S. 5394Senate118th Congress (2023-2025)In Committee

Andrew Kearse Accountability for Denial of Medical Care Act of 2024

Introduced November 21, 2024

AI-Generated Summary

Updated January 20, 2026 at 8:06 PM UTC

The Andrew Kearse Accountability for Denial of Medical Care Act creates a federal offense that requires law‑enforcement officers, Bureau of Prisons staff, and U.S. Marshals to provide immediate medical care to anyone in federal custody who shows medical distress, such as breathing difficulties. It imposes fines and up to one year in prison for officials who negligently fail to do so and lets state attorneys general bring civil actions for violations. The bill also mandates Inspector General investigations, a confidential complaint process, and required training for covered officials.

Key Provisions

  • Defines “covered official” as federal law‑enforcement officers, Bureau of Prisons employees, and U.S. Marshals, and defines “medical distress” to include breathing problems.
  • Makes it unlawful for a covered official to negligently fail to obtain or provide immediate medical attention to a person in custody who is in medical distress, if the failure causes unnecessary pain, injury, or death.
  • Sets penalties for violations: a fine, imprisonment of up to one year, or both.
  • Allows a state attorney general, with reasonable cause, to file a civil suit in federal court for equitable and declaratory relief.
  • Requires the appropriate Inspector General to investigate any such failure and, if negligence is found, refer the case to the Attorney General for prosecution.
  • Mandates that agencies establish a confidential complaint process for reporting incidents and that agency heads provide training to covered officials on providing medical assistance.

Legislative Activity

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SenateIntro Referral Latest Action

Read twice and referred to the Committee on the Judiciary.

November 21, 2024

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SenateIntro Referral

Introduced in Senate

November 21, 2024

SenateIntro Referral

Read twice and referred to the Committee on the Judiciary.

November 21, 2024

Bill Text

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Introduced in SenateIssued November 21, 2024

II

118th CONGRESS

2d Session

S. 5394

IN THE SENATE OF THE UNITED STATES

November 21, 2024

Ms. Warren (for herself, Mr. Markey, Mr. Sanders, Mr. Blumenthal, Mr. Merkley, and Ms. Hirono) introduced the following bill; which was read twice and referred to the Committee on the Judiciary

A BILL

To require Federal law enforcement and prison officials to obtain or provide immediate medical attention to individuals in custody who display medical distress.

1.

Short title

This Act may be cited as the Andrew Kearse Accountability for Denial of Medical Care Act of 2024.

2.

Medical attention for individuals in Federal custody displaying medical distress

(a)

In general

Chapter 13 of title 18, United States Code, is amended by adding at the end the following:

251.

Medical attention for individuals in Federal custody displaying medical distress

(a)

Definitions

In this section—

(1)

the term appropriate Inspector General, with respect to a covered official, means—

(A)

the Inspector General of the Federal agency that employs the covered official; or

(B)

in the case of a covered official employed by a Federal agency that does not have an Inspector General, the Inspector General of the Department of Justice;

(2)

the term covered official means—

(A)

a Federal law enforcement officer (as defined in section 115);

(B)

an officer or employee of the Bureau of Prisons; or

(C)

an officer or employee of the United States Marshals Service; and

(3)

the term medical distress includes breathing difficulties.

(b)

Requirement

(1)

Offense

It shall be unlawful for a covered official to negligently fail to obtain or provide immediate medical attention to an individual in Federal custody who displays medical distress in the presence of the covered official, if the individual suffers unnecessary pain, injury, or death as a result of that failure.

(2)

Penalty

A covered official who violates paragraph (1) shall be fined under this title, imprisoned for not more than 1 year, or both.

(3)

State civil enforcement

Whenever an attorney general of a State has reasonable cause to believe that a resident of the State has been aggrieved by a violation of paragraph (1) by a covered official, the attorney general, or another official, agency, or entity designated by the State, may bring a civil action in any appropriate district court of the United States to obtain appropriate equitable and declaratory relief.

(c)

Inspector General investigation

(1)

In general

The appropriate Inspector General shall investigate any instance in which—

(A)

a covered official fails to obtain or provide immediate medical attention to an individual in Federal custody who displays medical distress in the presence of the covered official; and

(B)

the individual suffers unnecessary pain, injury, or death as a result of the failure to obtain or provide immediate medical attention.

(2)

Referral for prosecution

If an appropriate Inspector General, in conducting an investigation under paragraph (1), concludes that the covered official acted negligently in failing to obtain or provide immediate medical attention to the individual in Federal custody, the appropriate Inspector General shall refer the case to the Attorney General for prosecution under this section.

(3)

Confidential complaint process

The Inspector General of a Federal agency that employs covered officials shall establish a process under which an individual may confidentially submit a complaint to the Inspector General regarding an incident described in paragraph (1) involving a covered official employed by the Federal agency (or, in the case of the Inspector General of the Department of Justice, involving a covered official employed by a Federal agency that does not have an Inspector General).

(d)

Training

The head of an agency that employs covered officials shall provide training to each such covered official on obtaining or providing medical assistance to individuals in medical distress.

.

(b)

Technical and conforming amendment

The table of sections for chapter 13 of title 18, United States Code, is amended by adding at the end the following:

251. Medical attention for individuals in Federal custody displaying medical distress.

.