In Washington, D.C., prior to the Violence Against Women Act, which went into effect in 2009, rape kits, despite being standard issue in hospitals, have historically been difficult to obtain, according to an April 2009 report by "Washington City Paper". According to the report, rape survivors historically waited up to 12 hours in D.C. emergency rooms while the OB-GYNs present would attend to more immediate emergencies, such as births, after which the invasive exam would be performed by inexperienced residents, who made poor witnesses at trial. The Sexual Assault Nurse Examiner (SANE) program was established in 2000 at Howard University Hospital in order to address this concerns, after a decade of attempts by Denise Snyder, executive director of the D.C. Rape Crisis Center (DCRCC), to find a major hospital willing to host the program, most of whom either cited economic concerns or declined to respond to her inquiries. After Howard adopted the program, survivors encountered the problem of requiring police authorization before receiving a rape examination, which is attributed by Snyder to the desire to maintain low crime rates on the part of law enforcement agencies, which the "Washington Paper" depicted as unsympathetic to the plight of the rape survivors profiled in their report. Detective Vincent Spriggs, of D.C.'s Sexual Assault Unit, cites instances of false or unconvincing rape accusations, and requests for rape kits by woman who wish to have pregnancy tests or the morning-after pill administered, as an obstacle to more open use of the kits. In 2008, Howard University canceled the SANE program, after which it reopened under the supervision of the mayor's office.