120 
‘‘(C) a transgender prisoner’s sex is deter-
mined according to the sex with which they 
identify; and 
‘‘(D) a correctional officer may not search 
or physically examine a prisoner for the sole 
purpose of determining the prisoners’ genital 
status or sex. 
‘‘(2) RELATION TO OTHER LAWS.—Nothing in 
paragraph (1) shall be construed to affect the re-
quirements under the Prison Rape Elimination Act 
of 2003 (42 U.S.C. 15601 et seq.).’’. 
(c) 
SUBSTANCE
ABUSE
TREATMENT.—Section 
3621(e) of title 18, United States Code, is amended by 
adding at the end the following: 
‘‘(7) ELIGIBILITY
OF
PRIMARY
CARETAKER 
PARENTS AND PREGNANT WOMEN.—The Director of 
the Bureau of Prisons may not prohibit an eligible 
prisoner who is a primary caretaker parent (as de-
fined in section 4050) or who is pregnant from par-
ticipating in a program of residential substance 
abuse treatment provided under paragraph (1) on 
the basis of a failure by the eligible prisoner, before 
being committed to the custody of the Bureau of 
Prisons, to disclose to any official of the Bureau of 
Prisons that the prisoner had a substance abuse 
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problem on or before the date on which the eligible 
prisoner was committed to the custody of the Bu-
reau of Prisons.’’. 
(d) EFFECTIVE DATE.— 
(1) IN GENERAL.—This section and the amend-
ments made by this section shall take effect on the 
date that is 2 years after the date of the enactment 
of this Act. 
(2) REPORT.—On the date that is 3 years after 
the date of the enactment of this Act, the Director 
of the Bureau of Prisons shall submit to the Com-
mittees on the Judiciary of the House of Represent-
atives and of the Senate a report on the implementa-
tion of the requirements under section 4050 and sec-
tion 3621(e) of title 18, United States Code. 
(e) TECHNICAL AND CONFORMING AMENDMENT.— 
The table of sections for chapter 303 of title 18, United 
States Code, is amended by adding at the end the fol-
lowing: 
‘‘4050. Treatment of primary caretaker parents and other individuals.’’. 
SEC. 1102. PUBLIC HEALTH AND SAFETY OF WOMEN. 
(a) SHORT TITLE.—This section may be cited as the 
‘‘Stop Infant Mortality And Recidivism Reduction Act’’ or 
the ‘‘SIMARRA Act’’. 
(b) ESTABLISHMENT.—Not later than 270 days after 
the date of the enactment of this Act, the Director of the 
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122 
Federal Bureau of Prisons (hereinafter referred to as the 
‘‘Director’’) shall establish a pilot program (hereinafter re-
ferred to as the ‘‘Program’’) in accordance with this sec-
tion to permit women incarcerated in Federal prisons and 
the children born to such women during incarceration to 
reside together while the inmate serves a term of imprison-
ment in a separate housing wing of the prison. 
(c) PURPOSES.—The purposes of this section are 
to— 
(1) prevent infant mortality among infants born 
to incarcerated mothers and greatly reduce the trau-
ma and stress experienced by the unborn fetuses of 
pregnant inmates; 
(2) reduce the recidivism rates of federally in-
carcerated women and mothers, and enhance public 
safety by improving the effectiveness of the Federal 
prison system for women as a population with spe-
cial needs; 
(3) establish female offender risk and needs as-
sessment as the cornerstones of a more effective and 
efficient Federal prison system; 
(4) implement a validated post-sentencing risk 
and needs assessment system that relies on dynamic 
risk factors to provide Federal prison officials with 
a roadmap to address the pre- and post-natal needs 
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123 
of Federal pregnant offenders, manage limited re-
sources, and enhance public safety; 
(5) perform regular outcome evaluations of the 
effectiveness of programs and interventions for fed-
erally incarcerated pregnant women and mothers to 
assure that such programs and interventions are evi-
dence-based and to suggest changes, deletions, and 
expansions based on the results of such evaluations; 
and 
(6) assist the Department of Justice to address 
the underlying cost structure of the Federal prison 
system and ensure that the Department can con-
tinue to run prison nurseries safely and securely 
without compromising the scope or quality of the 
Department’s critical health, safety and law enforce-
ment missions. 
(d) DUTIES OF THE DIRECTOR OF THE FEDERAL 
BUREAU OF PRISONS.— 
(1) IN GENERAL.—The Director shall carry out 
this section in consultation with— 
(A) a licensed and board-certified gyne-
cologist or obstetrician; 
(B) the Director of the Administrative Of-
fice of the United States Courts; 
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124 
(C) the Director of the Office of Probation 
and Pretrial Services; 
(D) the Director of the National Institute 
of Justice; and 
(E) the Secretary of Health and Human 
Services. 
(2) DUTIES.—The Director shall, in accordance 
with paragraph (3)— 
(A) develop an offender risk and needs as-
sessment system particular to the health and 
sensitivities of federally incarcerated pregnant 
women and mothers in accordance with this 
subsection; 
(B) develop recommendations regarding re-
cidivism reduction programs and productive ac-
tivities in accordance with subsection (i); 
(C) conduct ongoing research and data 
analysis on— 
(i) the best practices relating to the 
use of offender risk and needs assessment 
tools particular to the health and sensitivi-
ties of federally incarcerated pregnant 
women and mothers; 
(ii) the best available risk and needs 
assessment tools particular to the health 
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125 
and sensitivities of federally incarcerated 
pregnant women and mothers and the level 
to which they rely on dynamic risk factors 
that could be addressed and changed over 
time, and on measures of risk of recidi-
vism, individual needs, and responsivity to 
recidivism reduction programs; 
(iii) the most effective and efficient 
uses of such tools in conjunction with re-
cidivism reduction programs, productive 
activities, incentives, and rewards; and 
(iv) which recidivism reduction pro-
grams are the most effective— 
(I) 
for 
federally 
incarcerated 
pregnant women and mothers classi-
fied at different recidivism risk levels; 
and 
(II) for addressing the specific 
needs of federally incarcerated preg-
nant women and mothers; 
(D) on a biennial basis, review the system 
developed under subparagraph (A) and the rec-
ommendations developed under subparagraph 
(B), using the research conducted under sub-
paragraph (C), to determine whether any revi-
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126 
sions or updates should be made, and if so, 
make such revisions or updates; 
(E) hold periodic meetings with the indi-
viduals listed in paragraph (1) at intervals to be 
determined by the Director; and 
(F) report to Congress in accordance with 
subsection (i). 
(3) METHODS.—In carrying out the duties 
under paragraph (2), the Director shall— 
(A) consult relevant stakeholders; and 
(B) make decisions using data that is 
based on the best available statistical and em-
pirical evidence. 
(e) ELIGIBILITY.—An inmate may apply to partici-
pate in the Program if the inmate— 
(1) is pregnant at the beginning of the term of 
imprisonment; and 
(2) is in the custody or control of the Federal 
Bureau of Prisons. 
(f) PROGRAM TERMS.— 
(1) TERMS OF PARTICIPATION.—To correspond 
with the purposes and goals of the Program to pro-
mote bonding during the critical stages of child de-
velopment, an eligible inmate selected for the Pro-
gram may participate in the Program, subject to 
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127 
subsection (g), for the shorter of the inmate’s term 
of imprisonment or 30 months. 
(2) INMATE REQUIREMENTS.—For the duration 
of an inmate’s participation in the Program, the in-
mate shall agree to— 
(A) accept the responsibility of child- 
rearing; 
(B) participate in any educational or coun-
seling opportunities established by the Director, 
including topics such as child development, par-
enting skills, domestic violence, vocational train-
ing, or substance abuse; 
(C) abide by any court decision regarding 
the legal or physical custody of the child; 
(D) transfer to the Federal Bureau of 
Prisons any child support payments for the in-
fant of the participating inmate from any per-
son or governmental entity; and 
(E) specify a person who has agreed to 
take custody of the child if the inmate’s partici-
pation in the Program terminates before the in-
mate’s release. 
(g) TERMINATION OF PARTICIPATION.—An inmate’s 
participation in the Program terminates upon the earliest 
of the following to occur: 
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(1) The inmate is released from prison. 
(2) The infant fails to meet any medical criteria 
established by the Director or the Director’s des-
ignee along with a collective determination of the 
persons listed in subsection (d)(1). 
(h) CONTINUITY OF CARE.—The Director shall take 
appropriate actions to prevent detachment or disruption 
of either an inmate’s or infant’s health and bonding-based 
well-being due to termination of the Program. 
(i) REPORTING.— 
(1) IN
GENERAL.—Not later than 6 months 
after the date of the enactment of this Act and once 
every year thereafter for 5 years, the Director shall 
submit a report to the Congress with regards to 
progress in implementing the Program. 
(2) FINAL REPORT.—Not later than 6 months 
after the termination of the Program, the Director 
shall issue a final report to the Congress that con-
tains a detailed statement of the Director’s findings 
and conclusions, including recommendations for leg-
islation, administrative actions, and regulations the 
Director considers appropriate. 
(j) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$10,000,000 for each of fiscal years 2019 through 2023. 
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TITLE XII—OTHER MATTERS 
SEC. 1201. NATIONAL STALKER AND DOMESTIC VIOLENCE 
REDUCTION. 
Section 40603 of the Violent Crime Control and Law 
Enforcement Act of 1994 (34 U.S.C. 12402) is amended 
by striking ‘‘2014 through 2018’’ and inserting ‘‘2019 
through 2023’’. 
SEC. 1202. FEDERAL VICTIM ASSISTANTS REAUTHORIZA-
TION. 
Section 40114 of the Violence Against Women Act 
of 1994 (Public Law 103–322) is amended by striking 
‘‘2014 through 2018’’ and inserting ‘‘2019 through 
2023’’. 
SEC. 1203. CHILD ABUSE TRAINING PROGRAMS FOR JUDI-
CIAL PERSONNEL AND PRACTITIONERS. 
Section 224(a) of the Crime Control Act of 1990 (34 
U.S.C. 20334(a)) is amended by striking ‘‘2014 through 
2018’’ and inserting ‘‘2019 through 2023’’. 
SEC. 1204. SEX OFFENDER MANAGEMENT. 
Section 40152(c) of the Violent Crime Control and 
Law Enforcement Act of 1994 (34 U.S.C. 12311(c)) is 
amended by striking ‘‘2014 through 2018’’ and inserting 
‘‘2019 through 2023’’. 
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130 
SEC. 1205. COURT-APPOINTED SPECIAL ADVOCATE PRO-
GRAM. 
Section 219(a) of the Crime Control Act of 1990 (34 
U.S.C. 20324(a)) is amended by striking ‘‘2014 through 
2018’’ and inserting ‘‘2019 through 2023’’. 
SEC. 1206. RAPE KIT BACKLOG. 
Subsection (j) of section 2 of the DNA Analysis 
Backlog Elimination Act of 2000 (34 U.S.C. 40701) is 
amended by striking ‘‘2015 through 2019’’ and inserting 
‘‘2019 through 2023’’. 
Æ 
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