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