[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1267 Introduced in House (IH)]
108th CONGRESS
1st Session
H. R. 1267
To amend the Public Health Service Act, the Social Security Act, and
chapter 89 of title 5, United States Code, to provide research on the
health impact and prevention of family violence; to provide training
for health care professionals, behavioral and public health staff, and
community health centers regarding identification and treatment for
families experiencing family violence; and to provide coverage for
domestic violence identification and treatment under the Maternal and
Child Health Services Block Grant Program, the Medicaid Program, the
Federal Employees Health Benefits Program, and the Community Health
Centers Program.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
March 13, 2003
Mrs. Capps (for herself, Mr. LaTourette, Mr. Waxman, Mrs. Lowey, Mr.
Brown of Ohio, Mr. Stark, Ms. Lofgren, Mr. George Miller of California,
Ms. Linda T. Sanchez of California, Ms. Loretta Sanchez of California,
Ms. Lee, Mr. Payne, Mr. Rodriguez, Ms. Corrine Brown of Florida, Mrs.
Maloney, Mr. Kennedy of Rhode Island, Ms. Norton, Mr. Moran of
Virginia, Mr. Frank of Massachusetts, Ms. DeLauro, Mr. Pallone, Mr.
Grijalva, Mr. Holden, Mr. Abercrombie, Mr. Filner, Mr. Frost, Mr.
Lynch, Mr. Hinchey, Mr. Serrano, Mr. McGovern, Ms. Kilpatrick, Ms.
Carson of Indiana, Mr. Baird, Ms. Slaughter, Mr. Bishop of New York,
Mrs. Napolitano, Mr. Owens, Mr. Ackerman, Ms. Millender-McDonald, Ms.
McCollum, Mr. Doggett, Mr. Kucinich, Ms. Schakowsky, Mr. Rangel, Ms.
Woolsey, Mr. McNulty, Mr. Fattah, Mr. Reyes, Mr. Kildee, Mr. Davis of
Illinois, Mr. Gutierrez, Mr. Faleomavaega, Mr. Clyburn, Mr. Boswell,
Mr. McDermott, and Mr. Case) introduced the following bill; which was
referred to the Committee on Energy and Commerce, and in addition to
the Committee on Government Reform, 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 amend the Public Health Service Act, the Social Security Act, and
chapter 89 of title 5, United States Code, to provide research on the
health impact and prevention of family violence; to provide training
for health care professionals, behavioral and public health staff, and
community health centers regarding identification and treatment for
families experiencing family violence; and to provide coverage for
domestic violence identification and treatment under the Maternal and
Child Health Services Block Grant Program, the Medicaid Program, the
Federal Employees Health Benefits Program, and the Community Health
Centers Program.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Domestic Violence Screening,
Treatment, and Prevention Act of 2003''.
SEC. 2. FINDINGS.
The Congress finds as follows:
(1) Nearly one-third of American women (31 percent) report
being physically or sexually abused by a husband or boyfriend
at some point in their lives, and about 1200 women are murdered
every year by their intimate partner, nearly 3 each day.
(2) 85 percent of violent victimizations are experienced by
women.
(3) 37 percent of all women who sought care in hospital
emergency rooms for violence-related injuries were injured by a
current or former spouse, boyfriend, or girlfriend.
(4) In addition to injuries sustained during violent
episodes, physical and psychological abuse are linked to a
number of adverse physical and mental health effects. Women who
have been abused are much more likely to suffer from chronic
pain, gastrointestinal disorders, diabetes, depression,
unintended pregnancies, substance abuse and sexually
transmitted infections, including HIV/AIDS.
(5) Medical services for abused women cost an estimated
$857,300,000 every year and health plans spend an average of
$1,775 more a year on abused women than on general enrollees.
(6) Each year, at least six percent of all pregnant women,
about 240,000 pregnant women, in this country are battered by
the men in their lives. This battering leads to complications
of pregnancy, including low weight gain, anemia, infections,
and first and second trimester bleeding.
(7) Pregnant and recently pregnant women are more likely to
be victims of homicide than to die of any other cause, and
evidence exists that a significant proportion of all female
homicide victims are killed by their intimate partners.
(8) Children who witness domestic violence are more likely
to exhibit behavioral and physical health problems including
depression, anxiety, and violence towards peers. They are also
more likely to attempt suicide, abuse drugs and alcohol, run
away from home, engage in teenage prostitution, and commit
sexual assault crimes.
(9) Fifty percent of men who frequently assault their wives
frequently assault their children. The U.S. Advisory Board on
Child Abuse and Neglect suggests that domestic violence may be
the single major precursor to child abuse and neglect
fatalities in this country.
(10) Currently, about 10 percent of primary care physicians
routinely screen for intimate partner abuse during new patient
visits and nine percent routinely screen during periodic
checkups.
(11) Recent clinical studies have proven the effectiveness
of a 2-minute screening for early detection of abuse of
pregnant women. Additional longitudinal studies have tested a
10-minute intervention that was proven highly effective in
increasing the safety of pregnant abused women. Comparable
research does not yet exist to support the effectiveness of
screening men.
(12) 70 to 81 percent of the patients studied reported that
they would like their healthcare providers to ask them
privately about intimate partner violence.
TITLE I--RESEARCH ON HEALTH AND FAMILY VIOLENCE
SEC. 101. HEALTH RESEARCH ON FAMILY VIOLENCE.
Title III of the Public Health Service Act (42 U.S.C. 241 et seq.)
is amended by adding at the end the following part:
``PART R--HEALTH RESEARCH ON FAMILY VIOLENCE; HEALTH PROFESSIONALS
EDUCATION
``SEC. 399AA. DEFINITION.
``In this part the term `family violence' means any act or
threatened act of violence, including any forceful detention of an
individual, that--
``(1) results or threatens to result in physical injury
and/or sexual assault; and
``(2) is committed by a person against another individual
(including an elderly individual or a child)--
``(A) to whom such person is or was related by
blood or marriage or is otherwise legally related;
``(B) with whom such person is or was lawfully
residing; or
``(C) with whom such person is or has been in a
social relationship of a romantic or intimate nature.
``SEC. 399AA-1. FAMILY VIOLENCE RESEARCH CENTERS.
``(a) Establishment.--The Secretary shall provide for the
establishment of family violence research and education centers to
conduct research and disseminate information, including professional
and public education, concerning family violence.
``(b) Linkages.--In establishing centers under subsection (a), the
Secretary shall ensure that at least--
``(1) one center is affiliated with the National Institutes
of Health;
``(2) one center is affiliated with the Agency for Health
Care Research and Quality; and
``(3) each center is linked to national, State, and local
community resources, including domestic violence state
coalitions and local shelter-based domestic violence programs,
community health centers, health care delivery systems, and
domestic and sexual assault hotlines, through which information
may be distributed.
``(c) General Duties.--Each center established under subsection (a)
may provide for the conduct of family violence research, including--
``(1) research concerning the prevalence and
characteristics of different forms of family violence,
including child abuse, domestic violence, and elder abuse;
``(2) research concerning the effects that family violence
and childhood exposure to family violence have on health
behaviors, health conditions and the health status of
individuals, families, and populations, and the health care
utilization and costs attributable to family violence;
``(3) research on effective interventions for adults and
children exposed to family violence;
``(4) research concerning the development, implementation,
evaluation, and dissemination of appropriate curricula for
health professional training in the area of family violence;
``(5) research concerning the effectiveness of different
educational methodologies that are used to present the
curricula described in paragraph (4);
``(6) research concerning the effects of mandatory domestic
violence reporting requirements, including the effects of such
requirements on--
``(A) the prevalence and incidence of family
violence;
``(B) victim and dependent safety and self-
efficacy;
``(C) referral and treatment patterns; and
``(D) access to health care, legal, and advocacy
services; and
``(7) research and testing of best messages and strategies
to mobilize public action concerning the prevention of family
violence.
``(d) Grants and Contracts.--
``(1) In general.--In carrying out subsection (a), the
Secretary may make grants to and enter into contracts with
public and nonprofit private entities capable of conducting the
research funded under this section.
``(2) Application for award.--The Secretary may make an
award of a grant or contract under paragraph (1) only if an
application for the award is submitted to the Secretary and the
application is in such form, is made in such manner, and
contains such agreements, assurances, and information as the
Secretary determines to be necessary to carry out the purposes
for which the award is to be made.
``(e) Advisory Board.--
``(1) In general.--The Secretary shall establish an
advisory board to make recommendations concerning the research
agenda carried out by the research centers under this section.
``(2) Composition.--
``(A) Appointed members.--The advisory board shall
be composed of 19 members to be appointed by the
Secretary as follows:
``(i) Twelve members shall be appointed
from among individuals who are scientific or
health care experts in the areas of elder
abuse, domestic violence, child abuse, mental
health, epidemiology, social work, or health
education.
``(ii) Seven members shall be appointed
from among nationally recognized experts in
domestic violence, child abuse, and elder abuse
who have a documented history of effective and
respected work in their respective field, of
which--
``(I) at least one member shall be
an expert in domestic violence and
dating violence;
``(II) at least one member shall be
an expert in child abuse;
``(III) at least one member shall
be an expert in elder abuse;
``(IV) at least one member shall be
an expert in the impact of family
violence on children and youth; and
``(V) at least one member shall be
an expert in domestic violence against
older or disabled women.
``(B) Ex officio members.--The following shall be
ex-officio members of the advisory board:
``(i) The Assistant Secretary for Health.
``(ii) The Director of the National
Institutes of Health.
``(iii) The Director of the Centers for
Disease Control and Prevention.
``(iv) The Assistant Secretary for Children
and Families.
``(v) The Assistant Secretary for Aging.
``(vi) The Administrator of the Health
Resources and Services Administration.
``(vii) The Assistant Attorney General for
the Office of Justice Programs.
``(viii) The Director of the Agency for
Healthcare Research and Quality.
``(C) Chairperson.--The members of the advisory
board appointed under subparagraph (A) shall elect a
chairperson from among such members.
``(3) Meetings.--The advisory board shall meet at the call
of the chairperson or upon the request of the Secretary, but
not less often than 2 times each year.
``(4) Duties.--In order to ensure the most effective use
and organization of Federal resources concerning family
violence, the advisory board shall provide advice and make
recommendations to Congress and the Secretary with respect to
the implementation and revision of the research agenda of the
research centers established under this section.
``(5) Subcommittees.--In carrying out its functions under
this subsection, the advisory board may establish
subcommittees, convene workshops and conferences, and collect
data. Such subcommittees may be composed of advisory board
members and nonmember consultants with expertise in the
particular area addressed by such subcommittees.
``(6) Reports.--The advisory board shall annually report to
the appropriate authorizing and appropriations committees of
Congress concerning the research agenda for the centers
established under this section and the progress made in
fulfilling that research agenda.
``(f) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section $15,000,000 for fiscal year
2004, and such sums as may be necessary for each of the fiscal years
2005 through 2008.''.
TITLE II--HEALTH PROFESSIONAL EDUCATION PROGRAMS
SEC. 201. HEALTH PROFESSIONAL EDUCATION GRANTS.
Part R of title III of the Public Health Service Act, as added by
section 101 of this Act, is amended by adding at the end the following:
``SEC. 399AA-2. HEALTH PROFESSIONAL EDUCATION GRANTS.
``(a) In General.--The Secretary shall award grants to eligible
entities to enable such entities to develop, implement, evaluate, and
disseminate family violence education and training curricula, programs,
and strategies.
``(b) Eligibility.--
``(1) In general.--To be eligible to receive a grant under
subsection (a), an entity-shall have a history of effective
work in the field of family violence and health care and--
``(A) be a health care entity eligible for
reimbursement under title XVIII of the Social Security
Act or a local non-profit entity with expertise in
family violence, a State coalition for domestic
violence, a State coalition for sexual assault, or a
State public health agency;
``(B) demonstrate an ability to maintain the
training systems established with amounts received
under the grant after the expiration of the grant
funding and provide an assurance that such systems will
be maintained if determined to be effective; and
``(C) prepare and submit to the Secretary at such
time, in such manner, and containing such agreements,
assurances, and information as the Secretary determines
to be necessary to carry out the purposes for which the
grant is to be made.
``(2) Priority.--Applicants that can demonstrate that they
represent a team of organizations and agencies working
collaboratively to strengthen the health care system response
to family violence may receive priority in funding.
``(c) Use of Funds.--An entity shall use amounts received under a
grant under this section to--
``(1) conduct evaluations of existing family violence
identification and treatment training programs; and
``(2) develop (or adapt) and implement innovative training
models or programs to identify and appropriately treat and
refer victims of family violence in health professional schools
and for practicing, health, behavioral health and public health
providers.
``(d) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section $5,000,000 for fiscal year 2004,
and such sums as may be necessary for each of the fiscal years 2005
through 2008.''.
TITLE III--GRANTS TO FOSTER PUBLIC HEALTH RESPONSES TO DOMESTIC
VIOLENCE
SEC. 301. GRANTS.
Part P of title III of the Public Health Service Act (42 U.S.C.
280g et seq.) is amended by adding at the end the following:
``SEC. 3990. GRANTS TO FOSTER PUBLIC HEALTH RESPONSES TO DOMESTIC
VIOLENCE.
``(a) Authority To Award Grants.--
``(1) In general.--The Secretary, acting through the
Assistant Secretary for the Administration for Children and
Families, shall award grants under this section to eligible
State entities and eligible local entities in order to
strengthen the response of State and local health care systems
to domestic violence.
``(2) Definitions of eligible entities.--In this section:
``(A) Eligible state entity.--The term eligible
State entity' means a State department (or other
division) of health, a State domestic violence
coalition or service-based program, or any other
nonprofit, tribal, or State entity with a history of
effective work in the field of domestic violence and
health care, that demonstrates that the applicant is
representing a team of organizations and agencies
working collaboratively to strengthen the response of
the health care system to domestic violence and that
such team includes domestic violence and health care
organizations.
``(B) Eligible local entity.--The term eligible
local entity' means a nonprofit domestic violence
service based program, a local department (or other
division) of health, a local health clinic, hospital,
or health system, or any other nonprofit, tribal, or
local entity with a history of effective work in the
field of domestic violence and health.
``(b) Number and Duration of Programs; Maximum Amount of Grants.--
``(1) Number of programs.--Not more than--
``(A) 10 programs shall be conducted by eligible
State entities under a grant made under this section;
or
``(B) 10 programs shall be conducted by eligible
local entities under a grant made under this section.
``(2) Duration.--A program conducted under a grant made
under this section by an eligible State entity or an eligible
local entity shall not exceed 4 years.
``(3) Maximum amount of grants.--A grant awarded under this
section shall not exceed--
``(A) $350,000 per year, in the case of a program
conducted by an eligible State entity; or
``(B) $150,000 per year, in the case of a program
conducted by an eligible local entity.
``(c) Use of Funds.--
``(1) Eligible state entities.--An eligible State entity
awarded a grant under this section shall use funds provided
under the grant to design and implement comprehensive statewide
strategies to improve the response of the health care system to
domestic violence in clinical and public health care settings
and to promote education and awareness about domestic violence
at a statewide level. Such strategies shall be in accordance
with the following:
``(A) Such strategies shall include the following:
``(i) Collaboration with State departments
(or other divisions) of health to integrate
responses to domestic violence into existing
policy, practice, and education efforts.
``(ii) Promotion of policies and funding
sources that advance domestic violence
identification, training, and protocol
development and that protect the
confidentiality of patients and prohibit
insurance discrimination.
``(iii ) Promotion of policies and funding
sources that advance on-site access to services
to address the safety, medical, mental health,
and economic needs of patients in multiple
settings either by increasing the capacity of
existing health care professionals and
behavioral and public health staff to address
domestic violence issues or by contracting with
or hiring domestic violence advocates to
provide the services, or by modeling other
services appropriate to the geographic and
cultural needs of a site.
``(iv) Training and follow-up technical
assistance to health care professionals and
behavioral and public health staff to screen
for domestic violence, and then to
appropriately assess, treat, and refer patients
who are victims of domestic violence to
domestic violence services.
``(B) Such strategies may also include the
following:
``(i) Dissemination, implementation, and
evaluation of practice guidelines on domestic
violence that guide the response of health care
professionals and behavioral and public health
staff to domestic violence.
``(ii) Where appropriate, development of
training modules and policies that address the
overlap of child abuse, domestic violence and
elder abuse as well as childhood exposure to
domestic violence.
``(iii) Creation and implementation of
public education campaigns for patients and
health care professionals and behavioral and
public health staff about domestic violence
prevention.
``(iv) Development and dissemination of
education materials to patients and health care
professionals and behavioral and public health
staff.
``(v) Promotion of the inclusion of
domestic violence into medical and nursing
school curriculum and integration of domestic
violence into health care accreditation and
professional licensing examinations, such as
medical boards.
``(vi) Evaluation of the practice and
institutionalization of identification,
intervention, and documentation of domestic
violence and promotion of the use of quality
improvement measurements.
``(2) Eligible local entities.--An eligible local entity
awarded a grant under this section shall use funds provided
under the grant to design and implement comprehensive local
strategies to improve the response of the health care system to
domestic violence in hospitals, clinics, managed care settings,
emergency medical services, and other health care settings.
Such strategies shall include the following:
``(A) Implementation, dissemination, and evaluation
of policies and procedures to guide health care
professionals and behavioral and public health staff
responding to domestic violence including
identification, treatment, and documentation of
domestic violence and strategies to ensure that health
information is held in a manner that protects the
patient's privacy and safety.
``(B) Training and follow-up technical assistance
to health care professionals and behavioral and public
health staff to identify domestic violence, and then to
appropriately assess, treat, and refer patients who are
victims of domestic violence to domestic violence services.
``(C) Development of on-site access to services to
address the safety, medical, mental health, and
economic needs of patients either by increasing the
capacity of existing health care professionals and
behavioral and public health staff to address domestic
violence issues, by contracting with or hiring domestic
violence advocates to provide the services, or to model
other services appropriate to the geographic and
cultural needs of a site.
``(D) Development or adaptation and dissemination
of education materials for patients and health care
professionals and behavioral and public health staff.
``(E) Evaluation of practice and the
institutionalization of identification, intervention,
and documentation including quality improvement
measurements such as patient satisfaction surveys,
patient record reviews, case consultation, or other
methods used to evaluate and enhance staff compliance
with protocols.
``(d) Authorization of Appropriations.--There is authorized to be
appropriated for the purpose of awarding grants under this section
$5,000,000 for each of the fiscal years 2004 through 2008.''.
TITLE IV--PROVISION OF SERVICES UNDER FEDERAL HEALTH PROGRAMS
SEC. 401. OPTIONAL COVERAGE OF DOMESTIC VIOLENCE IDENTIFICATION AND
TREATMENT UNDER THE MEDICAID PROGRAM.
(a) In General.--Section 1905 of the Social Security Act (42 U.S.C.
1396d) is amended--
(1) in subsection (a)(26), by striking ``and'' at the end;
(2) by redesignating paragraph (27) of subsection (a) as
paragraph (28); and
(3) by inserting after paragraph (26) of subsection (a) the
following new paragraph:
``(27) domestic violence identification and treatment
services (as defined in subsection (x));''; and
(4) by adding at the end the following new subsection:
``(x) The term `domestic violence identification and treatment
services' means the following services (as specified under the State
plan) furnished by an attending health care provider (or, in the case
of services described in paragraph (3), under arrangements between the
provider and domestic violence experts) to the patient:
``(1) Routine verbal inquiries of women aged 18 years or
older for domestic violence by a provider if the provider has
not previously screened the patient or if the patient has been
screened but the patient indicates that he or she is in a new
relationship regardless of whether there are any clinical
indicators or suspicion of abuse.
``(2) Danger assessment for persons who positively identify
for domestic violence, including an immediate safety
assessment, an initial risk assessment, and follow-up risk
assessments during subsequent visits.
``(3) Treatment relating to domestic violence, including
the following:
``(A) Safety education to assist the patient in
developing a plan to promote her safety and well-being,
and appropriate follow up.
``(B) Health education which provides written and
verbal information about domestic violence, its impact
on health, options for services, and any necessary
follow up.
``(C) Psycho-social and counseling services that
include an initial assessment, development of a plan of
care, individual or group counseling (as needed), and
follow-up assessment, treatment, or intervention.
``(D) Documentation of screening, assessment,
treatment, referrals, injuries, and illnesses related
to domestic violence and who perpetrated the abuse
using appropriate diagnostic codes and confidentiality
(except as required by applicable State law).
``(4) Referral and case coordination for additional
services, including services from domestic violence programs,
community agencies, and judicial and other systems.''.
(b) Effective Date.--The amendments made by this section shall take
effect on the date of the enactment of this Act and shall apply to
services furnished on or after such date.
SEC. 402. FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM.
(a) In General.--Section 8902 of title 5, United States Code, is
amended by adding at the end the following:
``(p)(1) A contract may not be made or a plan approved which does
not include coverage for domestic violence identification and treatment
services.
``(2) For purposes of this subsection, the term `domestic violence
identification and treatment services' has the meaning given such term
in section 1905(x) of the Social Security Act.''.
(b) Effective Date.--The amendment made by subsection (a) shall
apply to contracts made, and plans approved, after the end of the 6-
month period beginning on the date of the enactment of this Act.
SEC. 403. TRAINING GRANTS UNDER THE MATERNAL AND CHILD HEATH SERVICES
BLOCK GRANT.
(a) Preference in Certain Funding.--Section 502(b)(2) of the Social
Security Act (42 U.S.C. 702(b)(2)) is amended by adding at the end the
following new subparagraph:
``(C) Of the amounts retained for projects described in
subparagraphs (A) through (F) of section 501(a)(3), the Secretary shall
provide preference to qualified applicants which demonstrate that the
activities to be carried out with such amounts include training of
service providers in how to identify and treat the effects of family
violence, including children who have been exposed to family violence.
This training should include--
``(i) identifying victims of family violence;
``(ii) assessing the immediate and short-term safety of the
victim, the impact of the abuse on his or her health and
assisting the victim in developing a plan to promote his or her safety;
``(iii) examining and treating such victims within the
scope of the health professional's discipline, training, and
practice (including providing medical advice regarding the
dynamics and nature of family violence);
``(iv) maintaining complete medical records that include
documentation of the examination, treatment given, and
referrals made, and recording the location and nature of the
victim's injuries, and establishing mechanisms to promote the
privacy and confidentiality of those medical records; and
``(v) referring the victim to public and private nonprofit
entities that provide services for such victims.''.
(b) Requirement for Portion of Expenditures on Domestic Violence
Identification and Treatment.--Section 505(a)(5) of the Social Security
Act (42 U.S.C. 705(a)(5)) is amended--
(1) by striking ``and'' at the end of subparagraph (E);
(2) by striking the period at the end of subparagraph (F)
and inserting ``; and''; and
(3) by inserting after subparagraph (F) the following new
subparagraph:
``(G) the State will set aside a reasonable portion
(based upon the State's previous use of funds under
this title) of the funds provided for domestic violence
identification and treatment services (as defined in
section 1902(x)).''.
(c) Reporting Data.--Section 506(a)(2) of such Act (42 U.S.C.
706(a)(2)) is amended by inserting after subparagraph (E) the following
new subparagraph:
``(F) Information on how funds provided under this title
are used to identify and treat domestic violence.''.
(d) Separate Program for Domestic Violence Identification and
Treatment.--Title V of such Act is amended by adding at the end the
following new section:
``separate program for domestic violence screening and treatment
``Sec. 511. (a) For the purpose described in subsection (b), the
Secretary shall, for fiscal year 2004 and each subsequent fiscal year,
allot to each State which has transmitted an application for the fiscal
year under section 505(a) an amount equal to the product of--
``(1) the amount appropriated in subsection (d) for the
fiscal year; and
``(2) the percentage determined for the State under section
502(c)(1)(B)(ii).
``(b) The purpose of an allotment under subsection (a) to a State
is to enable the State to provide for domestic violence identification
and treatment, including the provision of domestic violence
identification and treatment services (as defined in section 1905(x)),
increasing the number of persons identified, assessed, treated, and
referred and including training of health care professionals, and
behavioral and public health staff, on how to identify and respond to
victims of domestic violence.
``(c)(1) Sections 503, 507, and 508 apply to allotments under
subsection (a) to the same extent and in the same manner as such
sections apply to allotments under section 502(c).
``(2) Sections 505 and 506 apply to allotments under subsection (a)
to the extent determined by the Secretary to be appropriate.
``(d) For the purpose of allotments under subsection (a), there are
authorized to be appropriated for each fiscal year, beginning with
fiscal year 2004, such sums as may be necessary.''.
(e) Effective Date.--The amendments made by subsections (a) and (b)
shall apply to fiscal years beginning after the date of the enactment
of this Act and the amendment made by subsection (c) shall apply to
annual reports submitted for such fiscal years.
SEC. 404. DOMESTIC VIOLENCE IDENTIFICATION AND TREATMENT SERVICES AT
COMMUNITY HEALTH CENTERS.
Part P of title III of the Public Health Service Act (42 U.S.C.
280g et seq.), as amended by section 301 of this Act, is amended by
adding at the end the following:
``SEC. 399P. DOMESTIC VIOLENCE PREVENTION, IDENTIFICATION, AND
TREATMENT AND PREVENTION GRANTS.
``(a) Grants Authorized.--The Secretary is authorized to award
grants to eligible entities to improve the identification and treatment
of domestic violence.
``(b) Use of Funds.--Grants awarded pursuant to subsection (a) may
be used for activities such as--
``(1) the implementation, dissemination, and evaluation of
policies and procedures to guide health care and behavioral
health care professionals and other staff responding to
domestic violence;
``(2) the provision of training and follow-up technical
assistance to health care professionals and staff to identify
domestic violence, and then to appropriately assess, treat, and
refer patients who are victims of domestic violence to domestic
violence service providers; and
``(3) the development of on-site access to services to
address the safety, medical, mental health, and economic needs
of patients either by increasing the capacity of existing
health care professionals and staff to address these issues or
by contracting with or hiring domestic violence advocates to
provide the services, or by developing other models appropriate
to the geographic and cultural needs of a site.
``(c) Eligible Entity.--In this section, the term `eligible entity'
shall mean a federally qualified health center as defined in section
1861(aa)(4) of the Social Security Act (42 U.S.C. 1395x(aa)(4)).
``(d) Applications.--Each eligible entity desiring a grant under
this section shall submit an application to the Secretary at such time,
in such manner, and accompanied by such information as the Secretary
may require.
``(e) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $5,000,000 for each of the
fiscal years 2003 through 2006.''.
<all>