[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 916 Introduced in Senate (IS)]

<DOC>






119th CONGRESS
  1st Session
                                 S. 916

 To safeguard the humane treatment of pregnant and postpartum women by 
    ensuring the presumption of release and prohibiting shackling, 
   restraining, and other inhumane treatment, and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             March 10, 2025

 Mrs. Murray (for herself, Mr. Blumenthal, Mr. Booker, Mr. Coons, Ms. 
     Cortez Masto, Ms. Duckworth, Mr. Durbin, Mr. Fetterman, Mrs. 
   Gillibrand, Mr. Heinrich, Ms. Hirono, Mr. Kim, Ms. Klobuchar, Mr. 
   Markey, Mr. Padilla, Mr. Sanders, Mr. Schiff, Mr. Van Hollen, Ms. 
Warren, Mr. Welch, and Mr. Wyden) introduced the following bill; which 
     was read twice and referred to the Committee on the Judiciary

_______________________________________________________________________

                                 A BILL


 
 To safeguard the humane treatment of pregnant and postpartum women by 
    ensuring the presumption of release and prohibiting shackling, 
   restraining, and other inhumane treatment, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Stop Shackling and Detaining 
Pregnant Women Act''.

SEC. 2. DEFINITIONS.

    In this Act:
            (1) Appropriate committees of congress.--The term 
        ``appropriate committees of Congress'' means--
                    (A) the Committee on Homeland Security and 
                Governmental Affairs of the Senate;
                    (B) the Committee on the Judiciary of the Senate;
                    (C) the Committee on Appropriations of the Senate;
                    (D) the Committee on Homeland Security of the House 
                of Representatives;
                    (E) the Committee on the Judiciary of the House of 
                Representatives; and
                    (F) the Committee on Appropriations of the House of 
                Representatives.
            (2) Commissioner.--The term ``Commissioner'' means the 
        Commissioner for U.S. Customs and Border Protection.
            (3) Detained noncitizen.--The term ``detained noncitizen'' 
        includes any adult or juvenile individual 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.).
            (4) Detention officer.--The term ``detention officer'' 
        means an individual who--
                    (A) works at a facility, including an individual 
                who works at a facility pursuant to a contract or 
                subcontract; and
                    (B) performs duties relating to the security, 
                custody, or transport of individuals in custody.
            (5) Director.--The term ``Director'' means the Director for 
        U.S. Immigration and Customs Enforcement.
            (6) Facility.--The term ``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 Secretary of Homeland 
        Security, including a facility that--
                    (A) holds such individuals under a contract or 
                agreement with the Director or the Commissioner; or
                    (B) is used, in whole or in part, to hold 
                individuals pursuant to an immigration detainer or 
                similar request.
            (7) Facility administrator.--The term ``facility 
        administrator'' means the official responsible for oversight of 
        a facility, or the designee of such official.
            (8) Postpartum.--The term ``postpartum'' means during the 
        1-year period, or longer, as determined by the licensed health 
        care provider of the individual concerned, following delivery, 
        including the entire period during which the individual is in a 
        medical facility, birthing center, or infirmary after birth.
            (9) Restraint.--The term ``restraint''--
                    (A) means any physical restraint or mechanical 
                device used to control the movement of the body or 
                limbs of a detained noncitizen's body for custody 
                purposes, including--
                            (i) flex cuffs;
                            (ii) soft restraints;
                            (iii) hard metal handcuffs;
                            (iv) a black box;
                            (v) Chubb cuffs;
                            (vi) leg irons;
                            (vii) belly chains;
                            (viii) a security (tether) chain;
                            (ix) a convex shield; and
                            (x) any other type of shackles; and
                    (B) does not include medical restraints.
            (10) Secretary.--The term ``Secretary'' means the Secretary 
        of Homeland Security.

SEC. 3. LIMITATION ON DETENTION OF PREGNANT WOMEN AND MOTHERS OF 
              NEWBORNS.

    (a) Access to Pregnancy Testing.--The Secretary shall provide every 
individual being processed into custody access to pregnancy testing 
during the initial medical screening.
    (b) Presumption of Release.--
            (1) In general.--Except as provided in paragraph (2), the 
        Secretary--
                    (A) may not detain, arrest, or take into custody an 
                individual under any provision of the Immigration and 
                Nationality Act (8 U.S.C. 1101 et seq.) who is known to 
                be pregnant, lactating, or postpartum, pending a 
                decision with respect to whether the noncitizen is to 
                be removed from the United States; and
                    (B) shall immediately release any detained 
                noncitizen found to be pregnant.
            (2) Exceptions.--The Secretary, pursuant to chapter 4 of 
        title II of the Immigration and Nationality Act (8 U.S.C. 1221 
        et seq.), may detain an individual who is known to be pregnant, 
        lactating, or postpartum--
                    (A) under extraordinary circumstances in which the 
                Secretary makes an individualized determination that 
                credible, reasonable grounds exist to believe that--
                            (i) such individual poses an immediate and 
                        serious risk of physical harm to others; and
                            (ii) enrollment in an alternative to 
                        detention program cannot mitigate public safety 
                        threats associated with such individual; and
                    (B) if such detention is the only means available 
                to mitigate such threats.
            (3) Removal.--If detention is the only means of 
        effectuating the removal from the United States of a pregnant 
        individual subject to a final order of deportation or removal, 
        the Secretary, solely for the purpose of such deportation or 
        removal, may detain the pregnant individual in temporary 
        housing in accordance with applicable temporary housing 
        standards for a period equal to the shorter of--
                    (A) the shortest possible period immediately 
                preceding the deportation or removal of the individual 
                from the United States; and
                    (B) 5 days.
    (c) Weekly Review.--
            (1) In general.--The Secretary shall conduct an 
        individualized review of each noncitizen detained pursuant to 
        subsection (b)(2) not less frequently than weekly to determine 
        whether such noncitizen continues to be subject to detention 
        under such subsection. Each such review shall be completed 
        within 72 hours after being initiated.
            (2) Release.--Not later than 24 hours after the Secretary 
        determines pursuant to paragraph (1) that a pregnant noncitizen 
        is no longer subject to detention under subsection (b)(2), the 
        noncitizen shall be released from the facility in which the 
        noncitizen had been detained in accordance with safe release 
        standards. In carrying out such release, an officer at such 
        facility shall--
                    (A) prepare the noncitizen's complete medical 
                records, medications, and any supplies required to 
                maintain the noncitizen's state of health until the 
                noncitizen can be seen by a community health 
                professional; and
                    (B) communicate with the noncitizen's attorney of 
                record, sponsor, or any post-release service provider 
                as soon as details of the noncitizen's planned release 
                are available.

SEC. 4. HUMANE TREATMENT OF PREGNANT DETAINED NONCITIZENS WHILE IN 
              DETENTION AND CUSTODY.

    (a) Prohibition on Restraint of Pregnant Detained Noncitizens.--
            (1) Prohibition.--Except as provided in paragraph (2), 
        restraints may not be used on a noncitizen who is in the 
        physical custody of the Department of Homeland Security, 
        including during transport, if the noncitizen is known to be--
                    (A) pregnant, including during labor and delivery;
                    (B) lactating; or
                    (C) postpartum.
            (2) Exceptions.--
                    (A) In general.--Notwithstanding paragraph (1), and 
                subject to subparagraph (B), use of a restraint on a 
                detained noncitizen described in paragraph (1) may be 
                permitted only in an extraordinary circumstance, except 
                in the case of a medical contraindication, in which the 
                facility administrator has ordered the use of the 
                restraint after making an individualized determination 
                that--
                            (i) credible, reasonable grounds exist to 
                        believe the detained noncitizen poses an 
                        immediate and serious risk of physical harm to 
                        others; or
                            (ii) reasonable grounds exist to believe 
                        the detained noncitizen presents an immediate 
                        and credible risk of escape that cannot be 
                        reasonably minimized through any other method.
                    (B) Requirement for least restrictive restraints.--
                In the rare event of an extraordinary circumstance 
                described in subparagraph (A), only the least 
                restrictive restraint necessary shall be used, except 
                that--
                            (i) if a doctor, nurse, or other health 
                        professional treating a detained noncitizen 
                        requests that a restraint not be used, the 
                        detention officer accompanying the detained 
                        noncitizen shall immediately remove any 
                        restraint; and
                            (ii) under no circumstance shall--
                                    (I) a leg, waist, or 4-point 
                                restraint be used;
                                    (II) a wrist restraint be used to 
                                bind the hands of such a detained 
                                noncitizen behind the back of the 
                                detained noncitizen or to another 
                                individual;
                                    (III) a detained noncitizen be 
                                restrained in a face-down position or 
                                on their back; or
                                    (IV) any restraint be used on any 
                                detained noncitizen who is in labor or 
                                delivering.
            (3) Record of extraordinary circumstances.--
                    (A) Requirements.--If a restraint is used on a 
                detained noncitizen pursuant to paragraph (2)(A), not 
                later than 5 days after the date on which the restraint 
                was used, the facility administrator shall--
                            (i) record in writing the finding that 
                        describes the medical purpose or extraordinary 
                        circumstance that dictated the use of the 
                        restraint; and
                            (ii) submit the finding to the Director.
                    (B) Retention.--
                            (i) Facility.--With respect to a written 
                        finding under subparagraph (A)(i), the facility 
                        administrator shall--
                                    (I) keep the finding on file at the 
                                applicable facility for not less than 5 
                                years after the date on which the 
                                restraint was used; and
                                    (II) make a copy of the finding 
                                available for public inspection on 
                                request, only after making appropriate 
                                redactions so as to protect personally 
                                identifiable information.
                            (ii) U.S. immigration and customs 
                        enforcement.--The Director shall maintain a 
                        written finding submitted to the Director 
                        pursuant to subparagraph (A)(ii) and make such 
                        finding available for public inspection only 
                        after making appropriate redactions to protect 
                        personally identifiable information.
    (b) Prohibition on Presence of Nonmedical Staff.--
            (1) In general.--Except as provided in paragraph (2), 
        nonmedical staff may not be present in a room in which a pelvic 
        or breast exam, labor, delivery (whether vaginal or by cesarean 
        delivery), or treatment of any other symptom relating to a 
        pregnancy of a detained noncitizen is occurring unless their 
        presence is specifically requested by medical personnel and 
        only for a duration that is actually required to fulfill such 
        request.
            (2) Exception.--If the presence of nonmedical staff is 
        requested by medical personnel, the nonmedical staff shall--
                    (A) be of the detained noncitizen's gender of 
                choice, if practicable; and
                    (B) remain at a reasonable distance from the 
                detained noncitizen and face toward the detained 
                noncitizen's head to protect the privacy of the 
                detained noncitizen.
            (3) Use of restraints.--If a restraint is used on a 
        detained noncitizen pursuant to subsection (a)(2)(A), an 
        employee of the Department of Homeland Security shall remain 
        immediately outside the room at all times so that the employee 
        may promptly remove the restraint if requested by medical 
        personnel pursuant to subsection (a)(2)(B)(i).
    (c) Access to Services.--
            (1) U.S. immigration and customs enforcement custody.--A 
        detained noncitizen in the custody of U.S. Immigration and 
        Customs Enforcement shall have access to health care services, 
        including comprehensive counseling and services relating to 
        reproductive health care and pregnancy, including--
                    (A) routine and specialized prenatal care, 
                including adequate nutrition and exercise, HIV testing 
                and treatment, and prenatal vitamins and vaccines;
                    (B) labor and delivery;
                    (C) treatment for complications from pregnancy;
                    (D) substance use disorder treatment;
                    (E) postpartum physical and mental health care, 
                including postpartum reversible contraceptive methods;
                    (F) no-cost supply of menstrual hygiene products;
                    (G) lactation services; and
                    (H) family planning, continuation of pre-detention 
                contraceptive methods, and abortion services.
            (2) U.S. customs and border protection custody.--The 
        Commissioner shall ensure that minimum standards of care are 
        met for pregnant detained noncitizens who are in the custody of 
        U.S. Customs and Border Protection.
    (d) Requirement for Informed Medical Consent.--Services described 
in subsection (c)(1) may not be performed on a detained noncitizen 
until the provider of such services obtains informed consent from the 
noncitizen. Medical treatment may not be administered to a detained 
noncitizen against such noncitizen's will.
    (e) Medical Center Arrangements.--Each facility administrator shall 
maintain--
            (1) an arrangement with the nearest maternity hospital and 
        ensure facility staff know where to take pregnant detained 
        noncitizens in case of emergency; and
            (2) a policy to ensure the provision of proper care if a 
        detained noncitizen cannot be moved with immediacy to a medical 
        center.

SEC. 5. NOTICE OF RIGHTS AND TRAINING.

    (a) Notice of Detained Noncitizen Rights.--The Secretary shall 
provide to each detained noncitizen, in a language or manner that such 
noncitizen can understand, notice of the detained noncitizen's rights 
under this Act.
    (b) Training for Department of Homeland Security Employees.--At the 
time of hiring, and annually thereafter, the Secretary shall provide 
training regarding the requirements under this Act to each employee of 
the Department of Homeland Security who is involved in the detention or 
care of a pregnant detained noncitizen or a postpartum parent of a 
newborn who is being detained pursuant to chapter 4 of title II of the 
Immigration and Nationality Act (8 U.S.C. 1221 et seq.).

SEC. 6. REPORTS; RULEMAKING.

    (a) Reports.--
            (1) Reports by facility administrators.--Not later than 30 
        days after the end of each calendar quarter, the facility 
        administrator of each detention facility in which 1 or more 
        pregnant noncitizens were detained during such quarter shall 
        submit a written report to the Secretary that includes, with 
        respect to the facility during such quarter--
                    (A) an account of every instance of the use of a 
                restraint on a pregnant detained noncitizen during 
                pregnancy, labor, or postpartum recovery, including--
                            (i) the type of restraint;
                            (ii) the justification for the use of such 
                        restraint; and
                            (iii) the name of the facility 
                        administrator who made the individualized 
                        determination pursuant to section 4(a)(2)(A);
                    (B) the number of pregnant noncitizens held at such 
                facility