vanced practice nurse, physician, doctor of osteop-
athy, or physician assistant who has specialized 
training conducting medical forensic examinations. 
‘‘(7) 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 fu-
ture sexual assault nurse examiners to be pro-
fession-ready and meet the applicable State and 
National certification and licensure require-
ments, 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 re-
cent National Training Standards for Sexual 
Assault Medical Forensic Examiners. 
‘‘(8) 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). 
‘‘(9) SECRETARY.—The term ‘Secretary’ means 
the Secretary of Health and Human Services. 
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‘‘(10) SEXUAL ASSAULT.—The term ‘sexual as-
sault’ means any nonconsensual sexual act or sexual 
contact proscribed by Federal, Tribal, or State law, 
including when the individual lacks capacity to con-
sent. 
‘‘(11) SEXUAL ASSAULT FORENSIC EXAMINER; 
SAFE.—The term ‘sexual assault forensic examiner’ 
or ‘SAFE’ means an individual who has specialized 
forensic training in treating sexual assault survivors 
and conducting medical forensic examinations. 
‘‘(12) SEXUAL
ASSAULT
FORENSIC
EXAMINA-
TION.—The term ‘sexual assault forensic examina-
tion’ 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 
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; 
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‘‘(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. 
‘‘(13) SEXUAL
ASSAULT
NURSE
EXAMINER; 
SANE.—The term ‘sexual assault nurse examiner’ or 
‘SANE’ means a registered or advanced practice 
nurse who has specialized training conducting med-
ical forensic examinations. 
‘‘(14) SEXUAL
ASSAULT
RESPONSE
TEAM; 
SART.—The term ‘sexual assault response team’ or 
‘SART’ means a multidisciplinary team that— 
‘‘(A) provides a specialized and immediate 
response to survivors of sexual assault; and 
‘‘(B) may include health care personnel, 
law enforcement representatives, community- 
based survivor advocates, prosecutors, and fo-
rensic scientists. 
‘‘(15) STATE.—The term ‘State’ means any 
State of the United States, the District of Columbia, 
and any territory or possession of the United States. 
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