,,ii  #aad? ,,congress  #b;d ,session   
,s4 #bida  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ag1 #bjaf ,ms4   
,ayotte 7= h]self1 ,mrs4 ,fe9/e91 ,mr4  
,rubio1 & ,ms4 ,cantwell7 introduc$ !   
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to      
require a /udy on wom5 & lung canc]1 & =
 o!r purposes4  #a4 ,%ort title  ,?is   
,act may be cit$ z ! ,wom5 & ,lung      
,canc] ,rese>* & ,prev5tive ,s]vices    
,act ( #bjaf4  #b4 ,f9d+s ,congress f9ds
 z foll[s3 7#a7 ,9 ! ,unit$ ,/ates1 an  
av]age ( #aih wom5 die ea* day ( lung   
canc]1 "o e #g m9utes4  7#b7 ,lung canc]
 is ! lead+ cause ( canc] dea? among    
wom54  7#c7 ,! ,national ,canc]         
,in/itute e/imates t 9 #bjaf1 #ga1fjj   
wom5 w die ( lung canc]1 m ?an ! comb9$ 
total ( all e/imat$ dea?s f brea/ canc] 
7#dj1dej71 ov>ian canc] 7#ad1bdj71      
c]vical canc] 7#d1abj71 ut]9e canc]     
7#aj1dgj7 & o!r gynecologic canc]s      
7#a1iij74  7#d7 ,two-?irds ( nev]-smok]s

 diagnos$ ) lung canc] are wom52 lung   
canc] 9 nev]-smok]s is ! six? lead+     
cause ( all canc] dea?s4  7#e7 ,accord+ 
to a report ( ! ,surgeon ,g5]al 9 #bjad 
entitl$1 ,! ,heal? ,consequ5ces (       
,smok+--#ej ,ye>s ( ,progress1 !        
relative risk ( wom5 smok]s develop+    
lung canc] comp>$ to wom5 :o nev] smok$ 
increas$ t5fold betwe5 #aife & #bjaj4   
7#f7 ,wom5 are at great] risk ?an m5 (  
be+ diagnos$ ) lung canc] at "y ages4   
7#g7 ,wom5 smok]s ) ,,brca#b mutations1 
m commonly associat$ ) brea/ canc]1 h a 
#a 9 #d risk ( develop+ lung canc]4     
7#h7 ,a ,gov]nm5t ,acc\ntability ,(fice 
report publi%$ on ,octob] #bb1 #bjae1   
call$ = ! ,national ,in/itutes ( ,heal? 
to d m 9 evaluat+ g5d] diff]5ces 9      
rese>*4  7#i7 ,additional rese>*        
/rategies & cl9ical trials are necess>y 
to explore ! diff]5ces 9 lung canc] risk
 factors1 incid5ce1 & treatm5t response 
9 wom51 & to address ! disp>ate impact (
 lung canc] on wom5 :o h nev] smok$4    
7#aj7 ,lung canc] scre5+1 :i* c detect  

lung canc] at its e>lie/1 mo/ curable   
/age1 is a cov]$ s]vice available )\t   
co/-%>+ = ^? at high risk4  7#aa7       
,publi%$ pe]-review$ actu>ial /udies    
indicate t lung canc] scre5+ individuals
 at high risk is co/-effective4  7#ab7  
,! ,national ,framework ( ,excell5ce 9  
,lung ,canc] ,scre5+ & ,cont9uum ( ,c>e1
 laun*$ 9 #bjab1 demon/rat$ t lung canc]
 scre5+ c be safely & effectively c>ri$ 
out 9 community hospital sett+s ar\nd ! 
,nation4  7#ac7 ,lung canc] scre5+      
rese>* indicates t ! same te*nology us$ 
to scre5 = lung canc] c\ld be us$ to    
simultane\sly scre5 = e>ly brea/1 he>t1 
& lung diseases1 :i* toge!r con/itute m 
?an #ej p]c5t ( dea?s among wom5 9 !    
,unit$ ,/ates4  7#ad7 ,in=mation on !   
impact ( lung canc] on wom5 & !         
importance ( e>ly detection %\ld be     
incorporat$ into all public heal?       
aw>5ess campaigns4  #c4 ,s5se (         
,congress conc]n+ wom5 & lung canc] ,x  
is ! s5se ( ,congress t-- 7#a7 !re is a 
disp>ate impact ( lung canc] on wom5 &1 

9 p>ticul>1 on wom5 :o h nev] smok$2    
7#b7 additional rese>* /rategies to     
explore ! diff]5ces 9 wom5 ) respect to 
lung canc] risk factors1 incid5ce1      
hi/ology1 & response to treatm5t are    
ju/ifi$ & necess>y2  7#c7 !             
implem5tation ( lung canc] prev5tive    
s]vices = wom5 %\ld be accel]at$2 &     
7#d7 ! public heal? ag5cies ( ! ,f$]al  
,gov]nm5t %\ld coord9ate public         
education & aw>5ess programs on ! impact
 ( lung canc] on wom5 & ! importance (  
e>ly detection4  #d4 ,/udy to evaluate &
 make recomm5dations = ! accel]ation (  
rese>* on wom5 & lung canc]1 great]     
access to prev5tive s]vices1 & /rategic 
public aw>5ess & education campaigns    
7a7 ,/udy ,! ,secret>y ( ,heal? & ,human
 ,s]vices1 9 consultation ) ! ,secret>y 
( ,def5se & ,secret>y ( ,vet]ans        
,affairs1 %all conduct an int]ag5cy /udy
 to evaluate ! /atus (1 & make          
recomm5dations = increas$--  7#a7 rese>*
 on wom5 & lung canc]2  7#b7 access to  
lung canc] prev5tive s]vices2 &  7#c7   

/rategic public aw>5ess & education     
campaigns on lung canc]4  7b7 ,cont5t ,!
 /udy & recomm5dations "u subsection 7a7
 %all include--  7#a7 a review &        
compreh5sive report on ! outcomes (     
previ\s rese>*1 ! /atus ( exi/+ rese>*  
activities1 & k gaps relat$ to wom5 &   
lung canc] 9 all ag5cies ( ! ,f$]al     
,gov]nm5t2  7#b7 specific recomm5dations
 = a collaborative1 int]ag5cy1          
multidiscipl9>y1 & innovative rese>*    
program1 t w\ld--  7,a7 enc\rage        
innovative approa*es to elim9ate k gaps 
9 rese>*2  7,b7 evaluate environm5tal & 
g5omic factors t may be relat$ to !     
etiology ( lung canc] 9 wom52 &  7,c7   
fo/] advances 9 imag+ te*nology to      
improve risk assessm5t1 diagnosis1      
treatm5t1 & ! simultane\s application ( 
o!r prev5tive s]vices2  7#c7            
recomm5dations = ! developm5t ( a       
national lung canc] scre5+ /rategy )    
suffici5t infra/ructure & p]sonnel      
res\rces to exp& access to su* scre5+1  
p>ticul>ly among und]s]v$ populations2 &

  7#d7 recomm5dations = ! developm5t ( a
 national public education & aw>5ess    
campaign on wom5 & lung canc] & !       
importance ( e>ly detection ( lung      
canc]4  7c7 ,report ,n lat] ?an #ahj    
days aft] ! date ( ! enactm5t ( ?is     
,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices %all submit to ,congress a     
report on ! /udy conduct$ "u subsection 
7a74