Sec. 501. Grants to strengthen the healthcare systems response to domestic violence, dating violence, sexual assault, and stalking
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Section 399P of the Public Health Service Act ( 42 U.S.C. 280g–4 ) is amended— in subsection (a)— in paragraph (1), by inserting community health workers, violence prevention advocates working with health providers, after health staff, ; in paragraph (2)— by inserting (including midwives and doulas) after residents ; and by striking and at the end; in paragraph (3)— by striking response after improve the and inserting capacity ; by inserting prevent and respond to after (including behavioral and mental health programs) to ; and by striking the period at the end and inserting a semicolon; and by adding at the end the following: the development or enhancement and implementation of training programs to improve the capacity of early childhood programs to address domestic violence, dating violence, sexual assault, and stalking among families they serve; and the development or enhancement and implementation of comprehensive statewide strategies for health and violence prevention programs to work together to promote primary prevention onf domestic violence, dating violence, sexual assault, and stalking. ; in subsection (b)(1)— in subparagraph (A)(i)— by inserting provide universal education on healthy relationships after providers to ; by striking identify ; by inserting trauma-informed after and provide ; and by striking and at the end; in subparagraph (A)(ii)— by inserting , including labor and sex trafficking after other forms of violence and abuse ; by striking culturally competent clinical after plan and develop ; by inserting after training components the following; that center the experiences of and are developed in collaboration with Black and Indigenous people and People of Color, and include community-defined practices such as the use of doulas, midwives, and traditional healers, ; and by striking disparities and inserting inequities ; in subparagraph (A), by inserting after clause
(ii)the following: are designed to be inclusive of the experiences of all individuals including LGBTQ+ individuals and include training on equity and anti-racism approaches to health services delivery; disparities in access to health-care services and prevention resources; and current and historic systemic racism in health care services; and include training on the use of universal prevention education approach to both prevent and respond to domestic violence, dating violence, sexual assault, or stalking in health care settings; ; in subparagraph (B), in the matter preceding clause (i)— by striking response after improve the and inserting capacity ; and by inserting prevent and respond to after system to ; in subparagraph (B)(i)— by inserting and promoting prevention of ” after responding to ; by inserting during in person or virtual visits and after and stalking ; and by inserting after follow-up care the following: and to maximize victim choice on the use and sharing of their health information ; in subparagraph (B)(ii)— by striking on-site access to ; and by striking patients by increasing and all that follows through the semicolon and inserting the following: patients by— increasing the capacity of existing health care professionals, including professionals who specialize in trauma and in behavioral and mental health care (including substance abuse disorder), community health workers, and public health staff to address domestic violence, dating violence, sexual assault, stalking, and children exposed to violence; contracting with or hiring advocates for victims of domestic violence or sexual assault to provide such services; or providing funding to State domestic and sexual violence coalitions to improve the capacity of such coalitions to coordinate and support health advocates and other health system partnerships; ; in subparagraph (B)(iii)— by striking identification after practice of and inserting prevention ; by inserting during in person or virtual visits, after and stalking ; and by striking and at the end; in subparagraph (B)(iv)— by inserting and promote prevention during in person or virtual visits, after or stalking, ; and by striking the period at the end; in subparagraph (B), by adding at the end the following: the development, implementation, dissemination, and evaluation of best practices, tools, and training materials, including culturally relevant tools, for behavioral health professionals to identify and respond to domestic violence, sexual violence, stalking, and dating violence; and the development and provision of culturally relevant training and follow-up technical assistance to health care professionals, and public health staff, and allied health professionals to identify, assess, treat, and refer clients who are victims of domestic violence, dating violence, sexual assault, or stalking from culturally specific communities and promote prevention, using tools and training materials, developed by and for culturally specific communities, with priority given to trainings provided by culturally specific organizations; and ; and by inserting after subparagraph
(B)the following: design and implement comprehensive strategies to prevent domestic or sexual violence including through the use of universal education in clinical and public health settings, hospitals, clinics and other health settings. ; in subsection (b)(2)(A)— in the heading, by striking and inserting the following: Child and elder abuse ; and Child abuse and abuse in later life by striking child or elder abuse and inserting the following: child abuse or abuse in later life ; in subsection (b)(2)(C)(i), by striking elder abuse and inserting abuse in later life ; in subsection (b)(2)(C)(ii), by inserting programs that promote the prevention of sexual assault as well as after implementation of ; in subsection (b)(2)(C)(iii)— by inserting and exposure to violence against generations after abuse ; and by striking or at the end; in subsection (b)(2)(C)(iv)— by inserting mental health, after dental, ; and by striking exams. and inserting exams and certifications; ; in subsection (b)(2)(C), by inserting after clause
(iv)the following: providing funding to culturally specific organizations to improve the capacity of such organizations to engage and partner with healthcare providers to support victims and meet increased referrals from health systems; development of a State-level pilot program to— improve the response of substance use disorder treatment programs, harm reduction programs for people who use substances, and systems to domestic violence, dating violence, sexual assault, and stalking; improve the capacity of substance use disorder treatment programs, harm reduction programs for people who use substances, and systems to serve survivors of domestic violence, dating violence, sexual assault, and stalking dealing with substance use disorder; and improve the capacity of domestic violence, dating violence, sexual assault, and stalking programs to serve survivors who has substance use history with substance abuse disorder; or development and utilization of existing technical assistance and training resources to improve the capacity of substance use disorder treatment programs and harm reduction programs for people who use substances to address domestic violence, dating violence, sexual assault, and stalking among patients the programs serve. ; in subsection (c)(3)(A) by striking the period at the end and inserting the following: and— culturally specific and population specific organizations, and specifically organizations whose leadership include Black or Indigenous people, People of Color, or LGBTQ+ individuals; and programs developing and implementing community-driven solutions to address domestic violence, dating violence, sexual assault, or stalking, instead of carceral and law enforcement intervention. ; in subsection (c)(3)(B)(i)(III) by inserting after nonprofit entity the following , including a culturally-specific organization or community-based organization working to address the social determinants of health, ; in subsection (c)(3)(C)(ii)— by striking strategies for and inserting
(I)strategies for ; by inserting and generations after lifespan ; by striking settings; and inserting settings; and ; and by adding at the end the following: strategies to address primary prevention of domestic violence, dating violence, sexual assault, and stalking over the lifespan and generations including strategies that address related social determinants of health and center economic justice, anti-racism, and that are inclusive of all genders and identities including LGBTQ+ individuals; ; in subsection (c)(3)(C)(iii)— by inserting culturally specific organizations after advocacy organizations ; and by striking State or tribal law enforcement task forces (where appropriate) ; in subsection (c)(3)(C)(iv) by inserting (including culturally specific organizations) after service providers ; in subsection (d)(2)(A)— by inserting or behavioral health after of health ; by inserting behavioral after physical or ; by striking mental before health care ; and by inserting , including substance use disorder treatment before ; or ; in subsection (d)(2)(B)— by striking or health system and inserting behavioral health treatment system ; by striking mental and inserting behavioral ; and by inserting , or a community-based organization with a history of partnership with programs in the domestic violence, dating violence, sexual assault, or stalking and health care, including physical, mental, or behavioral health care before the period at the end; in subsection (g)— by striking $10,000,000 and inserting $15,000,000 ; and by striking 2014 through 2018 and inserting 2022 through 2026 ; and in subsection (h), by striking herein and provided for .
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- 42 USC 280g–4
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Sec. 501
Grants to strengthen the healthcare systems response to domestic violence, dating violence, sexual assault, and stalking
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