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house Bill H.R. 3525

Should Migrants Apprehended at the Southern Border Receive Standardized Medical Screenings?

Argument in favor

Inadequate medical screening procedures at the southern border have contributed to migrants’ deaths, including those of children. Screening migrants within a reasonable timeframe after their initial apprehension would help ensure that those with medical needs are properly attended to.

burrkitty's Opinion
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07/25/2019
Do we check inmates and POWs?? Yes? Then we must treat these PEOPLE with at minimum the same standards we use for ALL HUMANS.
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jimK's Opinion
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07/25/2019
It is unethical, immoral and possibly illegal to not have livable standards and standards for care of people our government chooses to detain. And, that includes medical screening and treatment. Good for everyone involved- both us and them.
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Kodiwodi's Opinion
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07/25/2019
I think this is a sound and ethical idea. In order for me to become a resident of Canada I must pass a physical. True in many other countries as well. This is especially important since we have chosen to detain people in close quarters and in unsanitary conditions. We owe it to them to give them the physical they need in order to insure formally healthy people do not now have an illness which requires treatment.
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Argument opposed

DHS & CBP already requested additional funding to expand medical screening for migrants in its care and Congress has already appropriated additional money for this purpose in an emergency funding package from June 30, 2019.

JTJ's Opinion
···
07/25/2019
This is why we have a crisis at the border. Stop giving away free stuff. Close the border and let Mexico take care of these people, the crisis will end quickly.
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Marcus's Opinion
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07/25/2019
Ok ladies and gentlemen! You CANNOT become a citizen of Canada by ILLEGALLY crossing the Canadian border or any border for that matter. Many countries will “end you” for attempting to cross borders illegally. So if you are asking me to spend my tax money on someone ILLEGALLY crossing the U.S. border my answer is NO. You may however ask me to spend my tax money on medical care for someone LEGALLY crossing the U.S. border and my answer is yes. Stop comparing apples to oranges, Stop comparing LEGAL border crossing examples to ILLEGAL border crossings. Join the rest of the adults and be realistic, Or a better term is- Get a mitt and get in the game!
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SneakyPete's Opinion
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07/25/2019
👎🏻 HR-3525 the U.S. Border Patrol Medical Screening Standards Act 👎🏻 This bill to me, appears to be just another Democratic attempt in the prolonging migrants retention, in the USA 🇺🇸. I stand opposed to House Bill HR-3525 AKA the U.S. Border Patrol Medical Screening Standards Act which would require standardized processes and training to ensure consistent medical screenings for individuals apprehended at the U.S.-Mexico border within 12 hours of their initial stop. These medical screenings would cover medical history, current medical complaints, current medications, and more. This bill would also provide law enforcement and the Dept. of Homeland Security (DHS) staff with requested training to improve the quality of care given to migrants and equip officers with additional resources to address medical situations.  DHS & CBP has already requested additional funding to expand medical screening for migrants in its care and Congress has already appropriated additional money for this purpose in an emergency funding package from June 30, 2019. SneakyPete.......... 👎🏻👎🏻HR-3525 👎🏻👎🏻. 7.25.19
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bill Progress


  • Not enacted
    The President has not signed this bill
  • The senate has not voted
      senate Committees
      Committee on the Judiciary
  • The house Passed September 26th, 2019
    Roll Call Vote 230 Yea / 184 Nay
      house Committees
      Committee on Homeland Security
    IntroducedJune 27th, 2019

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What is House Bill H.R. 3525?

This bill — the U.S. Border Patrol Medical Screening Standards Act — would require standardized processes and training to ensure consistent medical screenings for individuals apprehended at the U.S.-Mexico border within 12 hours of their initial stop. These medical screenings would cover medical history, current medical complaints, current medications, and more. This bill would also provide law enforcement and the Dept. of Homeland Security (DHS) staff with requested training to improve the quality of care given to migrants and equip officers with additional resources to address medical situations. 

Additionally, this bill would require DHS to research and report to Congress on new approaches to improve screening procedures and recommend any necessary corrective actions. Finally, this bill would require the implementation of electronic health record systems for medical officers at DHS (this has been identified as a high-priority barrier to providing care).

Impact

DHS staff; law enforcement; border patrol staff training on medical care for migrants; migrants; medical care for migrants; medical screening for migrants; implementation of an electronic health record system at DHS; and DHS reports to Congress.

Cost of House Bill H.R. 3525

A CBO cost estimate is unavailable.

More Information

In-DepthRep. Lauren Underwood (D-IL) introduced this bill to improve medical screening procedures at the U.S.-Mexico border. After this bill unanimously passed the House Committee on Homeland Security, Rep. Underwood said

“The conditions I witnessed at the border were deeply troubling, and as a nurse, I felt the medical conditions were especially unacceptable; so when I came back to Congress I got right to work and introduced this legislation to help ensure children and vulnerable families who arrive at the border receive appropriate medical screenings and care. When any human being enters into U.S. custody, it is both U.S. policy and our moral duty require that we provide safe and sanitary conditions, especially to children and the most vulnerable populations. It is essential that we keep our country secure in a manner that reflects American values.”

In a May 2019 House committee hearing when DHS Secretary Kevin McAleenan (who replaced former secretary Kirstjen Nielsen) was testifying to defend his department’s budget request, Rep. Underwood asked McAleenan about his department’s treatment of migrant children. Pointing to photos of migrants sleeping on the ground outside Border Patrol facilities despite increased funding from Congress to provide humanitarian assistance at the southern border, Rep. Underwood said, “I feel like, and the evidence is really clear, that this is intentional. It’s a policy choice, and it’s inhumane,” which McAleenan called an “appalling accusation.”

Rep. Underwood’s comments angered Rep. Mike Rogers (R-AL), Ranking Member on the House Homeland Security Committee, who said she’d essentially accused McAleenan and his department of committing murder. Rep. Rogers requested that her comments be “taken down,” marking it as a questionable comment and opening the possibility of punishment against the member who made the comment. When members of the committee voted 9-5 to approve Rogers’ request, they made Rep. Underwood potentially subject to a variety of punishments. Ultimately, Rep. Underwood’s statement was stricken from the official hearing record and she was barred from talking for the rest of the session.

However, other Democrats piled on to Rep. Underwood’s comments after a committee recess: Rep. Nanette Barragán (D-CA) agreed that migrant deaths were “intentional,” based on the Trump administration’s actions to halt or limit Central American migrants’ asylum claims in the U.S. and its “zero tolerance” policy that led to over 2,800 migrant families’ separation in the summer of 2018.

This bill unanimously passed the House Committee on Homeland Security on July 17, 2019 with the support of 21 Democratic cosponsors.


Of NoteThe current DHS Secretary, Kevin McAleenan, who previously served as commissioner of Customs and Border Protection (CBP), ordered increased medical screenings of children after the first Guatemalan child died at the border in December 2018. Now, all children in DHS custody receive medical checks and expanded medical screenings. In a January 28, 2019 memo, CBP detailed its interim enhanced medical efforts, which are intended to enhance the agency’s protection of individuals in its custody, particularly juveniles (under the age of 18). 

Additionally, the Coast Guard and U.S. Public Health Service have sent medical personnel to the border to help screen migrants

In January 2019, DHS requested $800 million for humanitarian assistance along the border from Congress, as well as an extra $1.1 billion for this purpose in the agency’s 2020 budget

Apprehensions at the Southern border of unauthorized immigrants and asylum-seekers have spiked in the last year, with May 2019 marking the highest monthly total since 2006 at 132,880 apprehensions. Of those detained, the proportion of family units and unaccompanied minors are at all-time highs, burdening a detention system designed for single males who historically made up the vast majority of those apprehended at the Southern border. After it became apparent that DHS accounts funding detention facilities would run out of money before the end of the fiscal year, Congress passed a bipartisan $4.59 billion emergency funding package to provide for additional facilities to prevent overcrowding, provide basic necessities and healthcare to detained migrants, and speed up the processing of immigration cases. President Trump signed it into law on June 30th.

As of June 9, 2019, 24 immigrants — including seven children — had died in U.S. custody. 


Media:

Summary by Lorelei Yang

(Photo Credit: U.S. Customs and Border Patrol on Flickr)

AKA

U.S. Border Patrol Medical Screening Standards Act

Official Title

To amend the Homeland Security Act of 2002 to direct the Commissioner of U.S. Customs and Border Protection to establish uniform processes for medical screening of individuals interdicted between ports of entry, and for other purposes.

    Do we check inmates and POWs?? Yes? Then we must treat these PEOPLE with at minimum the same standards we use for ALL HUMANS.
    Like (160)
    Follow
    Share
    This is why we have a crisis at the border. Stop giving away free stuff. Close the border and let Mexico take care of these people, the crisis will end quickly.
    Like (65)
    Follow
    Share
    It is unethical, immoral and possibly illegal to not have livable standards and standards for care of people our government chooses to detain. And, that includes medical screening and treatment. Good for everyone involved- both us and them.
    Like (138)
    Follow
    Share
    I think this is a sound and ethical idea. In order for me to become a resident of Canada I must pass a physical. True in many other countries as well. This is especially important since we have chosen to detain people in close quarters and in unsanitary conditions. We owe it to them to give them the physical they need in order to insure formally healthy people do not now have an illness which requires treatment.
    Like (84)
    Follow
    Share
    Ok ladies and gentlemen! You CANNOT become a citizen of Canada by ILLEGALLY crossing the Canadian border or any border for that matter. Many countries will “end you” for attempting to cross borders illegally. So if you are asking me to spend my tax money on someone ILLEGALLY crossing the U.S. border my answer is NO. You may however ask me to spend my tax money on medical care for someone LEGALLY crossing the U.S. border and my answer is yes. Stop comparing apples to oranges, Stop comparing LEGAL border crossing examples to ILLEGAL border crossings. Join the rest of the adults and be realistic, Or a better term is- Get a mitt and get in the game!
    Like (50)
    Follow
    Share
    👎🏻 HR-3525 the U.S. Border Patrol Medical Screening Standards Act 👎🏻 This bill to me, appears to be just another Democratic attempt in the prolonging migrants retention, in the USA 🇺🇸. I stand opposed to House Bill HR-3525 AKA the U.S. Border Patrol Medical Screening Standards Act which would require standardized processes and training to ensure consistent medical screenings for individuals apprehended at the U.S.-Mexico border within 12 hours of their initial stop. These medical screenings would cover medical history, current medical complaints, current medications, and more. This bill would also provide law enforcement and the Dept. of Homeland Security (DHS) staff with requested training to improve the quality of care given to migrants and equip officers with additional resources to address medical situations.  DHS & CBP has already requested additional funding to expand medical screening for migrants in its care and Congress has already appropriated additional money for this purpose in an emergency funding package from June 30, 2019. SneakyPete.......... 👎🏻👎🏻HR-3525 👎🏻👎🏻. 7.25.19
    Like (28)
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    I think the government should provide healthcare for the people who have walked 2,000 miles. Especially for the children who become ill much faster than adults. We are not only responsible to the migrants but to our own citizens. If the migrants are sick God only knows what kind of virus they are carrying.
    Like (26)
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    Medical treatment is part of humane treatment of people. All people. Support this bill.
    Like (23)
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    There is No Such Thing as a Migrant at The Border! Yes we have Regular Migrant Workers That go back after picking season but do not confuse those with Illegals! Guest workers are just that! Seasonal Migrants That Obey The Laws! Sneaking into this country for permanent stay without proper immigration paperwork from their home Countries is Illegal! Do I say NO! Boot Em In the ass! Turn em around! Get em Out!
    Like (20)
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    Yes! If someone is sick and we put them in the same area as someone who is healthy, it is considering a risk environment. Therefore not providing them a safe shelter. How is this not being done? We take care of sick people, not make more sick!
    Like (20)
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    Definitely. There needs to be some sort of way to ensure the safety of migrants as they reach the border once they come under US. If a migrant is going to be in custody there needs to be some way in order to make sure that there medical requirements are met in order to prevent them joining the other handful who have died due to unknown prior conditions or negligence to their conditions.
    Like (16)
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    Absolutely they should receive medical screenings. And, care, as needed. As I’ve said before, they’re people. Love them or hate them, they’re people. Not that we should hate them to begin with. It’s said that the character of a person or society is revealed in how they treat their enemies. These people aren’t even, generally speaking, our enemies. Our nation’s character has been revealed to be of low quality and we should all be sick with what’s going on at these sites.
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    I support this bill, It’s the proper and humanitarian thing to do.
    Like (13)
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    Lauren, This ,of course,is unnecessary newbie proposed legislation. It is simply unnecessary. Your first duty is to serve the interests American people. That is what your oath means under our Constitution. You must read the oath and apply this test to every action you take as a member of the People’s House. Then,withdraw this bill.
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    We treat serial killers and depraved sexual predators better Wtf is wrong with this country? Why is this a question ?
    Like (11)
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    Nope. Quarantine them to protect the innocent and send their scofflaw @sses right back where they came from. They can sponge off the social services of their native communities.
    Like (11)
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    A. They are not migrants. B. They are not immigrants. They are an invading horde of criminals that need to be repelled from OUR border or we will sink, cease to exist if you will. We must retain the integrity of MY COUNTRY or we will soon be just like the hell holes they came from and I along with millions of others will not let that happen. MY PRESIDENT is doing just that and he will continue that in his second term. None of these CRIMINALS should be able to stay no matter what they claim, they all broke the law by entering MY COUNTRY ILLEGALLY THAT MAKES THEM CRIMINALS. If you want to enter MY COUNTRY do it right, stay in you own country or stop at the first country you get to, not going thru 8 or 9 countries as before you get here. Fill the paperwork and wait just like millions of others have done for the last 200 years!! They should not be here, plain and simple
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    I don't want to pay for anyone's medical care much less illegals. Only Americans who are extremely vulnerable.This in NOT our problem!
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    If it's legal, moral and ethical do it. At the very least we need to know if the detainee poses a danger to our agents other detainees.
    Like (9)
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    We should turn them around and tell them to go to Mexico to seek asylum! Because that is the first country.they step in! No lawyers , No judges! Turn them away We need to get all illegals out that are here now! No free benefits for them!
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