nurse midwives, clinical nurse specialists, physician assist-
ants, and physicians) to administer medical forensic ex-
aminations and treatments to survivors of sexual assault. 
‘‘(b) PURPOSE.—The purpose of the program is to 
enable each grant recipient to expand access to SAFE/ 
SANE services by providing new providers with the clin-
ical training necessary to establish and maintain com-
petency in SAFE/SANE services and to test the provisions 
of such services at new facilities in expanded health care 
settings. 
‘‘(c) GRANTS.—Under the program, the Secretary 
shall award 3-year grants to eligible entities that meet the 
requirements established by the Secretary. 
‘‘(d) ELIGIBLE ENTITIES.—To be eligible to receive 
a grant under this section, an entity shall— 
‘‘(1) be— 
‘‘(A) a rural health care services provider 
or community-based service provider (as defined 
by the Secretary), a center or clinic under sec-
tion 330, or a health center receiving assistance 
under title X, acting in partnership with a high- 
volume emergency services provider or a hos-
pital currently providing sexual assault medical 
forensic examinations performed by SANEs or 
SAFEs, that will use grant funds to— 
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‘‘(i) assign rural health care service 
providers to the high-volume hospitals for 
clinical practicum hours to qualify such 
providers as a SAFE/SANE; or 
‘‘(ii) assign practitioners at high-vol-
ume hospitals to a rural health care serv-
ices providers to instruct, oversee, and ap-
prove clinical practicum hours in the com-
munity to be served; or 
‘‘(B) an organization described in section 
501(c)(3) of the Internal Revenue Code of 1986 
and exempt from taxation under 501(a) of that 
Act, that provides legal training and technical 
assistance to tribal communities and to organi-
zations and agencies serving Native people; and 
‘‘(2) submit to the Secretary an application at 
such time, in such manner, and containing such in-
formation as the Secretary may require, including a 
description of whether the applicant will provide 
services under subparagraph (A) or (B) of para-
graph (1). 
‘‘(e) GRANT AMOUNT.—Each grant awarded under 
this section shall be in an amount not to exceed $400,000 
per year. A grant recipient may carry over funds from one 
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fiscal year to the next without obtaining approval from 
the Secretary. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—There is authorized to be 
appropriated to carry out this section $11,000,000 
for each of fiscal years 2019 through 2024. 
‘‘(2) SET-ASIDE.—Of the amount appropriated 
under this subsection for a fiscal year, the Secretary 
shall reserve 15 percent of such amount for purposes 
of making grants to entities that are affiliated with 
Indian tribes or tribal organizations (as defined in 
section 4 of the Indian Self-Determination and Edu-
cation Assistance Act (25 U.S.C. 5304)), or Urban 
Indian organizations (as defined in section 4 of the 
Indian Health Care Improvement Act (25 U.S.C. 
1603)). Amounts reserved may be used to support 
referrals and the delivery of emergency first aid, cul-
turally competent support, and forensic evidence col-
lection training.’’. 
SEC. 204. TECHNICAL ASSISTANCE GRANTS AND LEARNING 
COLLECTIVES. 
Part B of title VIII of the Public Health Service Act 
(42 U.S.C. 296j et seq.), as amended by section 203, is 
further amended by adding at the end the following: 
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‘‘SEC. 812A. TECHNICAL ASSISTANCE CENTER AND RE-
GIONAL LEARNING COLLECTIVES. 
‘‘(a) IN GENERAL.—The Secretary shall establish a 
State and provider technical resource center to provide 
technical assistance to health care providers to increase 
the quality of, and access to, MFEs by entering into con-
tracts with national experts (such as the International Fo-
rensic Nurses Association and others). 
‘‘(b) REGIONAL LEARNING COLLECTIVES.—The Sec-
retary shall convene State and hospital regional learning 
collectives to assist health care providers and States in 
sharing best practices, discussing practices, and improving 
the quality of, and access to, MFEs. 
‘‘(c) REPOSITORY.—The Secretary shall establish and 
maintain a secure Internet-based data repository to serve 
as an online learning collective for State and entity col-
laborations. An entity receiving a grant under section 812 
may use such repository for— 
‘‘(1) technical assistance; and 
‘‘(2) best practice sharing.’’. 
SEC. 205. QUALITY STRATEGIES. 
The Secretary shall identify SAFE/SANE access and 
quality in hospitals and other appropriate health care fa-
cilities as a national priority for improvement under sec-
tion 399HH(a)(2) of the Public Health Service Act (42 
U.S.C. 280j(a)(2)). 
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SEC. 206. OVERSIGHT. 
Not later than one year after the date of enactment 
of this Act, the Office of the Inspector General shall issue 
a report concerning hospital compliance with section 1867 
of the Social Security Act (42 U.S.C. 1395dd) and the 
Violence Against Women Act of 1994 (34 U.S.C. 12291 
et seq.) with respect to access to, and reimbursements for, 
sexual assault medical forensic examinations at the na-
tional, State, and individual hospital level. Such report 
shall address hospital awareness of reimbursements, total 
reimbursed costs, and any costs for survivors. 
Æ 
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