may establish subcommittees, convene workshops 
and conferences, and collect data. Such subcommit-
tees may be composed of advisory board members 
and nonmember consultants with expertise in the 
particular area addressed by such subcommittees. 
‘‘(6) REPORTS.—The advisory board shall an-
nually report to the appropriate authorizing and ap-
propriations committees of Congress concerning the 
research agenda for the centers established under 
this section and the progress made in fulfilling that 
research agenda. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$15,000,000 for fiscal year 2004, and such sums as may 
be necessary for each of the fiscal years 2005 through 
2008.’’. 
TITLE 
II—HEALTH 
PROFES-
SIONAL 
EDUCATION 
PRO-
GRAMS 
SEC. 201. HEALTH PROFESSIONAL EDUCATION GRANTS. 
Part R of title III of the Public Health Service Act, 
as added by section 101 of this Act, is amended by adding 
at the end the following:
‘‘SEC. 
399AA–2. 
HEALTH 
PROFESSIONAL 
EDUCATION 
GRANTS. 
‘‘(a) IN
GENERAL.—The Secretary shall award 
grants to eligible entities to enable such entities to develop, 
implement, evaluate, and disseminate family violence edu-
cation and training curricula, programs, and strategies. 
‘‘(b) ELIGIBILITY.—
‘‘(1) IN GENERAL.—To be eligible to receive a 
grant under subsection (a), an entity-shall have a 
history of effective work in the field of family vio-
lence and health care and—
‘‘(A) be a health care entity eligible for re-
imbursement under title XVIII of the Social Se-
curity Act or a local non-profit entity with ex-
pertise in family violence, a State coalition for 
domestic violence, a State coalition for sexual 
assault, or a State public health agency; 
‘‘(B) demonstrate an ability to maintain 
the training systems established with amounts 
received under the grant after the expiration of 
the grant funding and provide an assurance 
that such systems will be maintained if deter-
mined to be effective; and 
‘‘(C) prepare and submit to the Secretary 
at such time, in such manner, and containing 
such agreements, assurances, and information
as the Secretary determines to be necessary to 
carry out the purposes for which the grant is to 
be made. 
‘‘(2) PRIORITY.—Applicants that can dem-
onstrate that they represent a team of organizations 
and agencies working collaboratively to strengthen 
the health care system response to family violence 
may receive priority in funding. 
‘‘(c) USE OF FUNDS.—An entity shall use amounts 
received under a grant under this section to—
‘‘(1) conduct evaluations of existing family vio-
lence identification and treatment training pro-
grams; and 
‘‘(2) develop (or adapt) and implement innova-
tive training models or programs to identify and ap-
propriately treat and refer victims of family violence 
in health professional schools and for practicing, 
health, behavioral health and public health providers. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$5,000,000 for fiscal year 2004, and such sums as may 
be necessary for each of the fiscal years 2005 through 
2008.’’.
TITLE III—GRANTS TO FOSTER 
PUBLIC HEALTH RESPONSES 
TO DOMESTIC VIOLENCE 
SEC. 301. GRANTS. 
Part P of title III of the Public Health Service Act 
(42 U.S.C. 280g et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 3990. GRANTS TO FOSTER PUBLIC HEALTH RE-
SPONSES TO DOMESTIC VIOLENCE. 
‘‘(a) AUTHORITY TO AWARD GRANTS.—
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Assistant Secretary for the Administra-
tion for Children and Families, shall award grants 
under this section to eligible State entities and eligi-
ble local entities in order to strengthen the response 
of State and local health care systems to domestic 
violence. 
‘‘(2) DEFINITIONS OF ELIGIBLE ENTITIES.—In 
this section: 
‘‘(A) ELIGIBLE STATE ENTITY.—The term 
eligible State entity’ means a State department 
(or other division) of health, a State domestic 
violence coalition or service-based program, or 
any other nonprofit, tribal, or State entity with 
a history of effective work in the field of domes-
tic violence and health care, that demonstrates 
that the applicant is representing a team of or-
ganizations and agencies working collaboratively 
to strengthen the response of the health care 
system to domestic violence and that such team 
includes domestic violence and health care orga-
nizations. 
‘‘(B) ELIGIBLE LOCAL ENTITY.—The term 
eligible local entity’ means a nonprofit domestic 
violence service based program, a local depart-
ment (or other division) of health, a local health 
clinic, hospital, or health system, or any other 
nonprofit, tribal, or local entity with a history 
of effective work in the field of domestic vio-
lence and health. 
‘‘(b) NUMBER AND DURATION OF PROGRAMS; MAX-
IMUM AMOUNT OF GRANTS.—
‘‘(1) 
NUMBER
OF
PROGRAMS.—Not 
more 
than—
‘‘(A) 10 programs shall be conducted by el-
igible State entities under a grant made under 
this section; or 
‘‘(B) 10 programs shall be conducted by 
eligible local entities under a grant made under 
this section.
‘‘(2) DURATION.—A program conducted under 
a grant made under this section by an eligible State 
entity or an eligible local entity shall not exceed 4 
years. 
‘‘(3) MAXIMUM AMOUNT OF GRANTS.—A grant 
awarded under this section shall not exceed—
‘‘(A) $350,000 per year, in the case of a 
program conducted by an eligible State entity; 
or
‘‘(B) $150,000 per year, in the case of a 
program conducted by an eligible local entity. 
‘‘(c) USE OF FUNDS.—
‘‘(1) ELIGIBLE STATE ENTITIES.—An eligible 
State entity awarded a grant under this section shall 
use funds provided under the grant to design and 
implement comprehensive statewide strategies to im-
prove the response of the health care system to do-
mestic violence in clinical and public health care set-
tings and to promote education and awareness about 
domestic violence at a statewide level. Such strate-
gies shall be in accordance with the following: 
‘‘(A) Such strategies shall include the fol-
lowing: 
‘‘(i) Collaboration with State depart-
ments (or other divisions) of health to inte-
for domestic violence, and then to appro-
priately assess, treat, and refer patients 
who are victims of domestic violence to do-
mestic violence services. 
‘‘(B) Such strategies may also include the 
following: 
‘‘(i) Dissemination, implementation, 
and evaluation of practice guidelines on do-
mestic violence that guide the response of 
health care professionals and behavioral 
and public health staff to domestic vio-
lence. 
‘‘(ii) Where appropriate, development 
of training modules and policies that ad-
dress the overlap of child abuse, domestic 
violence and elder abuse as well as child-
hood exposure to domestic violence 
‘‘(iii) Creation and implementation of 
public education campaigns for patients 
and health care professionals and behav-
ioral and public health staff about domes-
tic violence prevention. 
‘‘(iv) Development and dissemination 
of education materials to patients and
health care professionals and behavioral 
and public health staff. 
‘‘(v) Promotion of the inclusion of do-
mestic violence into medical and nursing 
school curriculum and integration of do-
mestic violence into health care accredita-
tion and professional licensing examina-
tions, such as medical boards. 
‘‘(vi) Evaluation of the practice and 
institutionalization of identification, inter-
vention, and documentation of domestic vi-
olence and promotion of the use of quality 
improvement measurements. 
‘‘(2) ELIGIBLE LOCAL ENTITIES.—An eligible 
local entity awarded a grant under this section shall 
use funds provided under the grant to design and 
implement comprehensive local strategies to improve 
the response of the health care system to domestic 
violence in hospitals, clinics, managed care settings, 
emergency medical services, and other health care 
settings. Such strategies shall include the following: 
‘‘(A) Implementation, dissemination, and 
evaluation of policies and procedures to guide 
health care professionals and behavioral and 
public health staff responding to domestic vio-
lence including identification, treatment, and 
documentation of domestic violence and strate-
gies to ensure that health information is held in 
a manner that protects the patient’s privacy 
and safety. 
‘‘(B) Training and follow-up technical as-
sistance to health care professionals and behav-
ioral and public health staff to identify domestic 
violence, and then to appropriately assess, treat,
and refer patients who are victims of domestic 
violence to domestic violence services. 
‘‘(C) Development of on-site access to serv-
ices to address the safety, medical, mental 
health, and economic needs of patients either by 
increasing the capacity of existing health care 
professionals and behavioral and public health 
staff to address domestic violence issues, by 
contracting with or hiring domestic violence ad-
vocates to provide the services, or to model 
other services appropriate to the geographic and 
cultural needs of a site. 
‘‘(D) Development or adaptation and dis-
semination of education materials for patients 
and health care professionals and behavioral 
and public health staff.
‘‘(E) Evaluation of practice and the insti-
tutionalization of identification, intervention, 
and documentation including quality improve-
ment measurements such as patient satisfaction 
surveys, patient record reviews, case consulta-
tion, or other methods used to evaluate and en-
hance staff compliance with protocols. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated for the purpose of award-
ing grants under this section $5,000,000 for each of the 
fiscal years 2004 through 2008.’’. 
TITLE IV—PROVISION OF SERV-
ICES 
UNDER 
FEDERAL 
HEALTH PROGRAMS 
SEC. 401. OPTIONAL COVERAGE OF DOMESTIC VIOLENCE 
IDENTIFICATION AND TREATMENT UNDER 
THE MEDICAID PROGRAM. 
(a) IN GENERAL.—Section 1905 of the Social Secu-
rity Act (42 U.S.C. 1396d) is amended—
(1) in subsection (a)(26), by striking ‘‘and’’ at 
the end; 
(2) by redesignating paragraph (27) of sub-
section (a) as paragraph (28); and 
(3) by inserting after paragraph (26) of sub-
section (a) the following new paragraph:
‘‘(27) domestic violence identification and treat-
ment services (as defined in subsection (x));’’; and 
(4) by adding at the end the following new sub-
section: 
‘‘(x) The term ‘domestic violence identification and 
treatment services’ means the following services (as speci-
fied under the State plan) furnished by an attending 
health care provider (or, in the case of services described 
in paragraph (3), under arrangements between the pro-
vider and domestic violence experts) to the patient: 
‘‘(1) Routine verbal inquiries of women aged 18 
years or older for domestic violence by a provider if 
the provider has not previously screened the patient 
or if the patient has been screened but the patient 
indicates that he or she is in a new relationship re-
gardless of whether there are any clinical indicators 
or suspicion of abuse. 
‘‘(2) Danger assessment for persons who posi-
tively identify for domestic violence, including an im-
mediate safety assessment, an initial risk assess-
ment, and follow-up risk assessments during subse-
quent visits. 
‘‘(3) Treatment relating to domestic violence, 
including the following:
‘‘(A) Safety education to assist the patient 
in developing a plan to promote her safety and 
well-being, and appropriate follow up. 
‘‘(B) Health education which provides writ-
ten and verbal information about domestic vio-
lence, its impact on health, options for services, 
and any necessary follow up. 
‘‘(C) Psycho-social and counseling services 
that include an initial assessment, development 
of a plan of care, individual or group counseling 
(as needed), and follow-up assessment, treat-
ment, or intervention. 
‘‘(D) Documentation of screening, assess-
ment, treatment, referrals, injuries, and ill-
nesses related to domestic violence and who per-
petrated the abuse using appropriate diagnostic 
codes and confidentiality (except as required by 
applicable State law). 
‘‘(4) Referral and case coordination for addi-
tional services, including services from domestic vio-
lence programs, community agencies, and judicial 
and other systems.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on the date of the enactment
of this Act and shall apply to services furnished on or after 
such date. 
SEC. 402. FEDERAL EMPLOYEES HEALTH BENEFITS PRO-
GRAM. 
(a) IN GENERAL.—Section 8902 of title 5, United 
States Code, is amended by adding at the end the fol-
lowing: 
‘‘(p)(1) A contract may not be made or a plan ap-
proved which does not include coverage for domestic vio-
lence identification and treatment services. 
‘‘(2) For purposes of this subsection, the term ‘do-
mestic violence identification and treatment services’ has 
the meaning given such term in section 1905(x) of the 
Social Security Act.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply to contracts made, and plans 
approved, after the end of the 6-month period beginning 
on the date of the enactment of this Act. 
SEC. 403. TRAINING GRANTS UNDER THE MATERNAL AND 
CHILD HEATH SERVICES BLOCK GRANT. 
(a) PREFERENCE IN CERTAIN FUNDING.—Section 
502(b)(2) of the Social Security Act (42 U.S.C. 702(b)(2)) 
is amended by adding at the end the following new sub-
paragraph:
‘‘(C) Of the amounts retained for projects described 
in subparagraphs (A) through (F) of section 501(a)(3), 
the Secretary shall provide preference to qualified appli-
cants which demonstrate that the activities to be carried 
out with such amounts include training of service pro-
viders in how to identify and treat the effects of family 
violence, including children who have been exposed to fam-
ily violence. This training should include—
‘‘(i) identifying victims of family violence; 
‘‘(ii) assessing the immediate and short-term 
safety of the victim, the impact of the abuse on his
or her health and assisting the victim in developing 
a plan to promote his or her safety; 
‘‘(iii) examining and treating such victims with-
in the scope of the health professional’s discipline, 
training, and practice (including providing medical 
advice regarding the dynamics and nature of family 
violence); 
‘‘(iv) maintaining complete medical records that 
include documentation of the examination, treatment 
given, and referrals made, and recording the location 
and nature of the victim’s injuries, and establishing 
mechanisms to promote the privacy and confiden-
tiality of those medical records; and
‘‘(v) referring the victim to public and private 
nonprofit entities that provide services for such vic-
tims.’’. 
(b) REQUIREMENT FOR PORTION OF EXPENDITURES 
ON DOMESTIC VIOLENCE IDENTIFICATION AND TREAT-
MENT.—Section 505(a)(5) of the Social Security Act (42 
U.S.C. 705(a)(5)) is amended—
(1) by striking ‘‘and’’ at the end of subpara-
graph (E); 
(2) by striking the period at the end of sub-
paragraph (F) and inserting ‘‘; and’’; and 
(3) by inserting after subparagraph (F) the fol-
lowing new subparagraph: 
‘‘(G) the State will set aside a reasonable 
portion (based upon the State’s previous use of 
funds under this title) of the funds provided for 
domestic violence identification and treatment 
services (as defined in section 1902(x)).’’. 
(c) REPORTING DATA.—Section 506(a)(2) of such 
Act (42 U.S.C. 706(a)(2)) is amended by inserting after 
subparagraph (E) the following new subparagraph: 
‘‘(F) Information on how funds provided under 
this title are used to identify and treat domestic vio-
lence.’’.
(d) SEPARATE PROGRAM FOR DOMESTIC VIOLENCE 
IDENTIFICATION AND TREATMENT.—Title V of such Act 
is amended by adding at the end the following new section: 
‘‘SEPARATE PROGRAM FOR DOMESTIC VIOLENCE 
SCREENING AND TREATMENT 
‘‘SEC. 511. (a) For the purpose described in sub-
section (b), the Secretary shall, for fiscal year 2004 and 
each subsequent fiscal year, allot to each State which has 
transmitted an application for the fiscal year under section 
505(a) an amount equal to the product of—
‘‘(1) the amount appropriated in subsection (d) 
for the fiscal year; and 
‘‘(2) the percentage determined for the State 
under section 502(c)(1)(B)(ii). 
‘‘(b) The purpose of an allotment under subsection 
(a) to a State is to enable the State to provide for domestic 
violence identification and treatment, including the provi-
sion of domestic violence identification and treatment serv-
ices (as defined in section 1905(x)), increasing the number 
of persons identified, assessed, treated, and referred and 
including training of health care professionals, and behav-
ioral and public health staff, on how to identify and re-
spond to victims of domestic violence. 
‘‘(c)(1) Sections 503, 507, and 508 apply to allot-
ments under subsection (a) to the same extent and in the
same manner as such sections apply to allotments under 
section 502(c). 
‘‘(2) Sections 505 and 506 apply to allotments under 
subsection (a) to the extent determined by the Secretary 
to be appropriate. 
‘‘(d) For the purpose of allotments under subsection 
(a), there are authorized to be appropriated for each fiscal 
year, beginning with fiscal year 2004, such sums as may 
be necessary.’’. 
(e) EFFECTIVE DATE.—The amendments made by 
subsections (a) and (b) shall apply to fiscal years begin-
ning after the date of the enactment of this Act and the 
amendment made by subsection (c) shall apply to annual 
reports submitted for such fiscal years. 
SEC. 404. DOMESTIC VIOLENCE IDENTIFICATION AND 
TREATMENT 
SERVICES 
AT 
COMMUNITY 
HEALTH CENTERS. 
Part P of title III of the Public Health Service Act 
(42 U.S.C. 280g et seq.), as amended by section 301 of 
this Act, is amended by adding at the end the following:
‘‘SEC. 399P. DOMESTIC VIOLENCE PREVENTION, IDENTI-
FICATION, AND TREATMENT AND PREVEN-
TION GRANTS. 
‘‘(a) GRANTS AUTHORIZED.—The Secretary is au-
thorized to award grants to eligible entities to improve the 
identification and treatment of domestic violence. 
‘‘(b) USE OF FUNDS.—Grants awarded pursuant to 
subsection (a) may be used for activities such as—
‘‘(1) the implementation, dissemination, and 
evaluation of policies and procedures to guide health 
care and behavioral health care professionals and 
other staff responding to domestic violence; 
‘‘(2) the provision of training and follow-up 
technical assistance to health care professionals and 
staff to identify domestic violence, and then to ap-
propriately assess, treat, and refer patients who are 
victims of domestic violence to domestic violence 
service providers; and 
‘‘(3) the development of on-site access to serv-
ices to address the safety, medical, mental health, 
and economic needs of patients either by increasing 
the capacity of existing health care professionals and 
staff to address these issues or by contracting with 
or hiring domestic violence advocates to provide the 
services, or by developing other models appropriate 
to the geographic and cultural needs of a site.