To direct the Secretary of Veterans Affairs to update directives of the Department of Veterans Affairs regarding the management of acute sexual assault, and for other purposes.

H.R. 5203 would require the Department of Veterans Affairs (VA) to update its directives on how to manage acute sexual assaults involving veterans who receive care at VA facilities. The update must be completed within 18 months and cover standardized policies for VA staff and police, the use of certified sexual assault forensic exam providers (SAFE) or sexual assault nurse examiners (SANE), coordination with non-VA health providers when appropriate, and the handling of forensic evidence, prophylaxis, mental health supports, and reporting requirements. It also calls for ongoing training for VA employees and police, oversight by Veterans Integrated Service Networks (VISNs), and clear definitions for key terms. The bill aims to ensure that veterans who experience an acute sexual assault receive prompt, evidence-based, trauma-informed care with appropriate medical, mental health, and legal considerations, while balancing patient confidentiality and reporting obligations.