H. R. 3402—55
(C) the equitable distribution of grants under this sec-
tion to tribal colleges and universities and traditionally 
black colleges and universities. 
(b) USE OF GRANT FUNDS.—Grant funds awarded under this 
section may be used for the following purposes: 
(1) To provide personnel, training, technical assistance, 
data collection, and other equipment with respect to the 
increased apprehension, investigation, and adjudication of per-
sons committing domestic violence, dating violence, sexual 
assault, and stalking on campus. 
(2) To train campus administrators, campus security per-
sonnel, and personnel serving on campus disciplinary or judicial 
boards to develop and implement campus policies, protocols, 
and services that more effectively identify and respond to the 
crimes of domestic violence, dating violence, sexual assault, 
and stalking. Within 90 days after the date of enactment of 
this Act, the Attorney General shall issue and make available 
minimum standards of training relating to domestic violence, 
dating violence, sexual assault, and stalking on campus, for 
all campus security personnel and personnel serving on campus 
disciplinary or judicial boards. 
(3) To implement and operate education programs for the 
prevention of domestic violence, dating violence, sexual assault, 
and stalking. 
(4) To develop, enlarge, or strengthen victim services pro-
grams on the campuses of the institutions involved, including 
programs providing legal, medical, or psychological counseling, 
for victims of domestic violence, dating violence, sexual assault, 
and stalking, and to improve delivery of victim assistance on 
campus. To the extent practicable, such an institution shall 
collaborate with any entities carrying out nonprofit and other 
victim services programs, including domestic violence, dating 
violence, sexual assault, and stalking victim services programs 
in the community in which the institution is located. If appro-
priate victim services programs are not available in the commu-
nity or are not accessible to students, the institution shall, 
to the extent practicable, provide a victim services program 
on campus or create a victim services program in collaboration 
with a community-based organization. The institution shall 
use not less than 20 percent of the funds made available 
through the grant for a victim services program provided in 
accordance with this paragraph. 
(5) To create, disseminate, or otherwise provide assistance 
and information about victims’ options on and off campus to 
bring disciplinary or other legal action, including assistance 
to victims in immigration matters. 
(6) To develop, install, or expand data collection and 
communication systems, including computerized systems, 
linking campus security to the local law enforcement for the 
purpose of identifying and tracking arrests, protection orders, 
violations of protection orders, prosecutions, and convictions 
with respect to the crimes of domestic violence, dating violence, 
sexual assault, and stalking on campus. 
(7) To provide capital improvements (including improved 
lighting and communications facilities but not including the 
construction of buildings) on campuses to address the crimes
H. R. 3402—56
of domestic violence, dating violence, sexual assault, and 
stalking. 
(8) To support improved coordination among campus 
administrators, campus security personnel, and local law 
enforcement to reduce domestic violence, dating violence, sexual 
assault, and stalking on campus. 
(c) APPLICATIONS.— 
(1) IN GENERAL.—In order to be eligible to be awarded 
a grant under this section for any fiscal year, an institution 
of higher education shall submit an application to the Attorney 
General at such time and in such manner as the Attorney 
General shall prescribe. 
(2) CONTENTS.—Each application submitted under para-
graph (1) shall— 
(A) describe the need for grant funds and the plan 
for implementation for any of the purposes described in 
subsection (b); 
(B) include proof that the institution of higher edu-
cation collaborated with any non-profit, nongovernmental 
entities carrying out other victim services programs, 
including domestic violence, dating violence, sexual assault, 
and stalking victim services programs in the community 
in which the institution is located; 
(C) describe the characteristics of the population being 
served, including type of campus, demographics of the popu-
lation, and number of students; 
(D) provide measurable goals and expected results from 
the use of the grant funds; 
(E) provide assurances that the Federal funds made 
available under this section shall be used to supplement 
and, to the extent practical, increase the level of funds 
that would, in the absence of Federal funds, be made 
available by the institution for the purposes described in 
subsection (b); and 
(F) include such other information and assurances as 
the Attorney General reasonably determines to be nec-
essary. 
(3) 
COMPLIANCE
WITH
CAMPUS
CRIME
REPORTING 
REQUIRED.—No institution of higher education shall be eligible 
for a grant under this section unless such institution is in 
compliance with the requirements of section 485(f) of the Higher 
Education Act of 1965 (20 U.S.C. 1092(f)). Up to $200,000 
of the total amount of grant funds appropriated under this 
section for fiscal years 2007 through 2011 may be used to 
provide technical assistance in complying with the mandatory 
reporting requirements of section 485(f) of such Act. 
(d) GENERAL TERMS AND CONDITIONS.— 
(1) NONMONETARY ASSISTANCE.—In addition to the assist-
ance provided under this section, the Attorney General may 
request any Federal agency to use the agency’s authorities 
and the resources granted to the agency under Federal law 
(including personnel, equipment, supplies, facilities, and mana-
gerial, technical, and advisory services) in support of campus 
security, and investigation and victim service efforts. 
(2) GRANTEE REPORTING.— 
(A) ANNUAL REPORT.—Each institution of higher edu-
cation receiving a grant under this section shall submit
H. R. 3402—57
a biennial performance report to the Attorney General. 
The Attorney General shall suspend funding under this 
section for an institution of higher education if the institu-
tion fails to submit such a report. 
(B) FINAL
REPORT.—Upon completion of the grant 
period under this section, the institution shall file a 
performance report with the Attorney General and the 
Secretary of Education explaining the activities carried 
out under this section together with an assessment of the 
effectiveness of those activities in achieving the purposes 
described in subsection (b). 
(3) REPORT TO CONGRESS.—Not later than 180 days after 
the end of the fiscal year for which grants are awarded under 
this section, the Attorney General shall submit to Congress 
a report that includes— 
(A) the number of grants, and the amount of funds, 
distributed under this section; 
(B) a summary of the purposes for which the grants 
were provided and an evaluation of the progress made 
under the grant; 
(C) a statistical summary of the persons served, 
detailing the nature of victimization, and providing data 
on age, sex, race, ethnicity, language, disability, relation-
ship to offender, geographic distribution, and type of cam-
pus; and 
(D) an evaluation of the effectiveness of programs 
funded under this part. 
(e) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of 
carrying out this section, there are authorized to be appropriated 
$12,000,000 for fiscal year 2007 and $15,000,000 for each of fiscal 
years 2008 through 2011. 
(f) REPEAL.—Section 826 of the Higher Education Amendments 
of 1998 (20 U.S.C. 1152) is repealed. 
SEC. 305. JUVENILE JUSTICE. 
Section 223(a) of the Juvenile Justice and Delinquency Preven-
tion Act of 1974 (42 U.S.C. 5633(a)) is amended— 
(1) in paragraph (7)(B)— 
(A) by redesignating clauses (i), (ii) and (iii), as clauses 
(ii), (iii), and (iv), respectively; and 
(B) by inserting before clause (ii) the following: 
‘‘(i) an analysis of gender-specific services for the 
prevention and treatment of juvenile delinquency, including 
the types of such services available and the need for such 
services;’’. 
SEC. 306. SAFE HAVENS. 
Section 1301 of the Victims of Trafficking and Violence Protec-
tion Act of 2000 (42 U.S.C. 10420) is amended— 
(1) by striking the section heading and inserting the fol-
lowing: 
‘‘SEC. 10402. SAFE HAVENS FOR CHILDREN.’’; 
(2) in subsection (a)— 
(A) by inserting ‘‘, through the Director of the Office 
on Violence Against Women,’’ after ‘‘Attorney General’’; 
(B) by inserting ‘‘dating violence,’’ after ‘‘domestic 
violence,’’;
H. R. 3402—58
(C) by striking ‘‘to provide’’ and inserting the following: 
‘‘(1) to provide’’; 
(D) by striking the period at the end and inserting 
a semicolon; and 
(E) by adding at the end the following: 
‘‘(2) to protect children from the trauma of witnessing 
domestic or dating violence or experiencing abduction, injury, 
or death during parent and child visitation exchanges; 
‘‘(3) to protect parents or caretakers who are victims of 
domestic and dating violence from experiencing further 
violence, abuse, and threats during child visitation exchanges; 
and 
‘‘(4) to protect children from the trauma of experiencing 
sexual assault or other forms of physical assault or abuse 
during parent and child visitation and visitation exchanges.’’; 
and 
(3) by striking subsection (e) and inserting the following: 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—There is authorized to be appropriated 
to carry out this section, $20,000,000 for each of fiscal years 
2007 through 2011. Funds appropriated under this section shall 
remain available until expended. 
‘‘(2) USE OF FUNDS.—Of the amounts appropriated to carry 
out this section for each fiscal year, the Attorney General 
shall— 
‘‘(A) set aside not less than 7 percent for grants to 
Indian tribal governments or tribal organizations; 
‘‘(B) use not more than 3 percent for evaluation, moni-
toring, site visits, grantee conferences, and other adminis-
trative costs associated with conducting activities under 
this section; and 
‘‘(C) set aside not more than 8 percent for technical 
assistance and training to be provided by organizations 
having nationally recognized expertise in the design of 
safe and secure supervised visitation programs and visita-
tion exchange of children in situations involving domestic 
violence, dating violence, sexual assault, or stalking.’’. 
TITLE IV—STRENGTHENING AMERICA’S 
FAMILIES BY PREVENTING VIOLENCE 
SEC. 401. PREVENTING VIOLENCE AGAINST WOMEN AND CHILDREN. 
The Violence Against Women Act of 1994 (108 Stat. 1902 et 
seq.) is amended by adding at the end the following: 
‘‘Subtitle 
M—Strengthening 
America’s 
Families by Preventing Violence Against 
Women and Children 
‘‘SEC. 41301. FINDINGS. 
‘‘Congress finds that—
H. R. 3402—59
‘‘(1) the former United States Advisory Board on Child 
Abuse suggests that domestic violence may be the single major 
precursor to child abuse and neglect fatalities in this country; 
‘‘(2) studies suggest that as many as 10,000,000 children 
witness domestic violence every year; 
‘‘(3) studies suggest that among children and teenagers, 
recent exposure to violence in the home was a significant factor 
in predicting a child’s violent behavior; 
‘‘(4) a study by the Nurse-Family Partnership found that 
children whose parents did not participate in home visitation 
programs that provided coaching in parenting skills, advice 
and support, were almost 5 times more likely to be abused 
in their first 2 years of life; 
‘‘(5) a child’s exposure to domestic violence seems to pose 
the greatest independent risk for being the victim of any act 
of partner violence as an adult; 
‘‘(6) children exposed to domestic violence are more likely 
to believe that using violence is an effective means of getting 
one’s needs met and managing conflict in close relationships; 
‘‘(7) children exposed to abusive parenting, harsh or erratic 
discipline, or domestic violence are at increased risk for juvenile 
crime; and 
‘‘(8) in a national survey of more than 6,000 American 
families, 50 percent of men who frequently assaulted their 
wives also frequently abused their children. 
‘‘SEC. 41302. PURPOSE. 
‘‘The purpose of this subtitle is to— 
‘‘(1) prevent crimes involving violence against women, chil-
dren, and youth; 
‘‘(2) increase the resources and services available to prevent 
violence against women, children, and youth; 
‘‘(3) reduce the impact of exposure to violence in the lives 
of children and youth so that the intergenerational cycle of 
violence is interrupted; 
‘‘(4) develop and implement education and services pro-
grams to prevent children in vulnerable families from becoming 
victims or perpetrators of domestic violence, dating violence, 
sexual assault, or stalking; 
‘‘(5) promote programs to ensure that children and youth 
receive the assistance they need to end the cycle of violence 
and develop mutually respectful, nonviolent relationships; and 
‘‘(6) encourage collaboration among community-based 
organizations and governmental agencies serving children and 
youth, providers of health and mental health services and pro-
viders of domestic violence, dating violence, sexual assault, 
and stalking victim services to prevent violence against women 
and children. 
‘‘SEC. 41303. GRANTS TO ASSIST CHILDREN AND YOUTH EXPOSED TO 
VIOLENCE. 
‘‘(a) GRANTS AUTHORIZED.— 
‘‘(1) IN GENERAL.—The Attorney General, acting through 
the Director of the Office on Violence Against Women, and 
in collaboration with the Department of Health and Human 
Services, is authorized to award grants on a competitive basis 
to eligible entities for the purpose of mitigating the effects 
of domestic violence, dating violence, sexual assault, and
H. R. 3402—60
stalking on children exposed to such violence, and reducing 
the risk of future victimization or perpetration of domestic 
violence, dating violence, sexual assault, and stalking. 
‘‘(2) TERM.—The Director shall make grants under this 
section for a period of 2 fiscal years. 
‘‘(3) AWARD BASIS.—The Director shall award grants— 
‘‘(A) considering the needs of underserved populations; 
‘‘(B) awarding not less than 10 percent of such amounts 
to Indian tribes for the funding of tribal projects from 
the amounts made available under this section for a fiscal 
year; 
‘‘(C) awarding up to 8 percent for the funding of tech-
nical assistance programs from the amounts made available 
under this section for a fiscal year; and 
‘‘(D) awarding not less than 66 percent to programs 
described in subsection (c)(1) from the amounts made avail-
able under this section for a fiscal year. 
‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—There is authorized 
to be appropriated to carry out this section $20,000,000 for each 
of fiscal years 2007 through 2011. 
‘‘(c) USE OF FUNDS.—The funds appropriated under this section 
shall be used for— 
‘‘(1) programs that provide services for children exposed 
to domestic violence, dating violence, sexual assault, or stalking, 
which may include direct counseling, advocacy, or mentoring, 
and must include support for the nonabusing parent or the 
child’s caretaker; or 
‘‘(2) training, coordination, and advocacy for programs that 
serve children and youth (such as Head Start, child care, and 
after-school programs) on how to safely and confidentially iden-
tify children and families experiencing domestic violence and 
properly refer them to programs that can provide direct services 
to the family and children, and coordination with other domestic 
violence or other programs serving children exposed to domestic 
violence, dating violence, sexual assault, or stalking that can 
provide the training and direct services referenced in this sub-
section. 
‘‘(d) ELIGIBLE ENTITIES.—To be eligible to receive a grant under 
this section, an entity shall be a— 
‘‘(1) a victim service provider, tribal nonprofit organization 
or community-based organization that has a documented his-
tory of effective work concerning children or youth exposed 
to domestic violence, dating violence, sexual assault, or stalking, 
including programs that provide culturally specific services, 
Head Start, childcare, faith-based organizations, after school 
programs, and health and mental health providers; or 
‘‘(2) a State, territorial, or tribal, or local unit of government 
agency that is partnered with an organization described in 
paragraph (1). 
‘‘(e) GRANTEE REQUIREMENTS.—Under this section, an entity 
shall— 
‘‘(1) prepare and submit to the Director an application 
at such time, in such manner, and containing such information 
as the Director may require; and 
‘‘(2) at a minimum, describe in the application the policies 
and procedures that the entity has or will adopt to—
H. R. 3402—61
‘‘(A) enhance or ensure the safety and security of chil-
dren who have been or are being exposed to violence and 
their nonabusing parent, enhance or ensure the safety and 
security of children and their nonabusing parent in homes 
already experiencing domestic violence, dating violence, 
sexual assault, or stalking; and 
‘‘(B) ensure linguistically, culturally, and community 
relevant services for underserved communities. 
‘‘SEC. 41304. DEVELOPMENT OF CURRICULA AND PILOT PROGRAMS 
FOR HOME VISITATION PROJECTS. 
‘‘(a) GRANTS AUTHORIZED.— 
‘‘(1) IN GENERAL.—The Attorney General, acting through 
the Director of the Office on Violence Against Women, and 
in collaboration with the Department of Health and Human 
Services, shall award grants on a competitive basis to home 
visitation programs, in collaboration with victim service pro-
viders, for the purposes of developing and implementing model 
policies and procedures to train home visitation service pro-
viders on addressing domestic violence, dating violence, sexual 
assault, and stalking in families experiencing violence, or at 
risk of violence, to reduce the impact of that violence on chil-
dren, maintain safety, improve parenting skills, and break 
intergenerational cycles of violence. 
‘‘(2) TERM.—The Director shall make the grants under this 
section for a period of 2 fiscal years. 
‘‘(3) AWARD BASIS.—The Director shall— 
‘‘(A) consider the needs of underserved populations; 
‘‘(B) award not less than 7 percent of such amounts 
for the funding of tribal projects from the amounts made 
available under this section for a fiscal year; and 
‘‘(C) award up to 8 percent for the funding of technical 
assistance programs from the amounts made available 
under this section for a fiscal year. 
‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—There is authorized 
to be appropriated to carry out this section $7,000,000 for each 
of fiscal years 2007 through 2011. 
‘‘(c) ELIGIBLE ENTITIES.—To be eligible to receive a grant under 
this section, an entity shall be a national, Federal, State, local, 
territorial, or tribal— 
‘‘(1) home visitation program that provides services to preg-
nant women and to young children and their parent or primary 
caregiver that are provided in the permanent or temporary 
residence or in other familiar surroundings of the individual 
or family receiving such services; or 
‘‘(2) victim services organization or agency in collaboration 
with an organization or organizations listed in paragraph (1). 
‘‘(d) GRANTEE REQUIREMENTS.—Under this section, an entity 
shall— 
‘‘(1) prepare and submit to the Director an application 
at such time, in such manner, and containing such information 
as the Director may require; and 
‘‘(2) describe in the application the policies and procedures 
that the entity has or will adopt to—
H. R. 3402—62
‘‘(A) enhance or ensure the safety and security of chil-
dren and their nonabusing parent in homes already experi-
encing domestic violence, dating violence, sexual assault, 
or stalking; 
‘‘(B) ensure linguistically, culturally, and community 
relevant services for underserved communities; 
‘‘(C) ensure the adequate training by domestic violence, 
dating violence, sexual assault or stalking victim service 
providers of home visitation grantee program staff to— 
‘‘(i) safely screen for and/or recognize domestic 
violence, dating violence, sexual assault, and stalking; 
‘‘(ii) understand the impact of domestic violence 
or sexual assault on children and protective actions 
taken by a nonabusing parent or caretaker in response 
to violence against anyone in the household; and 
‘‘(iii) link new parents with existing community 
resources in communities where resources exist; and 
‘‘(D) ensure that relevant State and local domestic 
violence, dating violence, sexual assault, and stalking 
victim service providers and coalitions are aware of the 
efforts of organizations receiving grants under this section, 
and are included as training partners, where possible. 
‘‘SEC. 41305. ENGAGING MEN AND YOUTH IN PREVENTING DOMESTIC 
VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, AND 
STALKING. 
‘‘(a) GRANTS AUTHORIZED.— 
‘‘(1) IN GENERAL—The Attorney General, acting through 
the Director of the Office on Violence Against Women, and 
in collaboration with the Department of Health and Human 
Services, shall award grants on a competitive basis to eligible 
entities for the purpose of developing or enhancing programs 
related to engaging men and youth in preventing domestic 
violence, dating violence, sexual assault, and stalking by 
helping them to develop mutually respectful, nonviolent rela-
tionships. 
‘‘(2) TERM.—The Director shall make grants under this 
section for a period of 2 fiscal years. 
‘‘(3) AWARD BASIS.—The Director shall award grants— 
‘‘(A) considering the needs of underserved populations; 
‘‘(B) awarding not less than 10 percent of such amounts 
for the funding of Indian tribes from the amounts made 
available under this section for a fiscal year; and 
‘‘(C) awarding up to 8 percent for the funding of tech-
nical assistance for grantees and non-grantees working 
in this area from the amounts made available under this 
section for a fiscal year. 
‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—There is authorized 
to be appropriated to carry out this section $10,000,000 for each 
of fiscal years 2007 through 2011. 
‘‘(c) USE OF FUNDS.— 
‘‘(1) PROGRAMS.—The funds appropriated under this section 
shall be used by eligible entities— 
‘‘(A) to develop or enhance community-based programs, 
including gender-specific programs in accordance with 
applicable laws that—
H. R. 3402—63
‘‘(i) encourage children and youth to pursue non-
violent relationships and reduce their risk of becoming 
victims or perpetrators of domestic violence, dating 
violence, sexual assault, or stalking; and 
‘‘(ii) that include at a minimum— 
‘‘(I) information on domestic violence, dating 
violence, sexual assault, stalking, or child sexual 
abuse and how they affect children and youth; 
and 
‘‘(II) strategies to help participants be as safe 
as possible; or 
‘‘(B) to create public education campaigns and commu-
nity organizing to encourage men and boys to work as 
allies with women and girls to prevent violence against 
women and girls conducted by entities that have experience 
in conducting public education campaigns that address 
domestic violence, dating violence, sexual assault, or 
stalking. 
‘‘(2) MEDIA
LIMITS.—No more than 40 percent of funds 
received by a grantee under this section may be used to create 
and distribute media materials. 
‘‘(d) ELIGIBLE ENTITIES.— 
‘‘(1) RELATIONSHIPS.—Eligible entities under subsection 
(c)(1)(A) are— 
‘‘(A) nonprofit, nongovernmental domestic violence, 
dating violence, sexual assault, or stalking victim service 
providers or coalitions; 
‘‘(B) community-based child or youth services organiza-
tions with demonstrated experience and expertise in 
addressing the needs and concerns of young people; 
‘‘(C) a State, territorial, tribal, or unit of local govern-
mental entity that is partnered with an organization 
described in subparagraph (A) or (B); or 
‘‘(D) a program that provides culturally specific serv-
ices. 
‘‘(2) AWARENESS CAMPAIGN.—Eligible entities under sub-
section (c)(1)(B) are— 
‘‘(A) nonprofit, nongovernmental organizations or coali-
tions that have a documented history of creating and 
administering 
effective 
public 
education 
campaigns 
addressing the prevention of domestic violence, dating 
violence, sexual assault or stalking; or 
‘‘(B) a State, territorial, tribal, or unit of local govern-
mental entity that is partnered with an organization 
described in subparagraph (A). 
‘‘(e) GRANTEE REQUIREMENTS.—Under this section, an entity 
shall— 
‘‘(1) prepare and submit to the Director an application 
at such time, in such manner, and containing such information 
as the Director may require; and 
‘‘(2) eligible entities pursuant to subsection (c)(1)(A) shall 
describe in the application the policies and procedures that 
the entity has or will adopt to— 
‘‘(A) enhance or ensure the safety and security of chil-
dren and youth already experiencing domestic violence, 
dating violence, sexual assault, or stalking in their lives;
H. R. 3402—64
‘‘(B) ensure linguistically, culturally, and community 
relevant services for underserved communities; 
‘‘(C) inform participants about laws, services, and 
resources in the community, and make referrals as appro-
priate; and 
‘‘(D) ensure that State and local domestic violence, 
dating violence, sexual assault, and stalking victim service 
providers and coalitions are aware of the efforts of organiza-
tions receiving grants under this section.’’. 
SEC. 402. STUDY CONDUCTED BY THE CENTERS FOR DISEASE CON-
TROL AND PREVENTION. 
(a) PURPOSES.—The Secretary of Health and Human Services 
acting through the National Center for Injury Prevention and Con-
trol at the Centers for Disease Control Prevention shall make 
grants to entities, including domestic and sexual assault coalitions 
and programs, research organizations, tribal organizations, and aca-
demic institutions to support research to examine prevention and 
intervention programs to further the understanding of sexual and 
domestic violence by and against adults, youth, and children. 
(b) USE OF FUNDS.—The research conducted under this section 
shall include evaluation and study of best practices for reducing 
and preventing violence against women and children addressed 
by the strategies included in Department of Health and Human 
Services-related provisions this title, including strategies addressing 
underserved communities. 
(c) AUTHORIZATION OF APPROPRIATIONS.—There shall be author-
ized to be appropriated to carry out this title $2,000,000 for each 
of the fiscal years 2007 through 2011. 
SEC. 403. PUBLIC AWARENESS CAMPAIGN. 
(a) IN GENERAL.—The Attorney General, acting through the 
Office on Violence Against Women], shall make grants to States 
for carrying out a campaign to increase public awareness of issues 
regarding domestic violence against pregnant women. 
(b) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of 
carrying out this section, there are authorized to be appropriated 
such sums as may be necessary for each of the fiscal years 2006 
through 2010. 
TITLE 
V—STRENGTHENING 
THE 
HEALTHCARE 
SYSTEM’S 
RESPONSE 
TO DOMESTIC VIOLENCE, DATING VI-
OLENCE, 
SEXUAL 
ASSAULT, 
AND 
STALKING 
SEC. 501. FINDINGS. 
Congress makes the following findings: 
(1) The health-related costs of intimate partner violence 
in the United States exceed $5,800,000,000 annually. 
(2) Thirty-seven percent of all women who sought care 
in hospital emergency rooms for violence-related injuries were 
injured by a current or former spouse, boyfriend, or girlfriend.
H. R. 3402—65
(3) In addition to injuries sustained during violent episodes, 
physical and psychological abuse is linked to a number of 
adverse physical and mental health effects. Women who have 
been abused are much more likely to suffer from chronic pain, 
diabetes, depression, unintended pregnancies, substance abuse 
and sexually transmitted infections, including HIV/AIDS. 
(4) Health plans spend an average of $1,775 more a year 
on abused women than on general enrollees. 
(5) Each year about 324,000 pregnant women in the United 
States are battered by the men in their lives. This battering 
leads to complications of pregnancy, including low weight gain, 
anemia, infections, and first and second trimester bleeding. 
(6) Pregnant and recently pregnant women are more likely 
to be victims of homicide than to die of any other pregnancy-
related cause, and evidence exists that a significant proportion 
of all female homicide victims are killed by their intimate 
partners. 
(7) Children who witness domestic violence are more likely 
to exhibit behavioral and physical health problems including 
depression, anxiety, and violence towards peers. They are also 
more likely to attempt suicide, abuse drugs and alcohol, run 
away from home, engage in teenage prostitution, and commit 
sexual assault crimes. 
(8) Recent research suggests that women experiencing 
domestic violence significantly increase their safety-promoting 
behaviors over the short- and long-term when health care pro-
viders screen for, identify, and provide followup care and 
information to address the violence. 
(9) Currently, only about 10 percent of primary care physi-
cians routinely screen for intimate partner abuse during new 
patient visits and 9 percent routinely screen for intimate 
partner abuse during periodic checkups. 
(10) Recent clinical studies have proven the effectiveness 
of a 2-minute screening for early detection of abuse of pregnant 
women. Additional longitudinal studies have tested a 10-minute 
intervention that was proven highly effective in increasing the 
safety of pregnant abused women. Comparable research does 
not yet exist to support the effectiveness of screening men. 
(11) Seventy to 81 percent of the patients studied reported 
that they would like their healthcare providers to ask them 
privately about intimate partner violence. 
SEC. 502. PURPOSE. 
It is the purpose of this title to improve the health care system’s 
response to domestic violence, dating violence, sexual assault, and 
stalking through the training and education of health care pro-
viders, developing comprehensive public health responses to 
violence against women and children, increasing the number of 
women properly screened, identified, and treated for lifetime expo-
sure to violence, and expanding research on effective interventions 
in the health care setting. 
SEC. 503. TRAINING AND EDUCATION OF HEALTH PROFESSIONALS IN 
DOMESTIC AND SEXUAL VIOLENCE. 
Part D of title VII of the Public Health Service Act (42 U.S.C. 
294 et seq.) is amended by adding at the end the following:
H. R. 3402—66
‘‘SEC. 758. INTERDISCIPLINARY TRAINING AND EDUCATION ON 
DOMESTIC VIOLENCE AND OTHER TYPES OF VIOLENCE 
AND ABUSE. 
‘‘(a) GRANTS.—The Secretary, acting through the Director of 
the Health Resources and Services Administration, shall award 
grants under this section to develop interdisciplinary training and 
education programs that provide undergraduate, graduate, post-
graduate medical, nursing (including advanced practice nursing 
students), and other health professions students with an under-
standing of, and clinical skills pertinent to, domestic violence, sexual 
assault, stalking, and dating violence. 
‘‘(b) ELIGIBILITY.—To be eligible to receive a grant under this 
section an entity shall— 
‘‘(1) be an accredited school of allopathic or osteopathic 
medicine; 
‘‘(2) prepare and submit to the Secretary an application 
at such time, in such manner, and containing such information 
as the Secretary may require, including— 
‘‘(A) information to demonstrate that the applicant 
includes the meaningful participation of a school of nursing 
and at least one other school of health professions or grad-
uate program in public health, dentistry, social work, mid-
wifery, or behavioral and mental health; 
‘‘(B) strategies for the dissemination and sharing of 
curricula and other educational materials developed under 
the grant to other interested medical and nursing schools 
and national resource repositories for materials on domestic 
violence and sexual assault; and 
‘‘(C) a plan for consulting with community-based coali-
tions or individuals who have experience and expertise 
in issues related to domestic violence, sexual assault, dating 
violence, and stalking for services provided under the pro-
gram carried out under the grant. 
‘‘(c) USE OF FUNDS.— 
‘‘(1) REQUIRED
USES.—Amounts provided under a grant 
under this section shall be used to— 
‘‘(A) fund interdisciplinary training and education 
projects that are designed to train medical, nursing, and 
other health professions students and residents to identify 
and provide health care services (including mental or 
behavioral health care services and referrals to appropriate 
community services) to individuals who are or who have 
experienced domestic violence, sexual assault, and stalking 
or dating violence; and 
‘‘(B) plan and develop culturally competent clinical 
components 
for 
integration 
into 
approved 
residency 
training programs that address health issues related to 
domestic violence, sexual assault, dating violence, and 
stalking, along with other forms of violence as appropriate, 
and include the primacy of victim safety and confidentiality. 
‘‘(2) PERMISSIVE USES.—Amounts provided under a grant 
under this section may be used to— 
‘‘(A) offer community-based training opportunities in 
rural areas for medical, nursing, and other students and 
residents on domestic violence, sexual assault, stalking, 
and dating violence, and other forms of violence and abuse, 
which may include the use of distance learning networks
H. R. 3402—67
and other available technologies needed to reach isolated 
rural areas; or 
‘‘(B) provide stipends to students who are underrep-
resented in the health professions as necessary to promote 
and enable their participation in clerkships, preceptorships, 
or other offsite training experiences that are designed to 
develop health care clinical skills related to domestic 
violence, sexual assault, dating violence, and stalking. 
‘‘(3) REQUIREMENTS.— 
‘‘(A) CONFIDENTIALITY AND SAFETY.—Grantees under 
this section shall ensure that all educational programs 
developed with grant funds address issues of confidentiality 
and patient safety, and that faculty and staff associated 
with delivering educational components are fully trained 
in procedures that will protect the immediate and ongoing 
security of the patients, patient records, and staff. 
Advocacy-based coalitions or other expertise available in 
the community shall be consulted on the development and 
adequacy of confidentially and security procedures, and 
shall be fairly compensated by grantees for their services. 
‘‘(B) RURAL PROGRAMS.—Rural training programs car-
ried out under paragraph (2)(A) shall reflect adjustments 
in protocols and procedures or referrals that may be needed 
to protect the confidentiality and safety of patients who 
live in small or isolated communities and who are currently 
or have previously experienced violence or abuse. 
‘‘(4) CHILD AND ELDER ABUSE.—Issues related to child and 
elder abuse may be addressed as part of a comprehensive 
programmatic approach implemented under a grant under this 
section. 
‘‘(d) REQUIREMENTS OF GRANTEES.— 
‘‘(1) LIMITATION ON ADMINISTRATIVE EXPENSES.—A grantee 
shall not use more than 10 percent of the amounts received 
under a grant under this section for administrative expenses. 
‘‘(2) CONTRIBUTION OF FUNDS.—A grantee under this sec-
tion, and any entity receiving assistance under the grant for 
training and education, shall contribute non-Federal funds, 
either directly or through in-kind contributions, to the costs 
of the activities to be funded under the grant in an amount 
that is not less than 25 percent of the total cost of such 
activities. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There is authorized 
to be appropriated to carry out this section, $3,000,000 for each 
of fiscal years 2007 through 2011. Amounts appropriated under 
this subsection shall remain available until expended.’’. 
SEC. 504. GRANTS TO FOSTER PUBLIC HEALTH RESPONSES TO 
DOMESTIC 
VIOLENCE, 
DATING 
VIOLENCE, 
SEXUAL 
ASSAULT, AND STALKING GRANTS. 
Part P of title III of the Public Health Service Act (42 U.S.C. 
280g et seq.) is amended by adding at the end the following: 
‘‘SEC. 399O. GRANTS TO FOSTER PUBLIC HEALTH RESPONSES TO 
DOMESTIC 
VIOLENCE, 
DATING 
VIOLENCE, 
SEXUAL 
ASSAULT, AND STALKING. 
‘‘(a) AUTHORITY TO AWARD GRANTS.— 
‘‘(1) IN
GENERAL.—The Secretary, acting through the 
Director of the Centers for Disease Control and Prevention,
H. R. 3402—68
shall award grants to eligible State, tribal, territorial, or local 
entities to strengthen the response of State, tribal, territorial, 
or local health care systems to domestic violence, dating 
violence, sexual assault, and stalking. 
‘‘(2) ELIGIBLE ENTITIES.—To be eligible to receive a grant 
under this section, an entity shall— 
‘‘(A) be— 
‘‘(i) a State department (or other division) of health, 
a State domestic or sexual assault coalition or service-
based program, State law enforcement task force, or 
any other nonprofit, nongovernmental, tribal, terri-
torial, or State entity with a history of effective work 
in the fields of domestic violence, dating violence, 
sexual assault or stalking, and health care; or 
‘‘(ii) a local, nonprofit domestic violence, dating 
violence, sexual assault, or stalking service-based pro-
gram, a local department (or other division) of health, 
a local health clinic, hospital, or health system, or 
any other nonprofit, tribal, or local entity with a history 
of effective work in the field of domestic or sexual 
violence and health; 
‘‘(B) prepare and submit to the Secretary an application 
at such time, in such manner, and containing such agree-
ments, assurances, and information as the Secretary deter-
mines to be necessary to carry out the purposes for which 
the grant is to be made; and 
‘‘(C) demonstrate that the entity is representing a team 
of organizations and agencies working collaboratively to 
strengthen the response of the health care system involved 
to domestic violence, dating violence, sexual assault, or 
stalking and that such team includes domestic violence, 
dating violence, sexual assault or stalking and health care 
organizations. 
‘‘(3) DURATION.—A program conducted under a grant 
awarded under this section shall not exceed 2 years. 
‘‘(b) USE OF FUNDS.— 
‘‘(1) IN GENERAL.—An entity shall use amounts received 
under a grant under this section to design and implement 
comprehensive strategies to improve the response of the health 
care system involved to domestic or sexual violence in clinical 
and public health settings, hospitals, clinics, managed care 
settings (including behavioral and mental health), and other 
health settings. 
‘‘(2) MANDATORY
STRATEGIES.—Strategies implemented 
under paragraph (1) shall include the following: 
‘‘(A) The implementation, dissemination, and evalua-
tion of policies and procedures to guide health care profes-
sionals and behavioral and public health staff in responding 
to domestic violence, dating violence, sexual assault, and 
stalking, including strategies to ensure that health informa-
tion is maintained in a manner that protects the patient’s 
privacy and safety and prohibits insurance discrimination. 
‘‘(B) The development of on-site access to services to 
address the safety, medical, mental health, and economic 
needs of patients either by increasing the capacity of 
existing health care professionals and behavioral and public 
health staff to address domestic violence, dating violence,