,,ii #aai? ,,congress #a/ ,session ,s4 #aibh ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,june #c1 #bjbe,mr4 ,w>n] 7= himself & ,mr4 ,ka9e7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,homel& ,security & ,gov]nm5tal ,affairs ,a ,,bill ,to require ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates to submit to ,congress a report on esophageal canc] ) respect to ! ,f$]al ,employees ,heal? ,b5efits ,program1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,g]ald ,e4 ,connolly ,esophageal ,canc] ,aw>5ess ,act ( #bjbe4 #b4 ,f9d+s ,congress f9ds t-- 7#a7 esophageal canc] is ! fa/e/ increas+ canc] among m5 9 ! ,unit$ ,/ates2 7#b7 esophageal canc] is "o ( ! fa/e/ gr[+ canc] diagnoses among all p ( ! ,unit$ ,/ates1 ) ! incid5ce ( esophageal canc] increas+ by m ?an #gjj p]c5t 9 rec5t decades2 7#c7 esophageal canc] kills #a individual 9 ! ,unit$ ,/ates e #cf m9utes e day2 7#d7 esophageal canc] is among ! deadlie/ ( canc]s1 ) only ab\t #a 9 #e pati5ts surviv+ #e ye>s2 7#e7 esophageal canc] has tripl$ 9 incid5ce among y\ng] p ( ! ,unit$ ,/ates 9 rec5t decades2 7#f7 esophageal canc] has l[ survival rates because x is usually discov]$ at advanc$ /ages :5 treatm5t outcomes are poor2 7#g7 rais+ aw>5ess ab\t esophageal canc] emp[]s individuals to seek prev5tive c>e1 recognize symptoms1 & pursue e>ly detection /rategies2 7#h7 survivors1 c>egiv]s1 m$ical pr(essionals1 & rese>*]s h made trem5d\s /rides 9 advanc+ treatm5t options & improv+ ! quality ( life = ^? affect$ by esophageal canc]2 7#i7 esophageal canc] c be prev5t$ ?r\gh e>ly detection ( its precursor1 ,b>rett's esophagus1 :i* c be elim9at$ ) curative outpati5t te*niques2 7#aj7 rese>* indicates t pati5ts diagnos$ ) e>ly-/age esophageal canc] h a significantly high] #e-ye> survival rate 7z high z #di p]c5t7 comp>$ to ^? diagnos$ at lat] /ages1 und]scor+ ! critical ne$ = enhanc$ scre5+ & aw>5ess2 & 7#aa7 z ( ,decemb] #bjbb1 ! ,am]ican ,ga/ro5t]ological ,association recomm5ds scre5+ ) a /&>d upp] endoscopy 9 individuals ) #c or m e/abli%$ risk factors = ,b>rett's esophagus & esophageal ad5oc>c9oma1 includ+-- 7,a7 male sex2 7,b7 non-,hispanic ,:ite e?nicity2 7,c7 age ( #ej ye>s or old]2 7,d7 a hi/ory ( smok+1 *ronic ga/ro9te/9al reflux disease1 or obesity2 & 7,e7 a family hi/ory ( ,b>rett's esophagus or esophageal ad5oc>c9oma4 #c4 ,report by ,comptroll] ,g5]al ( ! ,unit$ ,/ates 7a7 ,def9ition ,9 ?is section1 ! t]m ,program means ! program c>ri$ out "u *apt] #hi ( title #e1 ,unit$ ,/ates ,code4 7b7 ,report ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report t includes an evaluation (-- 7#a7 ! total impact ( esophageal canc]-relat$ heal? c>e sp5d+ "u ! ,program = individuals :o are cov]$ "u ! ,program & :o are diagnos$ ) esophageal canc]2 & 7#b7 h[ (t5 individuals :o are cov]$ "u ! ,program1 & :o h m$ical records indicat+ t ^? individuals are high-risk = esophageal canc]1 und]go scre5+ = esophageal canc] accord+ to e/abli%$ guidel9es4