Funding Postassault Care: Typologies of State SAMFE Payment Systems in U.S. Legislation

Abstract

Sexual assault medical forensic exams (SAMFEs) are essential for survivor care and justice system engagement. To receive federal STOP grant funding, states must ensure survivors are not billed for SAMFEs. However, states vary widely in what services are covered, leading to inconsistent implementation, billing errors, and institutional confusion. This study reviews codified statutes from all 50 states to develop a typology of SAMFE payment systems, focusing on governance, covered services, and fiscal caps. The framework highlights structural variation and provides a foundation for future research and policy development aimed at improving trauma-informed, equitable care for survivors.

Keywords

sexual assault medical forensic exams SAMFE payment systems state legislation typology forensic exam funding sexual assault

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