119-hr5162

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5162 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 H. R. 5162

To authorize the Secretary of Health and Human Services, acting through 
the Director of the Centers for Disease Control and Prevention, to make 
 grants to States to increase awareness and education for colorectal 
 cancer and improve early detection of colorectal cancer in young 
 individuals, and for other purposes.

_______________________________________________________________________

 IN THE HOUSE OF REPRESENTATIVES

 September 4, 2025

 Ms. Stevens (for herself and Mr. Burchett) introduced the following 
 bill; which was referred to the Committee on Energy and Commerce

_______________________________________________________________________

 A BILL

To authorize the Secretary of Health and Human Services, acting through 
the Director of the Centers for Disease Control and Prevention, to make 
 grants to States to increase awareness and education for colorectal 
 cancer and improve early detection of colorectal cancer in young 
 individuals, 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 ``Colorectal Cancer Early Detection 
Act''.

SEC. 2. FINDINGS.

 Congress finds the following:

    (1) In the United States, colorectal cancer is the third 
 leading cause of cancer-related deaths in men and the fourth 
 leading cause in women. Colorectal cancer is the second most 
 common cause of cancer deaths when numbers for men and women 
 are combined.

    (2) In the United States, there were over 141,000 new 
 colorectal cancer cases and 52,000 new colorectal cancer deaths 
 reported in 2021. It is estimated that there will be over 
 154,270 new cases of colorectal cancer and 52,900 cases of 
 colorectal cancer deaths in 2025.

    (3) Colorectal cancer rates have been increasing in young 
 patients. About 1 in 5 cases of colorectal cancer were in 
 individuals age 54 and younger.

    (4) In early 2023, it was reported that about 20 percent of 
 diagnoses of colorectal cancer were among patients under the 
 age of 55. Additionally, half of all early-onset colorectal 
 cancer cases are diagnosed in individuals under 45 years old.

    (5) Colorectal cancer cases among individuals ages 20 to 39 
 are expected to increase by 90 percent by 2030. Additionally, 
 colorectal cancer is projected to be the leading cause of 
 cancer-related deaths for individuals under 50 years of age by 
 2030.

SEC. 3. CDC STATE GRANTS FOR COLORECTAL CANCER AWARENESS, EDUCATION, 
 AND EARLY DETECTION AMONG YOUNG INDIVIDUALS.

    (a) 

=== Definitions. ===
-In this section:

    (1) State.--The term ``State'' means each of the several 
 States, the District of Columbia, and any territory or 
 possession of the United States.

    (2) Young individual.--The term ``young individual'' means 
 an individual who has not attained the age of 45.

    (b) In General.--The Secretary of Health and Human Services, acting 
through the Director of the Centers for Disease Control and Prevention, 
(in this section referred to as the ``Secretary'') may make grants to 
States, on a competitive basis, for the purpose of increasing awareness 
and education for colorectal cancer and early detection of colorectal 
cancer in young individuals.
            (c) Application.--To be eligible for a grant under this section, a 
State shall submit to the Secretary an application at such time, in 
such manner, and containing such information as the Secretary may 
require, including a detailed description of the State's plan to 
implement the grant. Such description shall include how the State will 
use the grant to--

    (1) conduct outreach and education regarding incidence of 
 colorectal cancer and risk factors, with an emphasis on--
        (A) young individuals with an increased risk or 
 high risk for colorectal cancer, including--
            (i) young individuals with a family history 
 of colorectal cancer or advanced adenomatous 
 polyps;
            (ii) young individuals with a personal 
 history of inflammatory bowel disease (commonly 
 known as ``IBD''), including ulcerative colitis 
 and Crohn's disease of the colon;
            (iii) young individuals with an inherited 
 syndrome, including Lynch syndrome, familial 
 adenomatous polyposis, and other inherited 
 syndromes linked to colorectal cancer;
            (iv) young individuals with signs and 
 symptoms of colorectal cancer, particularly 
 rectal bleeding and iron deficiency anemia; and
            (v) other young individuals with risk 
 factors (such as risk factors identified by 
 nationally recognized guidelines) that put such 
 individuals at increased risk for colorectal 
 cancer, as determined by the Secretary; and
        (B) individuals in underserved and rural areas, 
 individuals who identify as American Indian, Alaska 
 Native, or African American, and individuals with type 
 2 diabetes, for the purposes of--
            (i) identifying individuals who are at 
 increased risk or high risk for colorectal 
 cancer (including young individuals described 
 in clauses
            (i) through
            (v) of subparagraph
        (A) ) 
 and would benefit from early detection before 
 age 45; and
            (ii) providing education to initiate early 
 detection at age 45 for individuals who are not 
 at increased risk or high risk for colorectal 
 cancer;

    (2) partner with hospitals, clinics, Tribal organizations 
 (as defined in 

section 4 of the Indian Self-Determination and 
 Education Assistance Act), nonprofit organizations, 
 institutions of higher education, colorectal cancer prevention 
 and control programs, and other relevant entities and programs 
 to enhance outreach, education, and early detection efforts 
 with respect to colorectal cancer in young individuals; and

    (3) conduct activities to increase awareness and education 
 for colorectal cancer and improve early detection of colorectal 
 cancer in young individuals, including navigation and program 
 evaluation.
            (d) Use of Funds.--A grant under this section may be used for any 
of the following:

    (1) To support early detection and diagnostic testing for 
 colorectal cancer in young individuals deemed to be at 
 increased risk or high risk of colorectal cancer as part of a 
 preventive health measure strategy.

    (2) To provide appropriate referrals for medical treatment, 
 including genetic testing and counseling of such young 
 individuals, and to ensure, to the extent practicable, the 
 provision of appropriate follow-up and surveillance services.

    (3) To develop and implement a public awareness and 
 education campaign for the early detection, signs and symptoms, 
 risk factors, and control management of colorectal cancer, 
 specifically in young individuals.

    (4) To conduct education and outreach to health 
 professionals (including allied health professionals) on 
 conducting and interpreting colorectal cancer screening and 
 diagnostic tests and the latest advancements in the early 
 detection of colorectal cancer, with a focus on symptoms, 
 genetic risk factors, family history, and care for young 
 individuals.

    (5) To establish mechanisms through which the States can 
 monitor the quality of screening and diagnostic procedures for 
 colorectal cancer among young individuals, including the 
 interpretation of such procedures.

    (6) To conduct surveillance to help determine other risk 
 factors for colorectal cancer.

    (7) To develop strategies to capture and assess family 
 history and genetic predispositions to colorectal cancer in 
 young individuals.

    (8) To establish patient navigation support to assist 
 individuals through the process of screening, particularly 
 those at increased risk or high risk for colorectal cancer.

    (9) To design clinician decision support tools based on 
 clinical practice guidelines for early detection of colorectal 
 cancer in young individuals.

    (10) To monitor and evaluate activities conducted under 
 paragraphs

    (1) through

    (9) to determine the effectiveness of 
 such activities to inform continuous improvement of such 
 activities.

    (e) Grant Period.--A grant under this section shall be for a period 
of 5 years, and may be renewed at the discretion of the Secretary.

    (f) Return of Unspent Grant Funds.--Each State that receives a 
grant under this section shall return, not later than 6 months after 
the date on which the period of such grant ends, any grant funds that 
were not expended by such State during the grant period.

    (g) Report.--Not later than 5 years after receiving a grant under 
this section (including a renewal of a grant), a State shall submit to 
the Secretary a report describing how the State used such grant.
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