Official title: To mandate reporting requirements pertaining to detainees in immigration detention facilities.
Introduced February 4, 2026 by Yassamin Ansari · Last progress February 4, 2026
The bill substantially increases transparency, oversight, and detainee reporting/protections for health care in detention—likely improving detection of problems and prompting corrective action—but it imposes significant costs, privacy risks, operational burdens, and potential short-term harms to care and facility stability.
Federal lawmakers, oversight bodies, the public, and detainees: the bill creates much greater transparency and public accountability by requiring near-real-time and quarterly reporting, public disclosure of certain contract actions, and expanded congressional inspection access.
Detainees (including women and pregnant people): more timely detection and response to outbreaks and health problems because of standardized reporting, regular tracking, OIG inspections, and required reviews of reproductive and trauma-informed care.
Detainees: improved ability to report abuse or medical concerns and protection from retaliation via anonymous kiosks/hotlines, mandated investigations with language-accessible findings, and publication when retaliation is found.
Taxpayers, DHS, and facility operators: implementing and maintaining near-real-time reporting systems, multilingual kiosks/hotlines, audits, OIG reviews, and hiring requirements will create substantial upfront and recurring costs.
Detainees (especially those with sensitive medical conditions): publishing facility-specific medical, complaint, and investigation information risks exposing private or identifying information if de-identification, redaction, and data security are insufficient.
Detainees and clinical staff: the new reporting, training, and investigation duties could divert clinicians' time and facility resources away from direct patient care in the short term, worsening access or timeliness of care.
Based on analysis of 9 sections of legislative text.
Imposes real-time public health reporting, anonymous complaint channels, annual OIG audits, full‑time health liaisons, quarterly public reports, and congressional access for DHS detention facilities.
Requires real-time, public reporting and expanded oversight of medical, dental, and mental health conditions in facilities where noncitizens are held by the Department of Homeland Security. Sets deadlines for an internet-accessible reporting system, anonymous multilingual complaint channels, annual OIG audits, full-time health liaisons at each facility, quarterly public reports, and guaranteed congressional access for oversight. Creates mandatory investigations of alleged retaliation for reporting health concerns, gives the Inspector General and the Immigration Detention Ombudsman enforcement roles, and directs DHS to consider terminating facility contracts after repeated verified health complaints.