119-s1866

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 1866 Introduced in Senate

    (IS) ]

<DOC>

119th CONGRESS
 1st Session
 S. 1866

 To amend the Public Health Service Act to reauthorize and improve the 
National Breast and Cervical Cancer Early Detection Program for fiscal 
 years 2026 through 2030, and for other purposes.

_______________________________________________________________________

 IN THE SENATE OF THE UNITED STATES

 May 22, 2025

 Ms. Baldwin (for herself, Ms. Collins, Ms. Cortez Masto, and Ms. 
 Klobuchar) introduced the following bill; which was read twice and 
 referred to the Committee on Health, Education, Labor, and Pensions

_______________________________________________________________________

 A BILL

 To amend the Public Health Service Act to reauthorize and improve the 
National Breast and Cervical Cancer Early Detection Program for fiscal 
 years 2026 through 2030, 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 ``Screening for Communities to Receive 
Early and Equitable Needed Services for Cancer Act of 2025'' or the 
``SCREENS for Cancer Act of 2025''.

SEC. 2. FINDINGS.

 Congress finds the following:

    (1) In 2025, there will be more than 319,750 new cases of 
 invasive breast cancer and nearly 43,000 breast cancer deaths 
 in the United States.

    (2) In 2025, there will be about 13,360 new cases of 
 invasive cervical cancer and about 4,320 deaths from cervical 
 cancer.

    (3) Since its creation in 1991, the National Breast and 
 Cervical Cancer Early Detection Program (referred to in this 
 section as the ``NBCCEDP'') has provided lifesaving cancer 
 screening and diagnostic services to low-income, uninsured, or 
 underinsured women in all 50 States, the District of Columbia, 
 6 territories, and 13 Tribes or Tribal organizations.

    (4) NBCCEDP places special emphasis on outreach to women 
 who are geographically or culturally isolated.

    (5) NBCCEDP has served more than 6,400,000 people and 
 provided more than 16,500,000 breast and cervical cancer 
 screening examinations.

    (6) These screening exams have diagnosed nearly 80,000 
 invasive breast cancers and more than 25,000 premalignant 
 breast lesions, as well as almost 5,300 invasive cervical 
 cancers and over 248,000 premalignant cervical lesions, of 
 which 38 percent were high-grade.

    (7) The program also provides public education, outreach, 
 patient navigation, and care coordination to increase breast 
 and cervical cancer screening rates.

    (8) Reauthorizing NBCCEDP will result in expanded services, 
 leading to more people being screened and more cancers 
 diagnosed at earlier stages.

SEC. 3. NATIONAL BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM.

 Title XV of the Public Health Service Act (42 U.S.C. 300k et seq.) 
is amended--

    (1) in 

section 1501 (42 U.S.C. 300k)--
        (A) in subsection

    (a) --
            (i) in paragraph

    (2) , by striking ``the 
 provision of appropriate follow-up services and 
 support services such as case management'' and 
 inserting ``that appropriate follow-up services 
 are provided'';
            (ii) in paragraph

    (3) , by striking 
 ``programs for the detection and control'' and 
 inserting ``for the prevention, detection, and 
 control'';
            (iii) in paragraph

    (4) , by striking ``the 
 detection and control'' and inserting ``the 
 prevention, detection, and control'';
            (iv) in paragraph

    (5) --
            (I) by striking ``monitor'' and 
 inserting ``ensure''; and
            (II) by striking ``; and'' and 
 inserting a semicolon;
            (v) by redesignating paragraph

    (6) as 
 paragraph

    (9) ;
            (vi) by inserting after paragraph

    (5) the 
 following:
 ``

    (6) to enhance appropriate support activities to increase 
 breast and cervical cancer screening, such as navigation of 
 health care services, implementation of evidence-based or 
 evidence-informed strategies proven to increase breast and 
 cervical cancer screening in health care settings, and 
 facilitation of access to health care settings that provide 
 breast and cervical cancer screenings;
 ``

    (7) to reduce disparities in incidents of and deaths due 
 to breast and cervical cancer in populations with higher-than-
 average rates;
 ``

    (8) to improve equitable access to breast and cervical 
 cancer screening and diagnostic services and to reduce related 
 barriers, including due to factors that relate to negative 
 health outcomes; and''; and
            (vii) in paragraph

    (9) , as so redesignated, 
 by striking ``through

    (5) '' and inserting 
 ``through

    (8) ''; and
        (B) by striking subsection
            (d) ;

    (2) in 

section 1503 (42 U.S.C. 300m)--
        (A) in subsection

    (a) --
            (i) in paragraph

    (1) , by striking ``that, 
 initially'' and all that follows through the 
 semicolon and inserting ``that appropriate 
 breast and cervical cancer screening and 
 diagnostic services are provided consistent 
 with relevant evidence-based recommendations; 
 and'';
            (ii) by striking paragraphs

    (2) and

    (4) ;
            (iii) by redesignating paragraph

    (3) as 
 paragraph

    (2) ; and
            (iv) in paragraph

    (2) , as so redesignated, 
 by striking ``; and'' and inserting a period; 
 and
        (B) by striking subsection
            (d) ;

    (3) in 

section 1508

    (b) (42 U.S.C. 300n-4

    (b) )--
        (A) by striking ``1 year after the date of the 
 enactment of the National Breast and Cervical Cancer 
 Early Detection Program Reauthorization of 2007, and 
 annually thereafter,'' and inserting ``2 years after 
 the date of enactment of the Screening for Communities 
 to Receive Early and Equitable Needed Services for 
 Cancer Act of 2025, and every 5 years thereafter,'';
        (B) by striking ``Labor and Human Resources'' and 
 inserting ``Health, Education, Labor, and Pensions''; 
 and
            (C) by striking ``preceding fiscal year'' and 
 inserting ``preceding 2 fiscal years in the case of the 
 first report after the date of enactment of the 
 Screening for Communities to Receive Early and 
 Equitable Needed Services for Cancer Act of 2025 and 
 preceding 5 fiscal years for each report thereafter''; 
 and

    (4) in 

section 1510

    (a) (42 U.S.C. 300n-5

    (a) )--
        (A) by striking ``and'' after ``2011,''; and
        (B) by inserting ``, and $235,000,000 for each of 
 fiscal years 2026 through 2030'' before the period at 
 the end.

SEC. 4. GAO STUDY.

 Not later than September 30, 2027, the Comptroller General of the 
United States shall report to the Committee on Health, Education, 
Labor, and Pensions of the Senate and the Committee on Energy and 
Commerce of the House of Representatives on the work of the National 
Breast and Cervical Cancer Early Detection Program, including--

    (1) an estimate of the number of individuals eligible for 
 services provided under such program;

    (2) a summary of trends in the number of individuals served 
 through such program; and

    (3) an assessment of any factors that may be driving the 
 trends identified under paragraph

    (2) , including any barriers 
 to accessing breast and cervical cancer screenings provided by 
 such program.
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