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<dc:title>116 HR 4758 IH: Sexual Assault Victims Protection Act of 2019</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2019-10-18</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">I</distribution-code><congress display="yes">116th CONGRESS</congress><session display="yes">1st Session</session><legis-num display="yes">H. R. 4758</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20191018">October 18, 2019</action-date><action-desc><sponsor name-id="G000568">Mr. Griffith</sponsor> introduced the following bill; which was referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name>, and in addition to the Committees on <committee-name committee-id="HWM00">Ways and Means</committee-name>, and <committee-name committee-id="HJU00">the Judiciary</committee-name>, 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</action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To require the Secretary of Health and Human Services to establish a national sexual assault care
			 and treatment task force; and for other purposes.</official-title></form>
	<legis-body id="H6C6F9C19D3224DB8A0DF7B53029DAF2C" style="OLC">
 <section id="H9E5C9E974F5A420FAEE080678E9369A0" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Sexual Assault Victims Protection Act of 2019</short-title></quote>.</text> </section><section id="H165D68BFF61A42D29A523DA3BF127E19"><enum>2.</enum><header>National sexual assault care and treatment task force</header> <subsection id="H7928A3954F004C60A627A7E500A48DC2"><enum>(a)</enum><header>Establishment</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services shall establish a task force to be known as the <quote>National Sexual Assault Care and Treatment Task Force</quote> (referred to in this section as the <quote>Task Force</quote>) to identify barriers to improving access to sexual assault forensic examiners, sexual assault nurse examiners, and other forensic medical examiners.</text>
 </subsection><subsection id="HB221E1AA87D94A7B9E2438C822C83A76"><enum>(b)</enum><header>Membership</header><text display-inline="yes-display-inline">The Task Force shall include a representative from the Centers for Medicare &amp; Medicaid Services, 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 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 with 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; and representatives of States, including States that have in effect State laws or procedures that address the objectives described in subsection (c).</text>
 </subsection><subsection id="H68D79094B1CC40599190B9956A86E955"><enum>(c)</enum><header>Objectives</header><text display-inline="yes-display-inline">To assist and standardize State-level efforts to improve medical forensic evidence collection relating to sexual assault, the Task Force shall—</text>
 <paragraph id="H054D56D6D2EE404B887FF9DD3BD75D03"><enum>(1)</enum><text display-inline="yes-display-inline">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;</text>
 </paragraph><paragraph id="H9A450F53F1E04ED9A7DAABE3D8CD6E8B"><enum>(2)</enum><text>make recommendations for improving access to medical forensic examinations, including the feasibility of, or barriers to, utilizing mobile units and telehealth services;</text>
 </paragraph><paragraph id="H0AFAA576B9DC4385A441FA82FAC8B854"><enum>(3)</enum><text>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;</text>
 </paragraph><paragraph id="H290D804A6B4546CC8051FEDF1405ACA0"><enum>(4)</enum><text>make recommendations for updating national minimum standards for forensic medical examiner training and forensic medical evidence collection relating to sexual assault;</text>
 </paragraph><paragraph id="HB4E428D332A849ABA67073464F5571A7"><enum>(5)</enum><text>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;</text>
 </paragraph><paragraph id="HEE5FD6313AAF4431826E1A18B280E3F4"><enum>(6)</enum><text>make recommendations on the collection and retention of sexual assault kits, including anonymous or unreported sexual assault kits; and</text>
 </paragraph><paragraph id="H3704D7C050944B918F20868FFF51B52C"><enum>(7)</enum><text>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.</text>
				</paragraph></subsection><subsection id="H15E786A10C6C4F2A84E906ACBCDCA2FD"><enum>(d)</enum><header>Transparency requirements</header>
 <paragraph id="HD8CB0FF51DB44DD08A3C7B36711D1FB5"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">Not later than one year after first convening, the Task Force shall submit to the Secretary a report on the recommendations, findings, and conclusions of the Task Force.</text>
 </paragraph><paragraph id="H37DC473362144A2991AAEACF5C8DE6E8"><enum>(2)</enum><header>Report</header><text display-inline="yes-display-inline">Not later than 18 months 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.</text>
				</paragraph></subsection><subsection id="H0B69AD61BAA14DCB8B58CF08FA039A16"><enum>(e)</enum><header>Sexual assault treatment resources</header>
 <paragraph id="H467EA7FA3C7149439AEF191F9E8BB550"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">Not later than July 1, 2020, 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:</text>
 <subparagraph id="H2917345EE29D41D7A89F17FF69193193"><enum>(A)</enum><header>Resources for health care providers</header><text display-inline="yes-display-inline">Resources and best practices for health care providers, including—</text> <clause id="HAFE4800C5EED484C9E5F83CBAB0E7725"><enum>(i)</enum><text>best practices for training personnel on sexual assault forensic evidence collection;</text>
 </clause><clause id="HA802123113834F73ADC5485D8F1BB313"><enum>(ii)</enum><text>best practices relating to providing counseling and appropriate referrals to such individuals; and</text> </clause><clause id="H0936CD980C90421E87ED375A1B4B1E97"><enum>(iii)</enum><text>other resources and best practices determined appropriate by the Secretary.</text>
 </clause></subparagraph><subparagraph id="H53706E939F42471AB77464827FB2CF2B"><enum>(B)</enum><header>Resources for sexual assault survivors</header><text display-inline="yes-display-inline">Resources and best practices for sexual assault survivors, including—</text> <clause id="HFD8E350C437D45798C307F195708D4AC"><enum>(i)</enum><text display-inline="yes-display-inline">information about the forensic exam furnished by a sexual assault forensic examiner, including the process and potential benefits of collecting evidence;</text>
 </clause><clause id="HB547555CD31E4577A4FB52A96C86110D"><enum>(ii)</enum><text display-inline="yes-display-inline">information on available State-wide databases of sexual assault nurse examiner-ready or sexual assault forensic examiner-ready facilities;</text>
 </clause><clause id="HE25E52B681174CF89548CE81CB3EE5E6"><enum>(iii)</enum><text>survivor advocacy group websites and hotlines;</text> </clause><clause id="HE5F1E695ED9240A19528FCC4AF50CE12"><enum>(iv)</enum><text>next-steps guides for survivors with best practices for preserving evidence and seeking treatment after an assault; and</text>
 </clause><clause id="H782A8AB3D7FD45CB971168CBDADE0400"><enum>(v)</enum><text display-inline="yes-display-inline">other resources and best practices determined appropriate by the Secretary.</text> </clause></subparagraph></paragraph><paragraph id="H9BDAF7A3E6464853B354B4600F6F9437"><enum>(2)</enum><header>Updates</header><text>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.</text>
 </paragraph></subsection><subsection id="HF102A2BE85EE4862BF1CDBEF9789EF14"><enum>(f)</enum><header>Annual Summit</header><text display-inline="yes-display-inline">The Secretary shall convene an annual stakeholder meeting to address gaps in health care provider care relating to sexual assault that includes the Task Force.</text>
 </subsection><subsection id="H4D1018E33D224B2F81AFEA9E98995971"><enum>(g)</enum><header>Definitions</header><text>For purposes of this section:</text> <paragraph id="HA97A253B6AF04E2697D03BA8BE8BC919"><enum>(1)</enum><header>Medical forensic examination</header><text>The term <term>medical forensic examination</term> 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.</text>
 </paragraph><paragraph id="HDFE7608782F14E6C955383B06EE2DBB3"><enum>(2)</enum><header>Secretary</header><text>The term <term>Secretary</term> means the Secretary of Health and Human Services.</text> </paragraph><paragraph id="H644F95ED7C174A338625D51F3B5BAC71"><enum>(3)</enum><header>Sexual assault</header><text display-inline="yes-display-inline">The term <term>sexual assault</term> means any non-consensual sexual act proscribed by Federal, tribal, or State law, including when the individual lacks capacity to consent.</text>
 </paragraph><paragraph id="HB9B3DF2B01314F1CA7DD59ED5AE87E8D"><enum>(4)</enum><header>Sexual assault examiner</header><text>The term <term>sexual assault examiner</term> means a registered nurse, advanced practice nurse, physician, or physician assistant specifically trained to provide comprehensive care to sexual assault forensic examinations.</text>
 </paragraph><paragraph id="HFD92C6D451AA4596A4F21CABA16685D2"><enum>(5)</enum><header>Sexual assault forensic examiner</header><text>The term <term>sexual assault forensic examiner</term> means a medical practitioner who has specialized forensic training in treating sexual assault survivors and conducting medical forensic examinations.</text>
 </paragraph><paragraph id="HA020809C1CC54FDBA59BEEF60AD2812F"><enum>(6)</enum><header>Sexual assault nurse examiner</header><text>The term <term>sexual assault nurse examiner</term> means a registered nurse who has specialized forensic training in treating sexual assault survivors and conducting medical forensic examinations.</text>
 </paragraph><paragraph id="H8F311C8058A143DB99AC9F64447BD8D8"><enum>(7)</enum><header>Sexual assault response team</header><text>The term <term>sexual assault response team</term> 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.</text>
 </paragraph></subsection></section><section commented="no" id="HC1B22D703E0C42DC9F85326A657F2252"><enum>3.</enum><header>Promoting coordination of sexual assault care in local communities</header><text display-inline="no-display-inline">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—</text>
 <paragraph commented="no" id="H08361A4F221646D0A07B9E53D1FF09FA"><enum>(1)</enum><text display-inline="yes-display-inline">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</text>
 </paragraph><paragraph commented="no" id="H0C7C00078CBD40C5BFCACD96203412E4"><enum>(2)</enum><text display-inline="yes-display-inline">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.</text>
			</paragraph></section></legis-body></bill>


