I 115th CONGRESS 2d Session H. R. 7292 IN THE HOUSE OF REPRESENTATIVES December 13, 2018 Mr. Poe of Texas (for himself, Ms. Jayapal , Mr. Griffith , and Mrs. Black ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committees on Ways and Means , and the Judiciary , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To require the Secretary of Health and Human Services to establish the Megan Rondini and Leah Griffin national sexual assault care and treatment task force, and for other purposes.

1. Short title This Act may be cited as the Megan Rondini and Leah Griffin Sexual Assault Victims Protection Act of 2018 . 2. Megan Rondini and Leah Griffin national sexual assault care and treatment task force (a) Establishment The Secretary of Health and Human Services shall establish a task force to be known as the Megan Rondini and Leah Griffin National Sexual Assault Care and Treatment Task Force (referred to in this section as the Task Force ) to identify barriers to improving access to sexual assault forensic examiners, sexual assault nurse examiners, and other forensic medical examiners. (b) Membership The Task Force shall include a representative from the Centers for Medicare & Medicaid Services, the Health and Human Services Immediate Office of the Secretary, the Health Resources and Services Administration, the Indian 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; representatives from regional and national organizations that collectively have expertise in forensic nursing, rape trauma or crisis counseling, investigating rape and gender violence cases, survivors’ advocacy and support, sexual assault prevention education, rural health, and responding to sexual violence in Native communities; representatives from hospitals, patient groups, and emergency department physicians; representatives of States, including States that have in effect State laws or procedures that address the objectives described in subsection (c); and any other governmental or nongovernmental representative or stakeholder as specified by the Secretary, in consultation with the Attorney General. (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, training, and retention of sexual assault forensic examiners, sexual assault response teams, sexual assault nurse examiners, and others who perform such examinations; (2) make recommendations for improving access to medical forensic examinations, including the feasibility of, or barriers to, utilizing mobile units and telehealth services; (3) make recommendations for improving coordination of services, other protocols regarding the care and treatment of sexual assault survivors, and the preservation of evidence between law enforcement officials and health care providers; (4) make recommendations for updating national minimum standards for forensic medical examiner training and forensic medical evidence collection relating to sexual assault; (5) make recommendations for the development of resources and best practices described in subsection (e) for inclusion on the public website of the Department of Health and Human Services; (6) make recommendations on the collection and retention of sexual assault kits, including anonymous or unreported sexual assault kits; (7) make recommendations on processes and best practices for communicating to sexual assault survivors who seek care in the emergency room information about the availability of forensic medical evidence collection as part of the care and treatment of such survivors; (8) make recommendations to develop, promote, and inculcate trauma-informed approaches (as defined in subsection (g)) in the treatment of sexual assault victims through training, leadership and supervision; (9) make recommendations to inform the development of protocols to use when patients seeking medical forensic care have not yet reported a crime to law enforcement, including developing guidance related to presenting patients with their options when they request a medical forensic exam; (10) obtain feedback and review how the best practices, protocols, care, and treatment for sexual assault are impacting sexual assault survivors in States with laws or procedures that address any of the task force objectives described in a previous paragraph of this subsection, including Texas, Washington, and Illinois, including the impact on a patient of any financial obligations associated with a sexual assault forensic exam, including when the exam is performed in a different jurisdiction than where the assault was committed; and (11) any other objective specified by the Secretary, in consultation with the Attorney General. (d) Transparency requirements (1) In general Not later than 18 months after the date of the enactment of this Act, the Task Force shall submit to the Secretary a report on the recommendations, findings, and conclusions of the Task Force. (2) Report Not later than 2 years after the date of enactment of this Act, the Secretary shall submit to Congress a report on the recommendations, findings, and conclusions of the Task Force. (e) Sexual assault treatment resources (1) In general Not later than July 1, 2019, the Secretary shall post on the public website of the Department of Health and Human Services resources and best practices developed by health care providers, forensic scientists, law enforcement representatives, and advocates of sexual assault victims, relating to the treatment of individuals for sexual assault by health care providers. Such resources and best practices shall include the following: (A) Resources for health care providers Resources and best practices for health care providers, including— (i) best practices for training personnel on sexual assault forensic evidence collection; (ii) best practices relating to providing counseling and appropriate referrals to such individuals; and (iii) other resources and best practices determined appropriate by the Secretary. (B) Resources for sexual assault survivors Resources and best practices for sexual assault survivors, including— (i) information about the forensic exam furnished by a sexual assault forensic examiner, including the process and potential benefits of collecting evidence; (ii) information on available State-wide databases of sexual assault nurse examiner-ready or sexual assault forensic examiner-ready facilities; (iii) survivor advocacy group websites and hotlines; (iv) next-steps guides for survivors with best practices for preserving evidence and seeking treatment after an assault; and (v) other resources and best practices determined appropriate by the Secretary. (2) Updates As soon as practicable after the submission of the report under subsection (d)(1) to the Secretary, the Secretary shall update the resources and best practices posted on the website of the Department of Health and Human Services under paragraph (1) to take into consideration the recommendations, findings, and conclusions of the Task Force contained in such report. The Secretary shall update such resources and best practices periodically, but not less frequently than annually, including for purposes of taking into account the most recent recommendations, findings, and conclusions of the Task Force. (f) Annual meeting The Task Force shall meet annually to address gaps in health care provider care relating to sexual assault and report findings, recommendations, and conclusions to the Secretary in a timely manner. (g) Definitions For purposes of this section: (1) Medical forensic examination The term medical forensic examination means an examination provided to a sexual assault survivor by medical personnel trained to gather evidence of a sexual assault in a manner suitable for use in a court of law. (2) Secretary The term Secretary means the Secretary of Health and Human Services. (3) Sexual assault The term sexual assault means any non-consensual sexual act proscribed by Federal, tribal, or State law, including when the individual lacks capacity to consent. (4) Sexual assault examiner The term sexual assault examiner means a registered nurse, advanced practice nurse, physician, or physician assistant specifically trained to provide comprehensive care to sexual assault forensic examinations. (5) Sexual assault forensic examiner The term sexual assault forensic examiner means a medical practitioner who has specialized forensic training in treating sexual assault survivors and conducting medical forensic examinations. (6) Sexual assault nurse examiner The term sexual assault nurse examiner means a registered nurse who has specialized forensic training in treating sexual assault survivors and conducting medical forensic examinations. (7) Sexual assault response team The term sexual assault response team means a multidisciplinary team that provides a specialized and immediate response to survivors of sexual assault, and may include health care personnel, law enforcement representatives, community-based survivor advocates, prosecutors, and forensic scientists. (8) Trauma-informed approach The term trauma-informed approach means an approach that is built on an understanding of how trauma affects a person’s physical, emotional, and psychological health, and accounts for the potential for health care systems to unintentionally cause further trauma. 3. Promoting coordination of sexual assault care in local communities Not later than one year after the date of the enactment of this Act, the Secretary of Health and Human Services shall revise section 489.24(j) of title 42, Code of Federal Regulations, to require each formal community call plan (as described in section 489.24(j)(2)(iii) of such title (or a successor regulation)) to provide— (1) with respect to the delineation of on-call coverage responsibilities described in subparagraph (A) of such section, for a delineation of such coverage responsibilities for screening and treatment relating to sexual assault and includes a schedule of the on-call coverage availability for such screening and treatment at each hospital with on-call coverage responsibilities for such treatment; and (2) with respect to assurances related to local and regional EMS system protocols described in subparagraph (D) of such section, for an assurance that such protocols include information with respect to community on-call arrangements for screening and treatment relating to sexual assault.