or SANE services provided under the pilot program 
established under paragraph (1), and other medical 
forensic examiner services under the pilot program 
shall be provided by health care providers who are 
also one of the following: 
(A) A physician, including a resident phy-
sician. 
(B) A nurse practitioner. 
(C) A nurse midwife. 
(D) A physician assistant. 
(E) A certified nurse specialist. 
(F) A registered nurse. 
(G) A community health practitioner or a 
community health aide who has completed level 
III or level IV certification and training re-
quirements. 
(4) NATURE
OF
TRAINING.—The continuing 
education program established under this section 
shall incorporate and reflect current best practices 
and standards on MFEs consistent with the purpose 
of this section. 
(c) AVAILABILITY.—After termination of the pilot 
program established under subsection (b)(1), the training 
and continuing education program established under such 
program shall be available to all SAFEs, SANEs, and 
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other providers employed by, or any individual providing 
services through, facilities that receive Federal funding. 
The Task Force established under section 201 shall review 
and recommend updates to the training and continuing 
education program after the termination of the pilot pro-
gram. 
(d) EFFECTIVE DATE.— 
(1) IN
GENERAL.—The pilot program estab-
lished under this section shall terminate on the date 
that is 2 years after the date of such establishment. 
(2) AUTHORITY
FOR
MODIFICATIONS.—Upon 
termination of the pilot program as provided for in 
paragraph (1), the Secretary or the Task Force es-
tablished under section 201 may implement modi-
fications relating to training and continuing edu-
cation requirements based on such program to in-
crease access to SANE and SAFE services for sur-
vivors of sexual assault. 
(e) AUTHORIZATION.—There are authorized to be ap-
propriated to carry out this section $5,000,000 for each 
of fiscal years 2019 through 2021. 
SEC. 103. NATIONAL REPORT ON SEXUAL ASSAULT SERV-
ICES IN OUR NATION’S HEALTH SYSTEM. 
(a) IN GENERAL.—Not later than 1 year after the 
date of enactment of this Act, and annually thereafter, 
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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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