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U. S. Depaftment of Justice United States Marshals Service Modification of Intergovernmental Agreement Agreement Number: 8s-10-0004 Page f of 5 a 16. The Local Government shall provide prisoners witlr reasonable opportunities to pa$icipate in religious pr.actices, exercise. and access to mail, telephones, personal legal materials and legal reference materials or confidential counsel. 17. The Local Government shall maintain a grievance program with at least one level of appeal. The grievance procedures shall be made available to prisoners Medical Services l. The Local Governtnent shall maintain written procedures that describe actiorrs taken in the event of a prisoner's death, assault, or medical emergency to include notification to the USMS. 2. The Local Governrnent shall provide a rnedical and mental health screening upon admission to the Facility. The Local Government shall inform prisoners how to access hearth services. 3. The Locul Government shall notify the local USMS district off ce of aryt infectiotts clisease outbreak4. The Facility is encouraged to purchase non-OTC medications for USMS prisoners through the USMS' National Managed Care Contmct (NMCC) Discount pharmacy program. 5. The USMS will not reimburse the detention facility for medical payments made on behalf of USMS prisoners in the absence of a specific arrangement approved in rvriting by the USMS. 6. The Facility shallhave in place an adequate infectious disease control pmgram which includes testing of allFederal prisoners for Tuberculosis (TB) in accordance with National Canunission on Correctional Health Care (NCCHC) Standardsfor Health Service.s in Jails. TB testing shall occur with l4 days of intake (unless current TB tests results are available), be prornptly documettted in the Federal prisoner"s medical record and the results forwarded to the local USMS District within thirty (30) days of intake. Special requests lor expedited TB testing and clearance (to incltrde time sensitive moves) shall be accomplished through advance coordination by the Federal Government and Local Govemment. 7 ' The Local Government shall immediately notiS the Federal Covernment to include the local district office of any cases of suspected or active TB or any other highly comrnrinicable diseases such as but not limited to Coronavirus Disease (COVID), severe acute respiratory syndrome (SARS), Avian Flu, Methicillin-Resistant Staphylococcus Aureus (MRSA), Chicken Pox, etc., which might affect sclieduled transports or productions, 8' Irrdigent Federal prisoners shall not be denied medical evaluation and treatment for failLrre to provide a co-payment Optional Guard/Transportation Services to/from Medical Facility I ' The Local Government agrees to provide additional personnel if requested by the USMS to enhance specific reqttirements for security, prisoner monitoring. and contraband control. Fedelal prisoners al.e not permitted to use the telephone, internet or WIFI enabled devices, or to receive outside food, drinks, or deliveries (including flowers) without consent fi'om the USMS, The Local Government shall restrain Federal prisoners by attaching at least one extremify to the hospital bed, stretcher, or chair at all times r.vhen medically possible. pregnant or postpartum prisoners should not be restrained. Postpartum is the twelve-week periocl following childbirth. miscarriage, or abortion. See First Step Act provision for more information. a