H. R. 2471—830 
(6) A registered nurse. 
(7) A community health practitioner or a community health 
aide who has completed level III or level IV certification and 
training requirements. 
(e) NATURE OF TRAINING.—The continuing education program 
established under this section shall incorporate and reflect current 
best practices and standards on medical forensic examination serv-
ices consistent with the purpose of this section. 
(f) AVAILABILITY.—After termination of the pilot program estab-
lished under subsection (b)(1), the training and continuing education 
program established under such program shall be available to all 
sexual assault forensic examiners and other providers employed 
by, or any individual providing services through, facilities that 
receive Federal funding. 
(g) EFFECTIVE DATE.—The pilot program established under this 
section shall terminate on the date that is 2 years after the date 
of such establishment. 
(h) AUTHORIZATION.—There are authorized to be appropriated 
to carry out this section $5,000,000 for each of fiscal years 2023 
through 2025. 
SEC. 506. EXPANDING ACCESS TO UNIFIED CARE. 
(a) ESTABLISHMENT OF PROGRAM.—The Secretary of Health and 
Human Services (referred to in this section as the ‘‘Secretary’’) 
shall establish a program (referred to in this section as the ‘‘pro-
gram’’) to award grants to eligible entities for the clinical training 
of sexual assault forensic examiners (including registered nurses, 
nurse practitioners, nurse midwives, clinical nurse specialists, 
physician assistants, and physicians) to administer medical forensic 
examinations and treatments to survivors of sexual assault. 
(b) PURPOSE.—The purpose of the program is to enable each 
grant recipient to expand access to medical forensic examination 
services by providing new providers with the clinical training nec-
essary to establish and maintain competency in such 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 estab-
lished by the Secretary. 
(d) ELIGIBLE ENTITIES.—To be eligible to receive a grant under 
this section, an entity shall— 
(1) be— 
(A) a safety net clinic acting in partnership with a 
high-volume emergency services provider or a hospital cur-
rently providing sexual assault medical forensic examina-
tions performed by sexual assault forensic examiners, that 
will use grant funds to— 
(i) assign rural health care service providers to 
the high-volume hospitals for clinical practicum hours 
to qualify such providers as sexual assault forensic 
examiners; or 
(ii) assign practitioners at high-volume hospitals 
to rural health care services providers to instruct, over-
see, and approve clinical practicum hours in the 
community to be served;
H. R. 2471—831 
(B) an organization described in section 501(c)(3) of 
the Internal Revenue Code of 1986 and exempt from tax-
ation under 501(a) of such Code, that provides legal 
training and technical assistance to Tribal communities 
and to organizations and agencies serving Indians; or 
(C) an Indian Tribe (as defined in section 4 of the 
Indian Self-Determination and Education Assistance Act 
(25 U.S.C. 5304)); and 
(2) submit to the Secretary an application at such time, 
in such manner, and containing such information as the Sec-
retary may require, including a description of whether the 
applicant will provide services described in subparagraph (A) 
or (B) of paragraph (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 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 $10,000,000 for each of fiscal years 
2023 through 2027. 
(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 enti-
ties that are affiliated with Indian Tribes or Tribal organiza-
tions (as defined in section 4 of the Indian Self-Determination 
and Education 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, culturally competent support, and 
forensic evidence collection training. 
SEC. 507. EXPANDING ACCESS TO FORENSICS FOR VICTIMS OF INTER-
PERSONAL VIOLENCE. 
(a) DEFINITIONS.—In this section: 
(1) COMMUNITY HEALTH AIDE; COMMUNITY HEALTH PRACTI-
TIONER.—The terms ‘‘community health aide’’ and ‘‘community 
health practitioner’’ have the meanings given such terms for 
purposes of section 119 of the Indian Health Care Improvement 
Act (25 U.S.C. 1616l). 
(2) HEALTH CARE PROVIDER.—The term ‘‘health care pro-
vider’’ has the meaning given such term by the Secretary, 
and includes registered nurses, nurse practitioners, nurse mid-
wives, clinical nurse specialists, physician assistants, and physi-
cians. 
(3) INDIAN
TRIBE; 
TRIBAL
ORGANIZATION.—The terms 
‘‘Indian Tribe’’ and ‘‘Tribal organization’’ shall have the 
meanings given such terms in section 4 of the Indian Self- 
Determination and Education Assistance Act (25 U.S.C. 5304). 
(4) INSTITUTION OF HIGHER EDUCATION.—The term ‘‘institu-
tion of higher education’’ has the meaning given such term 
in section 101 of the Higher Education Act of 1965 (20 U.S.C. 
1001). 
(5) INTERPERSONAL
VIOLENCE.—The term ‘‘interpersonal 
violence’’ means any form of violence that is emotional and
H. R. 2471—832 
trauma-inducing for victims, families of victims, perpetrators, 
and communities. 
(6) NATIVE
HAWAIIAN
ORGANIZATION.—The term ‘‘Native 
Hawaiian organization’’ has the meaning given such term in 
section 12 of the Native Hawaiian Health Care Improvement 
Act (42 U.S.C. 11711). 
(7) SECRETARY.—The term ‘‘Secretary’’ means the Secretary 
of Health and Human Services. 
(8) TRAUMA-INFORMED CARE.—The term ‘‘trauma-informed 
care’’ means care received by trauma survivors that is culturally 
competent in accordance with professional standards of practice 
and accounting for patients’ experiences and preferences in 
order to eliminate or mitigate triggers that may cause re- 
traumatization of the patient. 
(9) URBAN INDIAN ORGANIZATION.—The term ‘‘Urban Indian 
organization’’ has the meaning given such term in section 4 
of the Indian Health Care Improvement Act (25 U.S.C. 1603). 
(b) DEMONSTRATION GRANTS
FOR COMPREHENSIVE FORENSIC 
TRAINING.— 
(1) ESTABLISHMENT
OF
PROGRAM.—The Secretary shall 
establish a demonstration program to award grants to eligible 
entities for the clinical training of health care providers to 
provide generalist forensic services and trauma-informed care 
to survivors of interpersonal violence of all ages. 
(2) PURPOSE.—The purpose of the demonstration program 
under this subsection is to develop training and curriculum 
to provide health care providers with the skills to support 
the provision of forensic assessment and trauma-informed care 
to individuals, families, and communities that have experienced 
violence or trauma and to be available to collaborate with 
members of an inter-professional forensic team. 
(3) TERM.—Grants under this subsection shall be for a 
term of 5 years. 
(4) ELIGIBLE ENTITIES.—To be eligible to receive a grant 
under this subsection, an entity shall— 
(A) be an institute of higher education, including a 
minority serving institution as described in section 371 
of the Higher Education Act of 1965 (20 U.S.C. 1067q); 
and 
(B) submit to the Secretary an application at such 
time, in such manner, and containing such information 
as the Secretary may require. 
(5) GRANT AMOUNT.—Each grant awarded under this sub-
section shall be in an amount that does not exceed $400,000 
per year. A grant recipient may carry over funds from one 
fiscal year to the next without obtaining approval from the 
Secretary. 
(6) AUTHORIZATION OF APPROPRIATIONS.— 
(A) IN
GENERAL.—There is authorized to be appro-
priated to carry out this subsection $5,000,000 for each 
of fiscal years 2023 through 2027. 
(B) SET-ASIDE.—Of the amount appropriated under this 
paragraph for a fiscal year, the Secretary shall reserve 
10 percent for purposes of making grants to support 
training and curricula that addresses the unique needs 
of Indian Tribes, Tribal organizations, Urban Indian 
organizations, 
and 
Native 
Hawaiian 
organizations.
H. R. 2471—833 
Amounts so reserved may be used to support training, 
referrals, and the delivery of emergency first aid, culturally 
competent 
support, 
and 
forensic 
evidence 
collection 
training. 
(c) TECHNICAL ASSISTANCE GRANTS
AND LEARNING COLLEC-
TIVES.— 
(1) IN
GENERAL.—The Secretary shall establish a State 
and Tribal forensic provider technical resource center to provide 
technical assistance and support collaboration and best prac-
tices for health care providers, community health aides, and 
community health practitioners to improve the quality of, and 
increase access to, forensic services for all survivors of inter-
personal violence. The Secretary may enter into contracts with 
national experts for purposes of carrying out this subsection. 
(2) AUTHORIZATION OF APPROPRIATIONS.—There is author-
ized to be appropriated to carry out this subsection, $2,000,000 
for each of fiscal years 2023 through 2027. 
(d) NATIONAL REPORT.—Not later than 1 year after the date 
of enactment of this Act, and annually thereafter, the Office for 
Victims of Crime of the Department of Justice, the Centers for 
Disease Control and Prevention, the Health Resources and Services 
Administration, the Indian Health Service, the Office on Women’s 
Health of the Department of Health and Human Services, and 
the Office on Violence Against Women of the Department of Justice 
shall jointly submit to the Secretary a report on the need for, 
throughout the States, Indian Tribes, and territories— 
(1) access to generalist medical forensic services, evidence 
collection, and documentation that aids in meeting the needs 
of health care patients and improves future law enforcement 
investigation and prosecution; and 
(2) data for research to support the response to and preven-
tion of interpersonal violence, improved ability of health care 
providers to adequately respond to patients who exhibit signs 
of victimization, and address the unique needs of Tribal commu-
nities. 
TITLE VI—SAFE HOMES FOR VICTIMS 
SEC. 601. HOUSING PROTECTIONS FOR VICTIMS OF DOMESTIC 
VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND 
STALKING. 
Section 41411(a) of the Violence Against Women Act of 1994 
(34 U.S.C. 12491(a)) is amended— 
(1) in paragraph (1)(A), by striking ‘‘brother, sister,’’ and 
inserting ‘‘sibling,’’; and 
(2) in paragraph (3)— 
(A) in subparagraph (A), by inserting before the semi-
colon at the end the following: ‘‘, including the direct loan 
program under such section’’; 
(B) in subparagraph (D), by striking ‘‘the program 
under subtitle A of’’ and inserting ‘‘the programs under’’; 
(C) in subparagraph (I)— 
(i) by striking ‘‘sections 514, 515, 516, 533, and 
538 of the Housing 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