; (II) additional incentive modifications are needed to achieve or maintain the goal, including pay differentials; and (III) the 10 percent goal is properly scoped to materially contribute to the preservation of life and the effectiveness and efficiency of U.S. Border Patrol operations, including whether the number is too high or too low. ; and (B) in subsection (r), by striking section, the terms and inserting the following: section— (1) the term child means any individual who has not reached 18 years of age; and (2) the terms . (2) Authorization of appropriations There are authorized to be appropriated such sums as may be necessary to carry out section 411(l)(2) of the Homeland Security Act of 2002, as added by paragraph (1). (e) Identifying and treating individuals experiencing medical distress (1) Online training (A) In general Beginning on the date that is 90 days after the date of the enactment of this Act, the Commissioner of U.S. Customs and Border Protection shall require all U.S. Border Patrol agents, including agents with EMT or paramedic certification, to complete an online training program that meets nationally recognized standards for the medical care of children to enable U.S. Border Patrol agents— (i) to identify common signs of medical distress in children