A Government Accountability Office report found that people held in ICE detention centers and federal prisons face inconsistent access to menstrual products despite federal policies requiring them. Investigators found some facilities limit detainees to as few as 12 to 20 pads or tampons per month, often of poor quality, forcing some to use rags, toilet paper, or mattress filling, or to bleed through their clothing. The GAO recommended that ICE clarify its detention standards on menstrual products, but the agency declined, saying its standards are meant to provide facilities with flexibility.