SAFE Payment Map
Many professionals have questions about the laws in their own state or territory, pertaining to forensic compliance and payment for sexual assault medical forensic exams. Answers can be found on EVAWI’s Safe Payment Map, which provides the laws in your own state or territory.
Also, the document entitled, Summary of Laws and Guidelines with Charts: Payment of Sexual Assault Medical Forensic Examinations was created by AEquitas: The Prosecutors’ Resource on Violence Against Women, in collaboration with EVAWI. You can download the whole 228-page document, which includes the laws and guidelines for each U.S. state and territory, as well as a number of charts summarizing the provisions. For an overview, you can also download the 13-page Summary of Laws and Guidelines.
Urban Institute Study on SAFE Payment
The Urban Institute published a study in 2014, entitled Sexual Assault Medical Forensic Exams and VAWA 2005: Payment Practices, Successes, and Directions for the Future. This research was funded by the National Institute of Justice (NIJ) and conducted by the Urban Institute in partnership with George Mason University, and the National Sexual Violence Resource Center (NSVRC). The purpose was to examine how states are meeting the goals of VAWA provisions regarding medical forensic examinations.
The full report is posted along with four research briefs:
Insurance billing can still be used for medical forensic exams, though it will be administratively complicated because victims cannot be charged for any co-pays, deductibles or any out of pocket costs. Insurance billing can also present complications for victims, including a loss of confidentiality. For more information on this topic, the Office of Violence Against Women has compiled a list of Frequently Asked Questions on STOP Formula Grants, and forensic compliance issues which are summarized on pages 21-22 (in points #3-4). The document was updated in February 2014, so it includes provisions of VAWA 2013.
Payment Across State Lines
A great deal of confusion surrounds the payment for medical forensic exams across state lines. Who should pay for these exams? How should payment be handled? The Sexual Violence Justice Institute (SVJI) at the Minnesota Coalition Against Sexual Assault (MNCASA) developed an informative yet simple fact sheet to offer helpful information about the policies for exam payment in Minnesota and a number of neighboring states. This tool can serve as a model for other organizations that want to create a similar resource.
Forensic Compliance – Where are we in 2012?
This EVAWI webinar with presenters Kim Day, Joanne Archambault, and Dr. Kim Lonsway examines forensic compliance issues and discusses the considerable challenges in designing protocols in areas such as: the initial response to a sexual assault disclosure, payment for the medical forensic examination, mandatory reporting to law enforcement, storage and transportation of evidence, case tracking and retrieval, processing of evidence, and the potential for evidence-based prosecution (i.e., without the victim's cooperation). For many states and territories, the changes that are required in public policy and daily practice have been described as "monumental."