,,ii  #aai? ,,congress  #a/ ,session    
,s4 #ahff  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #bb1 #bjbe ,ms4   
,baldw9 7= h]self1 ,ms4 ,coll9s1 ,ms4   
,cortez ,ma/o1 & ,ms4 ,klobu*>7         
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,public ,heal?    
,s]vice ,act to reau?orize & improve !  
,national ,brea/ & ,c]vical ,canc] ,e>ly
 ,detection ,program = fiscal ye>s #bjbf
 ?r\gh #bjcj1 & = o!r purposes4  #a4    
,%ort title  ,?is ,act may be cit$ z !  
,scre5+ = ,communities to ,receive ,e>ly
 & ,equitable ,ne$$ ,s]vices = ,canc]   
,act ( #bjbe or ! ,,scre5s = ,canc] ,act
 ( #bjbe4  #b4  ,f9d+s  ,congress f9ds !
 foll[+3 7#a7 ,9 #bjbe1 !re w be m ?an  
#cai1gej new cases ( invasive brea/     
canc] & ne>ly #dc1jjj brea/ canc] dea?s 
9 ! ,unit$ ,/ates4  7#b7 ,9 #bjbe1 !re w
 be ab\t #ac1cfj new cases ( invasive   
c]vical canc] & ab\t #d1cbj dea?s f     
c]vical canc]4  7#c7 ,s9ce its creation 

9 #aiia1 ! ,national ,brea/ & ,c]vical  
,canc] ,e>ly ,detection ,program 7ref]r$
 to 9 ?is section z ! ,,nbcc$p7 has     
provid$ lifesav+ canc] scre5+ &         
diagno/ic s]vices to l[-income1 un9sur$1
 or und]9sur$ wom5 9 all #ej ,/ates1 !  
,di/rict ( ,columbia1 #f t]ritories1 &  
#ac ,tribes or ,tribal organizations4   
7#d7 ,,nbcc$p places special emphasis on
 outrea* to wom5 :o are geographically  
or culturally isolat$4  7#e7 ,,nbcc$p   
has s]v$ m ?an #f1djj1jjj p & provid$ m 
?an #af1ejj1jjj brea/ & c]vical canc]   
scre5+ exam9ations4  7#f7 ,^! scre5+    
exams h diagnos$ ne>ly #hj1jjj invasive 
brea/ canc]s & m ?an #be1jjj            
premalignant brea/ lesions1 z well z    
almo/ #e1cjj invasive c]vical canc]s &  
ov] #bdh1jjj premalignant c]vical       
lesions1 ( :i* #ch p]c5t 7 high-grade4  
7#g7 ,! program also provides public    
education1 outrea*1 pati5t navigation1 &
 c>e coord9ation to increase brea/ &    
c]vical canc] scre5+ rates4  7#h7       
,reau?oriz+ ,,nbcc$p w result 9 exp&$   

s]vices1 lead+ to m p be+ scre5$ & m    
canc]s diagnos$ at e>li] /ages4  #c4    
,national ,brea/ & ,c]vical ,canc] ,e>ly
 ,detection ,program  ,title ,,xv ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjjk et seq47 is am5d$--     
7#a7 9 section #aeja 7#db ,u4,s4,c4     
#cjjk7-- 7,a7 9 subsection 7a7--  7i7 9 
p>agraph 7#b71 by /rik+ ! provision (   
appropriate foll[-up s]vices & support  
s]vices su* z case managem5t & ins]t+ t 
appropriate foll[-up s]vices are        
provid$2  7ii7 9 p>agraph 7#c71 by /rik+
 programs = ! detection & control &     
ins]t+ = ! prev5tion1 detection1 &      
control2  7iii7 9 p>agraph 7#d71 by     
/rik+ ! detection & control & ins]t+ !  
prev5tion1 detection1 & control2  7iv7 9
 p>agraph 7#e7-- 7,i7 by /rik+ monitor &
 ins]t+ ensure2 &  7,,ii7 by /rik+ 2 & &
 ins]t+ a semicolon2  7v7 by r$esignat+ 
p>agraph 7#f7 z p>agraph 7#i72  7vi7 by 
ins]t+ aft] p>agraph 7#e7 ! foll[+3     
7#f7 to enhance appropriate support     
activities to increase brea/ & c]vical  

canc] scre5+1 su* z navigation ( heal?  
c>e s]vices1 implem5tation (            
evid5ce-bas$ or evid5ce-in=m$ /rategies 
prov5 to increase brea/ & c]vical canc] 
scre5+ 9 heal? c>e sett+s1 &            
facilitation ( access to heal? c>e      
sett+s t provide brea/ & c]vical canc]  
scre5+s2  7#g7 to r$uce disp>ities 9    
incid5ts ( & dea?s due to brea/ &       
c]vical canc] 9 populations )           
high]-?an-av]age rates2  7#h7 to improve
 equitable access to brea/ & c]vical    
canc] scre5+ & diagno/ic s]vices & to   
r$uce relat$ b>ri]s1 includ+ due to     
factors t relate to negative heal?      
outcomes2 &  2 &  7vii7 9 p>agraph 7#i71
 z s r$esignat$1 by /rik+ ?r\gh 7#e7 &  
ins]t+ ?r\gh 7#h72 &  7,b7 by /rik+     
subsection 7d72  7#b7 9 section #aejc   
7#db ,u4,s4,c4 #cjjm7--  7,a7 9         
subsection 7a7-- 7i7 9 p>agraph 7#a71 by
 /rik+ t1 initially & all t foll[s ?r\gh
 ! semicolon & ins]t+ t appropriate     
brea/ & c]vical canc] scre5+ & diagno/ic
 s]vices are provid$ consi/5t ) relevant

 evid5ce-bas$ recomm5dations2 &2  7ii7  
by /rik+ p>agraphs 7#b7 & 7#d72  7iii7  
by r$esignat+ p>agraph 7#c7 z p>agraph  
7#b72 &  7iv7 9 p>agraph 7#b71 z s      
r$esignat$1 by /rik+ 2 & & ins]t+ a     
p]iod2 &  7,b7 by /rik+ subsection 7d72 
7#c7 9 section #aejh7;b7 7#db ,u4,s4,c4 
#cjjn-#d7;b77--  7,a7 by /rik+ #a ye>   
aft] ! date ( ! enactm5t ( ! ,national  
,brea/ & ,c]vical ,canc] ,e>ly          
,detection ,program ,reau?orization (   
#bjjg1 & annually !reaft]1 & ins]t+ #b  
ye>s aft] ! date ( enactm5t ( ! ,scre5+ 
= ,communities to ,receive ,e>ly &      
,equitable ,ne$$ ,s]vices = ,canc] ,act 
( #bjbe1 & e #e ye>s !reaft]12  7,b7 by 
/rik+ ,labor & ,human ,res\rces & ins]t+
 ,heal?1 ,education1 ,labor1 & ,p5sions2
 &  7,c7 by /rik+ prec$+ fiscal ye> &   
ins]t+ prec$+ #b fiscal ye>s 9 ! case ( 
! fir/ report aft] ! date ( enactm5t ( !
 ,scre5+ = ,communities to ,receive     
,e>ly & ,equitable ,ne$$ ,s]vices =     
,canc] ,act ( #bjbe & prec$+ #e fiscal  
ye>s = ea* report !reaft]2 &  7#d7 9    

section #aeaj7;a7 7#db ,u4,s4,c4        
#cjjn-#e7;a77--  7,a7 by /rik+ & aft]   
#bjaa12 &  7,b7 by ins]t+ 1 &           
#bce1jjj1jjj = ea* ( fiscal ye>s #bjbf  
?r\gh #bjcj be=e ! p]iod at ! end4  #d4 
,,gao /udy  ,n lat] ?an ,septemb] #cj1  
#bjbg1 ! ,comptroll] ,g5]al ( ! ,unit$  
,/ates %all report to ! ,committee on   
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate & ! ,committee on ,en]gy &    
,comm]ce ( ! ,h\se ( ,repres5tatives on 
! "w ( ! ,national ,brea/ & ,c]vical    
,canc] ,e>ly ,detection ,program1       
includ+--  7#a7 an e/imate ( ! numb] (  
individuals eligible = s]vices provid$  
"u su* program2  7#b7 a summ>y ( tr5ds 9
 ! numb] ( individuals s]v$ ?r\gh su*   
program2 &  7#c7 an assessm5t ( any     
factors t may be driv+ ! tr5ds id5tifi$ 
"u p>agraph 7#b71 includ+ any b>ri]s to 
access+ brea/ & c]vical canc] scre5+s   
provid$ by su* program4