,,ii #aag? ,,congress #b;d ,session ,s4 #cfdh ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,febru>y #ad1 #bjbb,mr4 ,cornyn 7= himself & ,mr4 ,durb97 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ! ,judici>y ,a ,,bill ,to am5d ! ,,dna ,sexual ,assault ,ju/ice ,act ( #bjjd to increase access to ,sexual ,assault ,nurse ,exam9]s1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,support+ ,access to ,nurse ,exams ,act or ! ,,sane ,act4 #b4 ,def9itions ,section #cjd ( ! ,,dna ,sexual ,assault ,ju/ice ,act ( #bjjd 7#cd ,u4,s4,c4 #djgbc7 is am5d$ by /rik+ subsections 7a71 7b71 & 7c7 & ins]t+ ! foll[+3 7a7 ,def9itions ,9 ?is section3 7#a7 ,eligible entity ,! t]m eligible entity includes-- 7,a7 a ,tribal gov]nm5t or hospital2 7,b7 a sexual assault exam9ation program1 includ+-- 7i7 a ,,sane program2 7ii7 a ,,safe program2 7iii7 a ,,s>t program2 7iv7 m$ical p]sonnel1 includ+ a doctor or nurse1 involv$ 9 treat+ victims ( sexual assault2 & 7v7 a victim s]vice provid] involv$ 9 treat+ victims ( sexual assault2 7,c7 a ,/ate sexual assault coalition2 7,d7 a heal? c>e facility1 includ+ a hospital t provides sexual assault =5sic exam9ations by a qualifi$ or c]tifi$ ,,sane or ,,safe2 7,e7 a sexual assault exam9ation program t provides ,,sane or ,,safe tra9+2 & 7,f7 a community-bas$ program t provides sexual assault =5sic exam9ations1 includ+ p$iatric =5sic exams 9 a multidiscipl9>y sett+1 by a qualifi$ or c]tifi$ ,,sane or ,,safe outside ( a traditional heal? c>e sett+4 7#b7 ,heal? c>e facility ,! t]m heal? c>e facility means any ,/ate1 local1 ,tribal1 community1 free1 nonpr(it1 academic1 or private m$ical facility1 includ+ a hospital1 t provides em]g5cy m$ical c>e to pati5ts4 7#c7 ,m$ical =5sic exam9ation2 ,,mfe ,! t]m m$ical =5sic exam9ation or ,,mfe means an exam9ation ( a sexual assault pati5t by a heal? c>e provid]1 :o has specializ$ education & cl9ical exp]i5ce 9 ! collection ( =5sic evid5ce & treatm5t ( ^! pati5ts1 :i* includes-- 7,a7 ga!r+ in=mation f ! pati5t = ! m$ical =5sic hi/ory2 7,b7 an exam9ation2 7,c7 coord9at+ treatm5t ( injuries1 docum5tation ( biological & physical f9d+s1 & collection ( evid5ce f ! pati5t2 7,d7 docum5tation ( f9d+s2 7,e7 provid+ in=mation1 treatm5t1 & ref]rals = sexually transmitt$ infections1 pregnancy1 suicidal ideation1 alcohol & sub/ance abuse1 & o!r non-acute m$ical conc]ns2 & 7,f7 provid+ foll[-up z ne$$ to provide additional heal+1 treatm5t1 or collection ( evid5ce4 7#d7 ,p$iatric ,,sane & ,,safe ,! t]m p$iatric ,,sane & ,,safe means a ,,sane or ,,safe :o is tra9$ to conduct sexual assault =5sic exam9ations on *ildr5 & y\? betwe5 ! ages ( #j & #ah4 7#e7 ,qualifi$ p]sonnel ,! t]m qualifi$ p]sonnel includes a regi/]$ or advanc$ practice nurse1 physician1 doctor ( o/eopa?y1 or physician assi/ant :o has specializ$ tra9+ conduct+ m$ical =5sic exam9ations4 7#f7 ,qualifi$ ,,sane & ,,safe tra9+ program ,! t]m qualifi$ ,,sane & ,,safe tra9+ program means a program t-- 7,a7 is qualifi$ to prep>e curr5t & future sexual assault nurse exam9]s to be pr(ession-ready & meet ! applicable ,/ate & national c]tification & lic5sure requirem5ts1 ?r\gh didactic1 cl9ical1 preceptor1 or cap/one programs t include long]-t]m tra9+2 7,b7 provides t prep>ation "u a heal? c>e model t uses trauma-in=m$ te*niques2 & 7,c7 is approv$ z meet+ ! mo/ rec5t ,national ,tra9+ ,/&>ds = ,sexual ,assault ,m$ical ,=5sic ,exam9]s4 7#g7 ,rural area ,! t]m rural area has ! mean+ giv5 ! t]m 9 section #djjjb ( ! ,viol5ce ,aga9/ ,wom5 ,act ( #aiid 7#cd ,u4,s4,c4 #abbia74 7#h7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#i7 ,sexual assault ,! t]m sexual assault means any noncons5sual sexual act or sexual contact proscrib$ by ,f$]al1 ,tribal1 or ,/ate law1 includ+ :5 ! individual lacks capacity to cons5t4 7#aj7 ,sexual assault =5sic exam9]2 ,,safe ,! t]m sexual assault =5sic exam9] or ,,safe means an individual :o has specializ$ =5sic tra9+ 9 treat+ sexual assault survivors & conduct+ m$ical =5sic exam9ations4 7#aa7 ,sexual assault =5sic exam9ation ,! t]m sexual assault =5sic exam9ation means an exam9ation ( a sexual assault pati5t by a heal? c>e provid]1 :o has specializ$ education & cl9ical exp]i5ce 9 ! collection ( =5sic evid5ce & treatm5t ( ^! pati5ts1 :i* includes-- 7,a7 ga!r+ in=mation f ! pati5t = ! m$ical =5sic hi/ory2 7,b7 an exam9ation2 7,c7 coord9at+ treatm5t ( injuries1 docum5tation ( biological & physical f9d+s1 & collection ( evid5ce f ! pati5t2 7,d7 docum5tation ( f9d+s2 7,e7 provid+ in=mation1 treatm5t1 & ref]rals = sexually transmitt$ infections1 pregnancy1 suicidal ideation1 alcohol & sub/ance abuse1 & o!r non-acute m$ical conc]ns2 & 7,f7 provid+ foll[-up z ne$$ to provide additional heal+1 treatm5t1 or collection ( evid5ce4 7#ab7 ,sexual assault nurse exam9]2 ,,sane ,! t]m sexual assault nurse exam9] or ,,sane means a regi/]$ or advanc$ practice nurse :o has specializ$ tra9+ conduct+ m$ical =5sic exam9ations4 7#ac7 ,sexual assault response team2 ,,s>t ,! t]m sexual assault response team or ,,s>t means a multidiscipl9>y team t-- 7,a7 provides a specializ$ & imm$iate response to survivors ( sexual assault2 & 7,b7 may include heal? c>e p]sonnel1 law en=cem5t repres5tatives1 community-bas$ survivor advocates1 prosecutors1 & =5sic sci5ti/s4 7#ad7 ,/ate ,! t]m ,/ate means any ,/ate ( ! ,unit$ ,/ates1 ! ,di/rict ( ,columbia1 & any t]ritory or possession ( ! ,unit$ ,/ates4 7#ae7 ,trauma-in=m$ ,! t]m trauma-in=m$ means1 ) respect to s]vices or tra9+1 s]vices or tra9+ t-- 7,a7 use a pati5t-c5t]$ approa* to provid+ s]vices or c>e2 7,b7 promote ! dignity1 /r5g?1 & emp[]m5t ( pati5ts :o h exp]i5c$ trauma2 & 7,c7 incorporate evid5ce-bas$ practices bas$ on k ab\t ! impact ( trauma on pati5ts' lives4 7#af7 ,und]s]v$ populations ,! t]m und]s]v$ populations has ! mean+ giv5 ! t]m 9 section #djjjb ( ! ,viol5ce ,aga9/ ,wom5 ,act ( #aiid 7#cd ,u4,s4,c4 #abbia74 4 #c4 ,sexual assault nurse exam9] grants ,section #cjd ( ! ,,dna ,sexual ,assault ,ju/ice ,act ( #bjjd 7#cd ,u4,s4,c4 #djgbc7 is am5d$ by ins]t+ aft] subsection 7a71 z am5d$ by section #b ( ?is ,act1 ! foll[+3 7b7 ,sexual assault nurse exam9] tra9+ program grants 7#a7 ,au?orization = grants ,! ,attorney ,g5]al1 9 consultation ) ! ,secret>y1 %all make grants to eligible entities = ! foll[+ purposes3 7,a7 ,to e/abli% qualifi$ regional ,,sane tra9+ programs-- 7i7 to provide cl9ical education = ,,sane /ud5ts2 7ii7 to provide sal>ies = full- & "p-"t ,,sane in/ructors1 includ+ ^? specializ+ 9 p$iatrics & work+ 9 a multidiscipl9>y team sett+1 to help ) ! cl9ical tra9+ ( ,s,a,n,es2 & 7iii7 to provide access to simulation laboratories & o!r res\rces necess>y = cl9ical education4 7,b7 ,to provide full- & "p-"t sal>ies = ,s,a,n,es & ,s,a,f,es1 includ+ p$iatric ,s,a,n,es & ,s,a,f,es4 7,c7 ,to increase access to ,s,a,n,es & ,s,a,f,es by o!rwise provid+ tra9+1 education1 or te*nical assi/ance relat+ to ! collection1 pres]vation1 analysis1 & use ( ,,dna samples & ,,dna evid5ce by ,s,a,n,es1 ,s,a,f,es1 & o!r qualifi$ p]sonnel4 7#b7 ,pref]5ce = grants ,9 review+ applications = grants "u ?is section1 ! ,attorney ,g5]al %all give pref]5ce to any eligible entity t c]tifies 9 ! grant application t ! entity w coord9ate ) a rape crisis c5t] or ! ,/ate sexual assault coalition to facilitate sexual assault advocacy to support sexual assault survivors & use ! grant funds to-- 7,a7 e/abli% qualifi$ ,,sane tra9+ programs 9 localities ) a high volume ( =5sic trauma cases1 includ+ adult & *ild sexual assault1 dome/ic viol5ce1 eld] abuse1 sex traffick+1 & /rangulation cases2 7,b7 increase ! local & regional availability ( full- & "p-"t sexual assault nurse exam9]s 9 a rural area1 ,tribal area1 an area ) a heal? pr(essional %ortage1 or = an und]s]v$ population1 includ+ ef=ts to provide culturally compet5t s]vices2 or 7,c7 e/abli% or su/a9 sexual assault mobile teams or units or o!rwise enhance ,,sane & ,,safe access ?r\gh teleheal?4 4 #d4 ,directive ,section #cjd ( ! ,,dna ,sexual ,assault ,ju/ice ,act ( #bjjd 7#cd ,u4,s4,c4 #djgbc7 is am5d$-- 7#a7 by r$esignat+ subsection 7d7 z subsection 7e72 & 7#b7 by ins]t+ aft] subsection 7b71 z add$ by section #c ( ?is ,act1 ! foll[+3 7c7 ,directive to ! ,attorney ,g5]al 7#a7 ,9 g5]al ,n lat] ?an ! beg9n+ ( fiscal ye> #bjbb1 ! ,attorney ,g5]al %all coord9ate ) ! ,secret>y to in=m heal? c>e facilities1 includ+ ,f$]ally qualifi$ heal? c5t]s & hospitals1 colleges & univ]sities1 & o!r appropriate heal?-relat$ entities ab\t-- 7,a7 ! availability ( grant fund+ "u ?is section2 & 7,b7 ! role ( sexual assault nurse exam9]s1 bo? adult & p$iatric1 & available res\rces ( ! ,dep>tm5t ( ,ju/ice & ! ,dep>tm5t ( ,heal? & ,human ,s]vices to tra9 or employ sexual assault nurse exam9]s to address ! ne$s ( communities deal+ ) sexual assault1 dome/ic viol5ce1 sex traffick+1 eld] abuse1 /rangulation1 &1 9 p>ticul>1 ! ne$ = p$iatric ,s,a,n,es1 includ+ su* nurse exam9]s work+ 9 ! multidiscipl9>y sett+1 9 respond+ to abuse ( bo? *ildr5 & adolesc5ts4 7#b7 ,requirem5t ,9 c>ry+ out p>agraph 7#a71 ! ,attorney ,g5]al %all collaborate ) nongov]nm5tal organizations repres5t+ ,s,a,n,es4 7d7 ,public in=mation on access to sexual assault =5sic exam9ations 7#a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ! ,support+ ,access to ,nurse ,exams ,act1 ! ,attorney ,g5]al1 9 consultation ) ! ,secret>y1 %all e/abli%1 & update annually1 a public website on ! access to =5sic nurse exam9]s4 7#b7 ,cont5ts ,! website requir$ "u p>agraph 7#a7 %all ) specificity describe1 by ,/ate-- 7,a7 fund+ opportunities = ,,sane tra9+ & cont9u+ education2 & 7,b7 ! availability ( sexual assault advocates at locations provid+ sexual assault =5sic exams4 7#c7 ,report to ,congress ,n lat] ?an #d ye>s aft] ! date ( enactm5t ( ! ,support+ ,access to ,nurse ,exams ,act1 ! ,attorney ,g5]al1 9 consultation ) ! ,secret>y1 %all submit to ! ,committee on ! ,judici>y ( ! ,s5ate1 ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate1 ! ,committee on ! ,judici>y ( ! ,h\se ( ,repres5tatives1 & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives a report on-- 7,a7 ! availability (1 & pati5t access to1 tra9$ ,s,a,n,es & o!r provid]s :o p]=m ,m,f,es or sexual assault =5sic exam9ations2 7,b7 ! heal? c>e facilities1 includ+ hospitals or cl9ics1 t (f] ,s,a,n,es & sexual assault =5sic exam9ations & :e!r ea* heal? c>e facility1 includ+ a hospital or cl9ic1 has full-"t1 "p-"t1 or on-call cov]age2 7,c7 regional1 provid]1 or o!r b>ri]s to access = ,,sane c>e & s]vices1 includ+ ,m,f,es & sexual assault =5sic exam9ations2 7,d7 ,/ate requirem5ts1 m9imum /&>ds1 & protocols = tra9+ ,s,a,n,es1 includ+ trauma-in=m$ & culturally compet5t tra9+ /&>ds2 7,e7 ,/ate requirem5ts1 m9imum /&>ds1 & protocols = tra9+ em]g5cy s]vices p]sonnel involv$ 9 ,m,f,es & sexual assault =5sic exam9ations2 7,f7 ! availability ( sexual assault nurse exam9] 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,g7 ! d$icat$ ,f$]al & ,/ate fund+ to support ,,sane tra9+2 7,h7 fund+ opportunities = ,,sane tra9+ & cont9u+ education2 7,i7 ! availability ( sexual assault advocates at locations provid+ ,m,f,es & sexual assault =5sic exams2 & 7,j7 ! total annual co/ ( conduct+ sexual assault =5sic exams describ$ 9 section #bjaj7;b7 ( title ,i ( ! ,omnibus ,crime ,control & ,safe ,/reets ,act ( #aifh 7#cd ,u4,s4,c4 #ajddi7;b774 4 #e4 ,au?orization ( appropriations ,subsection 7e7 ( section #cjd ( ! ,,dna ,sexual ,assault ,ju/ice ,act ( #bjjd 7#cd ,u4,s4,c4 #djgbc71 z r$esignat$ by section #d ( ?is ,act1 is am5d$ to read z foll[s3 7e7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ #cj1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg to c>ry out ?is section4 4