,,ii #aahth ,,congress #ast ,session ,s4 #ahdj ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,june #g1 #bjbc,ms4 ,baldwin 7for herself1 ,ms4 ,collins1 ,ms4 ,cortez ,masto1 ,mrs4 ,capito1 and ,ms4 ,klobuchar7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend the ,public ,health ,service ,act to reauthorize and improve the ,national ,breast and ,cervical ,cancer ,early ,detection ,program for fiscal years #bjbd through #bjbh1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,screening for ,communities to ,receive ,early and ,equitable ,needed ,services for ,cancer ,act of #bjbc or the ,,screens for ,cancer ,act of #bjbc4 #b4 ,findings ,congress finds the following3 7#a7 ,in #bjbc1 there will be more than #cjj1eij new cases of invasive breast cancer and nearly #dd1jjj breast cancer deaths in the ,united ,states4 7#b7 ,in #bjbc1 there will be about #ac1ifj new cases of invasive cervical cancer and about #d1caj deaths from cervical cancer4 7#c7 ,black women have the highest breast1 cervical1 and uterine cancer death rates of all racial and ethnic groups and are more likely to be diagnosed with triple-negative breast cancer1 a more aggressive form of cancer4 7#d7 ,research shows that the ,,covid-#ai pandemic was associated with a decline of more than #c1ijj1jjj breast cancer screenings in #bjbj1 as compared to #bjai4 ,similarly1 cervical cancer screening utilization dropped by #ij percent in ,april #bjbj1 relative to the prior year4 7#e7 ,research suggests that those postponed breast screenings appeared to disproportionately affect women of color3 ,non-,hispanic ,white women had #ag percent fewer breast cancer diagnoses1 while the year-over-year decline was #ec percent for ,asian women1 #dc percent for ,hispanic women1 and #bg percent for ,black women4 7#f7 ,the ,national ,cancer ,institute estimates that pandemic-related disruptions or delays in breast care and screening are expected to result in an excess of #b1ejj breast cancer deaths by #bjcj4 7#g7 ,since its creation in #aiia1 the ,national ,breast and ,cervical ,cancer ,early ,detection ,program 7referred to in this section as the ,,nbccedp7 has provided lifesaving cancer screening and diagnostic services to low-income1 uninsured1 or underinsured women in all #ej ,states1 the ,district of ,columbia1 #f territories1 and #ac ,tribes or ,tribal organizations4 7#h7 ,,nbccedp seeks to reduce inequities in breast and cervical cancer screening and diagnosis1 placing special emphasis on outreach to women who are members of racial or ethnic minority groups1 and those who are geographically or culturally isolated4 7#i7 ,,nbccedp has served more than #f1ajj1jjj people and provided more than #ae1gjj1jjj breast and cervical cancer screening examinations4 7#aj7 ,these screening exams have diagnosed nearly #gf1jjj invasive breast cancers and more than #bd1jjj premalignant breast lesions1 as well as more than #e1ajj invasive cervical cancers and #bce1jjj premalignant cervical lesions1 of which #ci percent were high-grade4 7#aa7 ,the program also provides public education1 outreach1 patient navigation1 and care coordination to increase breast and cervical cancer screening rates and reach underserved populations4 7#ab7 ,reauthorizing ,,nbccedp will result in expanded services1 leading to more people being screened and more cancers diagnosed at earlier stages4 #c4 ,national ,breast and ,cervical ,cancer ,early ,detection ,program ,title ,,xv of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjk et seq47 is amended-- 7#a7 in section #aeja 7#db ,u4,s4,c4 #cjjk7-- 7,a7 in subsection 7a7-- 7i7 in paragraph 7#b71 by striking the provision of appropriate follow-up services and support services such as case management and inserting that appropriate follow-up services are provided2 7ii7 in paragraph 7#c71 by striking programs for the detection and control and inserting for the prevention1 detection1 and control2 7iii7 in paragraph 7#d71 by striking the detection and control and inserting the prevention1 detection1 and control2 7iv7 in paragraph 7#e7-- 7,i7 by striking monitor and inserting ensure2 and 7,,ii7 by striking 2 and and inserting a semicolon2 7v7 by redesignating paragraph 7#f7 as paragraph 7#i72 7vi7 by inserting after paragraph 7#e71 the following3 7#f7 to enhance appropriate support activities to increase breast and cervical cancer screening such as patient navigation1 implementation of evidence-based or evidence-informed strategies proven to increase breast and cervical cancer screening in health care settings1 and facilitating access to health care settings2 7#g7 to reduce disparities in incidents of and deaths due to breast and cervical cancer in populations with higher than average rates2 7#h7 to ensure equitable access to screening and diagnostic services and improve access for individuals who encounter additional barriers to receiving services1 including due to various social determinants of health2 and 2 and 7vii7 in paragraph 7#i71 as so redesignated1 by striking through 7#e7 and inserting through 7#h72 and 7,b7 by striking subsection 7d72 7#b7 in section #aejc 7#db ,u4,s4,c4 #cjjm7-- 7,a7 in subsection 7a7-- 7i7 in paragraph 7#a71 by striking that1 initially and all that follows through the semicolon and inserting that appropriate breast and cervical cancer screening and diagnostic services are provided based on national recommendations2 and2 7ii7 by striking paragraphs 7#b7 and 7#d72 7iii7 by redesignating paragraph 7#c7 as paragraph 7#b72 and 7iv7 in paragraph 7#b71 as so redesignated1 by striking 2 and and inserting a period2 and 7,b7 by striking subsection 7d72 7#c7 in section #aejh7;b7 7#db ,u4,s4,c4 #cjjn-#d7;b77-- 7,a7 by striking #a year after the date of the enactment of the ,national ,breast and ,cervical ,cancer ,early ,detection ,program ,reauthorization of #bjjg1 and annually thereafter1 and inserting #b years after the date of enactment of the ,screening for ,communities to ,receive ,early and ,equitable ,needed ,services for ,cancer ,act of #bjbc1 and every #e years thereafter12 7,b7 by striking ,labor and ,human ,resources and inserting ,health1 ,education1 ,labor1 and ,pensions2 and 7,c7 by striking preceding fiscal year and inserting preceding #b fiscal years in the case of the first report after the date of enactment of the ,screening for ,communities to ,receive ,early and ,equitable ,needed ,services for ,cancer ,act of #bjbc and preceding #e fiscal years for each report thereafter2 and 7#d7 in section #aeaj7;a7 7#db ,u4,s4,c4 #cjjn-#e7;a77-- 7,a7 by striking and after #bjaa12 and 7,b7 by inserting 1 #bge1jjj1jjj for fiscal year #bjbd1 #ccj1jjj1jjj for fiscal year #bjbe1 #che1jjj1jjj for fiscal year #bjbf1 #ddj1jjj1jjj for fiscal year #bjbg1 and #ejj1jjj1jjj for fiscal year #bjbh before the period at the end4