Title 42, The Public Health and WelfareRelease 119-110

§280g–4c Expanding Access to Forensics for Victims of Interpersonal Violence

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER II — GENERAL POWERS AND DUTIES › Part P — Additional Programs › § 280g–4c

Last updated Sep 22, 2026|Official source

Summary

Creates a program to fund college-based training so health workers can offer general forensic services and trauma‑informed care to survivors of interpersonal violence. Key terms: community health aide/practitioner — tribal community health roles; health care provider — as the Secretary defines, including nurses, physician assistants, and doctors; Indian Tribe/Tribal organization, Native Hawaiian organization, Urban Indian organization, and institution of higher education — as defined in other federal laws; interpersonal violence — any violence that causes emotional trauma; Secretary — the Secretary of Health and Human Services; trauma‑informed care — culturally competent care that avoids re‑traumatizing patients. Colleges, including minority‑serving institutions, may apply for 5‑year grants to build training and curriculum so providers can do forensic assessments, trauma‑informed care, and work on teams with other professionals. Grants may be up to $400,000 per year and recipients can carry money to the next year. Congress authorized $5,000,000 each year for fiscal years 2023 through 2027, and 10 percent each year is set aside for training and services that meet the needs of Indian Tribes, Tribal organizations, Urban Indian organizations, and Native Hawaiian organizations. The law also creates a State and Tribal forensic provider technical resource center to give help and share best practices; the Secretary may hire national experts and $2,000,000 is authorized each year for fiscal years 2023 through 2027 to run it. Finally, several federal agencies must jointly send the Secretary a report no later than 1 year after March 15, 2022 and each year after on access to general medical forensic services, evidence collection and documentation, and data needs to help prevent and respond to interpersonal violence and support Tribal communities.

Full Legal Text

Title 42, §280g–4c

The Public Health and Welfare, Source: USLM XML via OLRC

(a)Definitions
In this section: (1) Community health aide; community health practitioner
(2)Health care provider
The term “health care provider” has the meaning given such term by the Secretary, and includes registered nurses, nurse practitioners, nurse midwives, clinical nurse specialists, physician assistants, and physicians.
(3)Indian tribe; Tribal organization
The terms “Indian Tribe” and “Tribal organization” shall have the meanings given such terms in section 5304 of title 25.
(4)Institution of higher education
The term “institution of higher education” has the meaning given such term in section 1001 of title 20.
(5)Interpersonal violence
The term “interpersonal violence” means any form of violence that is emotional and trauma-inducing for victims, families of victims, perpetrators, and communities.
(6)Native Hawaiian organization
The term “Native Hawaiian organization” has the meaning given such term in section 11711 of this title.
(7)Secretary
The term “Secretary” means the Secretary of Health and Human Services.
(8)Trauma-informed care
The term “trauma-informed care” means care received by trauma survivors that is culturally competent in accordance with professional standards of practice and accounting for patients’ experiences and preferences in order to eliminate or mitigate triggers that may cause re-traumatization of the patient.
(9)Urban Indian organization
The term “Urban Indian organization” has the meaning given such term in section 1603 of title 25.
(b)Demonstration grants for comprehensive forensic training
(1)Establishment of program
The Secretary shall establish a demonstration program to award grants to eligible entities for the clinical training of health care providers to provide generalist forensic services and trauma-informed care to survivors of interpersonal violence of all ages.
(2)Purpose
The purpose of the demonstration program under this subsection is to develop training and curriculum to provide health care providers with the skills to support the provision of forensic assessment and trauma-informed care to individuals, families, and communities that have experienced violence or trauma and to be available to collaborate with members of an inter-professional forensic team.
(3)Term
Grants under this subsection shall be for a term of 5 years.
(4)Eligible entities
To be eligible to receive a grant under this subsection, an entity shall—
(A)be an institute of higher education, including a minority serving institution as described in section 1067q of title 20; and
(B)submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require.
(5)Grant amount
Each grant awarded under this subsection shall be in an amount that does not exceed $400,000 per year. A grant recipient may carry over funds from one fiscal year to the next without obtaining approval from the Secretary.
(6)Authorization of appropriations
(A)In general
There is authorized to be appropriated to carry out this subsection $5,000,000 for each of fiscal years 2023 through 2027.
(B)Set-aside
Of the amount appropriated under this paragraph for a fiscal year, the Secretary shall reserve 10 percent for purposes of making grants to support training and curricula that addresses the unique needs of Indian Tribes, Tribal organizations, Urban Indian organizations, and Native Hawaiian organizations. Amounts so reserved may be used to support training, referrals, and the delivery of emergency first aid, culturally competent support, and forensic evidence collection training.
(c)Technical assistance grants and learning collectives
(1)In general
The Secretary shall establish a State and Tribal forensic provider technical resource center to provide technical assistance and support collaboration and best practices for health care providers, community health aides, and community health practitioners to improve the quality of, and increase access to, forensic services for all survivors of interpersonal violence. The Secretary may enter into contracts with national experts for purposes of carrying out this subsection.
(2)Authorization of appropriations
There is authorized to be appropriated to carry out this subsection, $2,000,000 for each of fiscal years 2023 through 2027.
(d)National report
Not later than 1 year after March 15, 2022, and annually thereafter, the Office for Victims of Crime of the Department of Justice, the Centers for Disease Control and Prevention, the Health Resources and Services Administration, the Indian Health Service, 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 shall jointly submit to the Secretary a report on the need for, throughout the States, Indian Tribes, and territories—
(1)access to generalist medical forensic services, evidence collection, and documentation that aids in meeting the needs of health care patients and improves future law enforcement investigation and prosecution; and
(2)data for research to support the response to and prevention of interpersonal violence, improved ability of health care providers to adequately respond to patients who exhibit signs of victimization, and address the unique needs of Tribal communities.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Codification Section was enacted as part of the Violence Against Women Act Reauthorization Act of 2022, and also as part of the Consolidated Appropriations Act, 2022, and not as part of the Public Health Service Act which comprises this chapter.

Statutory Notes and Related Subsidiaries

Effective Date

Section not effective until Oct. 1 of the first fiscal year beginning after Mar. 15, 2022, see section 4(a) of div. W of Pub. L. 117–103, set out as a note under section 6851 of Title 15, Commerce and Trade. Definitions For definition of “law

Enforcement

” and “State” as used in this section, see section 12291 of Title 34, Crime Control and Law

Enforcement

, as made applicable by section 2(b) of div. W of Pub. L. 117–103, which is set out as a note under section 12291 of Title 34.

Reference

Citations & Metadata

Citation

42 U.S.C. § 280g–4c

Title 42, The Public Health and Welfare

Last Updated

Sep 22, 2026

Release point: 119-110