[Congressional Record Volume 164, Number 29 (Wednesday, February 14, 2018)]
[Senate]
[Pages S1117-S1118]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 2008. Mrs. MURRAY submitted an amendment intended to be proposed 
by her to the bill H.R. 2579, to amend the Internal Revenue Code of 
1986 to allow the premium tax credit with respect to unsubsidized COBRA 
continuation coverage; which was ordered to lie on the table; as 
follows:

       At the appropriate place, insert the following:

     SEC. ___. PROHIBITION ON SHACKLING, CHAINING, AND RESTRAINING 
                   PREGNANT WOMEN IN DETENTION.

       (a) Definitions.--In this section:
       (1) Appropriate committees of congress.--The term 
     ``appropriate committees of Congress'' means--
       (A) the Committee on the Judiciary, the Committee on 
     Appropriations, and the Committee on Health, Education, 
     Labor, and Pensions of the Senate; and
       (B) Committee on the Judiciary and the Committee on 
     Appropriations of the House of Representatives.
       (2) Detainee.--The term ``detainee'' includes any adult or 
     juvenile person detained by any Federal, State, or local law 
     enforcement agency (including under contract or agreement 
     with such agency) under the Immigration and Nationality Act 
     (8 U.S.C. 1101 et seq.).
       (3) Detention facility.--The term ``detention facility'' 
     means a Federal, State, or local government facility, or a 
     privately owned and operated facility, that is used, in whole 
     or in part, to hold individuals under the authority of the 
     Director of U.S. Immigration and Customs Enforcement or the 
     Commissioner of U.S. Customs and Border Protection, including 
     facilities that hold such individuals under a contract or 
     agreement with the Director or Commissioner, or that is used, 
     in whole or in part, to hold individuals pursuant to an 
     immigration detainer.
       (4) Facility administrator.--The term ``facility 
     administrator'' means the official that is responsible for 
     oversight of a detention facility or the designee of such 
     official.
       (5) Postpartum recovery.--The term ``postpartum recovery'' 
     means the 6-week period, or longer as determined by her 
     health care provider, following delivery, including the 
     entire period a woman is in the hospital or infirmary after 
     birth.
       (6) Restraint.--The term ``restraint'' means any physical 
     restraint or mechanical device used to control the movement 
     of a detainee's body or limbs, including flex cuffs, soft 
     restraints, hard metal handcuffs, a black box, Chubb cuffs, 
     leg irons, belly chains, a security (tether) chain, or a 
     convex shield.
       (b) Prohibition on Restraint of Pregnant Detainees.--
       (1) Prohibition.--A detention facility shall not use 
     restraints on a detainee known to be pregnant, including 
     during labor, transport to a medical facility or birthing 
     center, delivery, and postpartum recovery, unless the 
     facility administrator makes an individualized determination 
     that the detainee presents an extraordinary circumstance as 
     described in paragraph (2).
       (2) Extraordinary circumstance.--Restraints for an 
     extraordinary circumstance are only permitted if a lead 
     medical staff who is a licensed health care provider has 
     directed the use of restraints for medical reasons or if the 
     facility administrator makes an individualized determination 
     that--
       (A) credible, reasonable grounds exist to believe the 
     detainee presents an immediate and serious threat of hurting 
     herself, staff or others; or
       (B) reasonable grounds exist to believe the detainee 
     presents an immediate and credible risk of escape that cannot 
     be reasonably minimized through any other method.
       (3) Requirement for least restrictive restraints.--In the 
     rare event that one of the extraordinary circumstances in 
     paragraph (2) applies, only the least restrictive restraints 
     necessary shall be used, except that--
       (A) if a doctor, nurse, or other health professional 
     treating the detainee requests that restraints not be used, 
     the detention officer accompanying the detainee shall 
     immediately remove all restraints;
       (B) under no circumstance shall leg, waist, or four point 
     restraints be used;
       (C) under no circumstance shall wrist restraints be used to 
     bind the detainee's hands behind her back or to another 
     person; and
       (D) under no circumstances shall any restraints be used on 
     any detainee in labor or delivery.
       (4) Record of extraordinary circumstances.--
       (A) Requirement.--If restraints are used on a detainee 
     pursuant to paragraph (2), the facility administrator shall 
     make a written finding within 10 days as to the extraordinary 
     circumstance that dictated the use of the restraints.
       (B) Retention.--A written finding made under subparagraph 
     (A) shall be kept on file by the detention facility for at 
     least 5 years and be made available for public inspection, 
     except that no individually identifying information of any 
     detainee shall be made public without the detainee's prior 
     written consent.
       (c) Prohibition on Presence of Detention Officers.--Upon a 
     detainee's admission to a

[[Page S1118]]

     medical facility or birthing center, no detention officer 
     shall be present in the room during a pelvic exam, labor, 
     delivery, or treatment of other symptoms related to 
     pregnancy, unless specifically requested by medical 
     personnel. If a detention officer's presence is requested by 
     medical personnel, the detention officer shall be female, if 
     practicable, and remain near the detainee's head to protect 
     her privacy. If restraints are used on a detainee pursuant to 
     subsection (b)(2), a detention officer shall remain 
     immediately outside the room at all times so that the officer 
     may promptly remove the restraints if requested by medical 
     personnel, as required by subsection (b)(3)(A).
       (d) Treatment of Pregnant Women.--With regard to pregnant 
     detainees:
       (1) Presumption of release.--Absent extraordinary 
     circumstances of the pregnant woman being a threat to herself 
     or others or subject to mandatory detention, the United 
     States Government shall not detain pregnant women.
       (2) Mandated review.--For any pregnant detainee held in 
     detention who satisfies the requirements of paragraph (1), 
     the United States Government shall conduct a review, not less 
     than weekly, to determine if the pregnant detainee continues 
     to be a threat to herself or others or subject to mandatory 
     detention, and release any such pregnant detainee that does 
     not satisfy these conditions.
       (3) Access to services.--A pregnant detainee in custody 
     shall have access to health care services, including services 
     related to reproductive health care and pregnancy such as 
     routine or specialized prenatal care, pregnancy testing, 
     comprehensive counseling and assistance, postpartum follow-
     up, and lactation services.
       (e) Annual Reports.--
       (1) Reports by facility administrators.--Not later than 30 
     days after the end of each fiscal year, the facility 
     administrator of each detention facility that detained a 
     pregnant detainee shall submit to the Secretary a written 
     report that includes, with respect to the previous fiscal 
     year, the following:
       (A) An account of every instance of the use of restraints 
     on pregnant detainees, including the justification for such 
     restraint and the name of the facility administrator who made 
     the individualized determination under subsection (b)(1).
       (B) The number of pregnant detainees.
       (C) The average length of detention of pregnant detainee.
       (D) The number of pregnant detainees detained longer than 
     15 days.
       (E) The number of pregnant detainees detained longer than 
     30 days.
       (2) Audit and reports by secretary.--Not later than 90 days 
     after the end of each fiscal year, the Secretary shall--
       (A) complete an audit of the information submitted under 
     subparagraphs (B) through (F) of paragraph (1); and
       (B) submit to the appropriate committees of Congress a 
     report that includes all of the information submitted to the 
     Secretary under paragraph (1), disaggregated by facility.
       (3) Privacy.--No report submitted under this subsection may 
     contain any individually identifying information of any 
     detainee. No report submitted under this subsection that is 
     made available for public inspection may contain the name of 
     the facility administrator otherwise included under paragraph 
     (1)(A).
       (4) Public inspection.--Except as provided in paragraph 
     (3), each report submitted under this subsection shall be 
     made available for public inspection.
       (f) Rulemaking.--The Secretary shall adopt regulations or 
     policies to carry out this section at every detention 
     facility.
                                 ______