretary determines is appropriate for purposes of 
                this subclause. Such training shall address--
                            ``(aa) opioid maintenance and 
                        detoxification;
                            ``(bb) appropriate clinical use of all 
                        drugs approved by the Food and Drug 
                        Administration for the treatment of opioid use 
                        disorder;
                            ``(cc) initial and periodic patient 
                        assessments (including substance use 
                        monitoring);
                            ``(dd) individualized treatment planning; 
                        overdose reversal; relapse prevention;
                            ``(ee) counseling and recovery support 
                        services;
                            ``(ff) staffing roles and considerations;
                            ``(gg) diversion control; and
                            ``(hh) other best practices, as identified 
                        by the Secretary.''; and
                    (B) by adding at the end the following:
            ``(iii) The term `qualifying practitioner' means--
                    ``(I) a qualifying physician, as defined in clause 
                (ii); or
                    ``(II) during the period beginning on the date of 
                the enactment of the Opioid Use Disorder Treatment 
                Expansion and Modernization Act and ending on the date 
                that is 3 years after such date of enactment, a 
                qualifying other practitioner, as defined in clause 
                (iv).
            ``(iv) The term `qualifying other practitioner' means a 
        nurse practitioner or physician assistant who satisfies each of 
        the following:
                    ``(I) The nurse practitioner or physician assistant 
                is licensed under State law to prescribe schedule III, 
                IV, or V medications for the treatment of pain.
                    ``(II) The nurse practitioner or physician 
                assistant satisfies one or more of the following:
                            ``(aa) Has completed not fewer than 24 
                        hours of initial training addressing each of 
                        the topics listed in clause (ii)(IV) (through 
                        classroom situations, seminars at professional 
                        society meetings, electronic communications, or 
                        otherwise) provided by the American Society of 
                        Addiction Medicine, the American Academy of 
                        Addiction Psychiatry, the American Medical 
                        Association, the American Osteopathic 
                        Association, the American Nurses Credentialing 
                        Center, the American Psychiatric Association, 
                        the American Association of Nurse 
                        Practitioners, the American Academy of 
                        Physician Assistants, or any other organization 
                        that the Secretary determines is appropriate 
                        for purposes of this subclause.
                            ``(bb) Has such other training or 
                        experience as the Secretary determines will 
                        demonstrate the ability of the nurse 
                        practitioner or physician assistant to treat 
                        and manage opiate-dependent patients.
                    ``(III) The nurse practitioner or physician 
                assistant is supervised by or works in collaboration 
                with a qualifying physician, if the nurse practitioner 
                or physician assistant is required by State law to 
                prescribe medications for the treatment of opioid use 
                disorder in collaboration with or under the supervision 
                of a physician.
        The Secretary may review and update the requirements for being 
        a qualifying other practitioner under this clause.''; and
            (4) in subparagraph (H)--
                    (A) in clause (i), by inserting after subclause 
                (II) the following:
            ``(III) Such other elements of the requirements under this 
        paragraph as the Secretary determines necessary for purposes of 
        implementing such requirements.''; and
                    (B) by amending clause (ii) to read as follows:
    ``(ii) Not later than 1 year after the date of enactment of the 
Opioid Use Disorder Treatment Expansion and Modernization Act, the 
Secretary shall update the treatment improvement protocol containing 
best practice guidelines for the treatment of opioid-dependent patients 
in office-based settings. The Secretary shall update such protocol in 
consultation with experts in opioid use disorder research and 
treatment.''.
    (b) Recommendation of Revocation or Suspension of Registration in 
Case of Substantial Noncompliance.--The Secretary of Health and Human 
Services may recommend to the Attorney General that the registration of 
a practitioner be revoked or suspended if the Secretary determines, 
according to such criteria as the Secretary establishes by regulation, 
that a practitioner who is registered under section 303(g)(2) of the 
Controlled Substances Act (21 U.S.C. 823(g)(2)) is not in substantial 
compliance with the requirements of such section, as amended by this 
Act.
    (c) Opioid Defined.--Section 102(18) of the Controlled Substances 
Act (21 U.S.C. 802(18)) is amended by inserting ``or `opioid''' after 
``The term `opiate'''.
    (d) Reports to Congress.--
            (1) In general.--Not later than 2 years after the date of 
        enactment of this Act and not less than over every 5 years 
        thereafter, the Secretary of Health and Human Services, in 
        consultation with the Drug Enforcement Administration and 
        experts in opioid use disorder research and treatment, shall--
                    (A) perform a thorough review of the provision of 
                opioid use disorder treatment services in the United 
                States, including services provided in opioid treatment 
                programs and other specialty and nonspecialty settings; 
                and
                    (B) submit a report to the Congress on the findings 
                and conclusions of such review.
            (2) Contents.--Each report under paragraph (1) shall 
        include an assessment of--
                    (A) compliance with the requirements of section 
                303(g)(2) of the Controlled Substances Act (21 U.S.C. 
                823(g)(2)), as amended by this Act;
                    (B) the measures taken by the Secretary of Health 
                and Human Services to ensure such compliance;
                    (C) whether there is further need to increase or 
                decrease the number of patients a waivered practitioner 
                is permitted to treat, as provided for by the amendment 
                made by subsection (a)(1);
                    (D) the extent to which, and proportions with 
                which, the full range of Food and Drug Administration-
                approved treatments for opioid use disorder are used in 
                routine health care settings and specialty substance 
                use disorder treatment settings;
                    (E) access to, and use of, counseling and recovery 
                support services, including the percentage of patients 
                receiving such services;
                    (F) changes in State or local policies and 
                legislation relating to opioid use disorder treatment;
                    (G) the use of prescription drug monitoring 
                programs by practitioners who are permitted to dispense 
                narcotic drugs to individuals pursuant to a waiver 
                under section 303(g)(2) of the Controlled Substances 
                Act (21 U.S.C. 823(g)(2));
                    (H) the findings resulting from inspections by the 
                Drug Enforcement Administration of practitioners 
                described in subparagraph (G); and
                    (I) the effectiveness of cross-agency collaboration 
                between Department of Health and Human Services and the 
                Drug Enforcement Administration for expanding effective 
                opioid use disorder treatment.

SEC. 4. SENSE OF CONGRESS.

    It is the Sense of Congress that, with respect to the total number 
of patients that a qualifying physician (as defined in subparagraph 
(G)(iii) of section 303(g)(2) of the Controlled Substances Act (21 
U.S.C. 823(g)(2)) can treat at any one time pursuant to such section, 
the Secretary of Health and Human Services should consider raising such 
total number to 250 patients following a third notification to the 
Secretary of the need and intent of the physician to treat up to 250 
patients that is submitted to the Secretary not sooner than 1 year 
after the date on which the physician submitted to the Secretary a 
second notification to treat up to 100 patients.

SEC. 5. PARTIAL FILLS OF SCHEDULE II CONTROLLED SUBSTANCES.

    (a) In General.--Section 309 of the Controlled Substances Act (21 
U.S.C. 829) is amended by adding at the end the following:
    ``(f) Partial Fills of Schedule II Controlled Substances.--
            ``(1) Partial fills.--
                    ``(A) In general.--A prescription for a controlled 
                substance in schedule II may be partially filled if--
                            ``(i) it is not prohibited by State law;
                            ``(ii) the prescription is written and 
                        filled in accordance with the Controlled 
                        Substances Act (21 U.S.C. 801 et seq.), 
                        regulations prescribed by the Attorney General, 
                        and State law;
                            ``(iii) the partial fill is requested by 
                        the patient or the practitioner that wrote the 
                        prescription; and
                            ``(iv) the total quantity dispensed in all 
                        partial fillings does not exceed the total 
                        quantity prescribed.
                    ``(B) Other circumstances.--A prescription for a 
                controlled substance in schedule II may be partially 
                filled in accordance with section 1306.13 of title 21, 
                Code of Federal Regulations (as in effect on the date 
                of enactment of the Reducing Unused Medications Act of 
                2016).
            ``(2) Remaining portions.--
                    ``(A) In general.--Except as provided in 
                subparagraph (B), remaining portions of a partially 
                filled prescription for a controlled substance in 
                schedule II--
                            ``(i) may be filled; and
                            ``(ii) shall be filled not later than 30 
                        days after the date on which the prescription 
                        is written.
                    ``(B) Emergency situations.--In emergency 
                situations, as described in subsection (a), the 
                remaining portions of a partially filled prescription 
                for a controlled substance in schedule II--
                            ``(i) may be filled; and
                            ``(ii) shall be filled not later than 72 
                        hours after the prescription is issued.''.
    (b) Rule of Construction.--Nothing in this section shall be 
construed to affect the authority of the Attorney General to allow a 
prescription for a controlled substance in schedule III, IV, or V of 
section 202(c) of the Controlled Substances Act (21 U.S.C. 812(c)) to 
be partially filled.

            Passed the House of Representatives May 11, 2016.

            Attest:

                                                 KAREN L. HAAS,

                                                                 Clerk.
Opioid Use Disorder Treatment Expansion and Modernization Act (Sec. 3) This bill amends the Controlled Substances Act to revise the requirements for a practitioner to administer, dispense, or prescribe narcotic drugs for maintenance or detoxification treatment in an office-based opioid treatment program. Currently, a practitioner must notify the Department of Health and Human Services (HHS) and certify that he or she is a qualifying physician (i.e., a state-licensed physician with certain expertise), has the capacity to refer patients for appropriate counseling and ancillary services, and will comply with a patient limit. The patient limit is how many patients the practitioner can treat under the office-based treatment program at one time. This legislation expands qualifying practitioners to include nurse practitioners and physician assistants who are licensed in a state, have expertise (such as relevant training or expertise), and prescribe medications for opioid use disorder in collaboration with or under the supervision of a qualifying physician if state law requires physician oversight of prescribing authority. Additionally, it requires a qualifying practitioner to also certify that he or she will comply with reporting requirements and has the capacity to provide directly or by referral, or in another manner prescribed by HHS, all drugs approved by the Food and Drug Administration to treat opioid use disorder. HHS may issue regulations to change the maximum patient limit for a qualifying practitioner. If HHS increases the limit, then a qualifying practitioner must additionally certify that he or she will obtain written consent from each patient regarding available treatment options. HHS must update the treatment improvement protocol containing best practice guidelines for the treatment of opioid-dependent patients in office-based settings. HHS may recommend revoking or suspending the registration of a practitioner who fails to comply with the requirements of this Act. (Sec. 4) The bill expresses the sense of Congress that HHS should consider raising from 100 to 250 the maximum patient limit for a qualifying physician. (Sec. 5) It amends the Controlled Substances Act to allow a pharmacist to partially fill a prescription for a schedule II controlled substance (such as a prescription opioid painkiller) if: (1) it is not prohibited by state law, (2) it is prescribed in accordance with existing laws and regulations, (3) it is requested by the patient or prescribing practitioner, and (4) the total quantity dispensed in partial fillings does not exceed the total quantity prescribed. Additionally, a pharmacist may partially fill a prescription for a schedule II controlled substance in other circumstances in accordance with existing Drug Enforcement Administration (DEA) regulations. (Current DEA regulations permit partial fills when a pharmacist cannot supply a full quantity, a patient resides in a long-term care facility, or a patient is terminally ill.) The remaining of a partially filled prescription may be filled within 30 days or, in the case of an emergency situation, within 72 hours.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Health Empowerment Zone Act of 
2009''.

SEC. 2. TABLE OF CONTENTS.

    The table of contents for this Act is as follows:

Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. Findings.
Sec. 4. Designation of health empowerment zones.
Sec. 5. Assistance to those seeking designation.
Sec. 6. Benefits of designation.
Sec. 7. Definition.
Sec. 8. Authorization of appropriations.

SEC. 3. FINDINGS.

    (a) Findings.--The Congress finds the following:
            (1) Numerous studies and reports, including the National 
        Healthcare Disparities Report and Unequal Treatment, the 2002 
        Institute of Medicine Report, document the extensiveness to 
        which health disparities exist across the country.
            (2) These studies have found that, on average, racial and 
        ethnic minorities are disproportionately afflicted with chronic 
        and acute conditions--such as cancer, diabetes, and 
        hypertension--and suffer worse health outcomes, worse health 
        status, and higher mortality rates than their White 
        counterparts.
            (3) Several recent studies also show that health 
        disparities are a function of not only access to health care, 
        but also the social determinants of health--including the 
        environment, the physical structure of communities, nutrition 
        and food options, educational attainment, employment, race, 
        ethnicity, geography, and language preference--that directly 
        and indirectly affect the health, health care, and wellness of 
        individuals and communities.
            (4) Integrally involving and fully supporting the 
        communities most affected by health inequities in the 
        assessment, planning, launch, and evaluation of health 
        disparity elimination efforts is among the leading 
        recommendations made to adequately address and ultimately 
        reduce health disparities.
            (5) Recommendations also include supporting the efforts of 
        community stakeholders from a broad cross section--including, 
        but not limited to local businesses, local departments of 
        commerce, education, labor, urban planning, and transportation, 
        and community-based and other nonprofit organizations--to find 
        areas of common ground around health disparity elimination and 
        collaborate to improve the overall health and wellness of a 
        community and its residents.

SEC. 4. DESIGNATION OF HEALTH EMPOWERMENT ZONES.

    (a) In General.--At the request of an eligible community 
partnership, the Secretary may designate an eligible area as a health 
empowerment zone.
    (b) Eligibility Criteria.--
            (1) Eligible community partnership.--A community 
        partnership is eligible to submit a request under this section 
        if the partnership--
                    (A) demonstrates widespread public support from key 
                individuals and entities in the eligible area, 
                including State and local governments, nonprofit 
                organizations, and community and industry leaders, for 
                designation of the eligible area as a health 
                empowerment zone; and
                    (B) includes representatives of--
                            (i) a broad cross section of stakeholders 
                        and residents from communities in the eligible 
                        area experiencing disproportionate disparities 
                        in health status and health care; and
                            (ii) organizations, facilities, and 
                        institutions that have a history of working 
                        within and serving such communities.
            (2) Eligible area.--An area is eligible to be designated as 
        a health empowerment zone under this section if one or more 
        communities in the area experience disproportionate disparities 
        in health status and health care. In determining whether a 
        community experiences such disparities, the Secretary shall 
        consider the data collected by the Department of Health and 
        Human Services focusing on the following areas:
                    (A) Access to high-quality health services.
                    (B) Arthritis, osteoporosis, and chronic back 
                conditions.
                    (C) Cancer.
                    (D) Chronic kidney disease.
                    (E) Diabetes.
                    (F) Injury and violence prevention.
                    (G) Maternal, infant, and child health.
                    (H) Medical product safety.
                    (I) Mental health and mental disorders.
                    (J) Nutrition and overweight.
                    (K) Disability and secondary conditions.
                    (L) Educational and community-based health 
                programs.
                    (M) Environmental health.
                    (N) Family planning.
                    (O) Food safety.
                    (P) Health communication.
                    (Q) Health disease and stroke.
                    (R) HIV/AIDS.
                    (S) Immunization and infectious diseases.
                    (T) Occupational safety and health.
                    (U) Oral health.
                    (V) Physical activity and fitness.
                    (W) Public health infrastructure.
                    (X) Respiratory diseases.
                    (Y) Sexually transmitted diseases.
                    (Z) Substance abuse.
                    (AA) Tobacco use.
                    (BB) Vision and hearing.
    (c) Procedure.--
            (1) Request.--A request under subsection (a) shall--
                    (A) describe the bounds of the area to be 
                designated as a health empowerment zone and the process 
                used to select those bounds;
                    (B) demonstrate that the partnership submitting the 
                request is an eligible community partnership described 
                in subsection (b)(1);
                    (C) demonstrate that the area is an eligible area 
                described in subsection (b)(2);
                    (D) include a comprehensive assessment of 
                disparities in health status and health care experience 
                by one or more communities in the area;
                    (E) set forth--
                            (i) a vision and a set of values for the 
                        area; and
                            (ii) a comprehensive and holistic set of 
                        goals to be achieved in the area through 
                        designation as a health empowerment zone; and
                    (F) include a strategic plan for achieving the 
                goals described in subparagraph (E)(ii).
            (2) Approval.--Not later than 60 days after the receipt of 
        a request for designation of an area as a health empowerment 
        zone under this section, the Secretary shall approve or 
        disapprove the request.
    (d) Minimum Number.--The Secretary--
            (1) shall designate not more than 110 health empowerment 
        zones under this section; and
            (2) shall designate at least one health empowerment zone in 
        each of the several States, the District of Columbia, and each 
        territory or possession of the United States.

SEC. 5. ASSISTANCE TO THOSE SEEKING DESIGNATION.

    At the request of any organization or entity seeking to submit a 
request under section 4(a), the Secretary shall provide technical 
assistance, and may award a grant, to assist such organization or 
entity--
            (1) to form an eligible community partnership described in 
        subsection (b)(1);
            (2) to complete a health assessment, including an 
        assessment of health disparities under subsection (c)(1)(D); or
            (3) to prepare and submit a request, including a strategic 
        plan, in accordance with section 4.

SEC. 6. BENEFITS OF DESIGNATION.

    (a) Priority.--In awarding any competitive grant, a Federal 
official shall give priority to any applicant that--
            (1) meets the eligibility criteria for the grant;
            (2) proposes to use the grant for activities in a health 
        empowerment zone; and
            (3) demonstrates that such activities will directly and 
        significantly further the goals of the strategic plan approved 
        for such zone under section 4.
    (b) Grants for Initial Implementation of Strategic Plan.--
            (1) In general.--Upon designating an eligible area as a 
        health empowerment zone at the request of an eligible community 
        partnership, the Secretary shall, subject to the availability 
        of appropriations, make a grant to the community partnership 
        for implementation of the strategic plan for such zone.
            (2) Grant period.--A grant under paragraph (1) for a health 
        empowerment zone shall be for a period of 2 years and may be 
        renewed, except that the total period of grants under paragraph 
        (1) for such zone may not exceed 10 years.
            (3) Limitation.--In awarding grants under this subsection, 
        the Secretary shall not give less priority to an applicant or 
        reduce the amount of a grant because the Secretary rendered 
        technical assistance or made a grant to the same applicant 
        under section 5.
            (4) Reporting.--The Secretary shall require each recipient 
        of a grant under this subsection to report to the Secretary not 
        less than every 6 months on the progress in implementing the 
        strategic plan for the health empowerment zone.

SEC. 7. DEFINITION.

    In this Act, the term ``Secretary'' means the Secretary of Health 
and Human Services, acting through the Administrator of the Health 
Resources and Services Administration and the Director of the Office of 
Minority Health, and in cooperation with the Director of the Office of 
Community Services and the Director of the National Center for Minority 
Health and Health Disparities.

SEC. 8. AUTHORIZATION OF APPROPRIATIONS.

    To carry out this Act, there is authorized to be appropriated 
$100,000,000 for fiscal year 2010.
Health Empowerment Zone Act of 2009 - Authorizes the Secretary of Health and Human Services (HHS), at the request of a broad-based community partnership, to designate a community that experiences disproportionate disparities in health status and health care as a health empowerment zone. Requires federal officials to give priority in awarding competitive grants to grants used in or benefiting a health empowerment zone.

Directs the Secretary to provide: (1) technical assistance (or grants) to entities seeking to form a community partnership or obtain a health empowerment zone designation for a community; and (2) grants to community partnerships for implementation of the strategic plan for a health empowerment zone.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Protect Family Values at the Border 
Act''.

SEC. 2. PROTECTION OF FAMILY VALUES IN APPREHENSION PROGRAMS.

    (a) Procedures for Migration Deterrence Programs at the Border.--In 
any migration deterrence program carried out at a border, the Secretary 
and any cooperating entity shall for each apprehended individual--
            (1) as soon as practicable after such individual is 
        apprehended--
                    (A) inquire through a standardized procedure that 
                shall be established by the Secretary not later than 90 
                days after the date of the enactment of this Act, as to 
                whether such apprehended individual is--
                            (i) a parent, legal guardian, or primary 
                        caregiver of a child; or
                            (ii) traveling with a spouse, child, or 
                        sibling; and
                    (B) ascertain whether repatriation of such 
                apprehended individual presents any humanitarian 
                concern or concern related to such apprehended 
                individual's physical safety; and
            (2) ensure that, with respect to a decision related to the 
        repatriation or referral for prosecution of such apprehended 
        individual, due consideration is given to--
                    (A) the best interests of such apprehended 
                individual's child, in any;
                    (B) family unity whenever possible; and
                    (C) other public interest factors, including 
                humanitarian concerns and concerns related to such 
                apprehended individual's physical safety.
    (b) Mandatory Training.--The Secretary, in consultation with the 
Secretary of Health and Human Services, the Attorney General, the 
Secretary of State, and independent immigration, child welfare, family 
law, and human rights law experts, shall--
            (1) develop and provide specialized training for all 
        personnel of U.S. Customs and Border Protection and cooperating 
        entities who come into contact with apprehended individuals 
        regarding legal authorities, policies, and procedures relevant 
        to the preservation of a child's best interest, family unity, 
        and other public interest factors, including factors described 
        in subsection (a); and
            (2) require border enforcement personnel to undertake 
        periodic and continuing training on best practices and changes 
        in relevant legal authorities, policies, and procedures 
        referred to in paragraph (1).
    (c) Annual Report on the Impact of Migration Deterrence Programs at 
the Border.--
            (1) In general.--Not later than one year after the date of 
        the enactment of this Act and annually thereafter, the 
        Secretary shall submit to Congress a report that describes the 
        impact of migration deterrence programs on parents, legal 
        guardians, primary caregivers of a child, individuals traveling 
        with a spouse, child, or sibling, and individuals who present 
        humanitarian considerations or concerns related to such 
        individual's physical safety.
            (2) Contents.--Each report required under paragraph (1) 
        shall include for the previous year period an assessment of--
                    (A) the number of apprehended individuals removed, 
                repatriated, or referred for prosecution who are the 
                parent, legal guardian, or primary caregiver of a child 
                who is a citizen of the United States;
                    (B) the number of occasions in which both parents, 
                or the primary caretaker of such a child was removed, 
                repatriated, or referred for prosecution as part of a 
                migration deterrence program;
                    (C) the number of apprehended individuals traveling 
                with a spouse, parent, grandparent, sibling, or child 
                who are removed, repatriated, or referred for 
                prosecution; and
                    (D) the impact of migration deterrence programs on 
                public interest factors, including humanitarian 
                concerns and physical safety.
    (d) Regulations.--Not later than 120 days after the date of the 
enactment of this Act, the Secretary shall promulgate regulations to 
implement this section.

SEC. 3. LIMITING DANGEROUS DEPORTATION PRACTICES.

    (a) Certification Required.--
            (1) In general.--Not later than one year after the date of 
        the enactment of this Act and every 180 days thereafter, the 
        Secretary, except as provided in paragraph (2), shall submit to 
        Congress written certification that the Department has deported 
        or otherwise removed for a violation of the Immigration and 
        Nationality Act (8 U.S.C. 1101 et seq.) an apprehended 
        individual from the United States through an entry or exit 
        point on the southern border only during daylight hours.
            (2) Exception.--The certification required under paragraph 
        (1) shall not apply to the deportation or removal of an 
        apprehended individual otherwise described in such paragraph 
        if--
                    (A) the manner of such deportation or removal is 
                justified by a compelling governmental interest; and
                    (B) such apprehended individual is not an 
                unaccompanied alien child and such apprehended 
                individual agrees to be deported or removed in such 
                manner after being notified of the intended manner of 
                deportation or removal.
    (b) Consultation.--The Secretary shall consult with the Secretary 
of State and with local service providers at ports of entry, including 
shelters, hospitals, and centers for deported women and children, when 
negotiating or renegotiating agreements with the Government of Mexico 
and State and local entities governing arrangements for the deportation 
or removal of apprehended individuals to determine appropriate hours 
subject to subsection (a) for conducting deportations and removals, and 
identifying safety concerns at deportation and removal sites.

SEC. 4. SHORT-TERM CUSTODY STANDARDS.

    (a) In General.--Not later than 180 days after the date of the 
enactment of this Act, the Secretary, in consultation with the head of 
the Office of Civil Rights and Civil Liberties of the Department, shall 
promulgate regulations establishing short-term custody standards 
providing for basic minimums of care at all U.S. Customs and Border 
Protection (CBP) facilities holding individuals in CBP custody, 
including--
            (1) Border Patrol stations;
            (2) ports of entry;
            (3) checkpoints;
            (4) forward operating bases;
            (5) secondary inspection areas; and
            (6) short-term custody facilities.
    (b) Requirements.--The regulations promulgated in accordance with 
subsection (a) shall ensure that detention space capacity will not be 
exceeded except in emergency circumstances, and that all individuals in 
CBP custody receive--
            (1) potable water and a snack, and, if detained for more 
        than five hours, a nutritious meal with regular nutritious 
        meals (at least one of which daily must be heated), and snacks, 
        thereafter;
            (2) medically appropriate meals or snacks if such 
        individuals are pregnant or have medical needs;
            (3) access to bathroom facilities as well as basic 
        toiletries and hygiene items, including soap, a toothbrush, 
        toilet paper, and other items appropriate for the age and 
        gender identification of such individuals, such as diapers and 
        feminine hygiene products;
            (4) a cot, clean linens, and blankets, if detained for more 
        than five hours;
            (5) adequate lighting and climate control that achieves a 
        reasonable indoor temperature;
            (6) a physical and mental health screening conducted 
        promptly upon arrival in a manner that complies with the 
        requirements for such screenings specified in the currently 
        applicable National Commission for Correctional Health Care 
        Jails Standards, as well as information about the availability 
        of, and access to, health care services that is communicated in 
        a form and language such individual is known to understand;
            (7) immediate physical and mental health needs addressed by 
        a qualified health care professional as soon as possible;
            (8) prompt notice of the ability to make one telephone call 
        at any time after arrest, telephone access to make such call, 
        and the phone numbers to file a complaint with the Office of 
        the Inspector General of the Department and the Office for 
        Civil Rights and Civil Liberties of the Department;
            (9) to the extent practicable, a reasonable accommodation 
        to respect such individuals' religious practices;
            (10) all protections under the Prison Rape Elimination Act 
        of 2003 (42 U.S.C. 15601 et seq.; Public Law 108-79), except 
        that certain protections shall not apply at a particular CBP 
        facility if the Commissioner of CBP determines that 
        implementation at that particular facility of such a protection 
        would be impracticable; and
            (11) safe transport, including prevention of sexual assault 
        during transfer, including in subcontracted transportation 
        services, while such individuals are transported from a CBP 
        facility.
    (c) Further Provisions.--The Commissioner of CBP shall ensure that 
all individuals in CBP custody--
            (1) have access to consular officials and counsel;
            (2) receive copies of all signed documents; and
            (3) are transferred to an appropriate U.S. Immigration and 
        Customs Enforcement or Department of Health and Human Services 
        Office of Refugee Resettlement facility or are released from 
        short-term custody within 48 hours of apprehension.
    (d) Surveillance of Certain Individuals in CBP Custody.--The 
Commissioner of CBP shall ensure constant surveillance of an individual 
in CBP custody who exhibits signs of hostility, depression, or similar 
behaviors, or who is reasonably known to pose an elevated suicide risk.
    (e) Physical and Mental Health Assessment.--The Commissioner of CBP 
shall ensure that individuals in CBP custody for more than 24 hours, 
receive, in addition to the physical and mental health screening 
specified in subsection (b)(6), a physical and mental health assessment 
by a qualified healthcare professional. To the extent practicable, such 
individuals with known or readily apparent disabilities, including 
temporary disabilities, shall be housed in a manner that accommodates 
their mental or physical condition, or both, and provides for the 
safety, comfort, and security of such individuals.
    (f) Return of Certain Belongings.--Any lawful, nonperishable 
belongings of an individual in CBP custody that are confiscated by 
personnel operating under Federal authority shall be returned to such 
individual prior to the deportation or removal of such individual.
    (g) Inspection of Short-Term Custody Facilities.--Short-term 
custody facilities shall be inspected at least once every year by the 
Department of Homeland Security Office for Civil Rights and Civil 
Liberties, with the results made public without the need to submit a 
request under section 552 of title 5, United States Code.
    (h) Regulations.--Not later than 180 days after the date of the 
enactment of this Act, the Secretary shall promulgate regulations to--
            (1) establish a publicly accessible online system to track 
        the location of individuals in CBP custody held in short-term 
        custody, and provide an online list of all locations with phone 
        numbers routinely used to hold individuals in short-term 
        custody;
            (2) improve the education of individuals in CBP custody 
        regarding administrative procedures and legal rights under 
        United States immigration law, in consultation with the 
        Executive Office for Immigration Review; and
            (3) ensure notification of the Office of Inspector General 
        and Department of Homeland Security Office for Civil Rights and 
        Civil Liberties within 48 hours of all instances in which--
                    (A) an individual in CBP custody has died, 
                including during transfer to another facility or while 
                being released; and
                    (B) an individual has died as the result of an 
                encounter with CBP.
    (i) Annual Reports.--Not later than 180 days after the date of the 
enactment of this Act and annually thereafter, the Secretary shall 
submit to Congress a report that details all instances in which an 
individual in CBP custody has died in the prior fiscal year, including 
during transfer to another facility or while being released, as well as 
all instances in which an individual has died as the result of an 
encounter with CBP, and the result of any subsequent investigation. 
Such reports shall also detail all instances in which an individual, 
including an individual in the custody of CBP, has suffered serious 
injuries requiring hospitalization as a result of the use of force by 
CBP.

SEC. 5. DEFINITIONS.

    In this Act:
            (1) Apprehended individual.--The term ``apprehended 
        individual'' means an individual apprehended by personnel of 
        the Department of Homeland Security or of a cooperating entity.
            (2) Border.--The term ``border'' means an international 
        border of the United States.
            (3) Child.--Except as otherwise specifically provided, the 
        term ``child'' has the meaning given such term in section 
        101(b)(1) of the Immigration and Nationality Act (8 U.S.C. 
        1101(b)(1)).
            (4) Cooperating entity.--The term ``cooperating entity'' 
        means a State or local entity acting pursuant to an agreement 
        with the Secretary.
            (5) Department.--The term ``Department'' means the 
        Department of Homeland Security.
            (6) Migration deterrence program.--The term ``migration 
        deterrence program'' means an action related to the 
        repatriation or referral for prosecution of one or more 
        apprehended individuals for a suspected or confirmed violation 
        of the Immigration and Nationality Act (8 U.S.C. 1101 et seq.) 
        by the Secretary or a cooperating entity.
            (7) Secretary.--The term ``Secretary'' means the Secretary 
        of Homeland Security.
            (8) Unaccompanied alien child.--The term ``unaccompanied 
        alien child'' has the meaning given such term in section 462 of 
        the Homeland Security Act of 2002 (6 U.S.C. 279).

Protect Family Values at the Border Act - Directs the Secretary of Homeland Security (DHS) to: (1) consider safety and family concerns in any action related to the repatriation or prosecution of individuals apprehended for immigration violations, and (2) provide related training for U.S. Customs and Border Protection (CBP) and cooperating entity personnel.  Directs the Secretary, with certain exceptions, to submit to Congress every 180 days written certification that DHS has deported or otherwise removed an apprehended individual from the United States through an entry or exit point on the southern border only during daylight hours.  Directs the Secretary to promulgate regulations establishing short-term custody standards providing for basic minimums of care at all CBP facilities holding individuals in CBP custody.