,,ii #aadth ,,congress #b;d ,session ,s4 #bida ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,may #ag1 #bjaf ,ms4 ,ayotte 7for herself1 ,mrs4 ,feinstein1 ,mr4 ,rubio1 and ,ms4 ,cantwell7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to require a study on women and lung cancer1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,women and ,lung ,cancer ,research and ,preventive ,services ,act of #bjaf4 #b4 ,findings ,congress finds as follows3 7#a7 ,in the ,united ,states1 an average of #aih women die each day of lung cancer1 one every #g minutes4 7#b7 ,lung cancer is the leading cause of cancer death among women4 7#c7 ,the ,national ,cancer ,institute estimates that in #bjaf1 #ga1fjj women will die of lung cancer1 more than the combined total of all estimated deaths from breast cancer 7#dj1dej71 ovarian cancer 7#ad1bdj71 cervical cancer 7#d1abj71 uterine cancer 7#aj1dgj7 and other gynecologic cancers 7#a1iij74 7#d7 ,two-thirds of never-smokers diagnosed with lung cancer are women2 lung cancer in never-smokers is the sixth leading cause of all cancer deaths4 7#e7 ,according to a report of the ,surgeon ,general in #bjad entitled1 ,the ,health ,consequences of ,smoking--#ej ,years of ,progress1 the relative risk of women smokers developing lung cancer compared to women who never smoked increased tenfold between #aife and #bjaj4 7#f7 ,women are at greater risk than men of being diagnosed with lung cancer at young ages4 7#g7 ,women smokers with ,,brca#b mutations1 more commonly associated with breast cancer1 have a #a in #d risk of developing lung cancer4 7#h7 ,a ,government ,accountability ,office report published on ,october #bb1 #bjae1 called for the ,national ,institutes of ,health to do more in evaluating gender differences in research4 7#i7 ,additional research strategies and clinical trials are necessary to explore the differences in lung cancer risk factors1 incidence1 and treatment response in women1 and to address the disparate impact of lung cancer on women who have never smoked4 7#aj7 ,lung cancer screening1 which can detect lung cancer at its earliest1 most curable stage1 is a covered service available without cost-sharing for those at high risk4 7#aa7 ,published peer-reviewed actuarial studies indicate that lung cancer screening individuals at high risk is cost-effective4 7#ab7 ,the ,national ,framework of ,excellence in ,lung ,cancer ,screening and ,continuum of ,care1 launched in #bjab1 demonstrated that lung cancer screening can be safely and effectively carried out in community hospital settings around the ,nation4 7#ac7 ,lung cancer screening research indicates that the same technology used to screen for lung cancer could be used to simultaneously screen for early breast1 heart1 and lung diseases1 which together constitute more than #ej percent of deaths among women in the ,united ,states4 7#ad7 ,information on the impact of lung cancer on women and the importance of early detection should be incorporated into all public health awareness campaigns4 #c4 ,sense of ,congress concerning women and lung cancer ,it is the sense of ,congress that-- 7#a7 there is a disparate impact of lung cancer on women and1 in particular1 on women who have never smoked2 7#b7 additional research strategies to explore the differences in women with respect to lung cancer risk factors1 incidence1 histology1 and response to treatment are justified and necessary2 7#c7 the implementation of lung cancer preventive services for women should be accelerated2 and 7#d7 the public health agencies of the ,federal ,government should coordinate public education and awareness programs on the impact of lung cancer on women and the importance of early detection4 #d4 ,study to evaluate and make recommendations for the acceleration of research on women and lung cancer1 greater access to preventive services1 and strategic public awareness and education campaigns 7a7 ,study ,the ,secretary of ,health and ,human ,services1 in consultation with the ,secretary of ,defense and ,secretary of ,veterans ,affairs1 shall conduct an interagency study to evaluate the status of1 and make recommendations for increased-- 7#a7 research on women and lung cancer2 7#b7 access to lung cancer preventive services2 and 7#c7 strategic public awareness and education campaigns on lung cancer4 7b7 ,content ,the study and recommendations under subsection 7a7 shall include-- 7#a7 a review and comprehensive report on the outcomes of previous research1 the status of existing research activities1 and knowledge gaps related to women and lung cancer in all agencies of the ,federal ,government2 7#b7 specific recommendations for a collaborative1 interagency1 multidisciplinary1 and innovative research program1 that would-- 7,a7 encourage innovative approaches to eliminate knowledge gaps in research2 7,b7 evaluate environmental and genomic factors that may be related to the etiology of lung cancer in women2 and 7,c7 foster advances in imaging technology to improve risk assessment1 diagnosis1 treatment1 and the simultaneous application of other preventive services2 7#c7 recommendations for the development of a national lung cancer screening strategy with sufficient infrastructure and personnel resources to expand access to such screening1 particularly among underserved populations2 and 7#d7 recommendations for the development of a national public education and awareness campaign on women and lung cancer and the importance of early detection of lung cancer4 7c7 ,report ,not later than #ahj days after the date of the enactment of this ,act1 the ,secretary of ,health and ,human ,services shall submit to ,congress a report on the study conducted under subsection 7a74