In the Senate of the United States, 
December 20 (legislative day, December 19), 2018. 
Resolved, That the bill from the House of Representa-
tives (H.R. 767) entitled ‘‘An Act to establish the Stop, Ob-
serve, Ask, and Respond to Health and Wellness Training 
pilot program to address human trafficking in the health care 
system.’’, do pass with the following 
AMENDMENT: 
Strike all after the enacting clause and insert the 
following: 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Stop, Observe, Ask, and 
Respond to Health and Wellness Act of 2018’’ or the ‘‘SOAR 
to Health and Wellness Act of 2018’’. 
SEC. 2. PROGRAM ESTABLISHMENT. 
Part E of title XII of the Public Health Service Act 
(42 U.S.C. 300d–51 et seq.) is amended by adding at the 
end the following:
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‘‘SEC. 1254. STOP, OBSERVE, ASK, AND RESPOND TO 
HEALTH 
AND 
WELLNESS 
TRAINING 
PRO-
GRAM. 
‘‘(a) IN GENERAL.—The Secretary shall establish a 
program to be known as the Stop, Observe, Ask, and Re-
spond to Health and Wellness Training Program or the 
SOAR to Health and Wellness Training Program (in this 
section referred to as the ‘Program’) to provide training to 
health care and social service providers on human traf-
ficking in accordance with this section. 
‘‘(b) ACTIVITIES.— 
‘‘(1) IN GENERAL.—The Program shall include 
the Stop, Observe, Ask, and Respond to Health and 
Wellness Training Program’s activities existing on 
the day before the date of enactment of this section 
and the authorized initiatives described in paragraph 
(2). 
‘‘(2) AUTHORIZED INITIATIVES.—The authorized 
initiatives of the Program shall include— 
‘‘(A) engaging stakeholders, including vic-
tims of human trafficking and Federal, State, 
local, and tribal partners, to develop a flexible 
training module— 
‘‘(i) for supporting activities under 
subsection (c); and
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‘‘(ii) that adapts to changing needs, 
settings, health care providers, and social 
service providers; 
‘‘(B) providing technical assistance to 
grantees related to implementing activities de-
scribed in subsection (c) and reporting on any 
best practices identified by the grantees; 
‘‘(C) developing a reliable methodology for 
collecting data, and reporting such data, on the 
number of human trafficking victims identified 
and served by grantees in a manner that, at a 
minimum, prevents disclosure of individually 
identifiable information consistent with all ap-
plicable privacy laws and regulations; and 
‘‘(D) integrating, as appropriate, the train-
ing described in paragraphs (1) through (4) of 
subsection (c) with training programs, in effect 
on the date of enactment of this section, for 
health care and social service providers for vic-
tims of intimate partner violence, sexual assault, 
stalking, child abuse, child neglect, child mal-
treatment, and child sexual exploitation. 
‘‘(c) GRANTS.—The Secretary may award grants to 
appropriate entities to train health care and social service 
providers to—
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‘‘(1) identify potential human trafficking vic-
tims; 
‘‘(2) implement best practices for working with 
law enforcement to report and facilitate communica-
tion with human trafficking victims, in accordance 
with all applicable Federal, State, local, and tribal 
laws, including legal confidentiality requirements for 
patients and health care and social service providers; 
‘‘(3) implement best practices for referring such 
victims to appropriate health care, social, or victims 
service agencies or organizations; and 
‘‘(4) provide such victims with coordinated, age- 
appropriate, culturally relevant, trauma-informed, 
patient-centered, and evidence-based care. 
‘‘(d) CONSIDERATION
IN AWARDING GRANTS.—The 
Secretary, in making awards under this section, shall give 
consideration to— 
‘‘(1) geography; 
‘‘(2) the demographics of the population to be 
served; 
‘‘(3) the predominant types of human trafficking 
cases involved; and 
‘‘(4) health care and social service provider pro-
files. 
‘‘(e) DATA COLLECTION AND REPORTING.—
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‘‘(1) IN GENERAL.—The Secretary shall collect 
data and report on the following: 
‘‘(A) The total number of entities that re-
ceived a grant under this section. 
‘‘(B) The total number and geographic dis-
tribution of health care and social service pro-
viders trained through the Program. 
‘‘(2) INITIAL REPORT.—In addition to the data 
required to be collected under paragraph (1), for pur-
poses of the initial report to be submitted under para-
graph (3), the Secretary shall collect data on the total 
number of facilities and health care professional orga-
nizations that were operating under, and the total 
number of health care and social service providers 
trained through, the Stop, Observe, Ask, and Respond 
to Health and Wellness Training Program existing 
prior to the establishment of the Program under this 
section. 
‘‘(3) ANNUAL REPORT.—Not later than 1 year 
after the date of enactment of this section, and annu-
ally thereafter, the Secretary shall submit an annual 
report to Congress on the data collected under this 
subsection in a manner that, at a minimum, prevents 
the disclosure of individually identifiable information
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consistent with all applicable privacy laws and regu-
lations. 
‘‘(f) SHARING BEST PRACTICES.—The Secretary shall 
make available, on the Internet website of the Department 
of Health and Human Services, a description of the best 
practices and procedures used by entities that receive a 
grant for carrying out activities under this section. 
‘‘(g) DEFINITION.—In this section, the term ‘human 
trafficking’ has the meaning given the term ‘severe forms 
of trafficking in persons’ as defined in section 103 of the 
Trafficking Victims Protection Act of 2000. 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this Act, 
$4,000,000 for each of fiscal years 2020 through 2024.’’. 
Attest: 
Secretary.