,,ii  #aaith ,,congress  #b;d ,session  
,h4 ,r4 #deda  ,,in ,,the ,,senate ,,of 
,,the ,,united ,,states  ,july #ba1     
#bjbf,received  ,july #bg1 #bjbf,read   
twice and referred to the ,committee on 
,health1 ,education1 ,labor1 and        
,pensions  ,,an ,,act  ,to reauthorize  
the ,young ,women's ,breast ,health     
,education and ,awareness ,requires     
,learning ,young ,act of #bjji4  ,i     
,,early ,act ,reauthorization  #aja4    
,short title ,this title may be cited as
 the ,,early ,act ,reauthorization of   
#bjbe4  #ajb4 ,reauthorization of the   
,young ,women's ,breast ,health         
,education and ,awareness ,requires     
,learning ,young ,act of #bjji ,section 
#cii,,nn7h7 of the ,public ,health      
,service ,act 7#db ,u4,s4,c4 #bhjm7h77  
is amended by striking #bjbf and        
inserting #bjca4  ,,ii ,,screens for    
,cancer ,act  #bja4 ,short title ,this  
title may be cited as the ,screening for
 ,communities to ,receive ,early and    
,equitable ,needed ,services for ,cancer

 ,act of #bjbe or the ,,screens for     
,cancer ,act of #bjbe4  #bjb4 ,national 
,breast and ,cervical ,cancer ,early    
,detection ,program  7a7 ,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 programs 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#e7 the following3  7#f7 to 
enhance appropriate support activities  
to increase breast and cervical cancer  
screenings1 such as navigation of health
 care services1 implementation of       
evidence-based or evidence-informed     
strategies to increase breast and       
cervical cancer screening in health care
 settings1 and facilitation of access to
 health care settings2  7#g7 to reduce  
disparities in breast and cervical      
cancer incidence1 morbidity1 and        
mortality1 including in populations with
 higher than average rates2  7#h7 to    
improve access to breast and cervical   
cancer screening and diagnostic services
 and reduce related barriers1 including 
factors that relate to negative health  
outcomes2 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 consistent with relevant       
evidence-based 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 ,,screens 
for ,cancer ,act of #bjbe1 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 ,,screens for ,cancer  
,act of #bjbe1 and preceding #e fiscal  
years for each report thereafter12 and  
7#d7 in section #aeaj7;a7 7#db ,u4,s4,c4
 #cjjn-#e7;a77-- 7,a7 by striking #bjaa1
 and and inserting #bjaa12 and  7,b7 by 
inserting 1 and #bce1ejj1jjj for each of
 fiscal years #bjbf through #bjcj before
 the period at the end4  7b7 ,,gao study
 ,not later than ,september #cj1 #bjbg1 
the ,comptroller ,general of the ,united
 ,states shall report to the ,committee 
on ,health1 ,education1 ,labor1 and     
,pensions of the ,senate and the        
,committee on ,energy and ,commerce of  
the ,house of ,representatives on the   
work of the ,national ,breast and       
,cervical ,cancer ,early ,detection     
,program1 including-- 7#a7 an estimate  

of the number of individuals eligible   
for services provided under such        
program2  7#b7 a summary of trends in   
the number of individuals served through
 such program2 and  7#c7 an assessment  
of any factors that may be driving the  
trends identified under paragraph 7#b71 
including any barriers to accessing     
breast and cervical cancer screenings   
provided by such program4  ,passed the  
,house of ,representatives ,july #bj1   
#bjbf4,kevin ,f4 ,mc,cumber1,clerk4