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GAO-23-106350 1 (2023-01-09)

handle is hein.gao/gaooca0001 and id is 1 raw text is: The Big Picture needs was difficult. But ICE had rapidly increased its n umbe I fl. u.I~ ar.I anteed JIII.IIU~ a men I wito U e. UILU ICE detains tens of thousands of noncitizens each year in facilities nation-wide. This includes individuals from many different countries who have unique personal, medical, and other needs. In fiscal year 2021, Congress appropriated around $2.8 billion for ICE to operate the immigration detention system. What GAO's Work Shows GAO has evaluated ICE's immigration detention policies, facility management, and efforts to ensure safe and humane conditions for the detained noncitizens in its custody. As a result of this work, GAO has made recommendations related to improving ICE's efforts and holding its facilities accountable for meeting national deenion standards. ICE has addressed some of these recommendations. But as of January 2023, several of them remain unaddressed, as discussed below. 1. Improving Policies and Facility Management ICEi ' n 'aclitie for compliance with detention standards, such as whether detained individuals are receiving adequate medical care and if facilities are sufficiently clean. However, ICE does not analyze its inspection findings to identify trends in noncompliance, which makes it difficult for ICE to focus resources on the areas needing improvement. > We recommended that ICE regularly analyze facility inspection data to identify and address trends. ICE increased the number of guara-'ed minimum payments in its contracts and agreements, committing millions of dollars a month to detention beds regardless of whether the beds are used. ICE officials said that planning for fluctuating detention g p Y gy for how many beds it needs. > We recommended that ICE take a strategic approach to using guaranteed minimums. 2. Ensuring Safe and Humane Conditions For medical care provided at its facilities, ICE has policies for obtaining and documenting informed consent. This involves a medical care provider speaking to the patient about a procedure's risks, benefits, and alternatives. But when a detained person needs more invasive services and is treated at an offsite clinic or hospital, ICE's policies do not require facilities to collect copies of documentation of informed consent for care at these facilities. Such a requirement could help ensure detained individuals make informed choices about their medical care. Medical staff and detained noncitizen Source: ICE Health Service Corps | GAO-23-106350 GAO-23-106350 Immigration Detention

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