H. R. 2471—893 
certified SANE or SAFE outside of a traditional health 
care setting. 
‘‘(2) HEALTH CARE FACILITY.—The term ‘health care facility’ 
means any State, local, Tribal, community, free, nonprofit, aca-
demic, or private medical facility, including a hospital, that 
provides emergency medical care to patients. 
‘‘(3) MEDICAL
FORENSIC
EXAMINATION; MFE.—The term 
‘medical forensic examination’ or ‘MFE’ means an examination 
of a sexual assault patient by a health care provider, who 
has specialized education and clinical experience in the collec-
tion of forensic evidence and treatment of these patients, which 
includes— 
‘‘(A) gathering information from the patient for the 
medical forensic history; 
‘‘(B) an examination; 
‘‘(C) coordinating treatment of injuries, documentation 
of biological and physical findings, and collection of evi-
dence from the patient; 
‘‘(D) documentation of findings; 
‘‘(E) providing information, treatment, and referrals 
for sexually transmitted infections, pregnancy, suicidal 
ideation, alcohol and substance abuse, and other non-acute 
medical concerns; and 
‘‘(F) providing follow-up as needed to provide additional 
healing, treatment, or collection of evidence. 
‘‘(4) PEDIATRIC SANE AND SAFE.—The term ‘pediatric SANE 
and SAFE’ means a SANE or SAFE who is trained to conduct 
sexual assault forensic examinations on children and youth 
between the ages of 0 and 18. 
‘‘(5) QUALIFIED PERSONNEL.—The term ‘qualified personnel’ 
includes a registered or advanced practice nurse, physician, 
doctor of osteopathy, or physician assistant who has specialized 
training conducting medical forensic examinations. 
‘‘(6) QUALIFIED SANE AND SAFE TRAINING PROGRAM.—The 
term ‘qualified SANE and SAFE training program’ means a 
program that— 
‘‘(A) is qualified to prepare current and future sexual 
assault nurse examiners to be profession-ready and meet 
the applicable State and National certification and licen-
sure requirements, through didactic, clinical, preceptor, or 
capstone programs that include longer-term training; 
‘‘(B) provides that preparation under a health care 
model that uses trauma-informed techniques; and 
‘‘(C) is approved as meeting the most recent National 
Training Standards for Sexual Assault Medical Forensic 
Examiners. 
‘‘(7) RURAL AREA.—The term ‘rural area’ has the meaning 
given the term in section 40002 of the Violence Against Women 
Act of 1994 (34 U.S.C. 12291). 
‘‘(8) SECRETARY.—The term ‘Secretary’ means the Secretary 
of Health and Human Services. 
‘‘(9) SEXUAL ASSAULT.—The term ‘sexual assault’ means 
any nonconsensual sexual act or sexual contact proscribed by 
Federal, Tribal, or State law, including when the individual 
lacks capacity to consent. 
‘‘(10) SEXUAL
ASSAULT
FORENSIC
EXAMINER; SAFE.—The 
term ‘sexual assault forensic examiner’ or ‘SAFE’ means an
H. R. 2471—894 
individual who has specialized forensic training in treating 
sexual assault survivors and conducting medical forensic 
examinations. 
‘‘(11) SEXUAL ASSAULT FORENSIC EXAMINATION.—The term 
‘sexual assault forensic examination’ means an examination 
of a sexual assault patient by a health care provider, who 
has specialized education and clinical experience in the collec-
tion of forensic evidence and treatment of these patients, which 
includes— 
‘‘(A) gathering information from the patient for the 
medical forensic history; 
‘‘(B) an examination; 
‘‘(C) coordinating treatment of injuries, documentation 
of biological and physical findings, and collection of evi-
dence from the patient; 
‘‘(D) documentation of findings; 
‘‘(E) providing information, treatment, and referrals 
for sexually transmitted infections, pregnancy, suicidal 
ideation, alcohol and substance abuse, and other non-acute 
medical concerns; and 
‘‘(F) providing follow-up as needed to provide additional 
healing, treatment, or collection of evidence. 
‘‘(12) SEXUAL ASSAULT NURSE EXAMINER; SANE.—The term 
‘sexual assault nurse examiner’ or ‘SANE’ means a registered 
or advanced practice nurse who has specialized training con-
ducting medical forensic examinations. 
‘‘(13) SEXUAL ASSAULT RESPONSE TEAM; SART.—The term 
‘sexual assault response team’ or ‘SART’ means a multidisci-
plinary team that— 
‘‘(A) provides a specialized and immediate response 
to survivors of sexual assault; and 
‘‘(B) may include health care personnel, law enforce-
ment representatives, community-based survivor advocates, 
prosecutors, and forensic scientists. 
‘‘(14) STATE.—The term ‘State’ means any State of the 
United States, the District of Columbia, and any territory or 
possession of the United States. 
‘‘(15) TRAUMA-INFORMED.—The term ‘trauma-informed’ 
means, with respect to services or training, services or training 
that— 
‘‘(A) use a patient-centered approach to providing serv-
ices or care; 
‘‘(B) promote the dignity, strength, and empowerment 
of patients who have experienced trauma; and 
‘‘(C) incorporate evidence-based practices based on 
knowledge about the impact of trauma on patients’ lives. 
‘‘(16) UNDERSERVED POPULATIONS.—The term ‘underserved 
populations’ has the meaning given the term in section 40002 
of the Violence Against Women Act of 1994 (34 U.S.C. 12291).’’. 
(c) SEXUAL ASSAULT NURSE EXAMINER GRANTS.—Section 304 
of the DNA Sexual Assault Justice Act of 2004 (34 U.S.C. 40723) 
is amended by inserting after subsection (a), as amended by sub-
section (b) of this section, the following: 
‘‘(b) SEXUAL ASSAULT NURSE EXAMINER TRAINING PROGRAM 
GRANTS.—
H. R. 2471—895 
‘‘(1) AUTHORIZATION FOR GRANTS.—The Attorney General, 
in consultation with the Secretary, shall make grants to eligible 
entities for the following purposes: 
‘‘(A) To establish qualified regional SANE training pro-
grams— 
‘‘(i) to provide clinical education for SANE stu-
dents; 
‘‘(ii) to provide salaries for full and part-time SANE 
instructors, including those specializing in pediatrics 
and working in a multidisciplinary team setting, to 
help with the clinical training of SANEs; and 
‘‘(iii) to provide access to simulation laboratories 
and other resources necessary for clinical education. 
‘‘(B) To provide full and part time salaries for SANEs 
and SAFEs, including pediatric SANEs and SAFEs. 
‘‘(C) To increase access to SANEs and SAFEs by other-
wise providing training, education, or technical assistance 
relating to the collection, preservation, analysis, and use 
of DNA samples and DNA evidence by SANEs, SAFEs, 
and other qualified personnel. 
‘‘(2) PREFERENCE FOR GRANTS.—In reviewing applications 
for grants under this section, the Attorney General shall give 
preference to any eligible entity that certifies in the grant 
application that the entity will coordinate with a rape crisis 
center or the State sexual assault coalition to facilitate sexual 
assault advocacy to support sexual assault survivors and use 
the grant funds to— 
‘‘(A) establish qualified SANE training programs in 
localities with a high volume of forensic trauma cases, 
including adult and child sexual assault, domestic violence, 
elder abuse, sex trafficking, and strangulation cases; 
‘‘(B) increase the local and regional availability of full 
and part time sexual assault nurse examiners in a rural 
area, Tribal area, an area with a health professional short-
age, or for an underserved population, including efforts 
to provide culturally competent services; or 
‘‘(C) establish or sustain sexual assault mobile teams 
or units or otherwise enhance SANE and SAFE access 
through telehealth.’’. 
(d) DIRECTIVE.—Section 304 of the DNA Sexual Assault Justice 
Act of 2004 (34 U.S.C. 40723) is amended— 
(1) by redesignating subsection (d) as subsection (e); and 
(2) by inserting after subsection (b), as added by subsection 
(c) of this section, the following: 
‘‘(c) DIRECTIVE TO THE ATTORNEY GENERAL.— 
‘‘(1) IN GENERAL.—Not later than the beginning of fiscal 
year 2022, the Attorney General shall coordinate with the Sec-
retary to inform health care facilities, including Federally quali-
fied health centers and hospitals, colleges and universities, 
and other appropriate health-related entities about— 
‘‘(A) the availability of grant funding under this section; 
and 
‘‘(B) the role of sexual assault nurse examiners, both 
adult and pediatric, and available resources of the Depart-
ment of Justice and the Department of Health and Human 
Services to train or employ sexual assault nurses examiners 
to address the needs of communities dealing with sexual
H. R. 2471—896 
assault, domestic violence, sex trafficking, elder abuse, 
strangulation, and, in particular, the need for pediatric 
SANEs, including such nurse examiners working in the 
multidisciplinary setting, in responding to abuse of both 
children and adolescents. 
‘‘(2) REQUIREMENT.—In carrying out paragraph (1), the 
Attorney General shall collaborate with nongovernmental 
organizations representing SANEs. 
‘‘(d) PUBLIC INFORMATION
ON ACCESS
TO SEXUAL ASSAULT 
FORENSIC EXAMINATIONS.— 
‘‘(1) IN GENERAL.—Not later than 2 years after the date 
of enactment of the Supporting Access to Nurse Exams Act, 
the Attorney General, in consultation with the Secretary, shall 
establish, and update annually, a public website on the access 
to forensic nurse examiners. 
‘‘(2) CONTENTS.—The website required under paragraph 
(1) shall with specificity describe, by State— 
‘‘(A) funding opportunities for SANE training and con-
tinuing education; and 
‘‘(B) the availability of sexual assault advocates at 
locations providing sexual assault forensic exams. 
‘‘(3) REPORT TO CONGRESS.—Not later than 4 years after 
the date of enactment of the Supporting Access to Nurse Exams 
Act, the Attorney General, in consultation with the Secretary, 
shall submit to the Committee on the Judiciary of the Senate, 
the Committee on Health, Education, Labor, and Pensions of 
the Senate, the Committee on the Judiciary of the House of 
Representatives, and the Committee on Energy and Commerce 
of the House of Representatives a report on— 
‘‘(A) the availability of, and patient access to, trained 
SANEs and other providers who perform MFEs or sexual 
assault forensic examinations; 
‘‘(B) the health care facilities, including hospitals or 
clinics, that offer SANEs and sexual assault forensic 
examinations and whether each health care facility, 
including a hospital or clinic, has full-time, part-time, or 
on-call coverage; 
‘‘(C) regional, provider, or other barriers to access for 
SANE care and services, including MFEs and sexual 
assault forensic examinations; 
‘‘(D) State requirements, minimum standards, and 
protocols for training SANEs, including trauma-informed 
and culturally competent training standards; 
‘‘(E) State requirements, minimum standards, and 
protocols 
for 
training 
emergency 
services 
personnel 
involved in MFEs and sexual assault forensic examinations; 
‘‘(F) the availability of sexual assault nurse examiner 
training, frequency of when training is convened, the pro-
viders of such training, the State’s role in such training, 
and what process or procedures are in place for continuing 
education of such examiners; 
‘‘(G) the dedicated Federal and State funding to support 
SANE training; 
‘‘(H) funding opportunities for SANE training and con-
tinuing education;