I 
117TH CONGRESS 
2D SESSION 
H. R. 6735 
To amend the DNA Sexual Assault Justice Act of 2004 to increase access 
to Sexual Assault Nurse Examiners, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 15, 2022 
Mr. JOYCE of Ohio (for himself and Ms. ROSS) introduced the following bill; 
which was referred to the Committee on the Judiciary 
A BILL 
To amend the DNA Sexual Assault Justice Act of 2004 
to increase access to Sexual Assault Nurse Examiners, 
and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Supporting Access to 
Nurse Exams Act’’ or the ‘‘SANE Act’’. 
SEC. 2. DEFINITIONS. 
Section 304 of the DNA Sexual Assault Justice Act 
of 2004 (34 U.S.C. 40723) is amended by striking sub-
sections (a), (b), and (c) and inserting the following: 
‘‘(a) DEFINITIONS.—In this section: 
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‘‘(1) CULTURALLY
COMPETENT.—The term 
‘culturally competent’, used with respect to services, 
supports, or other assistance, means services, sup-
ports, or other assistance that is conducted or pro-
vided in a manner that— 
‘‘(A) is responsive to the beliefs, inter-
personal styles, attitudes, languages, and behav-
iors of individuals receiving the services, sup-
ports, or other assistance; and 
‘‘(B) has the greatest likelihood of ensur-
ing the maximum participation of individuals 
receiving the services, supports, or other assist-
ance. 
‘‘(2) ELIGIBLE ENTITY.—The term ‘eligible en-
tity’ includes— 
‘‘(A) a Tribal government or hospital; 
‘‘(B) a sexual assault examination pro-
gram, including— 
‘‘(i) a SANE program; 
‘‘(ii) a SAFE program; 
‘‘(iii) a SART program; 
‘‘(iv) medical personnel, including a 
doctor or nurse, involved in treating vic-
tims of sexual assault; and 
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‘‘(v) a victim service provider involved 
in treating victims of sexual assault; 
‘‘(C) a State sexual assault coalition; 
‘‘(D) a health care facility, including a hos-
pital that provides sexual assault forensic ex-
aminations by a qualified or certified SANE or 
SAFE; 
‘‘(E) a sexual assault examination program 
that provides SANE or SAFE training; and 
‘‘(F) a community-based program that pro-
vides sexual assault forensic examinations, in-
cluding pediatric forensic exams in a multidisci-
plinary setting, by a qualified or certified 
SANE or SAFE outside of a traditional health 
care setting. 
‘‘(3) HEALTH
CARE
FACILITY.—The term 
‘health care facility’ means any State, local, Tribal, 
community, free, nonprofit, academic, or private 
medical facility, including a hospital, that provides 
emergency medical care to patients. 
‘‘(4) 
MEDICAL
FORENSIC
EXAMINATION; 
MFE.—The term ‘medical forensic examination’ or 
‘MFE’ means an examination of a sexual assault pa-
tient by a health care provider, who has specialized 
education and clinical experience in the collection of 
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forensic evidence and treatment of these patients, 
which includes— 
‘‘(A) gathering information from the pa-
tient for the medical forensic history; 
‘‘(B) an examination; 
‘‘(C) coordinating treatment of injuries, 
documentation of biological and physical find-
ings, and collection of evidence from the pa-
tient; 
‘‘(D) documentation of findings; 
‘‘(E) providing information, treatment, and 
referrals for sexually transmitted infections, 
pregnancy, suicidal ideation, alcohol and sub-
stance abuse, and other non-acute medical con-
cerns; and 
‘‘(F) providing follow-up as needed to pro-
vide additional healing, treatment, or collection 
of evidence. 
‘‘(5) PEDIATRIC SANE AND SAFE.—The term 
‘pediatric SANE and SAFE’ means a SANE or 
SAFE who is trained to conduct sexual assault fo-
rensic examinations on children and youth between 
the ages of 0 and 18. 
‘‘(6) 
QUALIFIED
PERSONNEL.—The 
term 
‘qualified personnel’ includes a registered or ad-
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