,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #icjd  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,augu/ #f1 #bjbd,ms4  
,c>aveo 7= h]self & ,mr4 ,wilson ( ,s\? 
,c>ol9a7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to require !      
,director ( ! ,national ,canc] ,in/itute
 to conduct a review ( ! curr5t /ate (  
/oma* canc] incid5ce1 prev5tion1 scre5+1
 aw>5ess1 & future public heal?         
importance1 & = o!r purposes4  #a4 ,%ort
 title ,?is ,act may be cit$ z ! ,/oma* 
,canc] ,prev5tion & ,e>ly ,detection    
,act4  #b4 ,f9d+s ,congress f9ds !      
foll[+3 7#a7 ,/oma* canc] acc\nts = ab\t
 #a4e p]c5t ( all new canc]s diagnos$ 9 
! ,unit$ ,/ates ea* ye>4  7#b7 ,x is    
e/imat$ t !re w be ne>ly #bg1jjj new    
cases ( /oma* canc] 9 #bjbd4  7#c7 ,!re 
are disp>ities 9 /oma* canc] incid5ce & 
mortality among racial & e?nic gr\ps 9 !
 ,unit$ ,/ates4  7#d7 ,:ile !re has be5 
a decl9e 9 /oma* canc] incid5ce1 ! lack 
( aw>5ess & focus on risk factors & e>ly

 detection ?r\gh scre5+ & surveillance  
may cause individuals at high risk = !  
disease to dismiss _! symptoms4  7#e7   
,e/abli%+ a basis = /oma* canc]         
preval5ce1 aw>5ess1 curr5t scre5+1 &    
implications = future public heal?      
importance w all[ =-- 7,a7 m effective  
outrea* & scre5+ among individuals at   
risk2  7,b7 increas$ aw>5ess & education
 among ! g5]al public to prev5t /oma*   
canc]2 &  7,c7 increas$ aw>5ess &       
education among heal? c>e provid]s      
reg>d+ ga/ric canc] disp>ities1 scre5+1 
treatm5t1 & monitor+4  #c4 ,,nci review 
on curr5t /ate ( /oma* canc] incid5ce1  
prev5tion1 scre5+1 aw>5ess1 & future    
public heal? importance  7a7 ,review ,! 
,director ( ! ,national ,canc] ,in/itute
 %all conduct a review (-- 7#a7 ! curr5t
 incid5ce ( /oma* canc] 9 ! ,unit$      
,/ates2  7#b7 ! risk factors = /oma*    
canc]1 includ+ ! incid5ce ( su* risk    
factors among high-risk populations & ! 
g5]al public2  7#c7 ! optimal age range 
to te/ = & treat ,helicobact] pylori    

7,h4 pylori7 infection1 z a risk factor1
 = ! purpose ( prim>y prev5tion 9       
high-risk populations & ! g5]al         
population2  7#d7 ! availability &      
frequ5cy ( scre5+ = /oma* canc]1 includ+
 utilization & effectiv5ess1 among      
high-risk populations2  7#e7 !          
availability & effectiv5ess ( endoscopic
 scre5+s 9 high-risk populations2  7#f7 
! availability & effectiv5ess (         
endoscopic resection & surveillance     
endoscopy = pati5ts ) confirm$ ga/ric   
inte/9al metaplasia 7,,gim7 ) high-grade
 dysplasia & e>ly ga/ric canc]2  7#g7 ! 
b5efits ( surveillance endoscopy =      
pati5ts at elevat$ risk1 includ+ pati5ts
 ) ga/ric inte/9al metaplasia 7,,gim7 :o
 are at increas$ risk ( ga/ric canc] due
 to e?nic backgr\nd1 family hi/ory1 or  
o!r risk /ratification p>amet]s su* z   
smok+ & ,h4 pylori infection2  7#h7     
curr5t aw>5ess & education ab\t /oma*   
canc] risk factors1 prev5tion1 symptoms1
 scre5+1 & treatm5t options among       
high-risk populations & ! g5]al public2 

&  7#i7 curr5t ,f$]al ef=ts to increase 
aw>5ess & education ( /oma* canc] among 
high-risk populations & ! g5]al public4 
7b7 ,report ,n lat] ?an #ah mon?s aft] !
 date ( enactm5t ( ?is ,act1 ! ,director
 ( ! ,national ,canc] ,in/itute %all--  
7#a7 submit to ! ,congress a report on !
 results ( ! review "u subsection 7a72 &
  7#b7 include 9 su* report             
recomm5dations =-- 7,a7 e/abli%+ a cle> 
def9ition ( high-risk populations 9 !   
,unit$ ,/ates2  7,b7 in=m+ rese>*]s1    
cl9icians1 physicians1 pati5ts1 & o!r   
relevant /akehold]s on-- 7i7 id5tify+   
high-risk individuals2 &  7ii7 effective
 me?ods = detect+ precanc]\s lesions &  
e>ly ga/ric canc]2  7,c7 e/abli%+ r\t9e 
scre5+ guidel9es = /oma* canc]2 &  7,d7 
actions to improve rese>* on1 prev5tion 
& e>ly diagnosis (1 & scre5+ & treatm5t 
= /oma* canc]4