,i #aac? ,,congress #a/ ,session ,h4 ,r4 #bdeg ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,june #bj1 #bjac ,mr4 ,b]a ( ,cali=nia 7= himself1 ,mrs4 ,napolitano1 ,ms4 ,lee ( ,cali=nia1 ,ms4 ,norton1 ,mr4 ,rangel1 ,ms4 ,moore1 ,ms4 ,slaught]1 ,ms4 ,spei]1 ,ms4 ,s*ak[sky1 ,mr4 ,connolly1 ,mr4 ,payne1 ,ms4 ,br[nley ( ,cali=nia1 ,ms4 ,titus1 ,mr4 ,swalwell ( ,cali=nia1 ,mrs4 ,capps1 ,mr4 ,grijalva1 ,mr4 ,cony]s1 ,mrs4 ,c>olyn ,b4 ,maloney ( ,new ,york1 ,ms4 ,roybal-,all>d1 ,mr4 ,ellison1 ,mr4 ,lev91 ,mr4 ,cicill9e1 ,ms4 ,p+ree ( ,ma9e1 ,ms4 ,wilson ( ,florida1 ,mr4 ,l[5?al1 ,mr4 ,honda1 ,ms4 ,hahn1 ,ms4 ,l9da ,t4 ,sn*ez ( ,cali=nia1 ,mr4 ,f>r1 ,mr4 ,%]man1 ,mr4 ,co/a1 ,mrs4 ,negrete ,mc,leod1 ,mr4 ,p]lmutt]1 ,ms4 ,l(gr51 ,mr4 ,crd5as1 & ,mr4 ,mc,dermott7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to provide = a national public outrea* & education campaign to raise public aw>5ess ( wom5's prev5tive heal?4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,wom5's ,prev5tive ,heal? ,aw>5ess ,campaign4 #b4 ,f9d+s ,congress makes ! foll[+ f9d+s3 7#a7 ,well-woman visits are ! f\ndation on :i* wom5's prev5tive c>e is built4 ,su* visits include n only specific scre5+ te/s1 b also a m$ical hi/ory1 physical exam9ation1 evaluation & c\nsel+1 &1 z indicat$1 vacc9ations4 7#b7 ,ov] ! pa/ #bj ye>s1 x has become cle> t 8"o size does n fit all0 :5 x comes to prev5tion4 ,al?\gh a #cj-ye>-old woman )\t risk factors = c]vical canc] may only ne$ a ,pap te/ ) ,,hpv co-te/+ e #e ye>s1 ! same woman w\ld ne$ m frequ5t scre5+ if %e 7 infect$ ) ,,hiv or _h a hi/ory ( c]vical canc] precursors4 7#c7 ,x is only aft] tak+ a m$ical hi/ory & evaluat+ & c\nsel+ a pati5t t a physician c make pati5t-specific recomm5dations = scre5+ te/s1 vacc9ations1 prev5tive m$ications1 & o!r prev5tive s]vices4 7#d7 ,well-woman visits facilitate increas$ access to heal? c>e t is %[n to id5tify *ronic disease risk factors1 promote well-be+1 & decrease ! likelihood or delay ! onset ( a t>get$ disease or condition4 7#e7 ,he>t disease1 /roke1 & o!r c>diovascul> diseases are ! numb] "o cause ( dea? 9 ,am]ican wom51 claim+ ov] #djj1jjj lives ea* ye>1 or ne>ly "o dea? ea* m9ute4 7#f7 ,wom5 are less likely ?an m5 to receive aggressive diagnosis & treatm5t = c>diovascul> diseases4 7#g7 ,wom5 are m likely ?an m5 to h =gone ne$$ heal? c>e due to co/4 7#h7 ,betwe5 #bjjb & #bjaj1 scre5+ mammography rates among wom5 9 ! ,unit$ ,/ates :o 7 #ej ye>s ( age to #fd ye>s ( age decl9$ f ab\t #gi p]c5t to #gc p]c5t4 7#i7 ,9 #bjji1 only #ec p]c5t ( #ah- to #fd-ye>-olds 9 ! ,unit$ ,/ates report$ hav+ ev] receiv$ an ,,hiv te/4 7#aj7 ,! proportion ( wom5 9 ! ,unit$ ,/ates #bb ye>s ( age to #cj ye>s ( age :o report$ nev] hav+ _h a ,pap te/ increas$ f #f4f p]c5t 9 #bjjj to #i4j p]c5t 9 #bjaj despite curr5t recomm5dations t !y receive a ,pap te/ e ?ree ye>s4 7#aa7 ,9 #bjjg1 #bi4c p]c5t ( wom5 9 ! ,unit$ ,/ates deliv]+ a live bir? did n receive any pr5atal c>e 9 ! fir/ trime/]1 ev5 ?\gh fir/ trime/] pr5atal c>e is recomm5d$4 7#ab7 ,among sexually active females 9 ! ,unit$ ,/ates :o are #af ye>s ( age to #bj ye>s ( age1 only #eb4g p]c5t ( su* females receiv+ b5efits "u ! ,m$icaid program & #dj4a p]c5t ( su* females ) heal? insurance cov]age "u comm]cial heal? insurance plans 7 scre5$ = g5ital ,*lamydia infections dur+ ! measurem5t ye>1 z report$ 9 #bjjh4 ,a #bjac analysis publi%$ by ! ,c5t]s = ,disease ,control & ,prev5tion f\nd t = ,*lamydia cases diagnos$ 9 #bjjh alone1 ! associat$ lifetime direct m$ical co/s am\nt to #eaf4g million4 7#ac7 ,almo/ half 7#di p]c5t7 ( ! #f4g million pregnancies 9 ! ,unit$ ,/ates ea* ye> 7#c4b million7 are un9t5d$4 ,multiple /udies h %[n t improv$ access to bir? control significantly improves ! heal? ( wom5 & _! families1 z x is directly l9k$ to improv$ mat]nal & infant heal? outcomes4 ,wom5 t plan _! pregnancies are m likely to access pr5atal c>e1 improv+ _! own heal? & ! heal? ( _! *ildr54 7#ad7 ,betwe5 #bjjf & #bjaj1 "o-?ird ( all pregnancies 7 conceiv$ )9 #ah mon?s ( a previ\s bir?1 an int]val t is pot5tially h>mful to ! heal? ( ! "m4 7#ae7 ,improv$ access to family plann+ also saves money4 ,= e #a4jj inve/$ 9 family plann+1 taxpay]s save ne>ly #d4jj 9 ,m$icaid-relat$ exp5ses4 7#af7 ,dur+ ! #bjaa-bjab flu season1 #ec p]c5t ( pregnant wom5 did n receive recomm5d$ vacc9ation aga9/ influ5za4 #c4 ,wom5's ,prev5tive ,heal? ,aw>5ess ,campaign ,"p ,p ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g et al47 is am5d$ by add+ at ! end ! foll[+ new section3 #cii,v-#f4 ,wom5's ,prev5tive ,heal? ,aw>5ess ,campaign 7a7 ,9 g5]al ,! ,secret>y %all provide = ! plann+ & implem5tation ( a national public outrea* & education campaign to raise public aw>5ess1 includ+ provid] aw>5ess1 ( wom5's prev5tive heal?4 ,su* campaign %all include ! m$ia campaign "u subsection 7b7 & ! website "u subsection 7c7 & %all provide = ! dissem9ation ( in=mation t-- 7#a7 describes ! guidel9es = wom5's prev5tive s]vices1 includ+ ! c]vical canc] recomm5dations updat$ 9 #bjab1 by ! ,unit$ ,/ates ,prev5tive ,s]vices ,task ,=ce1 by ! ,am]ican ,college ( ,ob/etricians & ,gynecologi/s 7,,acog71 & by ! ,am]ican ,canc] ,society1 ! ,am]ican ,society = ,colposcopy & ,c]vical ,pa?ology1 & ! ,am]ican ,society = ,cl9ical ,pa?ology2 7#b7 promotes well-woman visits = heal? assessm5ts :i* include scre5+s1 evaluations1 c\nsel+1 immunizations1 & pr5atal visits1 z appropriate2 7#c7 expla9s ! wom5's prev5tive s]vices t are requir$ "u section #bgac to be cov]$ )\t co/-%>+ by a gr\p heal? plan or a heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age t is n a gr&fa!r$ plan 7z def9$ 9 section #abea7;e7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act72 & 7#d7 addresses heal? disp>ities 9 ! area ( wom5's prev5tion4 7b7 ,m$ia campaign 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is section1 z "p ( ! campaign "u subsection 7a71 ! ,secret>y %all e/abli% & implem5t a national m$ia campaign4 7#b7 ,requirem5t ( campaign ,! campaign implem5t$ "u p>agraph 7#a7-- 7,a7 %all dissem9ate in=mation ab\t ! updat$ guidel9es = wom5's prev5tive s]vices describ$ 9 subsection 7a77#a71 promote well-woman visits describ$ 9 subsection 7a77#b71 & provide in=mation on ! wom5's prev5tive s]vices describ$ 9 subsection 7a77#c72 & 7,b7 may include ! use ( television1 radio1 ,int]net1 & o!r comm]cial m>ket+ v5ues4 7c7 ,website ,z "p ( ! campaign "u subsection 7a71 ! ,secret>y %all1 9 consultation ) private sector exp]ts or ?r\gh contract ) a private entity includ+ a m$ical association or non-pr(it organization1 ma9ta9 & update an ,int]net website to provide in=mation & res\rces ab\t ! updat$ guidel9es = wom5's prev5tive s]vices describ$ 9 subsection 7a77#a71 promote well-woman visits1 & provide in=mation on ! wom5's prev5tive s]vices describ$ 9 subsection 7a77#c74 7d7 ,fund+ ,! ,secret>y may use1 out ( any funds o!rwise made available to ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 su* sums z may be necess>y to c>ry out ?is section4 4