exam. States may still require victims to submit claims for the rape kit exams to their personal insurance providers, as long as they are not billed for a deductible or a copay. In the United States, several organizations have pledged millions of dollars in grants to help fund the analysis of rape kits in forensic laboratories. By country Republic of Ireland In the Republic of Ireland, victims of rape and sexual assault receive a forensic exam in a Sexual Assault Treatment Unit (SATU). Evidence is sent to Forensics Science Ireland (FSI), based in the Phoenix Park. At the end of 2018, there was a backlog of 70 cases, and it was taking up to a year for results to be released. United States In the United States, rape kit costs, availability, proper implementation of the invasive exam, and backlogs have historically presented problems for victims of rape seeking justice. As of May 2009 the federal Violence Against Women Act of 2005 went into effect, requiring state governments who wish to continue receiving federal funding to pay for "Jane Doe rape kits" or "anonymous rape tests". These tests allow victims too traumatized to go to the police to undergo the procedure at hospitals. The hospitals maintain the collected evidence in a sealed envelope identified only by a number, unless police access its contents upon the victim's decision to press charges. While the practice had been recommended by the Federal Bureau of Investigation since at least 1999, and was already followed at some health clinics, colleges and hospitals, and in the state of Massachusetts, many jurisdictions up until then refused to pay the estimated $800 cost of the rape examination without a police report filed by the victim. In 2011, the National Institute of Justice published a report, The Road Ahead: Unanalyzed Evidence in Sexual Assault Cases, providing an overview of deep problems nationwide and the contributing factors to ongoing bureaucratic difficulties. These backlogs and delays may lead to a lack of justice for victims, the report notes, and "in worst-case scenarios...lead to additional victimization by serial offenders or the incarceration of people wrongly convicted of a crime". Findings include: As an indicator of how widespread this problem has become, "18 percent of unsolved alleged sexual assaults that occurred from 2002 to 2007 contained forensic evidence that was still in police custody (not submitted to a crime lab for analysis)" One major