Informational Bulletin: Sexual Assault Medical Evidentiary Exam Reimbursement
California Penal Code §13823.95 directs Cal OES to reimburse law enforcement to offset the cost of conducting medical evidentiary examinations, for victims of sexual assault, from one of two sources of funds. The source of funds depends on, whether the victim, at the time of the examination, has determined to report the assault to law enforcement or is undecided whether to report the assault to law enforcement.  

Cal OES will reimburse law enforcement to offset the cost of medical evidentiary examinations as follows:  

The actual cost of the examination up to $911 for victims that are undecided, at the time of an examination, whether to report the assault to law enforcement.  

Examinations must have occurred on, or after, October 1, 2020.  
Law enforcement may request reimbursement at this rate for the use of:
The Forensic Medical Report: Abbreviated Adult/Adolescent Sexual Assault Examination (Cal OES 2-924), or
The Forensic Medical Report: Acute Adult/Adolescent Sexual Assault Examination (Cal OES 2-923).  
The actual cost of the examination up to $1,127 for victims that have determined, at the time of the examination, to report the assault to law enforcement, to the extent funds are available.  

Examinations must have occurred on, or after, July 1, 2021.   Law enforcement may request reimbursement at this rate for the use of:
The Forensic Medical Report: Acute Adult/Adolescent Sexual Assault Examination (Cal OES 2-923),
The Forensic Medical Report: Nonacute Child-Adolescent Sexual Abuse Examination (Cal OES 2-925), or
The Forensic Medical Report: Acute Child-Adolescent Sexual Abuse Examination (Cal OES 2-930).    

How to Request Reimbursement: Complete the Invoice for Reimbursement for Medical Evidentiary Examination (Cal OES 2-935) and submit to Cal OES at vsb@caloes.ca.gov within six months of the examination. The invoice form can be found on the Cal OES website at https://www.caloes.ca.gov/governments-tribal/grants-management/forms.  

Penal Code § 13823.95
Costs incurred by a qualified health care professional, hospital, clinic, sexual assault forensic examination team, or other emergency medical facility for a medical evidentiary examination of a victim of a sexual assault, shall not be charged directly or indirectly to the victim of the assault.  

A victim of a sexual assault who seeks a medical evidentiary examination, shall be provided with a standardized medical evidentiary examination, and shall not be required to participate or to agree to participate in the criminal justice system, either prior to the examination or at any other time.  

The cost of a medical evidentiary examination performed by a qualified health care professional, hospital, or other emergency medical facility for a victim of a sexual assault shall be treated as a local cost and charged to and reimbursed within 60 days by the local law enforcement agency in whose jurisdiction the alleged offense was committed.  

The local law enforcement agency may seek reimbursement to offset the cost of conducting the medical evidentiary examination of a sexual assault victim who is undecided at the time of an examination whether to report to law enforcement or who has decided not to report to law enforcement. The Office of Emergency Services shall use the discretionary funds from the STOP (Services, Training, Officers, and Prosecutors) Violence Against Women Formula Grant Program, to offset the cost of the medical evidentiary examination.  

The local law enforcement agency may seek reimbursement to offset the cost of conducting the medical evidentiary examination of a sexual assault victim who has determined, at the time of the examination, to report the assault to law enforcement. This subparagraph does not permit a law enforcement agency to reduce the existing locally negotiated rate or rates for medical evidentiary examinations. Reimbursements shall be provided from funds to be made available upon appropriation for this purpose.    

Thank you,   Victim Services Branch

Letter From the Medical Director of the CCFMTC

It’s hard to recall a time that was more trying on the forensic medical community.  A global pandemic, fires ravaging the state, and the very real effects of burnout unfolding before our eyes.  I’ve spoken to many of you, and it’s become clear that the forensic medical community is facing a serious labor shortage.  Most of us have day jobs, whether it be a nurse in the ED, ICU, clinic, or a clinician with a full patient panel.  Coupled with the stress of being a forensic medical examiner through these challenging times; it’s no wonder that so many of us are exiting the field. 

I’m here to say that you are not alone.  You are part of the CCFMTC family, and we are here to support you.  We offer office hours for free one-on-one expert consultation for all types of forensic medical exams.  The SART Summit will be a hybrid course this year as we look forward to seeing familiar faces again in person.  The advanced course will also be in September and will cover topics such as child abuse, domestic violence, strangulation, and traumatic brain injury.  In October, we will be moving back towards in-person training, starting with the Adult SAFE course.  And finally, to meet the rising need of training new examiners as they become available, we are developing an online on-demand training conducted by doctors, advanced practitioners and senior nurses, leaders in the field of forensic medicine. 

Hope is on the horizon.  We will get through this together.  Please don’t hesitate to reach out. 

Dr. D