,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #igc  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,febru>y #e1          
#bjai,mrs4 ,d+ell 7= h]self1 ,mr4       
,katko1 ,ms4 ,cl>ke ( ,new ,york1 ,ms4  
,ca/or ( ,florida1 ,mrs4 ,rodg]s (      
,wa%+ton1 ,ms4 ,e%oo1 ,ms4 ,/efanik1    
,ms4 ,roybal-,all>d1 ,mr4 ,crd5as1 ,ms4 
,wilson ( ,florida1 ,miss ,gonzlez-,coln
 ( ,pu]to ,rico1 & ,mr4 ,m>%all7        
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d ! ,public ,heal?       
,s]vice ,act to provide = additional    
programs fund$ by grants to /r5g!n !    
heal?c>e sy/em's response to dome/ic    
viol5ce1 dat+ viol5ce1 sexual assault1 &
 /alk+1 & = o!r purposes4  #a4 ,%ort    
title ,?is ,act may be cit$ z ! ,viol5ce
 ,aga9/ ,wom5 ,heal? ,act ( #bjai4  #b4 
,f9d+s ,congress f9ds t--  7#a7 millions
 ( ,am]icans cont9ue to exp]i5ce dome/ic
 or sexual viol5ce ea* ye> ) m ?an ?ree 
wom5 murd]$ by _! p>tn]s ea* day2  7#b7 
?is type ( viol5ce & abuse results 9    

%ort-t]m & *ronic physical & behavioral 
heal? consequ5ces t h a significant     
economic burd5 to victims & communities2
  7#c7 new ,,cdc data f\nd ! lifetime   
p]-victim co/ ( intimate p>tn] viol5ce 0
 #ajc1gfg = wom5 victims ) #ei p]c5t go+
 to m$ical co/s & public fund+ paid #cg 
p]c5t ( ?is total co/2  7#d7 victims are
 also at a high] risk = develop+        
addictions to tobacco1 alcohol1 or      
drugs2 = example1 #ca p]c5t to #fg p]c5t
 ( wom5 9 sub/ance use disord] treatm5t 
programs report exp]i5c+ dome/ic viol5ce
 )9 ! pa/ ye>2  7#e7 ov] #ej p]c5t (    
survivors ( dome/ic viol5ce h exp]i5c$  
depression1 po/-traumatic /ress disord]1
 & sub/ance use & #bc p]c5t h exp]i5c$  
suicidality2  7#f7 a /udy conduct$ by ! 
,national ,dome/ic ,viol5ce ,hotl9e1 9  
conjunction ) ! ,national ,c5t] on      
,dome/ic ,viol5ce1 ,trauma  ,m5tal      
,heal? practice m5tal heal? & sub/ance  
use co]cion :]e abus]s int5tionally     
und]m9e _! p>tn]s' sanity or sobriety1  
control _! access to m$ication1 &       

sabotage _! treatm5t & recov]y ef=ts    
among o!r co]cion tactics2  7#g7        
rese>*]s h also f\nd t exposure to      
multiple *ildhood traumas su* z sexual  
abuse & dome/ic viol5ce c cause long-t]m
 negative physical & emotional heal?    
outcomes su* z he>t disease1 canc] &    
depression2  7#h7 heal? c>e provid]s c  
id5tify survivors ( viol5ce &           
int]v5tions c decrease risk = viol5ce & 
improve heal? outcomes1 b heal? provid]s
 ne$ tra9+ & sy/ems level support 9 ord]
 to d s2  7#i7 ,congress au?oriz$ a     
public heal? response to victims (      
dome/ic & sexual viol5ce 9 ! ,viol5ce   
,aga9/ ,wom5 ,act ( #bjje2  7#aj7 s9ce  
its enactm5t1 ! ,,vawa ,heal? program   
has tra9$ m ?an #ac1jjj heal? c>e       
provid]s to assess = & respond to       
dome/ic & sexual viol5ce 9 ov] #bcj     
cl9ical sett+s s]v+ m ?an #a4c million  
pati5ts2  7#aa7 la/ ye>1 ! ,heal?       
,res\rces  ,s]vices ,adm9i/ration made  
?is issue a priority across all ( its   
bureaus & releas$ ! ,,hrsa ,/rategy to  

,address ,intimate ,p>tn] ,viol5ce      
#bjag-bjbj ) f\r key priorities3 7,a7   
,tra9 ! ,nation's heal? c>e & public    
heal? work=ce to address intimate p>tn] 
viol5ce 7,,ipv7 at ! community & heal?  
sy/ems levels4  7,b7 ,develop p>tn]%ips 
to raise aw>5ess ab\t ,,ipv )9 ,,hrsa & 
,,hhs4  7,c7 ,increase access to quality
 ,,ipv-in=m$ heal? c>e s]vices across   
all populations4  7,d7 ,address gaps 9 k
 ab\t ,,ipv risks1 impacts1 &           
int]v5tions42 &  7#ab7 a /rong public   
heal? response c prev5t & address !     
imm$iate & long-t]m heal? impacts ( ?is 
type ( viol5ce & abuse4  #c4 ,grants to 
/r5g!n ! heal? c>e sy/em's response to  
dome/ic viol5ce1 dat+ viol5ce1 sexual   
assault1 & /alk+1 & = o!r purposes      
,section #cii,p ( ! ,public ,heal?      
,s]vice ,act 7#db ,u4,s4,c4 #bhj;g-#d7  
is am5d$-- 7#a7 9 subsection 7a7--  7,a7
 9 p>agraph 7#b71 by /rik+ & at ! end2  
7,b7 9 p>agraph 7#c71 by /rik+ ! p]iod  
at ! end & ins]t+ 2 &2 &  7,c7 by add+  
at ! end ! foll[+3  7#d7 developm5t or  

enhancem5t & implem5tation ( tra9+      
programs to improve ! capacity ( e>ly   
*ildhood programs to address dome/ic    
viol5ce1 dat+ viol5ce1 sexual assault1 &
 /alk+ among families !y s]ve4  2  7#b7 
9 subsection 7b7-- 7,a7 9 p>agraph      
7#a7--  7i7 9 subp>agraph 7,a77ii71 by  
ins]t+ aft] & o!r =ms ( viol5ce & abuse 
! foll[+3 7includ+ labor & sex          
traffick+72 &  7ii7 9 subp>agraph 7,b7--
  7,i7 9 clause 7ii7-- 7aa7 by /rik+    
on-site access to2 &  7bb7 by /rik+ or  
to model o!r s]vices appropriate to !   
geographic & cultural ne$s ( a site &   
ins]t+ ! foll[+3 or by provid+ fund+ to 
national1 ,/ate1 ,tribal1 or t]ritorial 
dome/ic & sexual viol5ce coalitions to  
improve _! capacity to coord9ate &      
support heal? advocates & heal? sy/em   
p>tn]%ips2  7,,ii7 9 clause 7iii71 by   
/rik+ & at ! end2  7,,iii7 9 clause     
7iv71 by /rik+ ! p]iod at ! end & ins]t+
 1 ) priority giv5 to programs adm9i/]$ 
?r\gh ! ,heal? ,res\rces & ,s]vices     
,adm9i/ration1 ,(fice ( ,wom5's ,heal?2 

&2 &  7,,iv7 by add+ at ! end ! foll[+3 
7v7 ! developm5t1 dissem9ation1 &       
evaluation ( be/ practices1 tools &     
tra9+ mat]ials = behavioral heal?       
pr(essionals to id5tify & respond to    
dome/ic viol5ce1 sexual viol5ce1 /alk+1 
& dat+ viol5ce4  2 &  7,b7 9 p>agraph   
7#b7-- 7i7 9 subp>agraph 7,a71 to read z
 foll[s3  7,a7 ,*ild abuse & abuse 9    
lat] life ,to ! ext5t consi/5t ) !      
purpose ( ?is section1 a grantee may    
address1 z "p ( a compreh5sive          
programmatic approa* implem5t$ "u a     
grant "u ?is section1 issues relat+ to  
*ild abuse or abuse 9 lat] life4  2 &   
7ii7 9 subp>agraph 7,c7-- 7,i7 9 clause 
7i71 by /rik+ eld] abuse & ins]t+ abuse 
9 lat] life2  7,,ii7 9 clause 7iv7--    
7aa7 by ins]t+ 1 m5tal heal? aft] d5tal2
  7bb7 by ins]t+ & c]tification aft]    
exams2 &  7cc7 by /rik+ ! p]iod at ! end
 & ins]t+ 2 &2 &  7,,iii7 by add+ at !  
end ! foll[+3  7v7 developm5t ( a       
/ate-level pilot program to improve !   
response ( sub/ance use disord] treatm5t

 programs & sy/ems to dome/ic viol5ce1  
dat+ viol5ce1 sexual assault1 & /alk+ & 
! capacity ( dome/ic viol5ce1 dat+      
viol5ce1 sexual assault1 & /alk+ to s]ve
 survivors deal+ ) sub/ance use disord]2
 &  7vi7 developm5t & utilization (     
exi/+ te*nical assi/ance & tra9+        
res\rces to improve ! capacity (        
sub/ance use disord] treatm5t programs  
to address dome/ic viol5ce1 dat+        
viol5ce1 sexual assault1 & /alk+ among  
pati5ts !y s]ve4  2  7#c7 9 subsection  
7d77#b7-- 7,a7 9 subp>agraph 7,a7--  7i7
 by ins]t+ or behavioral heal?1 aft] a  
,/ate dep>tm5t 7or o!r division7 (      
heal?12 &  7ii7 by /rik+ m5tal heal? c>e
 & ins]t+ behavioral heal? c>e2 &  7,b7 
9 subp>agraph 7,b7-- 7i7 by /rik+ or    
heal? sy/em & ins]t+ behavioral heal?   
treatm5t sy/em2 &  7ii7 by /rik+ m5tal  
heal? c>e & ins]t+ behavioral heal? c>e2
  7#d7 9 subsection 7f71 to read z      
foll[s3  7f7 ,rese>*1 & evaluation1 &   
data collection  7#a7 ,9 g5]al ,( !     
funds made available to c>ry out ?is    

section = any fiscal ye>1 ! ,secret>y   
may use n m ?an #bj p]c5t to make a     
grant or ent] into a contract = rese>*1 
& evaluation1 or data collection (--    
7,a7 grants aw>d$ "u ?is section2 &     
7,b7 o!r tra9+ = heal? pr(essionals &   
effective int]v5tions 9 ! heal? c>e or  
behavioral heal? sett+ t prev5t dome/ic 
viol5ce1 dat+ viol5ce1 & sexual assault 
across ! lifespan1 prev5t ! heal?       
effects ( su* viol5ce1 & improve !      
safety & heal? ( individuals :o are     
curr5tly be+ victimiz$4  7#b7 ,rese>* & 
,data ,collection ,rese>* or data       
collection au?oriz$ 9 p>agraph 7#a7 may 
include-- 7,a7 rese>* on ! effects (    
dome/ic viol5ce1 dat+ viol5ce1 sexual   
assault1 & *ildhood exposure to dome/ic1
 dat+ or sexual viol5ce on heal?        
behaviors1 heal? conditions1 & heal?    
/atus ( individuals1 families1 &        
populations1 includ+ und]s]v$           
populations2  7,b7 rese>* to det]m9e    
effective heal? c>e int]v5tions to      
respond to & prev5t dome/ic viol5ce1    

dat+ viol5ce1 sexual assault1 & /alk+2  
7,c7 rese>* on ! impact ( dome/ic1 dat+ 
& sexual viol5ce1 *ildhood exposure to  
su* viol5ce1 & /alk+ on ! heal? c>e     
sy/em1 heal? c>e utilization1 heal? c>e 
co/s1 & heal? /atus2  7,d7 rese>* on !  
impact ( adv]se *ildhood exp]i5ces on   
adult exp]i5ce ) dome/ic viol5ce1 dat+  
viol5ce1 sexual assault1 /alk+ & adult  
heal? outcomes1 includ+ h[ to r$uce or  
prev5t ! impact ( adv]se *ildhood       
exp]i5ces ?r\gh ! heal? c>e sett+2  7,e7
 rese>* on ! int]section ( sub/ance use 
disord] & dome/ic viol5ce1 dat+ viol5ce1
 sexual assault1 & /alk+1 includ+ effect
 ( co]c$ use & ef=ts by an abusive p>tn]
 or o!r to int]f]e ) sub/ance use       
disord] treatm5t & recov]y2 &  7,f7     
improv$ data collection us+ exi/+ f$]al 
surveys by includ+ que/ions ab\t dome/ic
 viol5ce1 dat+ viol5ce1 sexual assault1 
or /alk+ & sub/ance use disord]1 co]c$  
use1 & m5tal heal?4  2 &  7#e7 9        
subsection 7g71 by /rik+ #bjad ?r\gh    
#bjah & ins]t+ #bjai ?r\gh #bjbc4