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42 U.S.C. § 280g–4

Grants to strengthen the healthcare system’s response to domestic violence, dating violence, sexual assault, and stalking

United States · Title 42 — THE PUBLIC HEALTH AND WELFARE · Status: effective

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42 U.S.C. § 280g–4, Grants to strengthen the healthcare system’s response to domestic violence, dating violence, sexual assault, and stalking, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/475425
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The Secretary shall award grants for— Amounts provided under a grant under this section shall be used to— fund interdisciplinary training and education programs under paragraphs (1) and (2) of subsection (a) that— design and implement comprehensive strategies to improve the capacity of the health care system to prevent and respond to domestic or sexual violence in clinical and public health settings, hospitals, clinics, and other health settings (including behavioral and mental health), under subsection (a)(3) through— the development of services to address the safety, medical, and mental health needs of patients by— To the extent consistent with the purpose of this section, a grantee may use amounts received under this section to address, as part of a comprehensive programmatic approach implemented under the grant, issues relating to child abuse or abuse in later life. Grants funded under paragraphs (1) and (2) of subsection (a) may be used to offer to rural areas community-based training opportunities, which may include the use of distance learning networks and other available technologies needed to reach isolated rural areas, for medical, nursing, and other health profession students and residents on domestic violence, dating violence, sexual assault, stalking, and, as appropriate, other forms of violence and abuse. Grants funded under subsection (a)(3) may be used for— developing a State-level pilot program to— Grantees under this section shall ensure that all programs developed with grant funds address issues of confidentiality and patient safety and comply with applicable confidentiality and nondisclosure requirements under section 12291(b)(2) of title 34 and the Family Violence Prevention and Services Act [42 U.S.C. 10401 et seq.], and that faculty and staff associated with delivering educational components are fully trained in procedures that will protect the immediate and ongoing security and confidentiality of the patients, patient records, and staff. Such grantees shall consult entities with demonstrated expertise in the confidentiality and safety needs of victims of domestic violence, dating violence, sexual assault, and stalking on the development and adequacy of confidentially and security procedures, and provide documentation of such consultation. Grantees under this section shall provide to patients advance notice about any circumstances under which information may be disclosed, such as mandatory reporting laws, and shall give patients the option to receive information and referrals without affirmatively disclosing abuse. A grantee shall use not more than 10 percent of the amounts received under a grant under this section for administrative expenses. In selecting grant recipients under this section, the Secretary shall give preference to applicants based on the strength of their evaluation strategies, with priority given to— Applications for grants under paragraphs (1) and (2) of subsection (a) shall include— documentation that the applicant represents a team of entities working collaboratively to strengthen the response of the health care system to domestic violence, dating violence, sexual assault, or stalking, and which includes at least one of each of— An entity desiring a grant under subsection (a)(3) shall submit an application to the Secretary at such time, in such a manner, and containing such information and assurances as the Secretary may require, including— strategies— To be eligible to receive funding under paragraph (1) or (2) of subsection (a), an entity shall be— To be eligible to receive funding under subsection (a)(3), an entity shall be— Of the funds made available to carry out this section for any fiscal year, the Secretary may make grants or enter into contracts to provide technical assistance with respect to the planning, development, and operation of any program, activity or service carried out pursuant to this section. Not more than 8 percent of the funds appropriated under this section in each fiscal year may be used to fund technical assistance under this subsection. The Secretary shall make publicly available materials developed by grantees under this section, including materials on training, best practices, and research and evaluation. The Secretary shall publish a biennial report on— Of the funds made available to carry out this section for any fiscal year, the Secretary may use not more than 20 percent to make a grant or enter into a contract for research and evaluation of— Research authorized in paragraph (1) may include— There is authorized to be appropriated to carry out this section, $20,000,000 for each of fiscal years 2023 through 2027. Except as otherwise provided, the definitions in section 12291 of title 34 shall apply to this section.

Legislative history

The public laws that enacted or amended this section. Tallies are for the whole bill as it passed each chamber — often an omnibus covering far more than this provision — not a vote on this section alone.

  • Enacted byPub. L. 109-162(H.R. 3402)2006-01-05
    Violence Against Women and Department of Justice Reauthorization Act of 2005
    House: 415–4Senate: no recorded tally
  • Amended byPub. L. 109-450(S. 707)2006-12-22
    PREEMIE Act
    House: no recorded tallySenate: no recorded tally
  • Amended byPub. L. 113-4(S. 47)2013-03-07
    Violence Against Women Reauthorization Act of 2013
  • Amended byPub. L. 117-103(H.R. 2471)2022-03-15
    Consolidated Appropriations Act, 2022
    House: no recorded tallySenate: no recorded tally