,,ii #aaf? ,,congress #a/ ,session ,s4 #djb ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,febru>y #g1 #bjai,mrs4 ,murray 7= h]self1 ,ms4 ,murk[ski1 ,mr4 ,blum5?al1 ,mrs4 ,%ahe51 ,ms4 ,h>ris1 ,mr4 ,s&]s1 ,ms4 ,smi?1 ,ms4 ,hassan1 ,mr4 ,leahy1 ,ms4 ,klobu*>1 ,mrs4 ,gillibr&1 & ,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 7#a7 ,community heal? aide & community heal? practition] ,! t]ms community heal? aide & community heal? practition] h ! mean+s )9 ! mean+ ( section #aai ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afafl74 7#b7 ,,mfe ,! t]m m$ical =5sic exam9ation or ,,mfe means an exam9ation provid$ to a sexual assault survivor by m$ical p]sonnel tra9$ to ga!r evid5ce ( a sexual assault 9 a mann] suitable = use 9 a c\rt ( law4 7#c7 ,,sae ,! t]m sexual assault exam9] or ,,sae means a regi/]$ nurse1 advanc$ practice nurse1 physician1 or physician assi/ant specifically tra9$ to provide c>e to sexual assault =5sic exam9ations4 7#d7 ,,safe ,! t]m sexual assault =5sic exam9] or ,,safe means a m$ical practition] :o has specializ$ =5sic tra9+ 9 treat+ sexual assault survivors & conduct+ m$ical =5sic exam9ations4 7#e7 ,,sane ,! t]m sexual assault nurse exam9] or ,,sane means a regi/]$ nurse :o has specializ$ =5sic tra9+ 9 treat+ sexual assault survivors & conduct+ m$ical =5sic exam9ations4 7#f7 ,,s>t ,! t]m sexual assault response team or ,,s>t means a multidiscipl9>y team t provides a specializ$ & imm$iate response to survivors ( sexual assault1 & may include heal? c>e p]sonnel1 law en=cem5t repres5tatives1 community-bas$ survivor advocates1 prosecutors1 & =5sic sci5ti/s4 7#g7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#h7 ,sexual assault ,! t]m sexual assault means any noncons5sual sexual act proscrib$ by ,f$]al1 tribal1 or ,/ate law1 includ+ :5 ! individual lacks capacity to cons5t4 ,i ,/r5g!n+ ! ,sexual ,assault ,exam9] ,work=ce #aja4 ,und]/&+ sexual assault c>e 7a7 ,purpose ,x is ! purpose ( ?is section to id5tify areas = improvem5t 9 heal? c>e deliv]y sy/ems provid+ s]vices to survivors ( sexual assault4 7b7 ,grants ,! ,secret>y %all aw>d grants to ,/ates to develop & implem5t ,/ate surveys to id5tify-- 7#a7 ! availability ( & pati5t access to tra9$ ,,safe1 ,,sane1 & o!r provid]s :o p]=m ,m,f,es2 7#b7 ! hospitals or cl9ics t (f] ,m,f,es & :e!r ea* hospital or cl9ic has full-"t1 "p-"t1 or on-call cov]age2 7#c7 regional1 provid]1 or o!r b>ri]s to access sexual assault c>e & s]vices1 includ+ ,m,f,es2 7#d7 bill+ & reimbursem5t practices = ,m,f,es1 includ+ private heal? insurance1 ,m$ic>e1 ,m$icaid1 ! ,/ate's victims comp5sation program1 & any o!r crime fund+ or o!r s\rces ( fund+ t contribute to paym5t = su* exam9ations2 7#e7 ,/ate requirem5ts1 m9imum /&>ds1 & protocols = tra9+ sexual assault exam9]s2 7#f7 ,/ate requirem5ts1 m9imum /&>ds1 & protocols = tra9+ non-,,sane or ,,safe em]g5cy s]vices p]sonnel involv$ 9 ,m,f,es2 7#g7 ! availability ( ,,safe or ,,sane tra9+1 frequ5cy ( :5 tra9+ is conv5$1 ! provid]s ( su* tra9+1 ! ,/ate's role 9 su* tra9+1 & :at process or proc$ures are 9 place = cont9u+ education ( su* exam9]s2 7#h7 ! d$icat$ ,f$]al & ,/ate fund+ to support ,,safe or ,,sane tra9+2 & 7#i7 fund+ opportunities = ,,sane or ,,safe tra9+ & cont9u+ education4 7c7 ,eligibility ,to be eligible to receive a grant "u ?is section1 a ,/ate %all-- 7#a7 h public1 private1 or nonpr(it hospitals t receive ,f$]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 aw>d$ "u ?is section %all be publi%$ by ! ,secret>y on ! website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices on a bi5nial basis4 7#b7 ,campaigns ,a ,/ate t receives a grant "u ?is section %all c>ry out ! foll[+3 7,a7 ,make ! f9d+s ( ! survey conduct$ "u ! grant public4 7,b7 ,use ! f9d+s to develop a /rategic action plan to increase ! numb] ( tra9$ exam9]s available 9 ! ,/ate & create policies to increase survivor access to tra9$ exam9]s4 7,c7 ,use ! f9d+s to develop & implem5t a public aw>5ess campaign t includes ! foll[+3 7i7 ,an onl9e toolkit describ+ h[ & :]e sexual assault survivors c obta9 assi/ance & c>e1 includ+ ,m,f,es1 9 ! ,/ate4 7ii7 ,a ,model ,/&>d ,response ,protocol = heal? c>e provid]s to implem5t ^u arrival ( a pati5t seek+ c>e = sexual assault4 7iii7 ,a ,model ,sexual ,assault ,response ,team ,protocol incorporat+ int]discipl9>y community coord9ation betwe5 hospitals1 em]g5cy dep>tm5ts1 hospital adm9i/ration1 local rape crisis programs1 law en=cem5t1 prosecut+ attorneys1 & o!r heal? & human s]vice ag5cies & /akehold]s ) respect to deliv]+ survivor-c5t]$ sexual assault c>e & ,m,f,es4 7iv7 ,a notice ( ,/ate & ,f$]al laws prohibit+ *>g+ or bill+ survivors ( sexual assault = c>e & s]vices relat$ to sexual assault4 7e7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section1 #b1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbd4 #ajb4 ,improv+ & /r5g!n+ ! sexual assault exam9] work=ce cl9ical & cont9u+ education pilot program 7a7 ,purpose ,x is ! purpose ( ?is section to e/abli% a pilot program to develop1 te/1 & implem5t tra9+ & cont9u+ education :i* exp&s & supports ! availability ( ,,safe1 ,,sae1 & ,,sane1 provid]s & s]vices = survivors ( sexual assault4 7b7 ,e/abli%m5t 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all e/abli% a ,national ,cont9u+ & ,cl9ical ,education ,pilot ,program = ,s,a,f,es1 ,s,a,n,es1 & o!r individuals :o p]=m su* exam9ations 9 consultation ) ! ,dep>tm5t ( ,ju/ice1 ! ,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 ( ,crime ( ! ,dep>tm5t ( ,ju/ice1 ! ,(fice on ,viol5ce ,aga9/ ,wom5 ( ! ,dep>tm5t ( ,ju/ice1 & ! ,(fice on ,wom5's ,heal? ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices & ) input f regional & national organizations ) exp]tise 9 =5sic nurs+1 rape trauma or crisis c\nsel+1 inve/igat+ rape & g5d] viol5ce cases1 survivors' advocacy & support1 sexual assault prev5tion education1 rural heal?1 & respond+ to sexual viol5ce 9 ,native communities4 ,su* pilot program %all be #b ye>s 9 duration4 7#b7 ,functions ,! pilot program e/abli%$ "u p>agraph 7#a7 %all develop1 pilot1 implem5t1 & update1 z appropriate1 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 or ,,sane practice ( c>e1 includ+-- 7,a7 tra9+ & cont9u+ education to help support ,s,a,f,es or ,s,a,n,es practic+ 9 rural or und]s]v$ areas2 7,b7 tra9+ to help connect sexual assault survivors :o are ,native ,am]ican ) ,s,a,f,es or ,s,a,n,es1 includ+ ?r\gh em]g5cy fir/ aid1 ref]rals1 culturally compet5t support1 & =5sic evid5ce collection 9 rural communities2 7,c7 replication ( successful ,,sane or ,,safe programs to help develop & improve ! evid5ce base = ,m,f,es2 & 7,d7 tra9+ to increase ! numb] ( m$ical pr(essionals :o are consid]$ ,s,a,f,es or ,s,a,n,es bas$ on ! recomm5dations ( ! ,national ,sexual ,assault ,=5sic ,exam9ation ,tra9+ ,/&>ds issu$ by ! ,dep>tm5t ( ,ju/ice on ,viol5ce ,aga9/ ,wom54 7#c7 ,eligibility to p>ticipate 9 pilot programs ,! ,secret>y %all ensure t ,,safe or ,,sane s]vices provid$ "u ! pilot program e/abli%$ "u p>agraph 7#a71 & o!r m$ical =5sic exam9] s]vices "u ! pilot program %all be provid$ 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 ,a community heal? practition] or a community heal? aide :o has complet$ level ,,iii or level ,,iv c]tification & tra9+ requirem5ts4 7#d7 ,nature ( tra9+ ,! cont9u+ education program e/abli%$ "u ?is section %all incorporate & reflect curr5t be/ practices & /&>ds on ,m,f,es consi/5t ) ! purpose ( ?is section4 7c7 ,availability ,aft] t]m9ation ( ! pilot program e/abli%$ "u subsection 7b77#a71 ! tra9+ & cont9u+ education program e/abli%$ "u su* program %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$]al fund+4 ,! ,task ,=ce e/abli%$ "u section #bja %all review & recomm5d updates to ! tra9+ & cont9u+ education program aft] ! t]m9ation ( ! pilot program4 7d7 ,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 t]m9ation ( ! pilot program z provid$ = 9 p>agraph 7#a71 ! ,secret>y or ! ,task ,=ce e/abli%$ "u section #bja may implem5t modifications relat+ to tra9+ & cont9u+ education requirem5ts bas$ on su* program to increase access to ,,sane & ,,safe s]vices = survivors ( sexual assault4 7e7 ,au?orization ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #e1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjba4 #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 ( ,crime ( ! ,dep>tm5t ( ,ju/ice1 ! ,(fice on ,wom5's ,heal? ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 & ! ,(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 or ,,sane compet5cies1 includ+-- 7#a7 provid+ compreh5sive m$ical c>e to sexual assault pati5ts2 7#b7 demon/rat+ ! ability to conduct a ,,mfe to include an evaluation = evid5ce collection2 7#c7 %[+ compassion & s5sitivity t[>ds survivors ( sexual assault2 7#d7 te/ify+ 9 ,f$]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 ! website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices an onl9e public map ( ,,safe1 ,,sane1 & o!r =5sic m$ical exam9]s4 ,su* maps %all cl>ify if !re is full-"t1 "p-"t1 or on-call cov]age4 7#b7 ,/ates ,a ,/ate t receives ,f$]al funds %all ma9ta9 & make available an onl9e public map display+ ! numb] & location ( available ,,safe or ,,sane programs & o!r =5sic m$ical exam9]s 9 ! ,/ate4 ,su* maps %all cl>ify if !re is full-"t1 "p-"t1 or on-call cov]age4 #ajd4 ,hospital report+ ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 & annually !reaft]1 a hospital t receives ,f$]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 survivors :o pres5t at ! hospital = ,m,f,es 9 ! ye> = :i* ! report is be+ prep>$2 7#b7 ! numb] ( p]sonnel :o are tra9$ & practic+ z a ,,sane or ,,safe to p]=m sexual assault exams1 indicat+ ! employm5t basis ( su* p]sonnel z ei!r full-"t1 "p-"t1 or on-call2 7#c7 ! numb] ( sexual assault exams p]=m$ by ,s,a,n,es or ,s,a,f,es2 7#d7 ! numb] ( sexual assault exams p]=m$ by p]sonnel o!r ?an a ,,sane or ,,safe2 7#e7 ! tra9+ t su* ,s,a,f,es or ,s,a,n,es und]go = purposes ( ma9ta9+ compet5cy2 & 7#f7 ! ,,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 id5tify b>ri]s to improv+ access to ,,safe_/,,sane & o!r =5sic m$ical exam9]s4 7b7 ,memb]%ip ,! ,task ,=ce %all include a repres5tative f ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 ! ,indian ,heal? ,s]vice1 ! ,(fice = ,victims ( ,crime ( ! ,dep>tm5t ( ,ju/ice1 ! ,(fice on ,wom5's ,heal? ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 & ! ,(fice on ,viol5ce ,aga9/ ,wom5 ( ! ,dep>tm5t ( ,ju/ice1 a survivor ( sexual assault1 & repres5tatives f regional & national organizations ) exp]tise 9 =5sic nurs+1 rape trauma or crisis c\nsel+1 inve/igat+ rape & g5d] viol5ce cases1 survivors' advocacy & support1 sexual assault prev5tion education1 rural heal?1 & respond+ to sexual viol5ce 9 ,native communities4 7c7 ,objectives ,to assi/ & /&>dize ,/ate-level ef=ts to improve m$ical =5sic evid5ce collection relat+ to sexual assault1 ! ,task ,=ce %all-- 7#a7 id5tify b>ri]s to ! recruitm5t1 tra9+1 & ret5tion ( ,s,a,f,es1 ,s,a,r,ts1 ,s,a,n,es1 & o!rs :o p]=m su* exam9ations2 7#b7 make recomm5dations = improv+ access to m$ical =5sic exam9ations1 includ+ ! feasibility (1 or b>ri]s to1 utiliz+ mobile units2 7#c7 improve coord9ation ( s]vices1 & o!r protocols reg>d+ ! c>e & treatm5t ( sexual assault survivors & ! pres]vation ( evid5ce betwe5 law en=cem5t (ficials & heal? c>e provid]s2 & 7#d7 update national m9imum /&>ds = =5sic m$ical exam9] tra9+ & =5sic m$ical evid5ce collection relat+ to sexual assault4 7d7 ,transp>5cy requirem5ts 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] fir/ conv5+1 ! ,task ,=ce %all report to ! ,secret>y 9 a public docum5t on-- 7,a7 ! recomm5dation = be/ practices ) respect to improv+ m$ical =5sic evid5ce collection relat+ to sexual assault2 & 7,b7 ! national m9imum /&>ds = ,m,f,es & treatm5ts relat+ to sexual assault4 7#b7 ,report ,n lat] ?an #ah mon?s 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 assault t includes ! ,task ,=ce4 #bjb4 ,in/itutions ( high] education campus action plan ,ea* in/itution ( high] education t receives ,f$]al funds %all-- 7#a7 in=m survivors ( sexual assault ab\t ! availability ( ,m,f,es1 includ+ ! ne>e/ available locations at :i* su* exam9ations are provid$ by a ,,sane & t ,f$]al law requires su* exams to be provid$ at no co/ to ! survivor2 & 7#b7 make ! in=mation describ$ 9 p>agraph 7#a7 available on ! website ( ! in/itution1 to ! ext5t practicable4 #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$ical =5sic exam9ations & treatm5ts to survivors ( sexual assault4 7b7 ,purpose ,! purpose ( ! program is to enable ea* grant recipi5t to exp& access to ,,safe_/,,sane s]vices by provid+ new provid]s ) ! cl9ical tra9+ necess>y to e/abli% & ma9ta9 compet5cy 9 ,,safe_/,,sane s]vices & to te/ ! provisions ( su* s]vices at new facilities 9 exp&$ heal? c>e sett+s4 7c7 ,grants ,"u ! program1 ! ,secret>y %all aw>d #c-ye> grants to eligible entities t meet ! requirem5ts e/abli%$ by ! ,secret>y4 7d7 ,eligible entities ,to be eligible to receive a grant "u ?is section1 an entity %all-- 7#a7 be-- 7,a7 a rural heal? c>e s]vices provid] or community-bas$ s]vice 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-- 7i7 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 7ii7 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$2 or 7,b7 an organization describ$ 9 section #eja7;c77#c7 ( ! ,int]nal ,rev5ue ,code ( #aihf & exempt f taxation "u #eja7;a7 ( t ,act1 t provides legal tra9+ & te*nical assi/ance to tribal communities & to organizations & ag5cies s]v+ ,native p2 & 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 "o fiscal ye> to ! next )\t obta9+ approval f ! ,secret>y4 7f7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #aa1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbd4 7#b7 ,set-aside ,( ! am\nt appropriat$ "u ?is subsection = a fiscal ye>1 ! ,secret>y %all res]ve #ae p]c5t ( su* am\nt = purposes ( mak+ grants to entities t are affiliat$ ) ,indian tribes or tribal organizations 7z def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd771 or ,urban ,indian organizations 7z def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc774 ,am\nts res]v$ may be us$ to support ref]rals & ! deliv]y ( em]g5cy fir/ aid1 culturally compet5t support1 & =5sic evid5ce collection tra9+4 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 ,m,f,es 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 ,m,f,es4 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;j7a77#b774 #bjf4 ,ov]sight ,n lat] ?an "o 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#cd ,u4,s4,c4 #abbia 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 = survivors4