119-hr4417

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4417 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 H. R. 4417

 To amend the Public Health Service Act to direct the Secretary of 
 Health and Human Services, acting through the Administrator of the 
 Health Resources and Services Administration, to award grants, 
 contracts, or cooperative agreements for supporting new mobile cancer 
 screening units to expand patient access to essential screening 
 services in rural and underserved communities, and for other purposes.

_______________________________________________________________________

 IN THE HOUSE OF REPRESENTATIVES

 July 15, 2025

 Mr. Ruiz (for himself, Mr. Evans of Colorado, and Ms. Wasserman 
 Schultz) introduced the following bill; which was referred to the 
 Committee on Energy and Commerce

_______________________________________________________________________

 A BILL

 To amend the Public Health Service Act to direct the Secretary of 
 Health and Human Services, acting through the Administrator of the 
 Health Resources and Services Administration, to award grants, 
 contracts, or cooperative agreements for supporting new mobile cancer 
 screening units to expand patient access to essential screening 
 services in rural and underserved communities, and for other purposes.

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

 This Act may be cited as the ``Mobile Cancer Screening Act''.

SEC. 2. FINDINGS.

 Congress finds the following:

    (1) Each year, 2,000,000 people in the United States are 
 diagnosed with cancer.

    (2) Lung cancer remains the leading cause of cancer deaths 
 in the United States, with 127,070 deaths in 2023 alone. 
 Despite its prevalence, only 4.5 percent of eligible 
 individuals were screened for lung cancer in 2022.

    (3) Mobile cancer screening units have proven effective in 
 increasing access to essential screenings, including for breast 
 cancer and more recently lung cancer.

    (4) Nationally, only 26.6 percent of lung cancer cases are 
 diagnosed at an early stage when the 5-year survival rate is 63 
 percent.

SEC. 3. MOBILE CANCER SCREENING GRANTS.

 Part D of title III of the Public Health Service Act (42 U.S.C. 
254b et seq.) is amended by adding at the end the following:

 ``Subpart XIII--Mobile Cancer Screening Units

``

SEC. 340J. GRANTS, CONTRACTS, AND COOPERATIVE AGREEMENTS.

 ``

    (a) In General.--The Secretary, acting through the Administrator 
of the Health Resources and Services Administration, shall award 
grants, contracts, or cooperative agreements to eligible entities for 
the purpose of supporting new mobile cancer screening units to expand 
patient access to essential screening services in rural and underserved 
areas.
 ``

    (b) Eligible Entities.--Entities eligible for an award under 
subsection

    (a) include--
 ``

    (1) a nonprofit hospital;
 ``

    (2) a Federally qualified health center;
 ``

    (3) an academic health center;
 ``

    (4) a health system; and
 ``

    (5) a consortium or other collaboration of two or more 
 entities listed in any of paragraphs

    (1) through

    (4) .
 ``
            (c) Use of Funds.--For the purpose described in subsection

    (a) , 
funds awarded under this section may be used for--
 ``

    (1) purchasing a commercial vehicle to operate a mobile 
 cancer screening unit;
 ``

    (2) acquiring imaging technology;
 ``

    (3) purchasing digital tools needed to operate a mobile 
 cancer screening unit; and
 ``

    (4) covering other costs determined by the Secretary to 
 be essential startup or operational costs.
 ``
            (d) Funding Limit.--The amount of an award under subsection

    (a) may not exceed $2,000,000.
 ``

    (e) Prioritization.--In making awards under subsection

    (a) , the 
Secretary shall prioritize--
 ``

    (1) applicants with the highest potential impact on 
 patient mortality and screening gaps for high-risk individuals;
 ``

    (2) applicants serving underserved populations, 
 including--
 ``
        (A) rural areas; and
 ``
        (B) areas served by the Indian Health Service; 
 and
 ``

    (3) applicants able to provide comprehensive follow-up 
 care for abnormal findings within 90 minutes of the unit by 
 ground transportation.
 ``

    (f) Matching Funds.--As a condition on receipt of an award under 
this section, an eligible entity shall agree that, with respect to 
costs to be incurred by the entity in carrying out activities for which 
the award is made, the entity will contribute from non-Federal sources, 
in cash or in kind, an amount equal to not less than one dollar for 
every three dollars provided through the award.
 ``

    (g) Report to Congress.--
 ``

    (1) Submission.--Not later than 4 years after the date of 
 enactment of this section, the Secretary shall submit a report 
 to the Committee on Energy and Commerce of the House of 
 Representatives and the Committee on Health, Education, Labor, 
 and Pensions of the Senate.
 ``

    (2) Contents.--The report required by paragraph

    (1) shall 
 include--
 ``
        (A) the total number of patients screened using 
 mobile cancer screening units funded through awards 
 under this section, with data on such total number of 
 patients de-identified and disaggregated by race, 
 ethnicity, age, sex, geographic region, disability 
 status, and other relevant factors;
 ``
        (B) the impact of awards under subsection

    (a) on 
 increasing screening rates, early cancer detection, and 
 improved patient outcomes;
 ``
            (C) recommendations for improving the program 
 under this section; and
 ``
            (D) such other information and recommendations as 
 the Secretary determines to be relevant.
 ``

    (h) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated $15,000,000 for each of fiscal 
years 2027 through 2031.''.
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