This bill, titled the Andrew Kearse Accountability for Denial of Medical Care Act of 2025, establishes a requirement for Federal law enforcement and prison officials to obtain or provide immediate medical attention to individuals in their custody who display medical distress. It defines "covered officials" to include Federal law enforcement officers, Bureau of Prisons employees, and U.S. Marshals Service personnel. Negligently failing to provide such attention, if it results in unnecessary pain, injury, or death for the individual, would constitute an unlawful offense punishable by fines, imprisonment for up to one year, or both. The legislation also mandates that the appropriate Inspector General investigate instances where a covered official's failure to provide medical attention leads to unnecessary pain, injury, or death, referring cases of negligence for prosecution. Agencies employing these officials must establish confidential complaint processes and provide training on how to obtain or provide medical assistance to individuals in distress. Additionally, State attorneys general are empowered to bring civil actions in federal court if a resident has been aggrieved by a violation of this requirement.