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Published: Feb 14, 2008 12:30 AM
Modified: Feb 14, 2008 04:46 AM
 

A rush to pay for rape exams

Lawmakers, outraged that victims pay the bill, vow to find money for the tests given after a sexual assault

RALEIGH - State leaders are vowing to pay for hospital tests done on patients examined for sexual assault.

The News & Observer reported Wednesday that the vast majority of the 3,000 or so North Carolinians examined each year in emergency departments for rape are forced to pay a share of the bill.

The news surprised leaders of the N.C. House and Senate committees that set funding for public safety programs. They agreed to search for money when they reconvene in May.

"This is so maddening. The problem was hidden from view," said Sen. Ellie Kinnaird, a Carrboro Democrat who is co-chairwoman of the Appropriations Committee for Justice and Public Safety. "We have an obligation to deal with this."

If the state fully picked up the tab for the exams, which capture biological evidence, it could cost $4.8 million.

Hospitals bill a patient's private insurer for the exam. What the insurer doesn't cover falls to the patient. For some, the bill is several hundred dollars.

The state sets aside about $258,000 a year to help cover rape kit exams for uninsured people. Reimbursements, however, have been capped at $1,000, even though the average bill tops $1,600. While some hospitals forgive the balance, others don't. They collect from the victim.

Bryan Beatty, secretary of the Department of Crime Control and Public Safety, said late Wednesday that his department would immediately eliminate the $1,000 cap and pay any reasonable bill for an uninsured patient receiving a rape kit exam.

Legislators said victims should not have to pay to have crimes investigated.

"They are busy trying to figure out how to survive," said Rep. Alice Bordsen, a Democrat from Alamance County who heads the House Appropriations Committee for Justice and Public Safety.

Several legislators agreed that the cost of the exams should not fall upon private hospitals, either. "Some of these hospitals are struggling to even stay in business," said Kinnaird.

Don Dalton, spokesman for the N.C. Hospital Association, said hospitals should not have to bear any unpaid balance.

"If [these tests] are done at the behest of the state, shouldn't someone there be responsible for that?" Dalton asked.

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