,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #biba  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #ag1 #bjbe,mr4 
,bacon 7= himself & ,mr4 ,norcross7     
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,arm$ ,s]vices  ,a     
,,bill  ,to require ! ,secret>y (       
,def5se to provide to firefight]s ( !   
,dep>tm5t ( ,def5se m$ical te/+ & relat$
 s]vices to detect & prev5t c]ta9       
canc]s4  #a4 ,%ort title ,?is ,act may  
be cit$ z ! ,f$]al ,firefight] ,canc]   
,detection & ,prev5tion ,act ( #bjbe4   
#b4 ,m$ical te/+ & relat$ s]vices =     
firefight]s ( ,dep>tm5t ( ,def5se  7a7  
,provision ( s]vices ,dur+ ! annual     
p]iodic heal? assessm5t ( ea* firefight]
 ( ! ,dep>tm5t ( ,def5se1 or at su* o!r 
int]vals z may be indicat$ 9 ?is        
subsection1 ! ,secret>y %all provide to 
! firefight] 7at no co/ to ! firefight]7
 appropriate m$ical te/+ & relat$       
s]vices to detect1 docum5t ! pres5ce or 
abs5ce (1 & prev5t1 c]ta9 canc]s4 ,su*  
s]vices %all meet1 at a m9imum1 ! foll[+

 crit]ia3  7#a7 ,brea/ canc] ,) respect 
to ! brea/ canc] scre5+1 if ! firefight]
 is a female firefight]-- 7,a7 su*      
s]vices %all include ! provision ( a    
mammogram to ! firefight]--  7i7 on at  
lea/ a biannual basis if ! firefight] is
 #dj ye>s old to #di ye>s old           
7inclusive72  7ii7 on at lea/ an annual 
basis if ! firefight] is at lea/ #ej    
ye>s old2 &  7iii7 z cl9ically indicat$ 
7)\t reg>d to age72 &  7,b7 9 connection
 ) su* provision1 a lic5s$ radiologi/   
%all review ! mo/ rec5t mammogram       
provid$ to ! firefight]1 z comp>$ to    
prior mammograms s provid$1 & provide to
 ! firefight] ! results ( su* review4   
7#b7 ,colon canc] ,) respect to colon   
canc] scre5+-- 7,a7 if ! firefight] is  
at lea/ #dj ye>s old1 & z o!rwise       
cl9ically indicat$1 su* s]vices %all    
include ! communication to ! firefight] 
( ! risks & b5efits ( /ool-bas$ blood   
te/+2  7,b7 if ! firefight] is at lea/  
#de ye>s old1 & z cl9ically indicat$    
7)\t reg>d to age71 su* s]vices %all    

include ! provision1 at regul> int]vals1
 ( visual exam9ations 7su* z a          
colonoscopy1 ,,ct colonoscopy1 or       
flexible sigmoidoscopy7 or /ool-bas$    
blood te/+2 &  7,c7 9 connection ) su*  
provision1 a lic5s$ physician %all      
review & provide to ! firefight] !      
results ( su* exam9ation or te/+1 z !   
case may be4  7#c7 ,pro/ate canc] ,)    
respect to pro/ate canc] scre5+1 if !   
firefight] is a male firefight]1 !      
communication to ! firefight] ( ! risks 
& b5efits ( pro/ate canc] scre5+s & !   
provision to ! firefight] ( a           
pro/ate-specific antig5 te/-- 7,a7 on an
 annual basis1 if ! firefight] is at    
lea/ #ej ye>s old2  7,b7 on an annual   
basis1 if ! firefight] is at lea/ #dj   
ye>s old & is a high-risk individual2 & 
7,c7 z cl9ically indicat$ 7)\t reg>d to 
age74  7#d7 ,o!r canc]s ,su* s]vices    
%all include r\t9e scre5+s = any o!r    
canc] ! risk or occurr5ce ( :i* !       
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion has id5tifi$ z high] among

 firefight]s ?an among ! g5]al public1 !
 provision ( :i* %all be c>ri$ out dur+ 
! annual p]iodic heal? assessm5t ( !    
firefight]4  7b7 ,optional nature ,a    
firefight] ( ! ,dep>tm5t ( ,def5se may  
opt out ( ! receipt ( a m$ical te/+ or  
relat$ s]vice provid$ "u subsection 7a74
  7c7 ,use ( cons5sus te*nical /&>ds ,9 
provid+ m$ical te/+ & relat$ s]vices "u 
subsection 7a71 ! ,secret>y %all use    
cons5sus te*nical /&>ds 9 accordance )  
section #ab7;d7 ( ! ,national ,te*nology
 ,transf] & ,advancem5t ,act ( #aiie    
7#ae ,u4,s4,c4 #bgb note74  7d7         
,docum5tation  7#a7 ,9 g5]al ,9 provid+ 
m$ical te/+ & relat$ s]vices "u         
subsection 7a71 ! ,secret>y--  7,a7 %all
 docum5t ! acceptance rates ( su* te/s  
(f]$ & ! rates ( su* te/s p]=m$2  7,b7  
%all docum5t te/s results1 to id5tify   
tr5ds 9 ! rates ( canc] occurr5ces among
 firefight]s2 &  7,c7 may collect &     
ma9ta9 additional in=mation f !         
recipi5ts ( su* te/s & o!r s]vices1 to  
all[ = appropriate sci5tific analysis4  

7#b7 ,privacy ,9 analyz+ any in=mation (
 an individual docum5t$1 collect$1 or   
ma9ta9$ "u p>agraph 7#a71 9 addition to 
comply+ ) o!r applicable privacy laws1 !
 ,secret>y %all ensure ! "n1 & any o!r  
p]sonally id5tifiable in=mation1 ( !    
individual is remov$ f su* in=mation    
prior to ! analysis4  7#c7 ,%>+ ) ,c5t]s
 = ,disease ,control & ,prev5tion ,!    
,secret>y may %>e data f any te/s p]=m$ 
"u subsection 7a7 ) ! ,director ( !     
,c5t]s = ,disease ,control & ,prev5tion1
 z appropriate1 to increase ! k &       
und]/&+ ( canc] occurr5ces among        
firefight]s4  7e7 ,def9itions ,9 ?is    
section3  7#a7 ,! t]m firefight] has !  
mean+ giv5 t t]m 9 section #gjg ( !     
,national ,def5se ,au?orization ,act =  
,fiscal ,ye> #bjbj 7,public ,law        
#aaf-ib2 #acc ,/at4 #adda2 #aj ,u4,s4,c4
 #ajgdm note74  7#b7 ,! t]m high-risk   
individual means an individual :o--     
7,a7 is ,african ,am]ican2  7,b7 has at 
lea/ "o fir/-degree relative :o has be5 
diagnos$ ) pro/ate canc] at an e>ly age2

 or  7,c7 is o!rwise det]m9$ by !       
,secret>y to be high risk ) respect to  
pro/ate canc]4