,,ii  #aad? ,,congress  #b;d ,session   
,s4 #bidh  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ah1 #bjaf ,mrs4  
,murray 7= h]self1 ,mrs4 ,%ahe51 ,mrs4  
,mc,caskill1 ,mrs4 ,gillibr&1 ,ms4      
,baldw91 ,mrs4 ,box]1 ,mr4 ,blum5?al1   
,mr4 ,b5net1 & ,mr4 ,wyd57 introduc$ !  
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to plan1
 develop1 & make recomm5dations to      
increase access to sexual assault       
exam9ations = survivors by hold+        
hospitals acc\ntable & support+ !       
provid]s t s]ve !m4  #a4 ,%ort title    
,?is ,act may be cit$ z ! ,survivors'   
,access to ,supportive ,c>e ,act or     
,,sasca4  #b4 ,purpose ,x is ! purpose (
 ?is ,act to increase access to m$ical  
=5sic sexual assault exam9ations &      
treatm5t provid$ by sexual assault =5sic
 exam9]s = survivors by id5tify+ &      
address+ gaps 9 obta9+ ^? s]vices4  #c4 
,def9itions ,9 ?is ,act3 7a7 ,t]ms      
relat+ to ,,gao report ,9 ?is ,act1 !   

foll[+ t]ms %all1 ) respect to hospitals
 t receive ,f$]al funds1 h ! mean+s giv5
 su* t]ms 9 ! report ( ! ,gov]nm5t      
,acc\ntability ,(fice entitl$ ,in=mation
 on ,tra9+1 ,fund+1 & ! ,availability ( 
,=5sic ,exam9]s 7,,gao-#af-ccd3         
,publi%$3 ,m> #ah1 #bjaf73  7#a7 ,,mfe  
,! t]m m$ical =5sic exam9ation or ,,mfe4
  7#b7 ,,safe ,! t]m sexual assault     
=5sic exam9] or ,,safe4  7#c7 ,,sane ,! 
t]m sexual assault nurse exam9] or      
,,sane4  7#d7 ,,s>t ,! t]m sexual       
assault response team or ,,s>t4  7b7    
,o!r t]ms ,9 ?is ,act3 7#a7 ,secret>y ,!
 t]m ,secret>y means ! ,secret>y (      
,heal? & ,human ,s]vices4  7#b7 ,sexual 
assault ,! t]m sexual assault has !     
mean+ giv5 su* t]m by ! ,f$]al ,bureau (
 ,inve/igation 9 ! ,uni=m ,crime        
,report+ ,program's ,summ>y ,report+    
,sy/em4  ,i ,/r5g!n+ ! ,sexual ,assault 
,exam9] ,work=ce  #aja4 ,und]/&+ sexual 
assault c>e  7a7 ,purpose ,x is !       
purpose ( ?is section to id5tify areas =
 improvem5t 9 heal? c>e deliv]y sy/ems  

provid+ s]vices to survivors ( sexual   
assault4  7b7 ,grants ,! ,secret>y may  
aw>d grants to ,/ate gov]nm5ts = !      
developm5t & implem5tation ( ,/ate      
surveys on heal? c>e provid] access =   
sexual assault =5sic exam9ation s]vices 
to id5tify--  7#a7 ,/ate requirem5ts1   
m9imum /&>ds1 & protocols = tra9+ sexual
 assault exam9]s2  7#b7 ,/ate           
requirem5ts1 m9imum /&>ds1 & protocols =
 tra9+ non-,,sane_/,,safe em]g5cy       
s]vices p]sonnel involv$ 9 sexual       
assault m$ical =5sic exam9ations2  7#c7 
! availability (1 & pati5t access to1   
tra9$ ,,safe1 ,,sane1 & o!r provid]s :o 
p]=m su* exam9ations2  7#d7 regional1   
provid]1 or o!r b>ri]s to access sexual 
assault c>e & s]vices2  7#e7 ! d$icat$  
,f$]al & ,/ate fund+ to support         
,,safe_/,,sane tra9+2  7#f7 fund+       
opportunities = ,,sane_/,,safe tra9+ &  
cont9u+ education2  7#g7 bill+ &        
reimbursem5t practices = m$ical =5sic   
exam9ations includ+ private heal?       
insurance1 ,m$ic>e1 ,m$icaid1 ! ,/ate's 

victims comp5sation program & any o!r   
crime fund+ or special s\rces ( fund+ t 
contribute to paym5t = su* exam9ations2 
7#h7 an assessm5t ( :i* hospitals &     
,/ates are n 9 compliance ) ,f$]al law1 
are n provid+ survivors ( sexual assault
 = _! m$ical =5sic exam9ation or sexual 
assault exam9ation1 & :i* are bill+ su* 
survivors = su* s]vices2 &  7#i7 !      
availability ( ,,safe_/,,sane tra9+1    
frequ5cy ( :i* tra9+ is conv5$1 !       
provid]s ( su* tra9+1 :at 7if any7 is ! 
,/ate's role 9 su* tra9+1 & :at process 
or proc$ures are 9 place = cont9u+      
education ( su* exam9]s4  7c7           
,eligibility ,to be eligible to receive 
a grant "u ?is section1 an entity %all--
 7#a7 be a ,/ate ) public1 private1 &   
non-pr(it hospitals t receive ,f$]al    
fund+2 &  7#b7 submit to ! ,secret>y an 
application ?r\gh a competitive process 
to be det]m9$ by ! ,secret>y4  7d7      
,public dissem9ation & campaign  7#a7   
,public availability ,! results ( !     
surveys conduct$ "u grants "u ?is       

section %all be publi%$ by ! ,secret>y  
on ! ,int]net website ( ! ,dep>tm5t (   
,heal? & ,human ,s]vices on a bi5nial   
basis4  7#b7 ,campaigns ,an entity t    
receives a grant "u ?is section %all--  
7,a7 make ! f9d+s ( ! survey conduct$ "u
 ! grant public2  7,b7 develop policies1
 be/ practices recomm5dations1 & an     
action plan to increase access to       
,,safe_/,,sane2 &  7,c7 utilize su*     
f9d+s to develop & implem5t a public    
aw>5ess campaign to improve pati5t      
access to s]vices & provid]s1 & improve 
hospital & /akehold] practices1 )       
respect to sexual assault =5sic         
exam9ations4  7e7 ,au?orization (       
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section1    
#b1jjj1jjj = ea* ( fiscal ye>s #bjag    
?r\gh #bjai4  #ajb4 ,improv+ & /r5g!n+ !
 sexual assault exam9] work=ce pilot    
program  7a7 ,purpose ,x is ! purpose ( 
?is section to e/abli% a pilot program  
to develop1 te/1 & implem5t ,,safe tra9+
 :i* exp&s ! availability ( ,,safe1     

,,sane1 & ,,s>t provid]s = survivors (  
sexual assault4  7b7 ,eligibility ,to   
,provide s]vices ,) respect to hospitals
 t receive ,f$]al funds1 ,,safe_/,,sane 
s]vices1 & o!r =5sic m$ical exam9]      
s]vices %all be provid$ by heal? c>e    
provid]s :o are also "o ( ! foll[+3     
7#a7 ,a physician1 includ+ a resid5t    
physician4  7#b7 ,a nurse practition]4  
7#c7 ,a nurse midwife4  7#d7 ,a         
physician assi/ant4  7#e7 ,a c]tifi$    
nurse speciali/4  7#f7 ,a regi/]$ nurse4
  7#g7 ,:]e a provid] ( ! type describ$ 
9 p>agraphs 7#a7 ?r\gh 7#f7 is n        
available1 su* s]vices may be provid$ by
 an individual :o has complet$ sexual   
assault =5sic exam9] tra9+ & ma9ta9$    
cont9u+ education 9 su* tra9+1 z        
develop$ by ! ,secret>y & ! ,task ,=ce  
"u section #bja4  7c7 ,tra9+ & cont9u+  
education  7#a7 ,e/abli%m5t  7,a7 ,9    
g5]al ,n lat] ?an #a ye> aft] ! date (  
enactm5t ( ?is ,act1 ! ,secret>y1 9     
consultation ) ! ,attorney ,g5]al1 !    
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices1 !  

,c5t]s = ,disease ,control & ,prev5tion1
 ! ,heal? ,res\rces & ,s]vices          
,adm9i/ration1 ! ,indian ,heal? ,s]vice1
 ! ,(fice = ,victims ( ,crime1 ! ,(fice 
on ,wom5's ,heal?1 & ! ,dep>tm5t (      
,ju/ice ,(fice on ,viol5ce ,aga9/ ,wom51
 & ) input f national exp]ts su* z !    
,int]national ,association ( ,=5sic     
,nurses1 ! ,em]g5cy ,nurses             
,association1 ! ,rape1 ,abuse1 & ,ince/ 
,national ,network1 ! ,national         
,alliance to ,end ,sexual ,viol5ce1 !   
,national ,sexual ,viol5ce ,res\rce     
,c5t]1 & o!rs %all--  7i7 e/abli% a     
national cont9u+ & cl9ical education    
pilot program = ,s,a,f,es1 ,s,a,n,es1 & 
o!r individuals :o p]=m su* exam9ations2
 &  7ii7 develop1 pilot1 implem5t1 &    
update z appropriate cont9u+ & cl9ical  
education program modules1 web9>s1 &    
programs = all hospitals & provid]s to  
increase access to ,,sane & ,,safe      
s]vices & address ongo+ compet5cy issues
 9 ,,safe_/,,sane practice ( c>e4  7,b7 
,application ,! tra9+ & cont9u+         

education program e/abli%$ "u           
subp>agraph 7,a7 %all be available to   
all ,s,a,f,es1 ,s,a,n,es1 & o!r provid]s
 employ$ by1 or any individual provid+  
s]vices ?r\gh1 facilities t receive     
,f$]al fund+4  7#b7 ,elem5ts ,! tra9+ & 
cont9u+ education program e/abli%$ "u   
?is subsection %all require t !         
provision ( tra9+ 9 sexual assault      
m$ical =5sic exam9ations be provid$ by  
qualifi$ p]sonnel :o possess--  7,a7 !  
m9imum tra9+ requir$ to be consid]$ a   
,,safe_/,,safe describ$ 9 p>agraph 7#a72
 or  7,b7 tra9+ & cl9ical or =5sic      
exp]i5ce 9 sexual assault =5sic         
exam9ations simil> to t requir$ = a     
c]tification describ$ 9 subp>agraph 7,a7
 bas$ 9 "p on ! recomm5dations ( !      
,national ,sexual ,assault ,=5sic       
,exam9ation ,tra9+ ,/&>ds issu$ by !    
,dep>tm5t ( ,ju/ice on ,viol5ce ,aga9/  
,wom54  7#c7 ,nature ( tra9+ ,! tra9+   
provid$ "u ! tra9+ & cl9ical & cont9u+  
education program e/abli%$ "u ?is       
subsection %all incorporate & reflect   

curr5t be/ practices & /&>ds on sexual  
assault m$ical =5sic exam9ations        
consi/5t ) ! purpose describ$ 9 section 
#b1 su* z ! use ( telem$ic9e consi/5t ) 
section #bja4  7#d7 ,applicability (    
tra9+ requirem5ts  7,a7 ,9 g5]al        
,effective beg9n+ #a ye> aft] ! date ( !
 enactm5t ( ?is ,act1 a lic5s$ m$ical   
pr(essional %all n provide              
,,safe_/,,sane s]vices1 or provide any  
o!r =5sic m$ical exam9] s]vices1 unless 
! pr(essional has complet$--  7i7 all   
tra9+ requir$ "u ! tra9+ & cont9u+      
education pilot program e/abli%$ 9 ?is  
subsection2  7ii7 all tra9+ requir$ to  
be consid]$ a ,,sane by ! ,int]national 
,association ( ,=5sic ,nurses2 or  7iii7
 all tra9+ requir$ to be c]tifi$ or     
cr$5tial$ z a ,,safe_/,,sane by !       
applicable ,/ate issu+ body4  7,b7      
,cont9u$ application ( cl9ical education
 & tra9+ ,if a practic+ ,,safe_/,,sane 0
 qualifi$ or tra9$ ?r\gh a practical    
tra9+ program 7su* z ! ,int]national    
,association ( ,=5sic ,nurses ,,sane    

tra9+7 prior to ! date ( enactm5t ( ?is 
,act1 su* exam9] %all be p]mitt$ to     
cont9ue to provide s]vices z a ,,safe or
 ,,sane s long z su* exam9] meets !     
applicable cont9u+ cl9ical education    
requirem5ts4  7,c7 ,rule ( con/ruction  
,no?+ 9 ?is ,act 7or ! am5dm5ts made by 
?is ,act7 %all be con/ru$ to preempt any
 provision ( ,f$]al or ,/ate law to !   
ext5t t su* ,f$]al or ,/ate law provides
 protections = survivor's access to     
,,safe_/,,sane c>e t are great] ?an !   
protections provid$ = 9 ?is ,act 7or    
am5dm5ts74  7#e7 ,effective date  7,a7  
,9 g5]al ,! pilot program e/abli%$ "u   
?is section %all t]m9ate on ! date t is 
#b ye>s aft] ! date ( su* e/abli%m5t4   
7,b7 ,au?ority = modifications ,^u !    
expiration ( ! pilot program z provid$ =
 9 subp>agraph 7,a71 ! ,secret>y may    
implem5t modifications relat+ to tra9+ &
 cont9u+ education requirem5ts bas$ on  
su* program to increase access to ,,sane
 & ,,safe s]vices = survivors ( sexual  
assault4  7,c7 ,te*nical assi/ance ,!   

,secret>y & ! ,attorney ,g5]al %all     
provide te*nical assi/ance & guidance to
 ensure compliance ) ! requirem5ts ( ?is
 section4  7,d7 ,preemption ,no?+ 9 ?is 
section %all be con/ru$ to preempt any  
provision ( ,f$]al or ,/ate law to !    
ext5t t su* ,f$]al or ,/ate law provides
 protections = survivors ( sexual       
assault t are great] ?an ! protections  
provid$ = 9 ?is section4  #ajc4         
,national report on sexual assault      
s]vices 9 our nation's heal? sy/em  7a7 
,9 g5]al ,n lat] ?an #a ye> aft] ! date 
( enactm5t ( ?is ,act1 & annually       
!reaft]1 ! ,ag5cy = ,heal?c>e ,rese>* & 
,quality1 9 consultation ) ! ,c5t]s =   
,m$ic>e  ,m$icaid ,s]vices1 ! ,c5t]s =  
,disease ,control & ,prev5tion1 ! ,heal?
 ,res\rces & ,s]vices ,adm9i/ration1 !  
,indian ,heal? ,s]vice1 ! ,(fice =      
,victims ( ,crime1 ! ,(fice on ,wom5's  
,heal?1 & ! ,(fice ( ,viol5ce ,aga9/    
,wom5 ( ! ,dep>tm5t ( ,ju/ice 7h]eaft]  
ref]r$ to 9 ?is section collectively z !
 ,ag5cies71 %all submit to ! ,secret>y a

 report ( exi/+ ,f$]al & ,/ate practices
 relat+ to ,s,a,f,es1 ,s,a,n,es1 & o!rs 
:o p]=m su* exam9ations :i* reflects !  
f9d+s ( ! surveys develop$ "u section   
#aja4  7b7 ,core compet5cies ,9 conduct+
 activities "u ?is section1 ! ,ag5cies  
%all address ,,safe_/,,sane compet5cies 
includ+--  7#a7 provid+ compreh5sive    
m$ical c>e to sexual assault pati5ts2   
7#b7 demon/rat+ ! ability to conduct a  
m$ical =5sic exam9ation to include an   
evaluation = evid5ce collection2  7#c7  
%[+ compassion & s5sitivity t[>ds       
survivors ( sexual assault2  7#d7       
te/ify+ 9 ,f$]al1 ,/ate1 local1 & tribal
 c\rts2 &  7#e7 o!r compet5cies z       
det]m9$ appropriate by ! ,ag5cies4  7c7 
,publication  7#a7 ,,ahrq ,! ,ag5cy =   
,heal?c>e ,rese>* & ,quality %all       
e/abli%1 ma9ta91 & publi% on ! ,int]net 
website ( ! ,dep>tm5t ( ,heal? & ,human 
,s]vices an onl9e public map ( ,,safe1  
,,sane1 & o!r =5sic m$ical exam9]s      
available to ! ,dep>tm5t ( ,heal? &     
,human ,s]vices4  7#b7 ,/ates ,a ,/ate t

 receives ,f$]al funds %all ma9ta9 &    
make available a ,/ate map display+ !   
numb] ( available ,,safe_/,,sane        
programs & o!r =5sic m$ical exam9]s4    
#ajd4 ,hospital report+ ,n lat] ?an #a  
ye> aft] ! date ( enactm5t ( ?is ,act1 &
 annually !reaft]1 a hospital t receives
 ,f$]al funds %all submit to ! ,secret>y
 a report t id5tifies ! level (         
community access provid$ by ! hospital  
to tra9$ ,s,a,f,es1 ,s,a,r,ts1          
,s,a,n,es1 & o!rs :o p]=m su*           
exam9ations4 ,su* report %all describe--
  7#a7 ! numb] ( sexual assault =5sic   
exam9ations done 9 ! hospital 9 ! ye> = 
:i* ! report is be+ prep>$2  7#b7 !     
tra9+ t su* ,s,a,f,es_/,s,a,n,es und]go1
 bo? initially & = rec]tification2  7#c7
 ! numb] ( ,s,a,f,es_/,s,a,n,es employ$ 
by ! hospital1 diff]5tiat+ betwe5 "p-"t 
& full-"t employees2 &  7#d7 !          
,,safe_/,,sane /&>ds ( c>e appli$ by !  
hospital4  ,,ii ,/&>ds ( c>e  #bja4     
,national ,sexual ,assault ,c>e &       
,treatm5t ,task ,=ce  7a7 ,e/abli%m5t ,!

 ,secret>y %all e/abli% a task =ce to be
 kn[n z ! ,,sasca ,task ,=ce 7ref]r$ to 
9 ?is section z ! ,task ,=ce7 to review 
,/ate guidel9es1 proc$ures1 practices1  
tra9+1 & employm5t & ret5tion data =    
,,safe_/,,sane & o!r =5sic m$ical       
exam9]s4  7b7 ,appo9tm5ts ,! ,secret>y1 
9 consultation ) ! ,c5t]s = ,m$ic>e     
,m$icaid ,s]vices1 ! ,c5t]s = ,disease  
,control & ,prev5tion1 ! ,heal?         
,res\rces & ,s]vices ,adm9i/ration1 !   
,indian ,heal? ,s]vice1 ! ,(fice =      
,victims ( ,crime1 ! ,(fice on ,wom5's  
,heal?1 & ! ,dep>tm5t ( ,ju/ice ,(fice  
on ,viol5ce ,aga9/ ,wom51 & key         
/akehold]s su* z ! ,int]national        
,association ( ,=5sic ,nurses1 ! ,rape1 
,abuse1 & ,ince/ ,national ,network1 !  
,national ,dome/ic ,viol5ce ,hotl9e1 !  
,national ,alliance to ,end ,sexual     
,viol5ce1 ! ,national ,sexual ,viol5ce  
,res\rce ,c5t]1 & community-bas$        
organizations %all appo9t exp]ts to !   
,task ,=ce4  7c7 ,objectives ,to assi/ &
 /&>dize ,/ate-level ef=ts to improve   

m$ical =5sic evid5ce collection relat+  
to sexual assault1 ! ,task ,=ce %all--  
7#a7 review ,/ate-level practices =     
,s,a,f,es1 ,s,a,r,ts1 ,s,a,n,es1 & o!rs 
:o p]=m su* exam9ations to ensure t su* 
practices are consi/5t ) e/abli%$       
national tra9+1 c]tification1 & practice
 recomm5dations2  7#b7 create a be/     
practices guide = =5sic m$ical exam9]s  
relat+ to sexual assault2  7#c7 improve 
coord9ation ( s]vices1 & o!r protocols  
reg>d+ ! c>e & treatm5t ( sexual assault
 survivors & ! pres]vation ( evid5ce    
betwe5 law en=cem5t (ficials & heal? c>e
 provid]s2 &  7#d7 update national      
m9imum /&>ds = =5sic m$ical exam9] tra9+
 & =5sic m$ical evid5ce collection      
relat+ to sexual assault4  7d7          
,transp>5cy requirem5ts  7#a7 ,9 g5]al  
,! ,task ,=ce %all report to !          
,secret>y1 at su* "t1 9 su* mann]1 &    
conta9+ su* in=mation z may be specifi$ 
by ! ,secret>y1 on--  7,a7 !            
recomm5dation = be/ practices ) respect 
to improv+ m$ical =5sic evid5ce         

collection relat+ to sexual assault2 &  
7,b7 ! national m9imum /&>ds = m$ical   
=5sic exam9ations & treatm5ts relat+ to 
sexual assault4  7#b7 ,report ,n lat]   
?an "o ye> aft] ! date ( enactm5t ( ?is 
,act1 ! ,secret>y %all submit to        
,congress a report on ! f9d+s &         
conclusions ( ! ,task ,=ce4  7e7 ,annual
 summit ,! ,secret>y %all conv5e an     
annual /akehold] meet+ to address gaps 9
 heal? c>e provid] c>e relat+ to sexual 
assault4 ,su* meet+s %all include !     
,task ,=ce1 z well z ! ,c5t]s = ,m$ic>e 
,m$icaid ,s]vices1 ! ,c5t]s = ,disease  
,control & ,prev5tion1 ! ,heal?         
,res\rces & ,s]vices ,adm9i/ration1 !   
,indian ,heal? ,s]vice1 ! ,(fice =      
,victims ( ,crime1 ! ,(fice on ,wom5's  
,heal?1 & ! ,dep>tm5t ( ,ju/ice ,(fice  
on ,viol5ce ,aga9/ ,wom51 & key         
/akehold]s su* z ! ,int]national        
,association ( ,=5sic ,nurses1 ! ,rape1 
,abuse1 & ,ince/ ,national ,network1    
,national ,alliance to ,end ,sexual     
,viol5ce1 ,national ,sexual ,viol5ce    

,res\rce ,c5t] & community-bas$         
organizations4  #bjb4 ,in/itutes ( high]
 education campus action plan  7a7 ,9   
g5]al ,ea* in/itution ( high] education 
t receives ,f$]al funds %all make       
publicly available a writt5 plan ( !    
/eps ! in/itution takes to ensure access
 to sexual assault m$ical =5sic         
exam9ations & treatm5ts4 ,su* plan %all 
include in=mation ab\t ! availability ( 
s]vices1 & a /atem5t t ,f$]al law       
requires t su* exams be provid$ free (  
*>ge4  7b7 ,access to exam9ations ,ea*  
in/itution ( high] education t receives 
,f$]al funds %all1 to ! ext5t           
practicable1 ensure t /ud5ts h access to
 sexual assault m$ical =5sic exam9ation 
by employ+ ! use ( a ,,safe_/,,sane 9 ! 
campus m$ical facility or hospital or by
 ent]+ into a memor&um ( und]/&+ or =mal
 agreem5t ) at lea/ "o local heal? c>e  
facility to provide su* s]vice if no    
appropriate m$ical facility is available
 on campus1 includ+ ! co/ (             
transportation = /ud5ts to access       

s]vices4  #bjc4 ,exp&+ access to unifi$ 
c>e ,"p ,b ( title ,,viii ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bif;j et seq47 is am5d$ by add+ at !   
end ! foll[+3  #hab4 ,demon/ration      
grants = sexual assault exam9] tra9+    
programs  7a7 ,e/abli%m5t ( program ,!  
,secret>y %all e/abli% a demon/ration   
program 7ref]r$ to 9 ?is section z !    
program7 to aw>d grants to eligible     
p>tn]$ entities = ! cl9ical tra9+ (     
,s,a,f,es_/,s,a,n,es 7includ+ regi/]$   
nurses1 nurse practition]s1 nurse       
midwives1 cl9ical nurse speciali/s1     
physician assi/ants1 & physicians7 to   
adm9i/] m$ical =5sic exam9ations &      
treatm5ts to victims ( sexual assault 9 
hospitals1 heal? c5t]s1 & o!r em]g5cy   
heal? c>e s]vice provid] sett+s1 includ+
 ,f$]ally qualifi$ heal? c5t]s1 cl9ics  
receiv+ fund+ "u title ,x1 & o!r heal?  
c>e provid]s z det]m9$ appropriate by ! 
,secret>y4  7b7 ,purpose ,! purpose ( ! 
program is to enable ea* grant recipi5t 
to exp& access to ,,safe_/,,sane s]vices

 by provid+ new provid]s ) ! cl9ical    
tra9+ necess>y to e/abli% & ma9ta9      
compet5cy 9 ,,safe_/,,sane s]vices4  7c7
 ,grants ,"u ! program1 ! ,secret>y %all
 aw>d #c-ye> grants to eligible entities
 t meet ! requirem5ts e/abli%$ by !     
,secret>y1 = ! purpose ( op]at+ !       
,,safe_/,,sane tra9+ programs describ$ 9
 subsection 7a7 at su* entities & to te/
 ! provision ( su* s]vices at new       
facilities 9 exp&$ heal? c>e sett+s4    
7d7 ,eligible entities ,to be eligible  
to receive a grant "u ?is section1 an   
entity %all-- 7#a7 be a rural heal? c>e 
s]vices provid] 7z def9$ by !           
,secret>y71 a c5t] or cl9ic "u section  
#ccj1 or a heal? c5t] receiv+ assi/ance 
"u title ,x1 act+ 9 p>tn]%ip ) a        
high-volume em]g5cy s]vices provid] or a
 hospital curr5tly provid+ sexual       
assault m$ical =5sic exam9ations p]=m$  
by ,s,a,n,es or ,s,a,f,es1 t w use grant
 funds to--  7,a7 assign rural heal? c>e
 s]vice provid]s to ! high-volume       
hospitals = cl9ical practicum h\rs to   

qualify su* provid]s z a ,,safe_/,,sane2
 or  7,b7 assign practition]s at        
high-volume hospitals to a rural heal?  
c>e s]vices provid]s to in/ruct1 ov]see1
 & approve cl9ical practicum h\rs 9 !   
community to be s]v$4  7#b7 submit to ! 
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require1 includ+ a        
description ( :e!r ! applicant w provide
 s]vices "u subp>agraph 7,a7 or 7,b7 (  
p>agraph 7#a74  7e7 ,grant am\nt ,ea*   
grant aw>d$ "u ?is section %all be 9 an 
am\nt n to exce$ #djj1jjj p] ye>4 ,a    
grant recipi5t may c>ry ov] funds f #a  
fiscal ye> to ! next )\t obta9+ approval
 f ! ,secret>y4  7f7 ,au?orization (    
appropriations ,to c>ry out ?is section1
 !re is au?oriz$ to be appropriat$      
#aj1jjj1jjj = ea* ( fiscal ye>s #bjaf   
?r\gh #bjai4  4  #bjd4 ,te*nical        
assi/ance grants & le>n+ collectives ,"p
 ,b ( title ,,viii ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #bif;j et   
seq471 z am5d$ by section #bjc1 is fur!r

 am5d$ by add+ at ! end ! foll[+3       
#hab;,a4 ,te*nical assi/ance c5t] &     
regional le>n+ collectives  7a7 ,9 g5]al
 ,! ,secret>y %all e/abli% a ,/ate &    
provid] te*nical res\rce c5t] to provide
 te*nical assi/ance to heal? c>e        
provid]s to increase ! quality (1 &     
access to1 sexual assault exam9ations by
 ent]+ into contracts ) national exp]ts 
7su* z ! ,int]national ,=5sic ,nurses   
,association & o!rs74  7b7 ,regional    
le>n+ collectives ,! ,secret>y %all     
conv5e ,/ate & hospital regional le>n+  
collectives to assi/ heal? c>e provid]s 
& ,/ates 9 %>+ be/ practices1 discuss+  
practices1 & improv+ ! quality (1 &     
access to1 sexual assault exam9ations4  
7c7 ,repository ,! ,secret>y %all       
e/abli% & ma9ta9 a secure ,int]net-bas$ 
data repository to s]ve z an onl9e le>n+
 collective = ,/ate & entity            
collaborations4 ,an entity receiv+ a    
grant "u section #hab may use su*       
repository =--  7#a7 te*nical assi/ance2
 &  7#b7 be/ practice %>+4  4  #bje4    

,quality /rategies ,! ,secret>y %all    
id5tify ,,safe_/,,sane access & quality 
9 hospitals & o!r appropriate heal? c>e 
facilities z a national priority =      
improvem5t "u section #cii;,,hh7a77#b7 (
 ! ,public ,heal? ,s]vice ,act 7#db     
,u4,s4,c4 #bhj;j74  #bjf4 ,ov]sight ,n  
lat] ?an #a ye> aft] ! date ( enactm5t (
 ?is ,act1 ! ,(fice ( ! ,inspector      
,g5]al %all issue a report conc]n+      
hospital compliance ) section #ahfg ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acie;dd7 & ! ,viol5ce ,aga9/ ,wom5 ,act
 ( #aiid 7#db ,u4,s4,c4 #acgja et seq47 
) respect to access to1 & reimbursem5ts 
=1 sexual assault m$ical =5sic          
exam9ations at ! national1 ,/ate1 &     
individual hospital level4 ,su* report  
%all address hospital aw>5ess (         
reimbursem5ts1 total reimburs$ co/s1 &  
any co/s = victims4