,i #aai? ,,congress #a/ ,session ,h4 ,r4 #fefa ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,decemb] #aj1 #bjbe,ms4 ,ca/or ( ,florida 7= h]self1 ,mr4 ,bacon1 & ,ms4 ,s*ri]7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to provide = a public aw>5ess campaign ) respect to human papillomavirus1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,promot+ ,res\rces to ,exp& ,vacc9ation1 ,education & ,new ,treatm5ts = ,,hpv ,canc]s ,act ( #bjbe or ! ,,prev5t ,,hpv ,canc]s ,act ( #bjbe4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,! human papillomavirus 7ref]r$ to 9 ?is ,act z ,,hpv7 causes six diff]5t types ( canc] 7anal1 c]vical1 oroph>ynx1 p5ile1 vag9al1 & vulv>74 7#b7 ,approximately #ci1cjj cases ( canc] are caus$ by ,,hpv ea* ye> impact+ bo? wom5 & m54 7#c7 ,ab\t #ia p]c5t ( c]vical & anal canc]s are ?\ght to be caus$ by ,,hpv4 7#d7 ,black & ,hispanic wom5 are m likely to get ,,hpv-associat$ c]vical canc] ?an wom5 ( o!r races & e?nicities due to disp>ities 9 access to canc] scre5+ & e>ly detection4 7#e7 ,new cases ( c]vical canc] decreas$ among wom5 9 "y age gr\ps1 likely due to ,,hpv vacc9ation1 b 9 rec5t ye>s1 new cases ( c]vical canc] rates among wom5 9 old] age gr\ps h plateau$ or1 9 ! case ( wom5 ages #cj-cd1 increas$4 7#f7 ,c]vical canc] scre5+ has decl9$ & !re has be5 an increase 9 c]vical canc] diagnos$ at di/ant /ages1 :i* are m difficult to treat & m likely to recur1 lead+ to great] morbidity & mortality4 7#g7 ,approximately #gj p]c5t ( oroph>yngeal canc] is ti$ to ,,hpv1 & su* canc]s are m ?an twice z common 9 m5 z 9 wom54 7#h7 ,mo/ ,,hpv infections t c lead to canc] c be prev5t$ by vacc9es4 7#i7 ,,hpv vacc9es c also help prev5t recurr5t respiratory papillomatosis1 anal & g5ital w>ts4 7#aj7 ,vacc9ation = ,,hpv is approv$ = m5 & wom54 7#aa7 ,! vacc9es are mo/ effective if adm9i/]$ :5 an individual is betwe5 ! ages ( #i & #ab1 b ! vacc9es are lic5s$ = m5 & wom5 ?r\gh age #de4 7#ab7 ,approximately #fc p]c5t ( adolesc5ts h complet$ ! ,,hpv vacc9e s]ies1 a l[] rate ?an o!r r\t9e recomm5d$ vacc9ations4 7#ac7 ,adolesc5ts liv+ 9 rural areas cont9ue to be less likely to h initiat$ & complet$ ! ,,hpv vacc9e s]ies ?an ^? liv+ 9 urban areas4 7#ad7 ,heal? provid]s' recomm5dation ( ! vacc9e is critical to gett+ adolesc5ts vacc9at$4 #c4 ,,hpv canc] prev5tion public aw>5ess campaign 7a7 ,9 g5]al ,section #cag ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7o7 ,,hpv canc] prev5tion public aw>5ess campaign 7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all c>ry out a national campaign to-- 7,a7 increase aw>5ess ( ! importance ( ,,hpv vacc9ation = prev5t+ ,,hpv-associat$ canc]s2 7,b7 combat mis9=mation ab\t ,,hpv vacc9ation2 & 7,c7 increase ,,hpv vacc9ation rates & completion ( ! vacc9e s]ies4 7#b7 ,consultation ,9 c>ry+ out ! national campaign requir$ by p>agraph 7#a71 ! ,secret>y %all consult ) ! ,national ,academy ( ,m$ic9e1 includ+ heal? c>e provid]s & public heal? associations1 nonpr(it organizations 7includ+ ^? t repres5t communities mo/ impact$ by ,,hpv-associat$ canc]s & communities ) l[ vacc9ation rates71 ,/ate & local public heal? dep>tm5ts1 elem5t>y & second>y education organizations 7includ+ /ud5t & p>5t organizations71 & in/itutions ( high] education1 to solicit advice on evid5ce-bas$ in=mation = policy developm5t & program developm5t1 implem5tation1 & evaluation4 7#c7 ,requirem5ts ,! national campaign requir$ by p>agraph 7#a7 %all-- 7,a7 include ! use ( evid5ce-bas$ m$ia & public engagem5t2 7,b7 be c>ri$ out ?r\gh competitive grants or coop]ative agreem5ts aw>d$ to #a or m nonpr(it entities ) a hi/ory develop+ & implem5t+ simil> campaigns2 7,c7 include ! developm5t ( culturally & l+ui/ically compet5t res\rces t %all be tailor$ =-- 7i7 communities ) high rates (-- 7,i7 unvacc9at$ individuals1 includ+ males2 7,,ii7 individuals ) high rates ( c]vical canc] & o!r ,,hpv-associat$ canc]s 7su* z ,black & ,hispanic wom572 & 7,,iii7 populations impact$ by ! increase 9 oroph>ynx canc]s1 includ+ active-duty s]vice memb]s & vet]ans2 7ii7 rural communities2 & 7iii7 su* o!r communities z ! ,secret>y det]m9es appropriate2 7,d7 include ! dissem9ation ( ,,hpv vacc9ation in=mation & communication res\rces to heal? c>e provid]s & heal? c>e facilities 7includ+ prim>y c>e provid]s1 community heal? c5t]s1 d5ti/s1 ob/etricians1 & gynecologi/s71 & su* provid]s & su* facilities = p$iatric c>e1 ,/ate & local public heal? dep>tm5ts1 elem5t>y & second>y s*ools1 & colleges & univ]sities2 7,e7 be complem5t>y to1 & coord9at$ )1 any o!r ,f$]al ef=ts ) respect to-- 7i7 ,,hpv vacc9ation2 & 7ii7 scre5+ = ,,hpv-associat$ canc]s1 includ+ self-collection me?ods2 7,f7 include message te/+ to id5tify culturally compet5t & effective messages = behavioral *ange2 & 7,g7 include ! aw>d ( grants or coop]ative agreem5ts to ,/ate1 local1 & ,tribal public heal? dep>tm5ts-- 7i7 to engage ) communities specifi$ 9 subp>agraph 7,c71 local education ag5cies1 heal? c>e provid]s1 community organizations1 or o!r gr\ps ! ,secret>y det]m9es are appropriate to develop & deliv] effective /rategies to increase ,,hpv vacc9ation rates2 & 7ii7 to dissem9ate culturally & l+ui/ically compet5t res\rces on ! ,national ,brea/ & ,c]vical ,canc] ,e>ly ,detection ,program & :]e an individual c access ! scre5+s locally4 7#d7 ,options = dissem9ation ( in=mation ,! national campaign requir$ by p>agraph 7#a7 may-- 7,a7 include ! use (-- 7i7 social m$ia1 television1 radio1 pr9t1 ! int]net1 & o!r m$ia2 7ii7 9 p]son or virtual public communications2 & 7iii7 recogniz$1 tru/$ figures2 7,b7 be t>get$ to specific gr\ps & communities specifi$ 9 p>agraph 7#c77;,c72 & 7,c7 include ! dissem9ation ( in=mation highlight+ ea* ( ! foll[+3 7i7 ,recomm5d$ age range to get ! ,,hpv vacc9e4 7ii7 ,! b5efits ( gett+ vacc9at$ aga9/ ,,hpv1 includ+ ! pot5tial to n acquire ,,hpv-associat$ canc]s4 7iii7 ,,hpv vacc9e safety & ! sy/ems 9 place to monitor su* safety4 7#e7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is subsection #e1jjj1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj4 4 7b7 ,report to ,congress ,n lat] ?an ,septemb] #cj1 #bjbg1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor & ,p5sions ( ! ,s5ate a report-- 7#a7 t conta9s a qualitative assessm5t ( ! campaign "u subsection 7o7 ( section #cag ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b71 z add$ by subsection 7a71 & ! activities conduct$ "u su* campaign2 & 7#b7 on1 ) respect to ! impact on canc] associat$ ) human papillomavirus1 ! activities conduct$ "u su* subsection 7o74 #d4 ,brea/ & ,c]vical ,canc] ,e>ly ,detection ,program 7a7 ,9 g5]al ,section #aeaj7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjn-#e7;a77 is am5d$ by /rik+ & #bge1jjj1jjj = fiscal ye> #bjab & ins]t+ #bge1jjj1jjj = fiscal ye> #bjab1 & #cjj1jjj1jjj = ea* fiscal ye>s #bjbf ?r\gh #bjcj4 7b7 ,coord9at+ committee ,section #aeja7;d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjk7d77 is am5d$-- 7#a7 9 ! subsection head+1 by /rik+ #bjbj & ins]t+ #bjcj2 & 7#b7 by /rik+ #bjbj & ins]t+ #bjcj4