Sponsors (44)
The bill trades increased transparency, oversight, and several targeted protections that can improve detainee health and accountability for detention operators against significant implementation costs, added administrative burdens, and privacy and operational risks that must be mitigated to avoid harming detainees or facilities.
Immigrants and the public: the bill substantially increases transparency and oversight of detention health care by requiring near‑real‑time facility medical reporting, quarterly public reports to Congress and the public, expanded OIG inspections, and unfiltered congressional access to facilities.
Detainees (including women and pregnant people): standardized reporting, mandatory staff training, dedicated facility health liaisons, and required reviews of menstrual, pregnancy, and trauma‑informed care are likely to improve continuity and quality of medical, dental, and mental health services and enable earlier detection of facility‑wide health problems.
Detainees: onsite anonymous reporting kiosks and toll‑free hotlines plus required prompt investigations of alleged retaliation and provision of investigation reports in a language the complainant understands strengthen detainees' ability to report abuse and reduce retaliatory conduct.
Taxpayers, DHS, and facility operators: implementing and maintaining near‑real‑time reporting systems, multilingual kiosks/hotlines, additional investigations, OIG audits, and hiring full‑time health liaisons will impose substantial one‑time and ongoing costs.
Immigrants and other vulnerable detainees: publishing facility‑level medical and complaint data and investigation reports risks exposing sensitive personal health or identifying information unless deidentification and privacy safeguards are strictly applied.
DHS, facility staff, and oversight bodies: recurring reporting, multilingual report production, investigations, and increased OIG workload create administrative burdens and staffing strains that could divert resources from other priorities.
Based on analysis of 9 sections of legislative text.
Requires DHS detention facilities to publish near-real-time detainee health data, create anonymous complaint systems, conduct audits, hire health liaisons, and allow congressional oversight.
Introduced February 4, 2026 by Yassamin Ansari · Last progress February 4, 2026
Requires every facility that detains noncitizens under immigration law to create public, near-real-time reporting of detainee medical, dental, and mental health issues, and to set up an anonymous, multilingual system for detainees to report health concerns. The bill also requires DHS OIG annual audits focused on gender-related care, a full-time health services liaison at each facility, quarterly public reports, and procedures that can trigger contract review or termination after repeated verified complaints. Establishes quick timelines for implementation (6 months to create anonymous reporting; 1 year to deploy the public reporting system; 15 months for the first quarterly public report), mandates 14-day investigations of alleged retaliation, and gives Members of Congress and designated staff expanded access to inspect facilities without prior notice for Members. Definitions follow existing INA definitions.