,i #aacth ,,congress #ast ,session ,h4 ,r4 #bdeg ,,in ,,the ,,house ,,of ,,representatives ,june #bj1 #bjac ,mr4 ,bera of ,california 7for himself1 ,mrs4 ,napolitano1 ,ms4 ,lee of ,california1 ,ms4 ,norton1 ,mr4 ,rangel1 ,ms4 ,moore1 ,ms4 ,slaughter1 ,ms4 ,speier1 ,ms4 ,schakowsky1 ,mr4 ,connolly1 ,mr4 ,payne1 ,ms4 ,brownley of ,california1 ,ms4 ,titus1 ,mr4 ,swalwell of ,california1 ,mrs4 ,capps1 ,mr4 ,grijalva1 ,mr4 ,conyers1 ,mrs4 ,carolyn ,b4 ,maloney of ,new ,york1 ,ms4 ,roybal-,allard1 ,mr4 ,ellison1 ,mr4 ,levin1 ,mr4 ,cicilline1 ,ms4 ,pingree of ,maine1 ,ms4 ,wilson of ,florida1 ,mr4 ,lowenthal1 ,mr4 ,honda1 ,ms4 ,hahn1 ,ms4 ,linda ,t4 ,snchez of ,california1 ,mr4 ,farr1 ,mr4 ,sherman1 ,mr4 ,costa1 ,mrs4 ,negrete ,mc,leod1 ,mr4 ,perlmutter1 ,ms4 ,lofgren1 ,mr4 ,crdenas1 and ,mr4 ,mc,dermott7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to provide for a national public outreach and education campaign to raise public awareness of women's preventive health4 #a4 ,short title ,this ,act may be cited as the ,women's ,preventive ,health ,awareness ,campaign4 #b4 ,findings ,congress makes the following findings3 7#a7 ,well-woman visits are the foundation on which women's preventive care is built4 ,such visits include not only specific screening tests1 but also a medical history1 physical examination1 evaluation and counseling1 and1 as indicated1 vaccinations4 7#b7 ,over the past #bj years1 it has become clear that 8one size does not fit all0 when it comes to prevention4 ,although a #cj-year-old woman without risk factors for cervical cancer may only need a ,pap test with ,,hpv co-testing every #e years1 the same woman would need more frequent screening if she were infected with ,,hiv or had a history of cervical cancer precursors4 7#c7 ,it is only after taking a medical history and evaluating and counseling a patient that a physician can make patient-specific recommendations for screening tests1 vaccinations1 preventive medications1 and other preventive services4 7#d7 ,well-woman visits facilitate increased access to health care that is shown to identify chronic disease risk factors1 promote well-being1 and decrease the likelihood or delay the onset of a targeted disease or condition4 7#e7 ,heart disease1 stroke1 and other cardiovascular diseases are the number one cause of death in ,american women1 claiming over #djj1jjj lives each year1 or nearly one death each minute4 7#f7 ,women are less likely than men to receive aggressive diagnosis and treatment for cardiovascular diseases4 7#g7 ,women are more likely than men to have forgone needed health care due to cost4 7#h7 ,between #bjjb and #bjaj1 screening mammography rates among women in the ,united ,states who were #ej years of age to #fd years of age declined from about #gi percent to #gc percent4 7#i7 ,in #bjji1 only #ec percent of #ah- to #fd-year-olds in the ,united ,states reported having ever received an ,,hiv test4 7#aj7 ,the proportion of women in the ,united ,states #bb years of age to #cj years of age who reported never having had a ,pap test increased from #f4f percent in #bjjj to #i4j percent in #bjaj despite current recommendations that they receive a ,pap test every three years4 7#aa7 ,in #bjjg1 #bi4c percent of women in the ,united ,states delivering a live birth did not receive any prenatal care in the first trimester1 even though first trimester prenatal care is recommended4 7#ab7 ,among sexually active females in the ,united ,states who are #af years of age to #bj years of age1 only #eb4g percent of such females receiving benefits under the ,medicaid program and #dj4a percent of such females with health insurance coverage under commercial health insurance plans were screened for genital ,chlamydia infections during the measurement year1 as reported in #bjjh4 ,a #bjac analysis published by the ,centers for ,disease ,control and ,prevention found that for ,chlamydia cases diagnosed in #bjjh alone1 the associated lifetime direct medical costs amount to #eaf4g million4 7#ac7 ,almost half 7#di percent7 of the #f4g million pregnancies in the ,united ,states each year 7#c4b million7 are unintended4 ,multiple studies have shown that improved access to birth control significantly improves the health of women and their families1 as it is directly linked to improved maternal and infant health outcomes4 ,women that plan their pregnancies are more likely to access prenatal care1 improving their own health and the health of their children4 7#ad7 ,between #bjjf and #bjaj1 one-third of all pregnancies were conceived within #ah months of a previous birth1 an interval that is potentially harmful to the health of the mother4 7#ae7 ,improved access to family planning also saves money4 ,for every #a4jj invested in family planning1 taxpayers save nearly #d4jj in ,medicaid-related expenses4 7#af7 ,during the #bjaa-bjab flu season1 #ec percent of pregnant women did not receive recommended vaccination against influenza4 #c4 ,women's ,preventive ,health ,awareness ,campaign ,part ,p of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;g et al47 is amended by adding at the end the following new section3 #cii,v-#f4 ,women's ,preventive ,health ,awareness ,campaign 7a7 ,in general ,the ,secretary shall provide for the planning and implementation of a national public outreach and education campaign to raise public awareness1 including provider awareness1 of women's preventive health4 ,such campaign shall include the media campaign under subsection 7b7 and the website under subsection 7c7 and shall provide for the dissemination of information that-- 7#a7 describes the guidelines for women's preventive services1 including the cervical cancer recommendations updated in #bjab1 by the ,united ,states ,preventive ,services ,task ,force1 by the ,american ,college of ,obstetricians and ,gynecologists 7,,acog71 and by the ,american ,cancer ,society1 the ,american ,society for ,colposcopy and ,cervical ,pathology1 and the ,american ,society for ,clinical ,pathology2 7#b7 promotes well-woman visits for health assessments which include screenings1 evaluations1 counseling1 immunizations1 and prenatal visits1 as appropriate2 7#c7 explains the women's preventive services that are required under section #bgac to be covered without cost-sharing by a group health plan or a health insurance issuer offering group or individual health insurance coverage that is not a grandfathered plan 7as defined in section #abea7;e7 of the ,patient ,protection and ,affordable ,care ,act72 and 7#d7 addresses health disparities in the area of women's prevention4 7b7 ,media campaign 7#a7 ,in general ,not later than #a year after the date of the enactment of this section1 as part of the campaign under subsection 7a71 the ,secretary shall establish and implement a national media campaign4 7#b7 ,requirement of campaign ,the campaign implemented under paragraph 7#a7-- 7,a7 shall disseminate information about the updated guidelines for women's preventive services described in subsection 7a77#a71 promote well-woman visits described in subsection 7a77#b71 and provide information on the women's preventive services described in subsection 7a77#c72 and 7,b7 may include the use of television1 radio1 ,internet1 and other commercial marketing venues4 7c7 ,website ,as part of the campaign under subsection 7a71 the ,secretary shall1 in consultation with private sector experts or through contract with a private entity including a medical association or non-profit organization1 maintain and update an ,internet website to provide information and resources about the updated guidelines for women's preventive services described in subsection 7a77#a71 promote well-woman visits1 and provide information on the women's preventive services described in subsection 7a77#c74 7d7 ,funding ,the ,secretary may use1 out of any funds otherwise made available to the ,department of ,health and ,human ,services1 such sums as may be necessary to carry out this section4 4