,,ii #aaith ,,congress #b;d ,session ,s4 #ebhg ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,august #f1 #bjbf,mr4 ,ossoff 7for himself and ,mrs4 ,britt7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to authorize the ,secretary of ,health and ,human ,services1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 to make grants to ,states to increase awareness and education for colorectal cancer and improve early detection of colorectal cancer in young individuals1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,colorectal ,cancer ,early ,detection ,act4 #b4 ,findings ,congress finds the following3 7#a7 ,in the ,united ,states1 colorectal cancer is the third-leading cause of cancer-related deaths in men and the fourth-leading cause in women4 ,colorectal cancer is the second most common cause of cancer deaths when numbers for men and women are combined4 7#b7 ,in the ,united ,states1 there were over #ada1jjj new colorectal cancer cases and #eb1jjj new colorectal cancer deaths reported in #bjba4 ,it is estimated that there will be over #aed1bgj new cases of colorectal cancer and #eb1ijj cases of colorectal cancer deaths in #bjbe4 7#c7 ,colorectal cancer rates have been increasing in young patients4 ,about #a in #e cases of colorectal cancer were in individuals age #ed and younger4 7#d7 ,in early #bjbc1 it was reported that about #bj percent of diagnoses of colorectal cancer were among patients under the age of #ee4 ,additionally1 half of all early-onset colorectal cancer cases are diagnosed in individuals under #de years old4 7#e7 ,colorectal cancer cases among individuals ages #bj to #ci are expected to increase by #ij percent by #bjcj4 ,additionally1 colorectal cancer is projected to be the leading cause of cancer-related deaths for individuals under #ej years of age by #bjcj4 #c4 ,,cdc ,state grants for colorectal cancer awareness1 education1 and early detection among young individuals 7a7 ,definitions ,in this section3 7#a7 ,state ,the term ,state means each of the several ,states1 the ,district of ,columbia1 and any territory or possession of the ,united ,states4 7#b7 ,young individual ,the term young individual means an individual who has not attained the age of #de4 7b7 ,grants ,the ,secretary of ,health and ,human ,services1 acting through the ,director of the ,centers for ,disease ,control and ,prevention 7in this section referred to as the ,secretary71 may make grants to ,states1 on a competitive basis1 for the purpose of increasing awareness and education for colorectal cancer and early detection of colorectal cancer in young individuals4 7c7 ,application ,to be eligible for a grant under this section1 a ,state shall submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may require1 including a detailed description of the ,state's plan to implement the grant4 ,such description shall include how the ,state will use the grant to-- 7#a7 conduct outreach and provide education regarding incidence of colorectal cancer and risk factors1 with an emphasis on-- 7,a7 young individuals with an increased risk or high risk for colorectal cancer1 including-- 7i7 young individuals with a family history of colorectal cancer or advanced adenomatous polyps2 7ii7 young individuals with a personal history of inflammatory bowel disease 7commonly known as ,,ibd71 including ulcerative colitis and ,crohn's disease of the colon2 7iii7 young individuals with an inherited syndrome1 including ,lynch syndrome1 familial adenomatous polyposis1 and other inherited syndromes linked to colorectal cancer2 7iv7 young individuals with signs and symptoms of colorectal cancer1 particularly rectal bleeding and iron deficiency anemia2 and 7v7 other young individuals with risk factors 7such as risk factors identified by nationally recognized guidelines7 that put such individuals at increased risk for colorectal cancer1 as determined by the ,secretary2 and 7,b7 individuals in underserved and rural areas1 individuals who are ,american ,indian1 ,alaska ,native1 or ,african ,american1 and individuals with type #b diabetes1 for the purposes of-- 7i7 identifying individuals who are at increased risk or high risk for colorectal cancer 7including young individuals described in clauses 7i7 through 7v7 of subparagraph 7,a77 and would benefit from early detection before age #de2 and 7ii7 providing education to initiate early detection at age #de for individuals who are not at increased risk or high risk for colorectal cancer2 7#b7 partner with hospitals1 clinics1 ,tribal organizations 7as defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecjd771 nonprofit organizations1 institutions of higher education1 colorectal cancer prevention and control programs1 and other relevant entities and programs to enhance outreach1 education1 and early detection efforts with respect to colorectal cancer in young individuals2 and 7#c7 conduct activities to increase awareness and education for colorectal cancer and improve early detection of colorectal cancer in young individuals1 including navigation and program evaluation4 7d7 ,use of funds ,a grant under this section shall be used to support early detection and diagnostic testing for colorectal cancer in young individuals determined to be at increased risk or high risk of colorectal cancer as part of a preventive health measure strategy and may additionally be used for any of the following3 7#a7 ,to provide appropriate referrals for medical treatment1 including genetic testing and counseling of such young individuals1 and to ensure1 to the extent practicable1 the provision of appropriate follow-up and surveillance services4 7#b7 ,to develop and implement a public awareness and education campaign for the early detection1 signs and symptoms1 risk factors1 and control management of colorectal cancer1 specifically in young individuals4 7#c7 ,to conduct education and outreach to health professionals 7including allied health professionals7 on conducting and interpreting colorectal cancer screening and diagnostic tests and the latest advancements in the early detection of colorectal cancer1 with a focus on symptoms1 genetic risk factors1 family history1 and care for young individuals4 7#d7 ,to establish mechanisms through which the ,states can monitor the quality of screening and diagnostic procedures for colorectal cancer among young individuals1 including the interpretation of such procedures4 7#e7 ,to conduct surveillance to help determine other risk factors for colorectal cancer4 7#f7 ,to develop strategies to capture and assess family history and genetic predispositions to colorectal cancer in young individuals4 7#g7 ,to establish patient navigation support to assist individuals through the process of screening1 particularly those at increased risk or high risk for colorectal cancer4 7#h7 ,to design clinician decision support tools based on clinical practice guidelines for early detection of colorectal cancer in young individuals4 7#i7 ,to monitor and evaluate activities conducted under paragraphs 7#a7 through 7#h7 to determine the effectiveness of such activities to inform continuous improvement of such activities4 7e7 ,grant period ,a grant under this section shall be for a period of #e years1 and may be renewed at the discretion of the ,secretary4 7f7 ,report ,not later than #e years after receiving a grant under this section 7including a renewal of a grant71 a ,state shall submit to the ,secretary a report describing how the ,state used such grant4 7g7 ,authorization of appropriations ,there are authorized to be appropriated such sums as may be necessary to carry out this section4