[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5790 Introduced in House (IH)]








109th CONGRESS
  2d Session
                                H. R. 5790

  To amend the Public Health Service Act to provide for demonstration 
   projects to carry out preventive health measures with respect to 
                           colorectal cancer.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             July 13, 2006

 Ms. Granger (for herself, Mr. Wynn, and Ms. Pryce of Ohio) introduced 
 the following bill; which was referred to the Committee on Energy and 
                                Commerce

_______________________________________________________________________

                                 A BILL


 
  To amend the Public Health Service Act to provide for demonstration 
   projects to carry out preventive health measures with respect to 
                           colorectal cancer.

    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, 
Prevention, and Treatment Act''.

SEC. 2. PREVENTIVE HEALTH MEASURES WITH RESPECT TO COLORECTAL CANCER.

    Part B of title III of the Public Health Service Act (42 U.S.C. 243 
et seq.) is amended by inserting after section 317S the following 
section:

``SEC. 317T. PREVENTIVE HEALTH MEASURES WITH RESPECT TO COLORECTAL 
              CANCER.

    ``(a) In General.--The Secretary, acting through the Director of 
the Centers for Disease Control and Prevention, may make grants to 
public and nonprofit private entities for the purpose of carrying out 
not fewer than 20 demonstration projects for the following:
            ``(1) Providing screenings for colorectal cancer to 
        individuals who--
                    ``(A) are 50 years of age or older; or
                    ``(B)(i) are under 50 years of age; and
                    ``(ii) are at high risk for such cancer.
            ``(2) Providing appropriate case management and referrals 
        for medical treatment of individuals screened pursuant to 
        paragraph (1).
            ``(3) Ensuring the provision of the full continuum of 
        cancer care for individuals so screened, including appropriate 
        follow-up for abnormal tests, diagnostic and therapeutic 
        services, and treatment for detected cancers, which continuum 
        is, as necessary, but subject to subsection (e), provided for 
        through the use of amounts appropriated under subsection (h).
            ``(4) Carrying out activities to improve the education, 
        training, and skills of health professionals (including allied 
        health professionals) in the detection and control of 
        colorectal cancer, which activities are carried out pursuant to 
        the participation of the health professionals in the projects.
            ``(5) Evaluating the projects through appropriate 
        surveillance or program monitoring activities.
            ``(6) Developing and disseminating findings derived through 
        such evaluations and the collection of data on outcomes.
            ``(7) Promoting the benefits of receiving screenings 
        through the projects.
    ``(b) Priority for Low-Income, Uninsured Individuals.--A grant may 
be made under subsection (a) only if the applicant involved agrees 
that, in providing screenings under paragraph (1) of such subsection, 
the applicant will give priority to low-income individuals who lack 
coverage under health insurance and health plans with respect to 
screenings for colorectal cancer.
    ``(c) Special Consideration for Certain Applicants.--In making 
grants under subsection (a) for a fiscal year, the Secretary shall give 
special consideration to the following applicants:
            ``(1) In the case of services under such subsection for 
        women, to applicants that, for such year, are grantees under 
        title XV.
            ``(2) In the case of services under such subsection for 
        men, to applicants that, for such year, are grantees under 
        section 317D.
    ``(d) Use of Certain Standards Under Medicare Program.--A grant may 
be made under subsection (a) only if the applicant involved agrees as 
follows:
            ``(1) Screenings under subsection (a)(1) will be carried 
        out as preventive health measures in accordance with evidence-
        based screening procedures as specified in section 1861(pp)(1) 
        of the Social Security Act.
            ``(2) An individual will be considered high risk for 
        purposes of subsection (a)(1)(B)(ii) only if the individual is 
        high risk within the meaning of section 1861(pp)(2) of such 
        Act.
            ``(3) The payment made from the grant for a screening 
        procedure under subsection (a)(1) will not exceed the amount 
        that would be paid under part B of title XVIII of such Act if 
        payment were made under such part for furnishing the procedure 
        to an individual enrolled under such part.
    ``(e) Relationship to Items and Services Under Other Programs.--A 
grant under subsection (a) may be made only if the applicant involved 
agrees that the grant will not be expended to make payment for any item 
or service to the extent that payment has been made, or can reasonably 
be expected to be made, with respect to such item or service--
            ``(1) under any State compensation program, under an 
        insurance policy, or under any Federal or State health benefits 
        program; or
            ``(2) by an entity that provides health services on a 
        prepaid basis.
    ``(f) Records and Audits.--A grant under subsection (a) may be made 
only if the applicant involved agrees that the applicant will--
            ``(1) establish such fiscal control and fund accounting 
        procedures as may be necessary to ensure proper disbursal of, 
        and accounting for, amounts received under subsection (a); and
            ``(2) upon request, provide records maintained pursuant to 
        paragraph (1) to the Secretary or the Comptroller of the United 
        States for purposes of auditing the expenditures of the grant 
        by the applicant.
    ``(g) Reports.--A grant under subsection (a) may be made only if 
the applicant involved agrees to submit to the Secretary such reports 
as the Secretary may require with respect to the grant.
    ``(h) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $50,000,000 
for fiscal year 2007, and such sums as may be necessary for each of the 
fiscal years 2008 through 2011.''.
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