of Education shall submit to Congress a report, which in-
cludes— 
(1) an evaluation of programs, events, and edu-
cational materials related to domestic violence, dat-
ing violence, sexual assault, and stalking; and 
(2) an assessment of best practices and guid-
ance from the evaluation described in paragraph (1), 
which shall be made publicly available online to uni-
versities and college campuses to use as a resource. 
TITLE IV—VIOLENCE 
REDUCTION PRACTICES 
SEC. 401. STUDY CONDUCTED BY THE CENTERS FOR DIS-
EASE CONTROL AND PREVENTION. 
Section 402 of the Violence Against Women and De-
partment of Justice Reauthorization Act of 2005 (42 
U.S.C. 280b–4) is amended— 
(1) in subsection (b), by striking ‘‘violence 
against women’’ and inserting ‘‘violence against 
adults, youth,’’; and 
(2) in subsection (c), by striking ‘‘2014 through 
2018’’ and inserting ‘‘2022 through 2026’’. 
SEC. 402. SAVING MONEY AND REDUCING TRAGEDIES 
(SMART) THROUGH PREVENTION GRANTS. 
Section 41303 of the Violence Against Women Act 
of 1994 (34 U.S.C. 12463) is amended—
(1) in subsection (b)(1)— 
(A) in subparagraph (C), by striking 
‘‘and’’ at the end; 
(B) in subparagraph (D), by striking the 
period at the end and inserting ‘‘; and’’; and 
(C) by adding at the end the following: 
‘‘(E) strategies within each of these areas 
addressing the unmet needs of underserved pop-
ulations.’’; 
(2) in subsection (b)(2)(B), by inserting ‘‘cul-
turally specific,’’ after ‘‘after-school,’’; 
(3) in subsection (d)(3)— 
(A) in subparagraph (A), by striking 
‘‘and’’ at the end; 
(B) in subparagraph (B), by striking the 
period at the end and inserting ‘‘; and’’; and 
(C) by adding at the end the following: 
‘‘(C) include a focus on the unmet needs of 
underserved populations.’’; 
(4) in subsection (f), by striking ‘‘$15,000,000 
for each of fiscal years 2014 through 2018’’ and in-
serting ‘‘$45,000,000 for each of fiscal years 2022 
through 2026’’; and 
(5) in subsection (g), by adding at the end the 
following:
‘‘(3) REMAINING AMOUNTS.—Any amounts not 
made available under paragraphs (1) and (2) may be 
used for any set of purposes described in paragraph 
(1), (2), or (3) of subsection (b), or for a project 
that fulfills two or more of such sets of purposes.’’. 
TITLE V—STRENGTHENING THE 
HEALTHCARE 
SYSTEMS 
RE-
SPONSE 
SEC. 501. GRANTS TO STRENGTHEN THE HEALTHCARE SYS-
TEMS RESPONSE TO DOMESTIC VIOLENCE, 
DATING VIOLENCE, SEXUAL ASSAULT, AND 
STALKING. 
Section 399P of the Public Health Service Act (42 
U.S.C. 280g–4) is amended— 
(1) in subsection (a)— 
(A) in paragraph (1), by inserting ‘‘com-
munity health workers, violence prevention ad-
vocates working with health providers,’’ after 
‘‘health staff,’’; 
(B) in paragraph (2)— 
(i) by inserting ‘‘(including midwives 
and doulas)’’ after ‘‘residents’’; and 
(ii) by striking ‘‘and’’ at the end; 
(C) in paragraph (3)—
(i) by striking ‘‘response’’ after ‘‘im-
prove the’’ and inserting ‘‘capacity’’; 
(ii) by inserting ‘‘prevent and respond 
to’’ after ‘‘(including behavioral and men-
tal health programs) to’’; and 
(iii) by striking the period at the end 
and inserting a semicolon; and 
(D) by adding at the end the following: 
‘‘(4) the development or enhancement and im-
plementation of training programs to improve the 
capacity of early childhood programs to address do-
mestic violence, dating violence, sexual assault, and 
stalking among families they serve; and 
‘‘(5) the development or enhancement and im-
plementation of comprehensive statewide strategies 
for health and violence prevention programs to work 
together to promote primary prevention onf domestic 
violence, dating violence, sexual assault, and stalk-
ing.’’; 
(2) in subsection (b)(1)— 
(A) in subparagraph (A)(i)— 
(i) by inserting ‘‘provide universal 
education on healthy relationships’’ after 
‘‘providers to’’; 
(ii) by striking ‘‘identify’’;
(iii) by inserting ‘‘trauma-informed’’ 
after ‘‘and provide’’; and 
(iv) by striking ‘‘and’’ at the end; 
(B) in subparagraph (A)(ii)— 
(i) by inserting ‘‘, including labor and 
sex trafficking’’ after ‘‘other forms of vio-
lence and abuse’’; 
(ii) by striking ‘‘culturally competent 
clinical’’ after ‘‘plan and develop’’; 
(iii) by inserting after ‘‘training com-
ponents’’ the following; ‘‘that center the 
experiences of and are developed in col-
laboration with Black and Indigenous peo-
ple and People of Color, and include com-
munity-defined practices such as the use of 
doulas, midwives, and traditional healers,’’; 
and 
(iv) by striking ‘‘disparities’’ and in-
serting ‘‘inequities’’; 
(C) in subparagraph (A), by inserting after 
clause (ii) the following: 
‘‘(iii) are designed to be inclusive of 
the experiences of all individuals including 
LGBTQ+ individuals and include training 
on equity and anti-racism approaches to
health services delivery; disparities in ac-
cess to health-care services and prevention 
resources; and current and historic sys-
temic racism in health care services; and 
‘‘(iv) include training on the use of 
universal prevention education approach to 
both prevent and respond to domestic vio-
lence, dating violence, sexual assault, or 
stalking in health care settings;’’; 
(D) in subparagraph (B), in the matter 
preceding clause (i)— 
(i) by striking ‘‘response’’ after ‘‘im-
prove the’’ and inserting ‘‘capacity’’; and 
(ii) by inserting ‘‘prevent and respond 
to’’ after ‘‘system to’’; 
(E) in subparagraph (B)(i)— 
(i) by inserting ‘‘and promoting pre-
vention of’ ’’’ after ‘‘responding to’’; 
(ii) by inserting ‘‘during in person or 
virtual visits and’’ after ‘‘and stalking’’; 
and 
(iii) by inserting after ‘‘follow-up 
care’’ the following: ‘‘ and to maximize vic-
tim choice on the use and sharing of their 
health information’’;
(F) in subparagraph (B)(ii)— 
(i) by striking ‘‘on-site access to’’; and 
(ii) by striking ‘‘patients by increas-
ing’’ and all that follows through the semi-
colon and inserting the following: ‘‘patients 
by— 
‘‘(I) increasing the capacity of 
existing health care professionals, in-
cluding professionals who specialize in 
trauma and in behavioral and mental 
health care (including substance abuse 
disorder), community health workers, 
and public health staff to address do-
mestic violence, dating violence, sexual 
assault, stalking, and children exposed 
to violence; 
‘‘(II) contracting with or hiring 
advocates for victims of domestic vio-
lence or sexual assault to provide such 
services; or 
‘‘(III) providing funding to State 
domestic and sexual violence coalitions 
to improve the capacity of such coali-
tions to coordinate and support health
advocates and other health system 
partnerships;’’; 
(G) in subparagraph (B)(iii)— 
(i) by striking ‘‘identification’’ after 
‘‘practice of’’ and inserting ‘‘prevention’’; 
(ii) by inserting ‘‘during in person or 
virtual visits,’’ after ‘‘and stalking’’; and 
(iii) by striking ‘‘and’’ at the end; 
(H) in subparagraph (B)(iv)— 
(i) by inserting ‘‘and promote preven-
tion during in person or virtual visits,’’ 
after ‘‘or stalking,’’; and 
(ii) by striking the period at the end; 
(I) in subparagraph (B), by adding at the 
end the following: 
‘‘(v) the development, implementation, 
dissemination, and evaluation of best prac-
tices, tools, and training materials, includ-
ing culturally relevant tools, for behavioral 
health professionals to identify and re-
spond to domestic violence, sexual violence, 
stalking, and dating violence; and 
‘‘(vi) the development and provision of 
culturally relevant training and follow-up 
technical assistance to health care profes-
sionals, and public health staff, and allied 
health professionals to identify, assess, 
treat, and refer clients who are victims of 
domestic violence, dating violence, sexual 
assault, or stalking from culturally specific 
communities 
and 
promote 
prevention, 
using tools and training materials, devel-
oped by and for culturally specific commu-
nities, with priority given to trainings pro-
vided by culturally specific organizations; 
and’’; and 
(J) by inserting after subparagraph (B) 
the following: 
‘‘(C) design and implement comprehensive 
strategies to prevent domestic or sexual violence 
including through the use of universal education 
in clinical and public health settings, hospitals, 
clinics and other health settings.’’; 
(3) in subsection (b)(2)(A)— 
(A) in the heading, by striking ‘‘CHILD 
AND
ELDER
ABUSE’’ and inserting the fol-
lowing: ‘‘CHILD ABUSE AND ABUSE IN LATER 
LIFE’’; and
(B) by striking ‘‘child or elder abuse’’ and 
inserting the following: ‘‘child abuse or abuse in 
later life’’; 
(4) in subsection (b)(2)(C)(i), by striking ‘‘elder 
abuse’’ and inserting ‘‘abuse in later life’’; 
(5) in subsection (b)(2)(C)(ii), by inserting 
‘‘programs that promote the prevention of sexual as-
sault as well as’’ after ‘‘implementation of’’; 
(6) in subsection (b)(2)(C)(iii)— 
(A) by inserting ‘‘and exposure to violence 
against generations’’ after ‘‘abuse’’; and 
(B) by striking ‘‘or’’ at the end; 
(7) in subsection (b)(2)(C)(iv)— 
(A) by inserting ‘‘mental health,’’ after 
‘‘dental,’’; and 
(B) by striking ‘‘exams.’’ and inserting 
‘‘exams and certifications;’’; 
(8) in subsection (b)(2)(C), by inserting after 
clause (iv) the following: 
‘‘(v) providing funding to culturally 
specific organizations to improve the ca-
pacity of such organizations to engage and 
partner with healthcare providers to sup-
port victims and meet increased referrals 
from health systems;
‘‘(vi) development of a State-level pilot 
program to— 
‘‘(I) improve the response of sub-
stance use disorder treatment pro-
grams, harm reduction programs for 
people who use substances, and sys-
tems to domestic violence, dating vio-
lence, sexual assault, and stalking; 
‘‘(II) improve the capacity of 
substance use disorder treatment pro-
grams, harm reduction programs for 
people who use substances, and sys-
tems to serve survivors of domestic vi-
olence, dating violence, sexual assault, 
and stalking dealing with substance 
use disorder; and 
‘‘(III) improve the capacity of do-
mestic violence, dating violence, sexual 
assault, and stalking programs to 
serve survivors who has substance use 
history with substance abuse disorder; 
or 
‘‘(vii) development and utilization of 
existing technical assistance and training 
resources to improve the capacity of sub-
stance use disorder treatment programs 
and harm reduction programs for people 
who use substances to address domestic vi-
olence, dating violence, sexual assault, and 
stalking among patients the programs 
serve.’’; 
(9) in subsection (c)(3)(A) by striking the pe-
riod at the end and inserting the following: ‘‘and— 
‘‘(i) culturally specific and population 
specific organizations, and specifically or-
ganizations whose leadership include Black 
or Indigenous people, People of Color, or 
LGBTQ+ individuals; and 
‘‘(ii) programs developing and imple-
menting community-driven solutions to ad-
dress domestic violence, dating violence, 
sexual assault, or stalking, instead of 
carceral and law enforcement interven-
tion.’’; 
(10) in subsection (c)(3)(B)(i)(III) by inserting 
after ‘‘nonprofit entity’’ the following ‘‘, including a 
culturally-specific organization or community-based 
organization working to address the social deter-
minants of health,’’; 
(11) in subsection (c)(3)(C)(ii)—
(A) by striking ‘‘strategies for’’ and insert-
ing ‘‘(I) strategies for’’; 
(B) by inserting ‘‘and generations’’ after 
‘‘lifespan’’; 
(C) by striking ‘‘settings;’’ and inserting 
‘‘settings; and’’; and 
(D) by adding at the end the following: 
‘‘(II) strategies to address pri-
mary prevention of domestic violence, 
dating violence, sexual assault, and 
stalking over the lifespan and genera-
tions including strategies that address 
related social determinants of health 
and center economic justice, anti-rac-
ism, and that are inclusive of all gen-
ders 
and 
identities 
including 
LGBTQ+ individuals;’’; 
(12) in subsection (c)(3)(C)(iii)— 
(A) by inserting ‘‘culturally specific organi-
zations’’ after ‘‘advocacy organizations’’; and 
(B) by striking ‘‘State or tribal law en-
forcement task forces (where appropriate)’’; 
(13) in subsection (c)(3)(C)(iv) by inserting 
‘‘(including culturally specific organizations)’’ after 
‘‘service providers’’;
(14) in subsection (d)(2)(A)— 
(A) by inserting ‘‘or behavioral health’’ 
after ‘‘of health’’; 
(B) by inserting ‘‘behavioral’’ after ‘‘phys-
ical or’’; 
(C) by striking ‘‘mental’’ before ‘‘health 
care’’; and 
(D) by inserting ‘‘, including substance use 
disorder treatment’’ before ‘‘; or’’; 
(15) in subsection (d)(2)(B)— 
(A) by striking ‘‘or health system’’ and in-
serting ‘‘behavioral health treatment system’’; 
(B) by striking ‘‘mental’’ and inserting 
‘‘behavioral’’; and 
(C) by inserting ‘‘, or a community-based 
organization with a history of partnership with 
programs in the domestic violence, dating vio-
lence, sexual assault, or stalking and health 
care, including physical, mental, or behavioral 
health care’’ before the period at the end; 
(16) in subsection (g)— 
(A) by striking ‘‘$10,000,000’’ and insert-
ing ‘‘$15,000,000’’; and 
(B) by striking ‘‘2014 through 2018’’ and 
inserting ‘‘2022 through 2026’’; and
(17) in subsection (h), by striking ‘‘herein’’ and 
‘‘provided for’’. 
SEC. 502. MATERNAL MORTALITY OR MORBIDITY STUDY. 
(a) STUDY.—The Secretary of Health and Human 
Services, in collaboration with the Center for Disease Con-
trol and Prevention and in consultation with the Attorney 
General, the Director of the Indian Health Service, and 
other stakeholders (including community based organiza-
tions), shall conduct a study on the whether victims of 
domestic violence, dating violence, sexual assault, or stalk-
ing throughout the United States are more at risk of ma-
ternal mortality or morbidity as a result of issues related 
to domestic violence, dating violence, sexual assault, or 
stalking. 
(b) REPORTS.—Not later than 3 years after the date 
of enactment of this title, the Secretary of Health and 
Human Services, in consultation with the Attorney Gen-
eral, the Director of the Indian Health Service, and other 
stakeholders (including community based organizations), 
shall report to Congress on the study conducted under 
subsection (a). The report shall include: 
(1) An analysis of the extent in which domestic 
violence, dating violence, sexual assault, or stalking 
result in pregnancy related death.
(2) An analysis of the impact of domestic vio-
lence, dating violence, sexual assault or stalking on 
access to health care. 
(3) A breakdown of individuals particularly im-
pacted by domestic violence, dating violence, sexual 
assault, or stalking, by race and ethnicity. 
(4) An analysis of the impact of domestic vio-
lence, dating violence, sexual assault, or stalking on 
Tribal communities and among Native Americans. 
(5) An assessment of the factors that increase 
risks for infant and maternal mortality or morbidity 
among survivors of domestic violence, dating vio-
lence, sexual assault, or stalking. 
(6) Recommendations for legislative or policy 
changes to help reduce infant and maternal mor-
tality rates. 
(7) Best practices to reduce pregnancy related 
deaths among survivors of domestic violence, dating 
violence, sexual assault, or stalking. 
(8) Any other information on maternal mor-
tality or morbidity the the Secretary determine ap-
propriate to include in the report.
TITLE VI—SAFE HOMES FOR 
VICTIMS 
SEC. 601. HOUSING PROTECTIONS FOR VICTIMS OF DOMES-
TIC VIOLENCE, DATING VIOLENCE, SEXUAL 
ASSAULT, AND STALKING. 
(a) IN GENERAL.—Section 41411 of the Violence 
Against Women Act of 1994 (34 U.S.C. 12491) is amend-
ed— 
(1) in subsection (a)— 
(A) in paragraph (1)(A), by striking 
‘‘brother, sister,’’ and inserting ‘‘sibling,’’; 
(B) in paragraph (3)— 
(i) in subparagraph (A), by inserting 
before the semicolon at the end the fol-
lowing: ‘‘including the direct loan program 
under such section’’; 
(ii) in subparagraph (D), by striking 
‘‘the program under subtitle A of’’ and in-
serting ‘‘the programs under’’; 
(iii) in subparagraph (I)— 
(I) by striking ‘‘sections 514, 
515, 516, 533, and 538 of the Hous-
ing Act of 1949 (42 U.S.C. 1484, 
1485, 1486, 1490m, and 1490p–2)’’ 
and inserting ‘‘sections 514, 515, 516,
533, 538, and 542 of the Housing Act 
of 1949 (42 U.S.C. 1484, 1485, 1486, 
1490m, 1490p–2, 1490r)’’; and 
(II) by striking ‘‘and’’ at the end; 
(iv) in subparagraph (J), by striking 
the period at the end and inserting a semi-
colon; and 
(v) by adding at the end the following: 
‘‘(K) the provision of assistance from the 
Housing Trust Fund established under section 
1338 of the Federal Housing Enterprises Fi-
nancial Safety and Soundness Act of 1992 (12 
U.S.C. 4501); 
‘‘(L) the provision of assistance for hous-
ing under the Comprehensive Service Programs 
for Homeless Veterans program under sub-
chapter II of chapter 20 of title 38, United 
States Code; 
‘‘(M) the provision of assistance for hous-
ing and facilities under the grant program for 
homeless veterans with special needs under sec-
tion 2061 of title 38, United States Code; 
‘‘(N) the provision of assistance for perma-
nent housing under the program for financial 
assistance for supportive services for very low-
income veteran families in permanent housing 
under section 2044 of title 38, United States 
Code; 
‘‘(O) housing assisted under the rent sup-
plement program under section 101 of the 
Housing and Urban Development Act of 1965 
(12 U.S.C. 1701s); 
‘‘(P) the program under Chapter 11 of 
subtitle B of the Violence Against Women Act 
of 1994 (34 U.S.C. 12351 et seq.); and 
‘‘(Q) any other Federal housing programs 
providing affordable housing to low- and mod-
erate-income persons by means of restricted 
rents or rental assistance as identified by the 
appropriate agency.’’; and 
(C) by adding at the end the following: 
‘‘(4) COLLABORATIVE
APPLICANT.—The term 
‘collaborative applicant’ has the meaning given the 
term in section 401 of the McKinney-Vento Home-
less Assistance Act (42 U.S.C. 11360). 
‘‘(5) CONTINUUM OF CARE.—The term ‘Con-
tinuum of Care’ means the Federal program author-
ized under subtitle C of title IV of the McKinney- 
Vento Homeless Assistance Act (42 U.S.C. 11381 et 
seq.).
‘‘(6) COVERED HOUSING PROVIDER.—The term 
‘covered housing provider’— 
‘‘(A) means the individual or entity under 
a covered housing program that has responsi-
bility for the administration or oversight of 
housing assisted under a covered housing pro-
gram; and 
‘‘(B) includes public housing agencies, 
sponsors, owners, mortgagors, managers, grant-
ees under the Continuum of Care, State and 
local governments or agencies thereof, and non-
profit or for-profit organizations or entities. 
‘‘(7) DRUG-RELATED CRIMINAL ACTIVITY.—The 
term ‘drug-related criminal activity’ has the meaning 
given the term in section 3(b)(9) of the United 
States 
Housing 
Act 
of 
1937 
(42 
U.S.C. 
1437a(b)(9)). 
‘‘(8) EMERGENCY
SOLUTIONS
GRANT.—The 
term ‘emergency solutions grant’ means a grant pro-
vided under subtitle B of title IV of the McKinney- 
Vento Homeless Assistance Act (42 U.S.C. 11371 et 
seq.). 
‘‘(9) EMERGENCY TRANSFER.—The term ‘emer-
gency transfer’—
‘‘(A) except as provided under subpara-
graph (B), means a transfer under subsection 
(e) from a unit of a covered housing provider 
to any other unit of the same principal, affil-
iate, or management agent of the covered hous-
ing provider; and 
‘‘(B) with respect to a project funded 
under the Continuum of Care, means a transfer 
under subsection (e) to any unit of the same 
covered housing provider under the same cov-
ered housing program. 
‘‘(10) EXTERNAL REFERRAL.—The term ‘exter-
nal referral’— 
‘‘(A) except as provided under subpara-
graph (B), means a referral provided to a vic-
tim of domestic violence, dating violence, sexual 
assault, or stalking by a covered housing pro-
vider to the applicable regional office of the De-
partment of Housing and Urban Development 
to facilitate a move from a unit of a covered 
housing provider under the same or a different 
covered housing program; and 
‘‘(B) with respect to a project funded 
under the Continuum of Care, including any 
local system funding by the Continuum of Care