,i #aah? ,,congress #a/ ,session ,h4 ,r4 #ciaf ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,june #g1 #bjbc,mr4 ,morelle 7= himself & ,mr4 ,fitzpatrick7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to reau?orize & improve ! ,national ,brea/ & ,c]vical ,canc] ,e>ly ,detection ,program = fiscal ye>s #bjbd ?r\gh #bjbh1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,scre5+ = ,communities to ,receive ,e>ly & ,equitable ,ne$$ ,s]vices = ,canc] ,act ( #bjbc or ! ,,scre5s = ,canc] ,act ( #bjbc4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,9 #bjbc1 !re w be m ?an #cjj1eij new cases ( invasive brea/ canc] & ne>ly #dd1jjj brea/ canc] dea?s 9 ! ,unit$ ,/ates4 7#b7 ,9 #bjbc1 !re w be ab\t #ac1ifj new cases ( invasive c]vical canc] & ab\t #d1caj dea?s f c]vical canc]4 7#c7 ,black wom5 h ! highe/ brea/1 c]vical1 & ut]9e canc] dea? rates ( all racial & e?nic gr\ps & are m likely to be diagnos$ ) triple-negative brea/ canc]1 a m aggressive =m ( canc]4 7#d7 ,rese>* %[s t ! ,,covid-#ai p&emic 0 associat$ ) a decl9e ( m ?an #c1ijj1jjj brea/ canc] scre5+s 9 #bjbj1 z comp>$ to #bjai4 ,simil>ly1 c]vical canc] scre5+ utilization dropp$ by #ij p]c5t 9 ,april #bjbj1 relative to ! prior ye>4 7#e7 ,rese>* sugge/s t ^? po/pon$ brea/ scre5+s appe>$ to disproportionately affect wom5 ( color3 ,non-,hispanic ,:ite wom5 _h #ag p]c5t few] brea/ canc] diagnoses1 :ile ! ye>-ov]-ye> decl9e 0 #ec p]c5t = ,asian wom51 #dc p]c5t = ,hispanic wom51 & #bg p]c5t = ,black wom54 7#f7 ,! ,national ,canc] ,in/itute e/imates t p&emic-relat$ disruptions or delays 9 brea/ c>e & scre5+ are expect$ to result 9 an excess ( #b1ejj brea/ canc] dea?s by #bjcj4 7#g7 ,s9ce its creation 9 #aiia1 ! ,national ,brea/ & ,c]vical ,canc] ,e>ly ,detection ,program 7ref]r$ to 9 ?is section z ! ,,nbcc$p7 has provid$ lifesav+ canc] scre5+ & diagno/ic s]vices to l[-income1 un9sur$1 or und]9sur$ wom5 9 all #ej ,/ates1 ! ,di/rict ( ,columbia1 #f t]ritories1 & #ac ,tribes or ,tribal organizations4 7#h7 ,,nbcc$p seeks to r$uce inequities 9 brea/ & c]vical canc] scre5+ & diagnosis1 plac+ special emphasis on outrea* to wom5 :o are memb]s ( racial or e?nic m9ority gr\ps1 & ^? :o are geographically or culturally isolat$4 7#i7 ,,nbcc$p has s]v$ m ?an #f1ajj1jjj p & provid$ m ?an #ae1gjj1jjj brea/ & c]vical canc] scre5+ exam9ations4 7#aj7 ,^! scre5+ exams h diagnos$ ne>ly #gf1jjj invasive brea/ canc]s & m ?an #bd1jjj premalignant brea/ lesions1 z well z m ?an #e1ajj invasive c]vical canc]s & #bce1jjj premalignant c]vical lesions1 ( :i* #ci p]c5t 7 high-grade4 7#aa7 ,! program also provides public education1 outrea*1 pati5t navigation1 & c>e coord9ation to increase brea/ & c]vical canc] scre5+ rates & rea* und]s]v$ populations4 7#ab7 ,reau?oriz+ ,,nbcc$p w result 9 exp&$ s]vices1 lead+ to m p be+ scre5$ & m canc]s diagnos$ at e>li] /ages4 #c4 ,national ,brea/ & ,c]vical ,canc] ,e>ly ,detection ,program ,title ,,xv ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjk et seq47 is am5d$-- 7#a7 9 section #aeja 7#db ,u4,s4,c4 #cjjk7-- 7,a7 9 subsection 7a7-- 7i7 9 p>agraph 7#b71 by /rik+ ! provision ( appropriate foll[-up s]vices & support s]vices su* z case managem5t & ins]t+ t appropriate foll[-up s]vices are provid$2 7ii7 9 p>agraph 7#c71 by /rik+ programs = ! detection & control & ins]t+ = ! prev5tion1 detection1 & control2 7iii7 9 p>agraph 7#d71 by /rik+ ! detection & control & ins]t+ ! prev5tion1 detection1 & control2 7iv7 9 p>agraph 7#e7-- 7,i7 by /rik+ monitor & ins]t+ ensure2 & 7,,ii7 by /rik+ 2 & & ins]t+ a semicolon2 7v7 by r$esignat+ p>agraph 7#f7 z p>agraph 7#i72 7vi7 by ins]t+ aft] p>agraph 7#e71 ! foll[+3 7#f7 to enhance appropriate support activities to increase brea/ & c]vical canc] scre5+ su* z pati5t navigation1 implem5tation ( evid5ce-bas$ or evid5ce-in=m$ /rategies prov5 to increase brea/ & c]vical canc] scre5+ 9 heal? c>e sett+s1 & facilitat+ access to heal? c>e sett+s2 7#g7 to r$uce disp>ities 9 incid5ts ( & dea?s due to brea/ & c]vical canc] 9 populations ) high] ?an av]age rates2 7#h7 to ensure equitable access to scre5+ & diagno/ic s]vices & improve access = individuals :o enc\nt] additional b>ri]s to receiv+ s]vices1 includ+ due to v>i\s social det]m9ants ( heal?2 & 2 & 7vii7 9 p>agraph 7#i71 z s r$esignat$1 by /rik+ ?r\gh 7#e7 & ins]t+ ?r\gh 7#h72 & 7,b7 by /rik+ subsection 7d72 7#b7 9 section #aejc 7#db ,u4,s4,c4 #cjjm7-- 7,a7 9 subsection 7a7-- 7i7 9 p>agraph 7#a71 by /rik+ t1 initially & all t foll[s ?r\gh ! semicolon & ins]t+ t appropriate brea/ & c]vical canc] scre5+ & diagno/ic s]vices are provid$ bas$ on national recomm5dations2 &2 7ii7 by /rik+ p>agraphs 7#b7 & 7#d72 7iii7 by r$esignat+ p>agraph 7#c7 z p>agraph 7#b72 & 7iv7 9 p>agraph 7#b71 z s r$esignat$1 by /rik+ 2 & & ins]t+ a p]iod2 & 7,b7 by /rik+ subsection 7d72 7#c7 9 section #aejh7;b7 7#db ,u4,s4,c4 #cjjn-#d7;b77-- 7,a7 by /rik+ #a ye> aft] ! date ( ! enactm5t ( ! ,national ,brea/ & ,c]vical ,canc] ,e>ly ,detection ,program ,reau?orization ( #bjjg1 & annually !reaft]1 & ins]t+ #b ye>s aft] ! date ( enactm5t ( ! ,scre5+ = ,communities to ,receive ,e>ly & ,equitable ,ne$$ ,s]vices = ,canc] ,act ( #bjbc1 & e #e ye>s !reaft]12 7,b7 by /rik+ ,labor & ,human ,res\rces & ins]t+ ,heal?1 ,education1 ,labor1 & ,p5sions2 & 7,c7 by /rik+ prec$+ fiscal ye> & ins]t+ prec$+ #b fiscal ye>s 9 ! case ( ! fir/ report aft] ! date ( enactm5t ( ! ,scre5+ = ,communities to ,receive ,e>ly & ,equitable ,ne$$ ,s]vices = ,canc] ,act ( #bjbc & prec$+ #e fiscal ye>s = ea* report !reaft]2 & 7#d7 9 section #aeaj7;a7 7#db ,u4,s4,c4 #cjjn-#e7;a77-- 7,a7 by /rik+ & aft] #bjaa12 & 7,b7 by ins]t+ 1 #bge1jjj1jjj = fiscal ye> #bjbd1 #ccj1jjj1jjj = fiscal ye> #bjbe1 #che1jjj1jjj = fiscal ye> #bjbf1 #ddj1jjj1jjj = fiscal ye> #bjbg1 & #ejj1jjj1jjj = fiscal ye> #bjbh be=e ! p]iod at ! end4