the Agency for Healthcare Research and Quality, in con-
sultation with the Centers for Medicare & Medicaid Serv-
ices, the Centers for Disease Control and Prevention, the 
Health Resources and Services Administration, the Indian 
Health Service, the Office for Victims of Crime of the De-
partment of Justice, the Office on Women’s Health of the 
Department of Health and Human Services, and the Of-
fice of Violence Against Women of the Department of Jus-
tice (hereafter referred to in this section collectively as the 
‘‘Agencies’’), shall submit to the Secretary a report of ex-
isting Federal and State practices relating to SAFEs, 
SANEs, and others who perform such examinations which 
reflects the findings of the surveys developed under section 
101. 
(b) CORE COMPETENCIES.—In conducting activities 
under this section, the Agencies shall address SAFE or 
SANE competencies, including— 
(1) providing comprehensive medical care to 
sexual assault patients; 
(2) demonstrating the ability to conduct a MFE 
to include an evaluation for evidence collection; 
(3) showing compassion and sensitivity towards 
survivors of sexual assault; 
(4) testifying in Federal, State, local, and tribal 
courts; and 
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(5) other competencies as determined appro-
priate by the Agencies. 
(c) PUBLICATION.— 
(1) AHRQ.—The Agency for Healthcare Re-
search and Quality shall establish, maintain, and 
publish on the website of the Department of Health 
and Human Services an online public map of SAFE, 
SANE, and other forensic medical examiners. Such 
maps shall clarify if there is full-time, part-time, or 
on-call coverage. 
(2) STATES.—A State that receives Federal 
funds shall maintain and make available an online 
public map displaying the number and location of 
available SAFE or SANE programs and other foren-
sic medical examiners in the State. Such maps shall 
clarify if there is full-time, part-time, or on-call cov-
erage. 
SEC. 104. HOSPITAL REPORTING. 
Not later than 1 year after the date of enactment 
of this Act, and annually thereafter, a hospital that re-
ceives Federal funds shall submit to the Secretary a report 
that identifies the level of community access provided by 
the hospital to trained SAFEs, SARTs, SANEs, and oth-
ers who perform such examinations. Such report shall de-
scribe— 
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(1) the number of sexual assault survivors who 
present at the hospital for MFEs in the year for 
which the report is being prepared; 
(2) the number of personnel who are trained 
and practicing as a SANE or SAFE to perform sex-
ual assault exams, indicating the employment basis 
of such personnel as either full-time, part-time, or 
on-call; 
(3) the number of sexual assault exams per-
formed by SANEs or SAFEs; 
(4) the number of sexual assault exams per-
formed by personnel other than a SANE or SAFE; 
(5) the training that such SAFEs or SANEs 
undergo for purposes of maintaining competency; 
and 
(6) the SAFE/SANE standards of care applied 
by the hospital. 
TITLE II—STANDARDS OF CARE 
SEC. 201. NATIONAL SEXUAL ASSAULT CARE AND TREAT-
MENT TASK FORCE. 
(a) ESTABLISHMENT.—The Secretary shall establish 
a task force to be known as the ‘‘SASCA Task Force’’ 
(referred to in this section as the ‘‘Task Force’’) to iden-
tify barriers to improving access to SAFE/SANE and 
other forensic medical examiners. 
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(b) MEMBERSHIP.—The Task Force shall include a 
representative from the Centers for Medicare & Medicaid 
Services, the Centers for Disease Control and Prevention, 
the Health Resources and Services Administration, the In-
dian Health Service, the Office for Victims of Crime of 
the Department of Justice, the Office on Women’s Health 
of the Department of Health and Human Services, and 
the Office on Violence Against Women of the Department 
of Justice, a survivor of sexual assault, and representa-
tives from regional and national organizations with exper-
tise in forensic nursing, rape trauma or crisis counseling, 
investigating rape and gender violence cases, survivors’ ad-
vocacy and support, sexual assault prevention education, 
rural health, and responding to sexual violence in Native 
communities. 
(c) OBJECTIVES.—To assist and standardize State- 
level efforts to improve medical forensic evidence collection 
relating to sexual assault, the Task Force shall— 
(1) identify barriers to the recruitment, train-
ing, and retention of SAFEs, SARTs, SANEs, and 
others who perform such examinations; 
(2) make recommendations for improving access 
to medical forensic examinations, including the feasi-
bility of, or barriers to, utilizing mobile units; 
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(3) improve coordination of services, and other 
protocols regarding the care and treatment of sexual 
assault survivors and the preservation of evidence 
between law enforcement officials and health care 
providers; and 
(4) update national minimum standards for fo-
rensic medical examiner training and forensic med-
ical evidence collection relating to sexual assault. 
(d) TRANSPARENCY REQUIREMENTS.— 
(1) IN GENERAL.—Not later than 1 year after 
first convening, the Task Force shall report to the 
Secretary in a public document on— 
(A) the recommendation for best practices 
with respect to improving medical forensic evi-
dence collection relating to sexual assault; and 
(B) the national minimum standards for 
MFEs and treatments relating to sexual as-
sault. 
(2) REPORT.—Not later than 18 months after 
the date of enactment of this Act, the Secretary 
shall submit to Congress a report on the findings 
and conclusions of the Task Force. 
(e) ANNUAL SUMMIT.—The Secretary shall convene 
an annual stakeholder meeting to address gaps in health 
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care provider care relating to sexual assault that includes 
the Task Force. 
SEC. 202. INSTITUTIONS OF HIGHER EDUCATION CAMPUS 
ACTION PLAN. 
Each institution of higher education that receives 
Federal funds shall— 
(1) inform survivors of sexual assault about the 
availability of MFEs, including the nearest available 
locations at which such examinations are provided 
by a SANE and that Federal law requires such 
exams to be provided at no cost to the survivor; and 
(2) make the information described in para-
graph (1) available on the website of the institution, 
to the extent practicable. 
SEC. 203. EXPANDING ACCESS TO UNIFIED CARE. 
Part B of title VIII of the Public Health Service Act 
(42 U.S.C. 296j et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 812. DEMONSTRATION GRANTS FOR SEXUAL ASSAULT 
EXAMINER TRAINING PROGRAMS. 
‘‘(a) ESTABLISHMENT OF PROGRAM.—The Secretary 
shall establish a demonstration program (referred to in 
this section as the ‘program’) to award grants to eligible 
partnered entities for the clinical training of SAFEs/ 
SANEs (including registered nurses, nurse practitioners, 
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nurse midwives, clinical nurse specialists, physician assist-
ants, and physicians) to administer medical forensic ex-
aminations and treatments to survivors of sexual assault. 
‘‘(b) PURPOSE.—The purpose of the program is to 
enable each grant recipient to expand access to SAFE/ 
SANE services by providing new providers with the clin-
ical training necessary to establish and maintain com-
petency in SAFE/SANE services and to test the provisions 
of such services at new facilities in expanded health care 
settings. 
‘‘(c) GRANTS.—Under the program, the Secretary 
shall award 3-year grants to eligible entities that meet the 
requirements established by the Secretary. 
‘‘(d) ELIGIBLE ENTITIES.—To be eligible to receive 
a grant under this section, an entity shall— 
‘‘(1) be— 
‘‘(A) a rural health care services provider 
or community-based service provider (as defined 
by the Secretary), a center or clinic under sec-
tion 330, or a health center receiving assistance 
under title X, acting in partnership with a high- 
volume emergency services provider or a hos-
pital currently providing sexual assault medical 
forensic examinations performed by SANEs or 
SAFEs, that will use grant funds to— 
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‘‘(i) assign rural health care service 
providers to the high-volume hospitals for 
clinical practicum hours to qualify such 
providers as a SAFE/SANE; or 
‘‘(ii) assign practitioners at high-vol-
ume hospitals to a rural health care serv-
ices providers to instruct, oversee, and ap-
prove clinical practicum hours in the com-
munity to be served; or 
‘‘(B) an organization described in section 
501(c)(3) of the Internal Revenue Code of 1986 
and exempt from taxation under 501(a) of that 
Act, that provides legal training and technical 
assistance to tribal communities and to organi-
zations and agencies serving Native people; and 
‘‘(2) submit to the Secretary an application at 
such time, in such manner, and containing such in-
formation as the Secretary may require, including a 
description of whether the applicant will provide 
services under subparagraph (A) or (B) of para-
graph (1). 
‘‘(e) GRANT AMOUNT.—Each grant awarded under 
this section shall be in an amount not to exceed $400,000 
per year. A grant recipient may carry over funds from one 
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fiscal year to the next without obtaining approval from 
the Secretary. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—There is authorized to be 
appropriated to carry out this section $11,000,000 
for each of fiscal years 2022 through 2027. 
‘‘(2) SET-ASIDE.—Of the amount appropriated 
under this subsection for a fiscal year, the Secretary 
shall reserve 15 percent of such amount for purposes 
of making grants to entities that are affiliated with 
Indian tribes or tribal organizations (as defined in 
section 4 of the Indian Self-Determination and Edu-
cation Assistance Act (25 U.S.C. 5304)), or Urban 
Indian organizations (as defined in section 4 of the 
Indian Health Care Improvement Act (25 U.S.C. 
1603)). Amounts reserved may be used to support 
referrals and the delivery of emergency first aid, cul-
turally competent support, and forensic evidence col-
lection training.’’. 
SEC. 204. TECHNICAL ASSISTANCE GRANTS AND LEARNING 
COLLECTIVES. 
Part B of title VIII of the Public Health Service Act 
(42 U.S.C. 296j et seq.), as amended by section 203, is 
further amended by adding at the end the following: 
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‘‘SEC. 812A. TECHNICAL ASSISTANCE CENTER AND RE-
GIONAL LEARNING COLLECTIVES. 
‘‘(a) IN GENERAL.—The Secretary shall establish a 
State and provider technical resource center to provide 
technical assistance to health care providers to increase 
the quality of, and access to, MFEs by entering into con-
tracts with national experts (such as the International Fo-
rensic Nurses Association and others). 
‘‘(b) REGIONAL LEARNING COLLECTIVES.—The Sec-
retary shall convene State and hospital regional learning 
collectives to assist health care providers and States in 
sharing best practices, discussing practices, and improving 
the quality of, and access to, MFEs. 
‘‘(c) REPOSITORY.—The Secretary shall establish and 
maintain a secure Internet-based data repository to serve 
as an online learning collective for State and entity col-
laborations. An entity receiving a grant under section 812 
may use such repository for— 
‘‘(1) technical assistance; and 
‘‘(2) best practice sharing.’’. 
SEC. 205. QUALITY STRATEGIES. 
The Secretary shall identify SAFE/SANE access and 
quality in hospitals and other appropriate health care fa-
cilities as a national priority for improvement under sec-
tion 399HH(a)(2) of the Public Health Service Act (42 
U.S.C. 280j(a)(2)). 
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SEC. 206. OVERSIGHT. 
Not later than one year after the date of enactment 
of this Act, the Office of the Inspector General shall issue 
a report concerning hospital compliance with section 1867 
of the Social Security Act (42 U.S.C. 1395dd) and the 
Violence Against Women Act of 1994 (34 U.S.C. 12291 
et seq.) with respect to access to, and reimbursements for, 
sexual assault medical forensic examinations at the na-
tional, State, and individual hospital level. Such report 
shall address hospital awareness of reimbursements, total 
reimbursed costs, and any costs for survivors. 
Æ 
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