This bill aims to improve conditions and increase transparency in immigration detention facilities by mandating new reporting requirements. It requires each facility detaining noncitizens for over four hours to establish an internet-accessible, real-time reporting system for detainee health conditions, including medical, dental, and mental health concerns. This system must document disease or injury reports, diagnoses, prescribed treatments, and their outcomes, with mandatory staff training.

The legislation also mandates the Secretary of Homeland Security to create an anonymous, multilingual system for detainees to report health concerns via secure digital kiosks or toll-free hotlines. Any retaliation against a reporter, such as harassment or solitary confinement, must be investigated by the DHS Inspector General or the Immigration Detention Ombudsman within 14 days, with the complainant receiving a detailed report. Furthermore, if a facility receives a third verified health concern complaint, the Secretary must determine whether to terminate its operating contract and publish that decision.

To ensure ongoing accountability, the bill requires the DHS Inspector General to conduct annual audits of health conditions at each facility, specifically reviewing gender-related health protections like menstrual care and pregnancy outcomes, and report findings to Congress. Each facility must also employ a full-time health services liaison to coordinate care and serve as a point of contact for the Inspector General. Finally, the Secretary of Homeland Security must publish and submit quarterly reports on detainee health conditions and complaints to Congress, while also ensuring unimpeded access for Members of Congress and their designated staff to conduct oversight without prior notice or facility modifications.