,,ii  #aag? ,,congress  #a/ ,session    
,s4 #bfee  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #e1 #bjba,ms4   
,murk[ski 7= h]self & ,mr4 ,hick5loop]7 
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to provide fund+ =          
demon/ration grants to support cl9ical  
tra9+ ( heal? c>e provid]s to adm9i/]   
m$ical =5sic exam9ations & treatm5ts to 
survivors ( int]p]sonal viol5ce ( all   
ages4  #a4 ,%ort title ,?is ,act may be 
cit$ z ! ,ensur+ ,=5sic ,c>e = ,all     
,victims ,act or ! ,,efca ,act4  #b4    
,purpose ,x is ! purpose ( ?is ,act to  
provide eligible entities fund+ ?r\gh   
demon/ration grants to develop trauma   
in=m$ /&>ds ( c>e ?r\gh pilot programs t
 promote g5]ali/ =5sic tra9+ us+ a      
module-bas$1 conceptual le>n+ program ) 
compet5cy-bas$ activities tailor$ to    
meet heal? c>e pr(essional & fir/       
respond] ne$s4  #c4 ,def9itions ,9 ?is  
,act3 7#a7 ,community heal? aide2       

community heal? practition] ,! t]ms     
community heal? aide & community heal?  
practition] h ! mean+s giv5 su* t]ms =  
purposes ( section #aai ( ! ,indian     
,heal? ,c>e ,improvem5t ,act 7#be       
,u4,s4,c4 #afafl74  7#b7 ,fir/ respond] 
,! t]m fir/ respond] includes a         
firefight]1 law en=cem5t (fic]1 p>am$ic1
 em]g5cy m$ical te*nician1 or o!r       
individual 7includ+ an employee ( a     
legally organiz$ & recogniz$ volunte]   
organization1 :e!r comp5sat$ or n71 :o1 
9 ! c\rse ( 8 or h] pr(essional duties1 
responds to fire1 m$ical1 haz>d\s       
mat]ial1 or o!r simil> em]g5cies4  7#c7 
,g5]ali/ =5sic s]vices ,! t]m g5]ali/   
=5sic s]vices ) respect to heal? c>e    
provid]s1 means enabl+ su* provid]s to h
 exp&$ =5sic k & skills to ensure t     
individuals1 families1 & communities t h
 exp]i5c$ int]p]sonal viol5ce or trauma 
are provid$ m$ical =5sic assessm5t1     
evid5ce collection1 & docum5tation t    
aids 9 meet+ ! ne$s ( pati5ts z well z  
improves future law en=cem5t            

inve/igation & prosecution1 provides    
ne$$ data = rese>* to support response &
 prev5tion ( viol5ce1 & improves ability
 to adequately respond to pati5ts :o    
exhibit signs ( victimization4  7#d7    
,heal? c>e provid] ,! t]m heal? c>e     
provid] has ! mean+ giv5 su* t]m by !   
,secret>y1 & includes regi/]$ nurses1   
nurse practition]s1 nurse midwives1     
cl9ical nurse speciali/s1 physician     
assi/ants1 & physicians4  7#e7 ,indian  
,tribes ,! t]ms ,indian ,tribe & ,tribal
 organization %all h ! mean+s giv5 su*  
t]ms 9 section #d ( ! ,indian           
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74  
,! t]m ,urban ,indian organization has !
 mean+ giv5 su* t]m 9 section #d ( !    
,indian ,heal? ,c>e ,improvem5t ,act    
7#be ,u4,s4,c4 #afjc74  7#f7            
,int]p]sonal viol5ce ,! t]m int]p]sonal 
viol5ce means any =m ( viol5ce :i* is   
emotional & trauma induc+ = victims1    
families ( victims1 p]petrators1 &      
communities4  7#g7 ,program ,! t]m      

program means ! program e/abli%$ "u     
section #aja4  7#h7 ,secret>y ,! t]m    
,secret>y means ! ,secret>y ( ,heal? &  
,human ,s]vices4  7#i7 ,/&>d ( c>e ,!   
t]m /&>d ( c>e means evaluation &       
treatm5t t is accept$ by m$ical exp]ts &
 reflect$ 9 pe]-review$ m$ical lit]ature
 z ! appropriate m$ical approa* = a     
condition1 symptoms1 illness1 or disease
 & t is widely us$ by heal? c>e         
pr(essionals4  7#aj7 ,trauma in=m$ c>e  
,! t]m trauma in=m$ c>e means c>e :i*   
trauma survivors receive t is culturally
 compet5t 9 accordance ) pr(essional    
/&>ds ( practice & acc\nt+ = pati5ts'   
exp]i5ces & pref]5ces 9 ord] to elim9ate
 or mitigate trigg]s t may cause        
re-traumatization ( ! pati5t4  ,i       
,e/abli%+ a g5]ali/ =5sic heal?c>e      
cl9ical & cont9u+ education pilot       
program4  #aja4 ,e/abli%m5t ( program   
7a7 ,9 g5]al ,! ,secret>y1 9 conjunction
 ) ,attorney ,g5]al1 %all e/abli% a     
demon/ration program to aw>d grants to  
eligible p>tn]$ entities = ! cl9ical    

tra9+ ( heal? c>e provid]s1 fir/        
respond]s1 community heal? aides1       
community heal? practition]s1 & /ud5ts &
 to enable su* provid]s1 fir/ respond]s1
 community heal? aides1 community heal? 
practition]s1 & /ud5ts to adm9i/] m$ical
 =5sic exam9ations & treatm5ts to       
survivors1 p]=m m$ical =5sic assessm5ts1
 evid5ce collection1 & docum5tation t   
aids 9 meet+ ! ne$s ( pati5ts z well z  
improves future law en=cem5t            
inve/igation & prosecution1 provides    
ne$$ data = rese>* to support response &
 prev5tion ( int]p]sonal viol5ce1 &     
improves ! ability ( provid]s1 fir/     
respond]s1 community heal? aides1       
community heal? practition]s1 & /ud5ts  
to adequately respond 9 difficult       
situations4  7b7 ,purpose ,! purpose ( !
 program is to enable ea* grant recipi5t
 to "w ) int]-pr(essional p>tn]s1       
includ+ law en=cem5t1 legal s]vices1    
victims advocacy organizations1 & o!rs  
to exp& access to g5]ali/ =5sic s]vices 
by provid+ provid]s ) ! cl9ical tra9+   

necess>y to e/abli% & ma9ta9 compet5cy 9
 g5]al =5sic s]vices & to te/ !         
provisions ( su* s]vices at new         
facilities 9 exp&$ heal? c>e sett+s4    
#ajb4 ,demon/ration grants =            
compreh5sive =5sic tra9+  7a7           
,e/abli%m5t ( program ,! ,secret>y %all 
e/abli% a demon/ration program to aw>d  
grants to eligible p>tn]$ entities = !  
cl9ical tra9+ ( heal? c>e provid]s to   
adm9i/] m$ical =5sic exam9ations &      
treatm5ts to survivors ( int]p]sonal    
viol5ce ( all ages4  7b7 ,purpose ,!    
purpose ( ! demon/ration program is to  
develop tra9+ & curriculum to provide   
heal? c>e provid]s ) ! skills to provide
 compet5t m$ical =5sic assessm5t & c>e  
to individuals1 families1 & communities 
t h exp]i5c$ viol5ce or trauma & be     
available to collaborate ) memb]s ( an  
int]-pr(essional =5sic team4  7c7 ,t]m  
,grants "u ?is section %all be = a t]m (
 #e ye>s4  7d7 ,eligible entities ,to be
 eligible to receive a grant "u ?is     
section1 an entity %all-- 7#a7 be-- 7,a7

 an in/itute ( high] education2 or  7,b7
 ,indian ,tribes or ,tribal             
organizations2 &  7#b7 submit to !      
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7e7 ,grant am\nt
 ,ea* grant aw>d$ "u ?is section %all be
 9 an am\nt t does n 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 #bjbb ?r\gh #bjbf4    
7#b7 ,set-aside ,( ! am\nt appropriat$  
"u ?is subsection = a fiscal ye>1 !     
,secret>y %all res]ve #aj p]c5t ( su*   
am\nt = purposes ( mak+ grants to       
entities t are affiliat$ ) ,indian      
,tribes or ,tribal organizations1 or    
,urban ,indian organizations4 ,am\nts s 
res]v$ may be us$ to support ref]rals & 
! deliv]y ( em]g5cy fir/ aid1 culturally
 compet5t support1 & =5sic evid5ce      

collection tra9+4  ,,ii ,te*nical       
assi/ance grants & le>n+ collectives    
#bja4 ,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 seq47 is am5d$ by   
add+ at ! end ! foll[+3  #hab4 ,te*nical
 assi/ance c5t] & regional le>n+        
collectives  7a7 ,9 g5]al ,! ,secret>y  
%all e/abli% a ,/ate & =5sic provid]    
te*nical res\rce c5t] to provide        
te*nical assi/ance to heal? c>e provid]s
 & community heal? aides to increase !  
quality (1 & access to1 g5]ali/ =5sic   
s]vices by ent]+ into contracts )       
national exp]ts 7su* z ! ,academy (     
,=5sic ,nurs+ & 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 g5]ali/ =5sic s]vices4  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 #ajb may use su*       
repository =-- 7#a7 te*nical assi/ance2 
&  7#b7 be/ practice %>+4  7d7          
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section #b1jjj1jjj = ea* ( fiscal   
ye>s #bjbb ?r\gh #bjbf4  4  ,,iii       
,national report on ! ne$ = g5]ali/     
=5sic s]vices 9 our ,nation's heal?     
sy/em  #cja4 ,national report ,n lat]   
?an #a ye> aft] ! date ( enactm5t ( ?is 
,act1 & annually !reaft]1 ! ,(fice =    
,victims ( ,crime ( ! ,dep>tm5t (       
,ju/ice1 ! ,c5t]s = ,disease ,control & 
,prev5tion1 ! ,heal? ,res\rces &        
,s]vices ,adm9i/ration1 ! ,indian ,heal?
 ,s]vice1 ! ,(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 on 

! ne$ ?r\gh\t ! ,unit$ ,/ates &         
t]ritories = increas$ access to g5]ali/ 
m$ical =5sic s]vices1 evid5ce           
collection1 & docum5tation t aids 9     
meet+ ! ne$s ( heal? c>e pati5ts z well 
z improves future law en=cem5t          
inve/igation & prosecution1 ! ne$ = data
 = rese>* to support response &         
prev5tion ( int]p]sonal viol5ce1 &      
improv$ ability ( heal? c>e provid]s to 
adequately respond to pati5ts :o exhibit
 signs ( victimization4