; (2) indicators of physical and mental illness, and medical distress in children and adults; (3) indicators of child sexual exploitation and effective responses to missing migrant children; and (4) procedures to report incidents of suspected child sexual abuse and exploitation directly to the National Center for Missing and Exploited Children. 8. Interfacility transfer of care (a) Transfer When a detainee is discharged from a medical facility or emergency department, the Commissioner shall ensure that responsibility of care is transferred from the medical facility or emergency department to an accepting licensed health care provider of CBP. (b) Responsibilities of accepting providers Such accepting licensed health care provider shall review the medical facility or emergency department’s evaluation, diagnosis, treatment, management, and discharge care instructions to assess the safety of the discharge and transfer and to provide necessary follow-up care. 9. Planning and initial implementation (a) Planning Not later than 60 days after the date of enactment of this Act, the Secretary of Homeland Security shall submit to Congress a detailed plan delineating the timeline, process, and challenges of carrying out the requirements of this Act. (b) Implementation The Secretary of Homeland Security shall ensure that the requirements of this Act are implemented not later than 6 months after the date of enactment. 10. Contractor compliance The Secretary of Homeland Security shall ensure that all personnel contracted to carry out this Act do so in accordance with the requirements of this Act. 11. Inspections (a) In general The Inspector General of the Department of Homeland Security shall— (1) conduct unannounced inspections of ports of entry, border patrol stations, and detention facilities administered by CBP or contractors of CBP