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GAO-09-308R 1 (2009-02-23)

handle is hein.gao/gaobaanme0001 and id is 1 raw text is: I GA 0 V M Accountability * Integrity * Reliability United States Government Accountability Office Washington, DC 20548 February 23, 2009 The Honorable Robert C. Byrd Chairman Subcommittee on Homeland Security Committee on Appropriations United States Senate The Honorable David Price Chairman Subcommittee on Homeland Security Committee on Appropriations House of Representatives Subject: DHS: Organizational Structure and Resources for Providing Health Care to Immigration Detainees Recent events have drawn attention to the health care provided to detainees held by U.S. Immigration and Customs Enforcement (ICE), a component of the Department of Homeland Security (DHS).' For fiscal year 2004 through fiscal year 2007, ICE reported that 69 detainees died while in ICE custody, and during 2008, national news organizations investigated and published reports of the circumstances surrounding several detainee deaths. Other reports have also outlined concerns about the health care provided to detainees. For example, in 2007, the DHS Office of the Inspector General (OIG) found problems with adherence to ICE's medical standards at two ICE facilities it reviewed where detainee deaths had occurred.2 Additionally, members of Congress, the media, and advocacy groups have raised questions about the health care provided to detainees in ICE custody. An explanatory statement accompanying the fiscal year 2009 DHS appropriations act directed ICE to fund an independent, comprehensive review of the medical care provided to persons detained by DHS and identified $2 million for that purpose.' 'Under the Immigration and Nationality Act, ICE is authorized to arrest, detain, and remove certain individuals from the United States. 8 U.S.C. §§ 1226, 1227, 1229, 1229a, 1231, and 1357. We refer to these individuals as detainees. 2Department of Homeland Security, Office of the Inspector General, ICE Policies Related to Detainee Deaths and the Oversight of Immigration Detention Facilities (Washington, D.C.: June 2008). 3See Comm. Print of the Comm. on Approp., U.S. House of Rep., Explanatory Statement related to the Consolidated Security, Disaster Assistance, and Continuing Appropriations Act, 2009, Pub. L. No. 110-329, Div. D., p. 636 (Oct. 2008). Section 4 of Pub. L. No. 110-329 provides that the Explanatory Statement shall have the same effect with respect to the allocation of funds and the implementation of the act as if it were a joint explanatory statement of a committee of conference. GAO-09-308R DHS Resources for ICE Detainee Health Care

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