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 increases transparency, oversight, and reporting that can improve detainee health and accountability, but it does so at significant cost and with meaningful privacy, operational, and implementation risks that must be managed.
Detainees (immigrants) will have faster identification and response to medical problems because facilities must report health diagnoses, treatments, outcomes, and complaints more frequently, enabling outbreaks or care gaps to be detected sooner.
Detainees will have stronger, more accessible grievance pathways and protections: anonymous kiosks/toll-free hotlines plus mandated, timed investigations of alleged retaliation and publication when retaliation is found.
The public, Congress, and oversight bodies will get better visibility and accountability through OIG inspections, quarterly reports, public disclosure of contract terminations, and expanded congressional access to facilities.
Taxpayers and facilities will face substantial new costs to build/secure reporting systems, multilingual kiosks/hotlines, hire liaisons, and support recurring OIG inspections and reporting obligations.
Detainee privacy is at risk because publishing near‑real‑time medical data and investigation reports could expose sensitive personal health information if de‑identification and redaction protocols are inadequate.
Care and operations may be disrupted in the short term as clinical staff and facility personnel are diverted to reporting, mandatory training, investigations, and accommodating oversight visits, which can reduce direct patient care.
Based on analysis of 9 sections of legislative text.
Requires near-real-time public reporting of detainee health, anonymous multilingual complaint channels, annual OIG health audits, health liaisons, quarterly public reports, and congressional access to detention facilities.
Requires DHS and all operators of immigration detention spaces to create near-real-time, public reporting on detainee medical, dental, and mental-health conditions; set up anonymous multilingual complaint channels with protections against retaliation; and give oversight bodies expanded inspection, audit, and access rights. It mandates annual OIG health audits, facility health liaisons, quarterly public reports, and gives Members of Congress and designated staff unimpeded access for oversight, with termination review after repeated verified complaints. Aimed at improving transparency and accountability in immigration detention health care, the law sets firm deadlines (6–15 months) for new systems and processes and requires investigations and possible termination of facility agreements after repeated verified health complaints.