,,ii  #aadth ,,congress  #ast ,session  
,s4 #bahe  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,october #bj1  
#bjae,ms4 ,heitkamp 7for herself1 ,ms4  
,ayotte1 ,ms4 ,collins1 ,mrs4 ,capito1  
,mr4 ,hoeven1 ,mrs4 ,feinstein1 ,ms4    
,klobuchar1 ,ms4 ,hirono1 and ,mrs4     
,gillibrand7 introduced the following   
bill2 which was read twice and referred 
to the ,committee on ,banking1 ,housing1
 and ,urban ,affairs  ,a ,,bill  ,to    
require the ,secretary of the ,treasury 
to mint coins in recognition of the     
fight against breast cancer4  #a4 ,short
 title ,this ,act may be cited as the   
,breast ,cancer ,awareness              
,commemorative ,coin ,act4  #b4         
,findings ,congress finds that--  7#a7  
breast cancer is the most common cancer 
among women of the ,united ,states1     
except for skin cancers2  7#b7 today1   
about #a in #h1 or #ab percent of1 women
 in the ,united ,states will develop    
invasive breast cancer1 which is an     
increase from #a in #aa1 or #i percent  

of1 women in #aige2  7#c7 breast cancer 
is the second leading cause of cancer   
death in women2  7#d7 the chance of     
dying from breast cancer is about #a in 
#cf2  7#e7 thanks to earlier detection1 
increased awareness1 and improved       
treatment1 death rates from breast      
cancer have decreased since #aihi2  7#f7
 there is a strong interest among the   
people of the ,united ,states to do more
 to tackle breast cancer2  7#g7 the     
,national ,cancer ,institute estimates  
that #ah1ajj1jjj1jjj was spent in the   
,united ,states on breast cancer care in
 #bjad2  7#h7 finding a cure for breast 
cancer is a goal of the ,united ,states 
,government2  7#i7 the ,national        
,institutes of ,health dedicated an     
estimated #fgd1jjj1jjj for breast cancer
 research in fiscal year #bjad2  7#aj7  
in fiscal year #bjad1 the ,breast       
,cancer ,research ,program of the       
,department of ,defense received        
#abj1jjj1jjj2  7#aa7 while the ,national
 ,institutes of ,health and the         

,department of ,defense program on      
breast cancer research remain the       
largest funders of breast cancer        
research in the ,united ,states1 funding
 for the ,national ,cancer ,institute   
was reduced by nearly #ff1jjj1jjj       
between #bjaa and #bjac2  7#ab7 the     
funding level for the ,department of    
,defense ,breast ,cancer ,research      
,program has remained consistent since  
#bjab1 but this amount represents a     
#bj-percent decrease from #bjaa funding 
levels2  7#ac7 additional private sector
 support for breast cancer research will
 help find cures for breast cancer even 
faster2  7#ad7 it is estimated that1 in 
the ,united ,states1 #bca1hdj women will
 be diagnosed with1 and #dj1bij women   
will die of1 breast cancer in #bjae2    
7#ae7 on average1 every #ac minutes a   
woman dies of breast cancer in the      
,united ,states2  7#af7 due to disease  
type and lack of adequate care1         
,african-,american women have the       
highest death rates of all racial and   

ethnic groups overall and are at least  
#dd-percent more likely to die of breast
 cancer than women of other racial and  
ethnic groups2  7#ag7 breast cancer used
 to be considered a disease of aging but
 recent trends show that more aggressive
 forms of the disease have been         
increasingly diagnosed in younger women2
  7#ah7 breast cancer is the most       
frequently diagnosed cancer among nearly
 every racial and ethnic group1         
including ,african-,american1 ,american 
,indian_/,alaska ,native1               
,asian_/,pacific ,islander1 and         
,hispanic_/,latina women2  7#ai7        
clinical advances resulting from        
research have led to increased survival 
rates from breast cancer2  7#bj7 since  
#aiij1 death rates from breast cancer   
have dropped more than #cd percent2     
7#ba7 it is estimated that there will be
 #b1cej new cases of invasive breast    
cancer and #ddj breast cancer deaths    
among men in the ,united ,states in     
#bjae2  7#bb7 at this time there are    

more than #c1ajj1jjj breast cancer      
survivors in the ,united ,states2  7#bc7
 it is estimated that breast cancer     
costs #ab1ejj1jjj1jjj in lost           
productivity2  7#bd7 the losses of      
productivity due to breast cancer will  
increase with the projected growth rate 
and aging of the population of the      
,united ,states if cancer mortality     
rates stay constant in the future2      
7#be7 there is a better chance of       
survival1 and there are more treatment  
options available1 with early stage     
detection through mammograms and        
clinical breast exams2  7#bf7 breast    
cancer is the most common cancer in     
women worldwide1 with an estimated      
#a1gjj1jjj new cases of breast cancer   
among women worldwide in #bjab2  7#bg7  
the ,breast ,cancer ,research           
,foundation 7hereafter in this ,act     
referred to as ,,bcrf7 is considered one
 of the most efficient cancer research  
charities2  7#bh7 of every dollar       
donated to ,,bcrf1 #ia cents goes to    

research and awareness programs1 #hh    
cents towards research and #c cents     
towards awareness2  7#bi7 founded in    
#aiic1 ,,bcrf has raised more than      
#ejj1jjj1jjj to fuel discoveries in     
tumor biology1 genetics1 prevention1    
treatment1 survivorship1 and metastasis1
 making ,,bcrf one of the largest       
private funders of breast cancer        
research in the world2 and  7#cj7 in    
#bjad and #bjae1 ,,bcrf committed       
#eh1fjj1jjj in research1 including      
#aa1fjj1jjj to the international ,evelyn
 ,h4 ,lauder ,founder's ,fund focused on
 metastasis1 to support the work of more
 than #bbj researchers at leading       
medical institutions across #f          
continents1 including #be ,states and   
#ad countries4  #c4 ,coin specifications
  7a7 ,denominations ,the ,secretary of 
the ,treasury 7hereafter in this ,act   
referred to as the ,secretary7 shall    
mint and issue the following coins3 7#a7
 #e gold coins ,not more than #ej1jjj #e
 gold coins1 which shall--  7,a7 have a 

diameter of #j4hej inches2 and  7,b7 be 
made of pink gold1 which contains not   
less than #ge-percent gold4  7#b7 #a    
silver coins ,not more than #djj1jjj #a 
coins1 which shall-- 7,a7 weigh #bf4gc  
grams2  7,b7 have a diameter of #a4ejj  
inches2 and  7,c7 contain not less than 
#ij-percent silver4  7#c7 ,half-dollar  
clad coins ,not more than #gej1jjj      
half-dollar coins which shall-- 7,a7    
weigh #aa4cd grams2  7,b7 have a        
diameter of #a4bje inches2 and  7,c7 be 
minted to the specifications for        
half-dollar coins contained in section  
#eaab7;b7 of title #ca1 ,united ,states 
,code4  7b7 ,legal tender ,the coins    
minted under this ,act shall be legal   
tender1 as provided in section #eajc of 
title #ca1 ,united ,states ,code4  7c7  
,numismatic items ,for purposes of      
sections #eacd and #eacf of title #ca1  
,united ,states ,code1 all coins minted 
under this ,act shall be considered to  
be numismatic items4  #d4 ,design of    
coins  7a7 ,design requirements  7#a7   

,in general ,the design of the coins    
minted under this ,act shall be         
emblematic of the fight against breast  
cancer4  7#b7 ,designation and          
inscriptions ,on each coin minted under 
this ,act there shall be-- 7,a7 a       
designation of the face value of the    
coin2  7,b7 an inscription of the year  
#bjah2 and  7,c7 inscriptions of the    
words ,liberty1 ,in ,god ,we ,trust1    
,united ,states of ,america1 and ,e     
,pluribus ,unum4  7b7 ,selection ,the   
design for the coins minted under this  
,act shall be selected by the ,secretary
 based on the winning design from a     
juried1 compensated design competition  
described under subsection 7c74  7c7    
,design competition  7#a7 ,in general   
,the ,secretary shall hold a competition
 and provide compensation for the winner
 of the competition to design the       
obverse and reverse of the coins minted 
under this ,act4 ,the competition shall 
be judged by an expert jury chaired by  
the ,secretary and consisting of #c     

members from the ,citizens ,coinage     
,advisory ,committee who shall be       
elected by the ,committee and #c members
 from the ,commission of ,fine ,arts who
 shall be elected by the ,commission4   
7#b7 ,proposals ,as part of the         
competition described in this           
subsection1 the ,secretary may accept   
proposals from artists1 engravers of the
 ,united ,states ,mint1 and members of  
the general public1 and any designs     
submitted for the design review process 
described herein shall be anonymized    
until a final selection is made4  7#c7  
,accompanying designs2 preference for   
physical designs ,the ,secretary shall  
encourage #c-;dimensional designs to be 
submitted as part of the proposals1 and 
the jury shall give a preference for    
proposals that are accompanied by a     
#c-;dimensional physical design instead 
of1 or in addition to1 an electronic    
design4  7#d7 ,compensation ,the        
,secretary shall determine compensation 
for the winning design under this       

subsection1 which shall be not less than
 #e1jjj4 ,the ,secretary shall take into
 account this compensation amount when  
determining the sale price described in 
section #f7;a74  #e4 ,issuance of coins 
7a7 ,quality of coins ,coins minted     
under this ,act shall be issued in      
uncirculated and proof qualities4  7b7  
,period for issuance ,the ,secretary may
 issue coins minted under this ,act only
 during the #a-year period beginning on 
,january #a1 #bjah4  #f4 ,sale of coins 
7a7 ,sale price ,the coins issued under 
this ,act shall be sold by the          
,secretary at a price equal to the sum  
of-- 7#a7 the face value of the coins2  
7#b7 the surcharge provided in section  
#g7;a7 with respect to the coins2 and   
7#c7 the cost of designing and issuing  
the coins1 including--  7,a7 labor2     
7,b7 materials2  7,c7 dies2  7,d7 use of
 machinery2  7,e7 overhead expenses2    
7,f7 marketing2 and  7,g7 shipping4  7b7
 ,bulk sales ,the ,secretary shall make 
bulk sales of the coins issued under    

this ,act at a reasonable discount4  7c7
 ,prepaid orders  7#a7 ,in general ,the 
,secretary shall accept prepaid orders  
for the coins minted under this ,act    
before the issuance of the coins4  7#b7 
,discount ,sale prices with respect to  
prepaid orders under paragraph 7#a7     
shall be at a reasonable discount4  #g4 
,surcharges  7a7 ,in general ,all sales 
of coins issued under this ,act shall   
include a surcharge of--  7#a7 #ce per  
coin for the #e coin2  7#b7 #aj per coin
 for the #a coin2 and  7#c7 #e per coin 
for the half-dollar coin4  7b7          
,distribution ,subject to section       
#eacd7;f7 of title #ca1 ,united ,states 
,code1 all surcharges which are received
 by the ,secretary from the sale of     
coins issued under this ,act shall be   
promptly paid by the ,secretary to the  
,breast ,cancer ,research ,foundation1  
,new ,york1 ,new ,york1 for the purpose 
of furthering research funded by the    
,foundation4  7c7 ,audits ,the surcharge
 recipient under subsection 7b7 shall be

 subject to the audit requirements of   
section #eacd7;f77#b7 of title #ca1     
,united ,states ,code1 with regard to   
the amounts received under that         
subsection4  7d7 ,limitations           
,notwithstanding subsection 7a71 no     
surcharge may be included with respect  
to the issuance under this ,act of any  
coin during a calendar year if1 at the  
time of the issuance1 the issuance of   
the coin would result in the number of  
commemorative coin programs issued      
during that year to exceed the          
commemorative coin program restriction  
under section #eaab7m77#a7 of title #ca1
 ,united ,states ,code 7as in effect on 
the date of the enactment of this ,act74
 ,the ,secretary may issue guidance to  
carry out this subsection4