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U. S. Department of Justice <br />United States Marshals Service <br />Modification of Intergovernmental Agreement <br />Agreement Number: Page 3 of 5 <br />12-94-0006 <br />16. The Local Government shall provide prisoners with reasonable opportunities to participate in religious practices, <br />exercise, and access to mail, telephones, personal legal materials and legal reference materials or confidential <br />counsel. <br />17. The Local Government shall maintain a grievance program with at least one level of appeal. The grievance <br />procedures shall be made available to prisoners <br />• Medical Services <br />1. The Local Government shall maintain written procedures that describe actions taken in the event of a prisoner's <br />death, assault, or medical emergency to include notification to the USMS. <br />2. The Local Government shall provide a medical and mental health screening upon admission to the Facility. The <br />Local Government shall inform prisoners how to access health services. <br />3. The Local Government shall notify the local USMS district office of quy infectious disease outbreak <br />4. The Facility is encouraged to purchase non -OTC medications for USMS prisoners through the USMS' National <br />Managed Care Contract (NMCC) Discount Pharmacy Program. <br />5. The USMS will not reimburse the detention facility for medical payments made on behalf of USMS prisoners in the <br />absence of a specific arrangement approved in writing by the USMS. <br />6. The Facility shall have in place an adequate infectious disease control program which includes testing of all Federal <br />prisoners for Tuberculosis (TB) in accordance with National Commission on Correctional Health Care (NCCHQ <br />Standards for Health Services in Jails. TB testing shall occur with 14 days of intake (unless current TB tests results <br />are available), be promptly documented in the Federal prisoner's medical record and the results forwarded to the <br />local USMS District within thirty (30) days of intake. Special requests for expedited TB testing and clearance (to <br />include time sensitive moves) shall be accomplished through advance coordination by the Federal Government and <br />Local Government. <br />7. The Local Government shall immediately notify the Federal Government to include the local district office of any <br />cases of suspected or active TB or any other highly communicable diseases such as but not limited to Coronavirus <br />Disease (COVID), severe acute respiratory syndrome (SARS), Avian Flu, Methicillin-Resistant Staphylococcus <br />Aureus (MRSA), Chicken Pox, etc., which might affect scheduled transports or productions. <br />8. Indigent Federal prisoners shall not be denied medical evaluation and treatment for failure to provide a co -payment <br />• Optional Guard/Transportation Services to/from Medical Facility <br />1. The Local Government agrees to provide additional personnel if requested by the USMS to enhance specific <br />requirements for security, prisoner monitoring, and contraband control. Federal prisoners are not permitted to use <br />the telephone, internet or WIFI enabled devices, or to receive outside food, drinks, or deliveries (including flowers) <br />without consent from the USMS. The Local Government shall restrain Federal prisoners by attaching at least one <br />extremity to the hospital bed, stretcher, or chair at all times when medically possible. Pregnant or postpartum <br />prisoners should not be restrained. Postpartum is the twelve -week period following childbirth, miscarriage, or <br />abortion. See First Step Act provision for more information. <br />