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This bill requires U.S. Immigration and Customs Enforcement (ICE) and all facilities housing immigration detainees to establish comprehensive health monitoring and reporting systems. Within one year of enactment, all detention facilities must create real-time, internet-accessible systems documenting detainees' medical, dental, and mental health issues, diagnoses, treatments, and outcomes, with all staff receiving mandatory training. The bill also mandates that DHS establish an anonymous, multilingual complaint system within six months allowing detainees to report health concerns through kiosks or hotlines, with protections against retaliation and investigations required within 14 days. If a facility receives three verified health complaints, DHS must review whether to terminate its contract with the facility operator. Additionally, the bill requires annual audits by the DHS Inspector General (with specific attention to gender-related health concerns), mandates a full-time health services liaison at each facility, and requires quarterly public reports on detention health conditions. Congress members and their designated staff gain unrestricted access to facilities for oversight purposes, though non-member staffers must provide 24 hours' notice.

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