,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #aajg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #aj1 #bjai,mr4  
,rubio 7= himself1 ,mrs4 ,fe9/e91 ,mrs4 
,capito1 & ,mr4 ,man*97 introduc$ !     
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to      
require a review ( wom5 & lung canc]1 & 
= o!r purposes4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,wom5 & ,lung      
,canc] ,rese>* & ,prev5tive ,s]vices    
,act ( #bjai4  #b4 ,f9d+s ,congress f9ds
 z foll[s3 7#a7 ,accord+ to ! ,am]ican  
,canc] ,society1 9 ! ,unit$ ,/ates1     
approximately #aha wom5 die ea* day (   
lung canc]1 or ab\t "o woman e #h       
m9utes4  7#b7 ,lung canc] is ! lead+    
cause ( canc] dea? among wom54  7#c7 ,! 
,am]ican ,canc] ,society e/imates t     
#ff1jbj wom5 w die ( lung canc] 9 #bjai4
  7#d7 ,/udies h %[n a high] incid5ce   
rate ( lung canc] = wom5 :o 7 nev]      
smok]s comp>$ to m5 :o 7 nev] smok]s4   
7#e7 ,accord+ to ! ,am]ican ,canc]      

,society1 new cases ( lung canc] dropp$ 
by #c p]c5t p] ye> 9 m5 f #bjaa to      
#bjae1 :ile new cases 9 wom5 only dropp$
 #a4e p]c5t p] ye> 9 ! same "t p]iod4   
7#f7 ,accord+ to ! #bjad report1 ,!     
,heal? ,consequ5ces ( ,smok+--#ej ,ye>s 
( ,progress3 ,a ,report ( ! ,surgeon    
,g5]al1 #bjad1 ! relative risk (        
develop+ lung canc] increas$ t5fold     
among female smok]s betwe5 #aiei &      
#bjaj4  7#g7 ,accord+ to ! ,am]ican     
,canc] ,society1 approximately #dj p]c5t
 ( lung canc]s are ad5oc>c9oma1 a       
subtype ( non-small cell lung canc]1 :i*
 is ! mo/ common type ( canc] se5 9     
non-smok]s & is m common 9 wom5 ?an 9   
m54  7#h7 ,exposure to radon acc\nts =  
approximately #ba1jjj dea?s f lung canc]
 ea* ye> & is ! second lead+ cause (    
lung canc] 9 non-smok]s4  7#i7 ,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#aj7
 ,additional rese>* /rategies1 includ+  

cl9ical trials1 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$4  7#aa7   
,lung canc] scre5+1 :i* c detect lung   
canc] at its e>lie/1 mo/ curable /age1  
is a cov]$ s]vice available )\t co/-%>+ 
= ^? at high risk4  7#ab7 ,publi%$      
pe]-review$ actu>ial /udies indicate t  
lung canc] scre5+ individuals at high   
risk may be co/-effective4  7#ac7 ,!    
,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#ad7 ,in=mation on ! impact (
 lung canc] on wom5 & ! importance (    
e>ly detection %\ld be incorporat$ into 
all relevant 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 ,int]ag5cy review to evaluate &     
id5tify opportunities = ! accel]ation ( 
rese>* on wom5 & lung canc]1 great]     
access to prev5tive s]vices1 & /rategic 
public aw>5ess & education campaigns    
7a7 ,9 g5]al ,! ,secret>y ( ,heal? &    
,human ,s]vices1 9 consultation ) !     
,secret>y ( ,def5se & ,secret>y (       
,vet]ans ,affairs1 %all conduct an      
int]ag5cy review to evaluate ! /atus (1 
& id5tify opportunities relat$ to--     
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 ,! review & 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$]al ,gov]nm5t2  7#b7 specific        
opportunities = collaborative1          
int]ag5cy1 multidiscipl9>y1 & innovative
 rese>*1 t w\ld--  7,a7 enc\rage        
innovative approa*es to elim9ate k gaps 
9 rese>*2  7,b7 evaluate environm5tal & 
g5omic factors t may be relat$ 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            
opportunities reg>d+ ! 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 opportunities reg>d+ ! developm5t
 ( a national public education & aw>5ess
 campaign on wom5 & lung canc] & !      
importance ( e>ly detection ( lung      
canc]4  7c7 ,report ,n lat] ?an "o ye>  
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y ( ,heal? & ,human ,s]vices    
%all submit to ,congress a report on !  
review conduct$ "u subsection 7a74