,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #cabi  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #e1 #bjai,mr4   
,gomez 7= himself1 ,mr4 ,aguil>1 ,ms4   
,b>ragn1 ,ms4 ,br[nley ( ,cali=nia1 ,mr4
 ,danny ,k4 ,davis ( ,ill9ois1 ,mrs4    
,dem+s1 ,ms4 ,escob>1 ,ms4 ,haal&1 ,mr4 
,ha/+s1 ,ms4 ,jackson ,lee1 ,mr4        
,khanna1 ,ms4 ,lee ( ,cali=nia1 ,mr4    
,lujn1 ,mrs4 ,c>olyn ,b4 ,maloney ( ,new
 ,york1 ,ms4 ,moore1 ,mr4 ,morelle1 ,mr4
 ,m\lton1 ,ms4 ,muc>sel-,p[ell1 ,ms4    
,norton1 ,mr4 ,pet]s1 ,miss ,rice ( ,new
 ,york1 ,ms4 ,s*ak[sky1 ,mr4 ,soto1 ,ms4
 ,velzquez1 ,ms4 ,wass]man ,s*ultz1 ,mr4
 ,wel*1 ,ms4 ,pressley1 ,mr4 ,blum5au]1 
,mr4 ,higg9s ( ,new ,york1 ,mr4 ,rask91 
,mrs4 ,flet*]1 & ,mr4 ,grijalva7        
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to provide wom5 ) increas$     
access to prev5tive & life-sav+ canc]   
scre5+4  #a4 ,%ort title ,?is ,act may  
be cit$ z ! ,jeanette ,aco/a ,inve/ 9   
,wom5's ,heal? ,act ( #bjai4  #b4       

,purpose ,x is ! purpose ( ?is ,act to  
provide wom5 ) increas$ access to       
prev5tive & life-sav+ canc] scre5+1     
includ+ cl9ical brea/ exams & c]vical1  
ov>ian1 ut]9e1 vag9al1 & vulv> canc]    
scre5+1 provid$ by lead+ wom5's heal?   
c>e provid]s :o--  7#a7 s]ve populations
 mo/ at risk2 &  7#b7 play an outsiz$   
role 9 ! prev5tion & detection ( canc] 9
 ord] to s]ve ! goal ( r$uc+ heal? c>e  
disp>ities among l[-income wom5 & wom5 (
 color1 decrease heal? c>e sp5d+1 & exp&
 heal? lit]acy1 access1 & education ab\t
 ! b5efits ( regul> prev5tive canc]     
scre5+ = wom54  #c4 ,f9d+s ,congress    
f9ds z foll[s3 7#a7 ,brea/ canc] is !   
lead+ cause ( canc] dea? 9 wom5 "u ! age
 ( #ed1 & ! ,am]ican ,canc] ,society    
recomm5ds t wom5 9 _! #bjs & #cjs h a   
cl9ical brea/ exam at lea/ e #c ye>s4   
7#b7 ,ov>ian canc] causes m dea?s ?an   
any o!r canc] ( ! female reproductive   
sy/em1 b x acc\nts = only ab\t #c p]c5t 
( all canc]s 9 wom54  7#c7 ,! canc]s t  
mo/ frequ5tly impact wom5 include brea/1

 ut]9e1 ov>ian1 & c]vical canc]1 & !re 7
 #cca1cid new cases ( ^! canc]s 9 #bjae4
  7#d7 ,rates ( incid5ce & dea? =       
gynecologic canc]s by race & e?nicity %[
 t1 :ile = "s canc]s1 l ov>ian canc]1 ! 
rates ( incid5ce & dea? are simil> among
 all races1 = o!r canc]s1 l c]vical     
canc]1 wom5 ( color h a disproportionate
 rate ( incid5ce4 ,:ile ! incid5ce (    
ut]9e canc] is simil> = ,:ite wom5 &    
wom5 ( color1 rates ( dea? = ut]9e canc]
 are #b times high] = ,black wom5 ?an = 
,:ite wom54  7#e7 ,prev5tion & canc]    
scre5+ are ! be/ approa*es to protect+  
wom5 f canc] & ensur+ e>ly detection &  
life-sav+ treatm5t4 ,_m dea?s f brea/ & 
c]vical canc]s c\ld be avoid$ if canc]  
scre5+ rates & diagno/ic c>e & s]vices  
increas$ among wom5 at risk4 ,dea?s f ^!
 canc]s occur disproportionately among  
wom5 :o are un9sur$ or und]9sur$4  7#f7 
,due to enhanc$ scre5+1 c]vical canc]1  
:i* us$ to be ! lead+ cause ( canc] dea?
 = wom5 9 ! ,unit$ ,/ates1 is n[ a mu* m
 prev5table & treatable canc]4 ,x is    

also highly curable :5 f\nd & treat$    
e>ly4  7#g7 ,increas$ access to         
education1 in=mation1 & prev5tive canc] 
scre5+ increase wom5's ability to       
survive canc]4  7#h7 ,:ile m ?an #ae    
p]c5t ( cases ( c]vical canc] are f\nd 9
 wom5 ov] ! age ( #fe1 x becomes less   
likely t wom5 are te/$ = c]vical canc]  
ev] or )9 ! previ\s #e ye>s z _! age    
increases4  7#i7 ,wom5's heal? c>e      
provid]s t are prim>ily engag$ 9 family 
plann+ s]vices1 su* z ,plann$ ,p>5?ood  
heal? c5t]s1 provide necess>y scre5+    
te/s1 education1 & in=mation to wom51   
especially wom5 ( color :o face ! highe/
 risks ( brea/ canc] & o!r gynecologic  
canc]s4  #d4 ,/r5g!n+ access to canc]   
scre5+ = wom5  7a7 ,9 g5]al ,"p ,b (    
title ,,iii ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #bdc et seq47 is    
am5d$ by ins]t+ aft] section #cag,p !   
foll[+3  #cag,p-#a4 ,grants = wom5's    
heal? c>e provid]s  7a7 ,9 g5]al ,!     
,secret>y is au?oriz$ to make grants &  
to ent] into contracts ) public or      

nonpr(it private entities to exp&       
prev5tive heal? s]vices1 z provid$ = 9 !
 ,prev5tive ,s]vices ,guidel9es ( !     
,heal? ,res\rces & ,s]vice ,adm9i/ration
 t 7 9 effect on ,octob] #cj1 #bjag1 )  
an emphasis on increas+ access to       
critical1 life-sav+ canc] scre5+1 ,pap  
te/s1 human papillomavirus vacc9ation1 &
 diagno/ic te/s = wom5 ) canc] symptoms1
 p>ticul>ly wom5 ( color4  7b7          
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section1 #bj1jjj1jjj = ea* ( fiscal 
ye>s #bjbj ?r\gh #bjbc4  4  7b7 ,fund+  
,!re is au?oriz$ to be appropriat$ to   
c>ry out programs relat$ to brea/ &     
gynecologic canc]s "u title ,,xix ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq47 & title ,x ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj 
et seq471 & ! ,national ,brea/ &        
,c]vical ,canc] ,e>ly ,detection        
,program1 su* sums z may be necess>y =  
ea* ( fiscal ye>s #bjbj ?r\gh #bjbc4    
#e4 ,exp& canc] scre5+ provid] tra9+ ,"p

 ,b ( title ,,iii ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4 #bdc et     
seq471 z am5d$ by section #d1 is fur!r  
am5d$ by ins]t+ aft] section #cag,p-#a !
 foll[+3  #cag,p-#b4 ,wom5's heal? c>e  
provid]s demon/ration tra9+ project  7a7
 ,e/abli%m5t ( program ,! ,secret>y %all
 e/abli% a demon/ration program 7ref]r$ 
to 9 ?is section z ! program7 to aw>d   
#c-ye> grants to eligible entities = !  
tra9+ ( physicians1 nurse practition]s1 
& o!r heal? c>e provid]s relat$ to      
life-sav+ brea/ & gynecologic canc]     
scre5+ = wom54  7b7 ,purpose ,! purpose 
( ! program is to enable ea* grant      
recipi5t to-- 7#a7 provide to lic5s$    
physicians1 nurse practition]s1 & o!r   
heal? c>e provid]s1 ?r\gh cl9ical tra9+1
 education1 & practice1 ! mo/ up-to-date
 cl9ical guidel9es & rese>* adopt$ by ! 
,national ,academies ( ,sci5ces1        
,eng9e]+1 & ,m$ic9e 9 ! area ( prev5tive
 canc] scre5+ = brea/ & gynecologic     
canc]s2  7#b7 e/abli% a model ( tra9+ = 
physicians1 nurse practition]s1 & o!r   

heal? c>e provid]s t specializes 9      
wom5's heal? c>e1 ) a specific focus on 
brea/ & gynecologic canc] scre5+1 t may 
be replicat$ nationwide2 &  7#c7 tra9   
physicians1 nurse practition]s1 & o!r   
heal? c>e provid]s to s]ve rural        
communities1 l[-income communities1 &   
communities ( color 9 brea/ &           
gynecologic canc] scre5+4  7c7 ,eligible
 entities ,to be eligible to receive a  
grant "u ?is section1 an entity %all    
be-- 7#a7 an entity t receives fund+ "u 
section #ajja2  7#b7 an ess5tial        
community provid] prim>ily engag$ 9     
family plann+1 z def9$ 9 section        
#aef4bce ( title #de1 ,code ( ,f$]al    
,regulations 7or any successor          
regulations72  7#c7 an entity t furni%es
 items or s]vices to individuals :o are 
eligible = m$ical assi/ance "u title    
,,xix ( ! ,social ,security ,act2 or    
7#d7 an entity t1 at ! "t ( application1
 provides canc] scre5+ s]vices "u !     
,national ,brea/ & ,c]vical ,canc] ,e>ly
 ,detection ,program ( ! ,c5t]s =       

,disease ,control & ,prev5tion4  4  #f4 
,/udy & report to ,congress on increas$ 
canc] scre5+ = wom5  7a7 ,9 g5]al ,!    
,secret>y ( ,heal? & ,human ,s]vices    
7ref]r$ to 9 ?is section z ! ,secret>y7 
%all conduct a /udy 7& p]iodically      
update su* /udy7 on increas$ access to  
wom5's prev5tive life-sav+ canc] scre5+ 
across ! ,unit$ ,/ates1 &1 n lat] ?an   
,janu>y #a1 #bjbe1 & e #e ye>s !reaft]1 
! ,secret>y %all submit a report to     
,congress on su* /udy4  7b7 ,cont5ts ,! 
/udy & reports "u subsection 7a7 %all   
include3 7#a7 ,a #ej-,/ate analysis (   
brea/ & gynecologic canc] rates among   
wom51 includ+ by geographic area1       
income1 race1 & /atus ( insurance       
cov]age4  7#b7 ,a #ej-,/ate analysis (  
canc] scre5+ provid$ by wom5's heal? c>e
 provid]s1 includ+ cl9ical brea/ exams1 
o!r scre5+ = brea/ canc]1 & scre5+ =    
c]vical canc]1 ov>ian canc]1 & o!r      
gynecologic canc]s4  7#c7 ,an analysis (
 ! aw>5ess & availability ( brea/1      
c]vical1 ov>ian1 & o!r gynecological    

canc] scre5+ options = wom5 )           
disproportionate rates ( gynecological  
canc]s1 includ+ ,african-,am]ican wom51 
,hispanic & ,lat9a wom51 & o!r          
disproportionately impact$ gr\ps1       
accord+ to ! #ej-,/ate analyses describ$
 9 p>agraphs 7#a7 & 7#b74  7#d7 ,9      
consultation ) ! ,comptroll] ,g5]al ( ! 
,unit$ ,/ates1 e/imat$ ,f$]al sav+s     
a*iev$ ?r\gh e>ly detection ( brea/ &   
gynecologic canc]4  7#e7 ,analysis ( h[ 
access to heal? c>e provid]s tra9$ "u ! 
program describ$ 9 section #cag,p-#b ( !
 ,public ,heal? ,s]vice ,act1 z add$ by 
section #e1 9 comp>ison to o!r heal? c>e
 provid]s1 increas$ e>ly detection (    
canc] = wom54  7#f7 ,recomm5dations by !
 ,secret>y ) respect to ! ne$ = cont9u$ 
increas$ access to wom5's heal? c>e     
provid]s1 su* z ! entities describ$ 9   
section #cag,p-#b7;c7 ( ! ,public ,heal?
 ,s]vice ,act1 z add$ by section #d1 :o 
provide prev5tive c>e1 includ+ life-sav+
 canc] scre5+4  7#g7 ,recomm5dations =  
increas+ scre5+ rates = wom5 :o are less

 likely to be scre5$ or treat$ = brea/1 
c]vical1 ov>ian1 & o!r gynecological    
canc]s1 includ+ ,african-,am]ican wom51 
,hispanic & ,lat9a wom51 & old] wom54   
#g4 ,demon/ration project on co-te/+ =  
human papillomavirus & c]vical canc] ,"p
 ,b ( title ,,iii ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4 #bdc et     
seq471 z am5d$ by section #e1 is fur!r  
am5d$ by ins]t+ aft] section #cag,p-#b !
 foll[+3  #cag,p-#c4 ,demon/ration      
project on co-te/+ = human              
papillomavirus & c]vical canc]  7a7 ,9  
g5]al ,! ,secret>y1 9 coord9ation ) !   
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion & ! ,adm9i/rator ( !      
,heal? ,res\rces & ,s]vices             
,adm9i/ration1 %all e/abli% a #b-ye>    
demon/ration project on increas+ !      
co-te/+ ( human papillomavirus & c]vical
 canc] scre5+s to develop models =      
increas+ ! rates ( co-te/+ among wom5 ) 
disproportionate rates ( c]vical canc]1 
includ+ ,african-,am]ican & ,hispanic & 
,lat9a wom54  7b7 ,use ( funds ,entities

 receiv+ funds "u ?is section %all use  
su* funds to-- 7#a7 increase access to  
co-te/+ ( ,human papillomavirus &       
c]vical canc] among pati5ts )           
disproportionate rates ( c]vical canc]1 
includ+ ,african-,am]ican & ,hispanic & 
,lat9a wom52  7#b7 support culturally & 
l+ui/ically appropriate deliv]y models  
to su* pati5ts1 includ+ ?r\gh !         
provision ( int]pretation s]vices2 or   
7#c7 provide o!r s]vices to improve     
heal? outcomes ) respect to su* pati5ts4
  7c7 ,prioritization ,priority = fund+ 
available "u ?is section %all be giv5 to
 entities s]v+ l[-income1 un9sur$1 &    
m$ically und]s]v$ populations or        
populations ) hi/orically l[ rates ( su*
 co-te/+1 su* z old] wom54  7d7         
,eligible entities ,to be eligible to   
receive a grant "u ?is section1 an      
entity %all be an entity describ$ 9     
section #cag,p-#b7;c74  4