,i  #aaeth ,,congress  #b;d ,session    
,h4 ,r4 #dhig  ,,in ,,the ,,house ,,of  
,,representatives  ,january #cj1        
#bjah,mr4 ,lo,biondo 7for himself1 ,mr4 
,nolan1 ,ms4 ,bonamici1 and ,mrs4       
,comstock7 introduced the following     
bill2 which was referred to the         
,committee on ,energy and ,commerce  ,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 #bjah4  #b4 ,findings ,congress     
finds as follows3  7#a7 ,according to   
the ,american ,cancer ,society1 in the  
,united ,states1 approximately #aic     
women die each day of lung cancer1 or   
about one woman every #g minutes4  7#b7 
,lung cancer is the leading cause of    
cancer death among women4  7#c7 ,the    
,american ,cancer ,society estimates    
that #gj1ejj women will die of lung     
cancer in #bjah4  7#d7 ,studies have    
shown a higher incidence rate of lung   

cancer for women who were never smokers 
compared to men who were never smokers4 
7#e7 ,according to the #bjad report1    
,the ,health ,consequences of           
,smoking--#ej ,years of ,progress3 ,a   
,report of the ,surgeon ,general1 #bjad1
 the relative risk of developing lung   
cancer increased tenfold among female   
smokers between #aiei and #bjaj4  7#f7  
,according to the ,american ,cancer     
,society1 approximately #dj percent of  
lung cancers are adenocarcinoma1 a      
subtype of non-small cell lung cancer1  
which is the most common type of cancer 
seen in non-smokers and is more common  
in women than in men4  7#g7 ,exposure to
 radon accounts for approximately       
#ba1jjj deaths from lung cancer each    
year and is the leading cause of lung   
cancer in non-smokers4  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 ,information 
on the impact of lung cancer on women   
and the importance of early detection   
should be incorporated into all relevant

 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