What This Bill Does
This bill changes the rules for organizations that receive federal grants for family planning services. It requires these organizations to follow state and local laws about reporting child abuse, sexual abuse, rape, incest, domestic violence and human trafficking. The bill sets penalties for organizations that do not follow these reporting requirements.
Who It Affects
Organizations that receive federal grants for family planning projects or programs under Title X of the Public Health Service Act.
Key Provisions
• Grant recipients must follow all state and local laws that require reporting child abuse, child molestation, sexual abuse, rape, incest, intimate partner violence or human trafficking. (Sec. 2, 1009(a))
• Grant recipients must create a written plan with policies and procedures for following state reporting laws, including a summary of what the law requires and training for all staff and volunteers each year on how to report these crimes and provide help to patients. (Sec. 2, 1009(b)(1)(A) and (B))
• Grant recipients must counsel every minor patient about how to resist being forced into sexual activities and must screen any minor with a sexually transmitted disease, pregnancy or signs of abuse to determine if they are a victim. (Sec. 2, 1009(b)(1)(C) and (D))
• Grant recipients must keep records showing the age of minor patients and document each report made to authorities. (Sec. 2, 1009(b)(2))
• Federal officials may review grant recipient records to check compliance with these requirements. (Sec. 2, 1009(c))
• Organizations that violate these requirements must repay federal money they received and cannot receive new federal funding for at least 36 months after a second violation is found. (Sec. 2, 1009(d))
What Changes
If this becomes law, organizations receiving family planning grants must document that they have written plans to follow state reporting laws. They must train their staff annually on reporting requirements. They must keep detailed records about minor patients and any reports made to authorities. Federal officials gain the right to review these records. Organizations that fail to comply face financial penalties and loss of future federal funding.
Important Definitions
The bill calls child abuse, child molestation, sexual abuse, rape, incest, intimate partner violence and human trafficking "State notification laws."
I
118TH CONGRESS
1ST SESSION
H. R. 437
To amend title X of the Public Health Service Act to require grant recipients
to comply with all applicable State and local laws requiring notification
or reporting of child abuse, child molestation, sexual abuse, rape, incest,
intimate partner violence, or human trafficking, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
JANUARY 20, 2023
Mr. SMUCKER (for himself, Mr. BANKS, and Mr. FEENSTRA) introduced the
following bill; which was referred to the Committee on Energy and Commerce
A BILL
To amend title X of the Public Health Service Act to require
grant recipients to comply with all applicable State and
local laws requiring notification or reporting of child
abuse, child molestation, sexual abuse, rape, incest, inti-
mate partner violence, or human trafficking, and for
other purposes.
Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
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SECTION 1. SHORT TITLE.
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This Act may be cited as the ‘‘Reporting Account-
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ability and Abuse Prevention Act of 2023’’.
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•HR 437 IH
SEC. 2. COMPLIANCE BY PROJECTS FUNDED UNDER TITLE
1
X WITH STATE AND LOCAL SEXUAL ABUSE
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REPORTING REQUIREMENTS.
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Title X of the Public Health Service Act (42 U.S.C.
4
300 et seq.) is amending by adding at the end the fol-
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lowing:
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‘‘SEC. 1009. COMPLIANCE WITH STATE AND LOCAL SEXUAL
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ABUSE REPORTING REQUIREMENTS.
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‘‘(a) IN GENERAL.—As a condition on the award or
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renewal of a grant under this title for any project or pro-
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gram, the Secretary shall require the grant recipient to
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comply with all applicable State and local laws requiring
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notification or reporting of child abuse, child molestation,
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sexual abuse, rape, incest, intimate partner violence, or
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human trafficking (in this section referred to as ‘State no-
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tification laws’).
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‘‘(b) REQUIRED COMPLIANCE.—In ensuring compli-
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ance with subsection (a) for a project or program, the
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grant recipient shall provide to the Secretary appropriate
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documentation or otherwise demonstrate to the Sec-
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retary’s satisfaction that the grant recipient—
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‘‘(1) has in place and implements a plan to
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comply with State notification laws, including, at a
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minimum, policies and procedures that include—
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‘‘(A) a summary of obligations under State
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notification laws of the project or program, or
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•HR 437 IH
of each organization and individual carrying out
1
the project or program, including any obligation
2
to inquire about or determine the age of a
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minor patient or of a minor patient’s sexual
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partner;
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‘‘(B) timely and adequate annual training
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of all individuals (whether or not they are em-
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ployees) serving patients for, or on behalf of,
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the project or program regarding—
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‘‘(i) compliance with State notification
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laws;
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‘‘(ii) policies and procedures of the
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project or program with respect to notifica-
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tion and reporting of child abuse, child mo-
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lestation, sexual abuse, rape, incest, inti-
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mate partner violence, and human traf-
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ficking; and
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‘‘(iii) appropriate interventions, strat-
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egies, and referrals to improve the safety
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and current situation of the patient;
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‘‘(C) protocols to ensure that every minor
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who presents for treatment is provided coun-
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seling on how to resist attempts to coerce the
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minor into engaging in sexual activities; and
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•HR 437 IH
‘‘(D) a commitment to conduct a prelimi-
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nary screening of any minor who presents with
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a sexually transmitted disease, pregnancy, or
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any suspicion of abuse, in order to rule out vic-
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timization of the minor; and
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‘‘(2) maintains records that demonstrate com-
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pliance with each of the requirements set forth in
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paragraph (1) and—
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‘‘(A) indicate the age of minor patients;
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‘‘(B) document each notification or report
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made pursuant to State notification laws; and
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‘‘(C) indicate the age of the minor pa-
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tient’s sexual partners if such age is an element
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of a State notification law under which a report
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is required.
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‘‘(c) REVIEW OF RECORDS.—As a condition on the
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award or renewal of a grant under this title for any project
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or program, a grant recipient shall agree to allow the Sec-
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retary, the Inspector General of the Department of Health
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and Human Services, and the Comptroller General of the
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United States to review the records maintained by the
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grant recipient, including any contractor or subgrantee of
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the grant recipient, for the purpose of ensuring compliance
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with this section.
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•HR 437 IH
‘‘(d) PENALTIES FOR NONCOMPLIANCE.—The Sec-
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retary shall—
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‘‘(1) if the Secretary finds that a grantee under
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this title has violated subsection (a), (b), or (c),
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work with the grantee to remedy such noncompli-
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ance; and
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‘‘(2) if the Secretary finds that the grantee
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commits a subsequent violation of subsection (a),
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(b), or (c)—
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‘‘(A) seek repayment of all monetary Fed-
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eral assistance received by the grantee under
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this title on or after the date of enactment of
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the Reporting Accountability and Abuse Pre-
13
vention Act of 2023; and
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‘‘(B) not award or provide any assistance
15
under this title to the grantee for a period of
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at least 36 months following the date of finding
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that the grantee has committed such subse-
18
quent violation.’’.
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Æ
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