S. 1914 (119th)Bill Overview

Andrew Kearse Accountability for Denial of Medical Care Act of 2025

Crime and Law Enforcement|Crime and Law Enforcement
Cosponsors
Support
Democratic
Introduced
May 22, 2025
Discussions
Bill Text
Current stageCommittee

Read twice and referred to the Committee on the Judiciary.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

The bill makes it a federal criminal offense for certain federal law enforcement, Bureau of Prisons, and U.S. Marshals Service officials to negligently fail to obtain or provide immediate medical attention to someone in federal custody who is displaying medical distress, if that failure causes unnecessary pain, injury, or death. Penalties include fines and up to one year imprisonment.

Why people may split

Accountability vs. criminalizing split-second law-enforcement decisions

Watch point

Relative to its intended legislative type, this bill creates a clear substantive offense and basic enforcement channels but provides only moderate operational detail and no fiscal resourcing, resulting in partial fit between ambition and execution.

The bill makes it a federal criminal offense for certain federal law enforcement, Bureau of Prisons, and U.S. Marshals Service officials to negligently fail to obtain or provide immediate medical attention to someone in federal custody who is displaying medical distress, if that failure causes unnecessary pain, injury, or death.

Penalties include fines and up to one year imprisonment.

The bill requires Inspectors General to investigate such incidents, refer negligent cases for prosecution, establish confidential complaint processes, and mandates agency-provided training on responding to medical distress.

Passage40/100

Technically focused and limited, improving chances, but potential opposition from law enforcement and Senate procedure reduce overall odds.

CredibilityPartially aligned

Relative to its intended legislative type, this bill creates a clear substantive offense and basic enforcement channels but provides only moderate operational detail and no fiscal resourcing, resulting in partial fit between ambition and execution.

Contention70/100

Accountability vs. criminalizing split-second law-enforcement decisions

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Federal agenciesFederal agencies

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Federal agenciesMay reduce deaths and serious injuries among people held in federal custody by promoting prompt medical care.
  • Potential benefitCreates formal accountability through criminal penalties and mandated Inspector General investigations.
  • Federal agenciesEnables state attorneys general to seek federal equitable or declaratory relief on behalf of residents.
Likely burdened
  • Potential burdenCriminalizing negligent failures may create hesitation or defensive behavior by officers in emergencies.
  • Federal agenciesAdds investigative and administrative workload for Inspectors General and agency compliance functions.
  • Federal agenciesCould increase litigation and oversight costs for federal agencies, including training and policy changes.
03 · Why people split

Why the argument around this bill splits.

Accountability vs. criminalizing split-second law-enforcement decisions
Progressive90%

Supports the bill as a necessary accountability measure to prevent deaths and suffering in federal custody and to ensure medical care.

Sees mandated IG investigations, confidential complaint processes, and training as constructive reforms.

Might want stronger civil remedies and clearer implementation funding.

Leans supportive
Centrist70%

Generally favorable as a targeted, accountability-focused reform, but cautious about legal clarity and implementation burdens.

Sees value in IG oversight and training, while wanting clearer standards, due-process safeguards, and funding for compliance.

Leans supportive
Conservative20%

Likely skeptical or opposed, viewing the bill as criminalizing split-second decisions and expanding federal liability for front-line officers.

Concerned it will undermine law enforcement discretion, recruitment, and operational effectiveness.

Likely resistant
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood40/100

Technically focused and limited, improving chances, but potential opposition from law enforcement and Senate procedure reduce overall odds.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • No official cost estimate or budgetary offsets included
  • Vagueness about 'medical distress' and 'negligently' may invite legal challenges
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Accountability vs. criminalizing split-second law-enforcement decisions

Technically focused and limited, improving chances, but potential opposition from law enforcement and Senate procedure reduce overall odds.

Unlocked analysis

Relative to its intended legislative type, this bill creates a clear substantive offense and basic enforcement channels but provides only moderate operational detail and no fiscal resourcing, resulting in partial fit be…

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
Open full analysis