I 
115TH CONGRESS 
2D SESSION 
H. R. 6273 
To amend the Public Health Service Act to ensure appropriate care by 
certain 340B covered entities for victims of sexual assault, and for 
other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 28, 2018 
Mrs. MIMI WALTERS of California (for herself and Mr. WALDEN) introduced 
the following bill; which was referred to the Committee on Energy and 
Commerce 
A BILL 
To amend the Public Health Service Act to ensure appro-
priate care by certain 340B covered entities for victims 
of sexual assault, 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. REQUIREMENTS FOR CERTAIN 340B COVERED 
ENTITIES RELATING TO HOSPITAL CARE FOR 
VICTIMS OF SEXUAL ASSAULT. 
(a) IN GENERAL.—Section 340B(a) of the Public 
Health Service Act (42 U.S.C. 256b(a)) is amended— 
(1) in paragraph (4)(L)— 
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(A) in clause (ii), by striking ‘‘and’’ at the 
end; 
(B) in clause (iii), by striking the period at 
the end and adding ‘‘; and’’; and 
(C) by adding at the end the following new 
clause: 
‘‘(iv) in the case of such a hospital 
that has an emergency department and, as 
of the date that is 12 months after the 
date of enactment of this clause, has not 
been designated as a SAFE-ready facility 
under paragraph (11)(B)— 
‘‘(I) takes such actions as nec-
essary to become so designated not 
later than the date that is 24 months 
after such date of enactment; and 
‘‘(II) during the period beginning 
on the date that is 12 months after 
such date of enactment and ending on 
the date that such hospital becomes so 
designated, has adopted and enforces 
a policy, with respect to visits to the 
emergency department of such hos-
pital during such period, to ensure 
compliance with the requirements of 
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paragraph (11) and meets the require-
ments of such paragraph.’’; and 
(2) by adding at the end the following new 
paragraph: 
‘‘(11) REQUIREMENTS
OF
CERTAIN
COVERED 
ENTITIES RELATING TO EXAMINATION AND TREAT-
MENT FOR VICTIMS OF SEXUAL ASSAULT.— 
‘‘(A) IN GENERAL.—In the case of a cov-
ered entity described in paragraph (4)(L) that 
has an emergency department and, as of the 
date that is 12 months after the date of enact-
ment of this subparagraph, has not been des-
ignated as a SAFE-ready facility under sub-
paragraph (B), for purposes of clause (iv)(II) of 
such paragraph, the requirements of this para-
graph, with respect to visits to the emergency 
department of such entity during the period de-
scribed in such clause (iv)(II), are the following: 
‘‘(i) TREATMENT.—If any individual 
comes to the emergency department of 
such entity for treatment relating to sexual 
assault, the entity shall— 
‘‘(I) inform the individual that 
the entity is not a SAFE-ready facil-
ity; 
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‘‘(II) provide the name and loca-
tion of the closest SAFE-ready facility 
to the entity; 
‘‘(III) inform the individual that 
the individual may elect— 
‘‘(aa) to receive treatment at 
the entity; or 
‘‘(bb) to be stabilized and 
transferred to the facility de-
scribed in subclause (II); and 
‘‘(IV) in the case that the indi-
vidual elects to be transferred under 
subclause (III)(bb)— 
‘‘(aa) obtain the individual’s 
written consent for the transfer; 
‘‘(bb) contact the facility de-
scribed in subclause (II) to con-
firm that a sexual assault foren-
sic examiner is available at the 
facility; and 
‘‘(cc) stabilize and transfer 
the individual, at no cost, to such 
facility using official transpor-
tation of the entity. 
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