,i #aafth ,,congress #ast ,session ,h4 ,r4 #bbbb ,,in ,,the ,,house ,,of ,,representatives ,april #aj1 #bjai,mr4 ,brendan ,f4 ,boyle of ,pennsylvania 7for himself1 ,mr4 ,fitzpatrick1 ,mr4 ,rutherford1 ,ms4 ,bonamici1 and ,mrs4 ,dingell7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to require a review of 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 #bjai4 #b4 ,findings ,congress finds as follows3 7#a7 ,according to the ,american ,cancer ,society1 in the ,united ,states1 approximately #aha women die each day of lung cancer1 or about one woman every #h minutes4 7#b7 ,lung cancer is the leading cause of cancer death among women4 7#c7 ,the ,american ,cancer ,society estimates that #ff1jbj women will die of lung cancer in #bjai4 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 ,american ,cancer ,society1 new cases of lung cancer dropped by #c percent per year in men from #bjaa to #bjae1 while new cases in women only dropped #a4e percent per year in the same time period4 7#f7 ,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#g7 ,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#h7 ,exposure to radon accounts for approximately #ba1jjj deaths from lung cancer each year and is the second leading cause of lung cancer in non-smokers4 7#i7 ,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#aj7 ,additional research strategies1 including clinical trials1 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#aa7 ,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#ab7 ,published peer-reviewed actuarial studies indicate that lung cancer screening individuals at high risk may be cost-effective4 7#ac7 ,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#ad7 ,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 ,interagency review to evaluate and identify opportunities for the acceleration of research on women and lung cancer1 greater access to preventive services1 and strategic public awareness and education campaigns 7a7 ,review ,the ,secretary of ,health and ,human ,services1 in consultation with the ,secretary of ,defense and ,secretary of ,veterans ,affairs1 shall conduct an interagency review to evaluate the status of1 and identify opportunities related to-- 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 review 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 opportunities for collaborative1 interagency1 multidisciplinary1 and innovative research1 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 opportunities regarding 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 opportunities regarding 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 one year after the date of the enactment of this ,act1 the ,secretary of ,health and ,human ,services shall submit to ,congress a report on the review conducted under subsection 7a74