Sheridan Miyamoto, RN, has spent years confronting a grim reality in American healthcare: Where a sexual assault survivor lives can determine whether that person receives the expert care they need.

In many rural communities, there are no certified sexual assault nurse examiners, or SANEs, available to conduct forensic exams, collect evidence and guide survivors through one of the most traumatic moments of their lives. Survivors are sometimes transferred hours away. Others never seek care at all.