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<bill bill-stage="Reported-in-Senate" public-private="public">
	<form>
		<distribution-code display="yes">II</distribution-code>
		<calendar>Calendar No. 535</calendar>
		<congress>110th CONGRESS</congress>
		<session>1st Session</session>
		<legis-num>S. 911</legis-num>
		<current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber>
		<action>
			<action-date date="20070319">March 19, 2007</action-date>
			<action-desc><sponsor name-id="S259">Mr. Reed</sponsor> (for himself,
			 <cosponsor name-id="S291">Mr. Coleman</cosponsor>, <cosponsor name-id="S255">Mr. Hagel</cosponsor>, <cosponsor name-id="S290">Mr.
			 Chambliss</cosponsor>, <cosponsor name-id="S105">Mr. Lugar</cosponsor>,
			 <cosponsor name-id="S305">Mr. Isakson</cosponsor>, <cosponsor name-id="S265">Mr. Bunning</cosponsor>, <cosponsor name-id="S293">Mr.
			 Graham</cosponsor>, <cosponsor name-id="S284">Ms. Stabenow</cosponsor>,
			 <cosponsor name-id="S316">Mr. Whitehouse</cosponsor>, <cosponsor name-id="S166">Mr. Lautenberg</cosponsor>, <cosponsor name-id="S173">Mr.
			 Kerry</cosponsor>, <cosponsor name-id="S307">Mr. Brown</cosponsor>,
			 <cosponsor name-id="S277">Mr. Carper</cosponsor>, <cosponsor name-id="S257">Mr.
			 Johnson</cosponsor>, <cosponsor name-id="S247">Mr. Wyden</cosponsor>,
			 <cosponsor name-id="S174">Mr. McConnell</cosponsor>, <cosponsor name-id="S264">Mr. Bayh</cosponsor>, <cosponsor name-id="S210">Mr.
			 Lieberman</cosponsor>, <cosponsor name-id="S221">Mrs. Feinstein</cosponsor>,
			 <cosponsor name-id="S136">Mr. Cochran</cosponsor>, <cosponsor name-id="S287">Mr. Cornyn</cosponsor>, <cosponsor name-id="S223">Mrs.
			 Boxer</cosponsor>, <cosponsor name-id="S278">Mrs. Clinton</cosponsor>,
			 <cosponsor name-id="S308">Mr. Cardin</cosponsor>, <cosponsor name-id="S313">Mr.
			 Sanders</cosponsor>, <cosponsor name-id="S213">Mr. Akaka</cosponsor>,
			 <cosponsor name-id="S167">Mr. Bingaman</cosponsor>, <cosponsor name-id="S270">Mr. Schumer</cosponsor>, <cosponsor name-id="S051">Mr.
			 Inouye</cosponsor>, <cosponsor name-id="S306">Mr. Menendez</cosponsor>,
			 <cosponsor name-id="S027">Mr. Domenici</cosponsor>, <cosponsor name-id="S300">Mr. Burr</cosponsor>, <cosponsor name-id="S057">Mr.
			 Leahy</cosponsor>, <cosponsor name-id="S309">Mr. Casey</cosponsor>,
			 <cosponsor name-id="S311">Ms. Klobuchar</cosponsor>, <cosponsor name-id="S295">Mr. Pryor</cosponsor>, <cosponsor name-id="S182">Ms.
			 Mikulski</cosponsor>, <cosponsor name-id="S055">Mr. Kennedy</cosponsor>,
			 <cosponsor name-id="S258">Ms. Landrieu</cosponsor>, <cosponsor name-id="S010">Mr. Biden</cosponsor>, <cosponsor name-id="S198">Mr.
			 Reid</cosponsor>, <cosponsor name-id="S150">Mr. Dodd</cosponsor>,
			 <cosponsor name-id="S269">Mrs. Lincoln</cosponsor>, and
			 <cosponsor name-id="S229">Mrs. Murray</cosponsor>) introduced the following
			 bill; which was read twice and referred to the
			 <committee-name added-display-style="italic" committee-id="SSHR00" deleted-display-style="strikethrough">Committee on Health, Education, Labor,
			 and Pensions</committee-name></action-desc>
		</action>
		<action stage="Reported-in-Senate">
			<action-date date="20071212">December 12, 2007</action-date>
			<action-desc>Reported by <sponsor name-id="S055">Mr. Kennedy</sponsor>,
			 with an amendment</action-desc>
			<action-instruction>Strike out all after the enacting clause and insert
			 the part printed in italic</action-instruction>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title>To amend the Public Health Service Act to advance medical
		  research and treatments into pediatric cancers, ensure patients and families
		  have access to the current treatments and information regarding pediatric
		  cancers, establish a population-based national childhood cancer database, and
		  promote public awareness of pediatric cancers.</official-title>
	</form>
	<legis-body>
		<section changed="deleted" committee-id="SSHR00" id="S1" reported-display-style="strikethrough" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the
			 <quote><short-title>Conquer Childhood Cancer Act of
			 2007</short-title></quote>.</text>
		</section><section id="IDc012c72b2e7346068aba14ba59e2d660" changed="deleted" reported-display-style="strikethrough" committee-id="SSHR00"><enum>2.</enum><header>Findings</header><text display-inline="no-display-inline">Congress makes the following
			 findings:</text>
			<paragraph id="ID9f1f66e9800a4c22824410259dd84d0f"><enum>(1)</enum><text>Cancer kills more
			 children than any other disease.</text>
			</paragraph><paragraph id="ID3af76eeca6a64a71adec15bb9f88b729"><enum>(2)</enum><text>Each year cancer
			 kills more children between 1 and 20 years of age than asthma, diabetes, cystic
			 fibrosis, and AIDS, combined.</text>
			</paragraph><paragraph id="ID51b79bb60b07426193e70969d7a6fb39"><enum>(3)</enum><text>Every year, over
			 12,500 young people are diagnosed with cancer.</text>
			</paragraph><paragraph id="ID25d44643a2014caa8b55e6d5b61f279c"><enum>(4)</enum><text>Each year about
			 2,300 children and teenagers die from cancer.</text>
			</paragraph><paragraph id="ID29cae88b8ffc43d29c4fac89754f4fd7"><enum>(5)</enum><text>One in every 330
			 Americans develops cancer before age 20.</text>
			</paragraph><paragraph id="ID9363b54b39d14f0e844f1d9452a7d65e"><enum>(6)</enum><text>Some forms of
			 childhood cancer have proven to be so resistant that even in spite of the great
			 research strides made, most of those children die. Up to 75 percent of the
			 children with cancer can now be cured.</text>
			</paragraph><paragraph id="IDf67df7dadf37405c8fd87d9e3ed84128"><enum>(7)</enum><text>The causes of most
			 childhood cancers are not yet known.</text>
			</paragraph><paragraph id="ID10c484fc236f49108e773bb02f2c16dd"><enum>(8)</enum><text>Childhood cancers
			 are mostly those of the white blood cells (leukemias), brain, bone, the
			 lymphatic system, and tumors of the muscles, kidneys, and nervous system. Each
			 of these behaves differently, but all are characterized by an uncontrolled
			 proliferation of abnormal cells.</text>
			</paragraph><paragraph id="IDb11fd13acd464b8fbb30f7397f5e311a"><enum>(9)</enum><text>Eighty percent of
			 the children who are diagnosed with cancer have disease which has already
			 spread to distant sites in the body.</text>
			</paragraph><paragraph id="ID6ae131254fb041f3ba07f4036bdc56c9"><enum>(10)</enum><text>Ninety percent of
			 children with a form of pediatric cancer are treated at one of the more than
			 200 Children's Oncology Group member institutions throughout the United
			 States.</text>
			</paragraph></section><section id="ID014e1b9230f24efbbb68b1ee0b8c5dfc" changed="deleted" reported-display-style="strikethrough" committee-id="SSHR00"><enum>3.</enum><header>Purposes</header><text display-inline="no-display-inline">It is the purpose of this Act to authorize
			 appropriations to—</text>
			<paragraph id="ID7cf4d8d1ea324471b4ccf116b820525e"><enum>(1)</enum><text>encourage and
			 expand the support for biomedical research programs of the existing National
			 Cancer Institute-designated multicenter national infrastructure for pediatric
			 cancer research;</text>
			</paragraph><paragraph id="IDe6a99bf52ed04956b7a7cdc31338e9bc"><enum>(2)</enum><text>establish a
			 population-based national childhood cancer database (the Children's Cancer
			 Research Network) to evaluate incidence trends of childhood cancers and to
			 enable the investigations of genetic epidemiology in order to identify causes
			 to aid in development of prevention strategies;</text>
			</paragraph><paragraph id="IDba368ccdf3ee4caf9b71c2f92eb0ff14"><enum>(3)</enum><text>provide
			 informational services to patients and families affected by childhood
			 cancer;</text>
			</paragraph><paragraph id="ID8c879b34b45044bf8aa7a648e524bf07"><enum>(4)</enum><text>support the
			 development, construction, and operation of a comprehensive online public
			 information system on childhood cancers and services available to families;
			 and</text>
			</paragraph><paragraph id="IDae932262355e480a85cc4919ec20d0be"><enum>(5)</enum><text>establish a
			 fellowship program in pediatric cancer research to foster clinical and
			 translational research career development in pediatric oncologists in the early
			 stages of their career.</text>
			</paragraph></section><section changed="deleted" committee-id="SSHR00" id="id5916FEFB80C94C67A52DA8317CA0C68C" reported-display-style="strikethrough"><enum>4.</enum><header>Pediatric cancer
			 research and awareness</header><text display-inline="no-display-inline">Subpart
			 1 of part C of title IV of the Public Health Service Act (42 U.S.C. 285 et
			 seq.) is amended by adding at the end the following:</text>
			<quoted-block display-inline="no-display-inline" id="id2C11F7B1DA4B49A781E0524FCFCF54D4" style="OLC" changed="deleted" reported-display-style="strikethrough" committee-id="SSHR00">
				<section id="id4FB4CE013A44444C818804268C1F2017"><enum>417E.</enum><header>Pediatric
				cancer research and awareness</header>
					<subsection id="ID62b003c1e88c4541b11ef92c0915dc25"><enum>(a)</enum><header>Pediatric cancer
				research</header>
						<paragraph id="id977D71FEF9D74C91AA671FB4E9CBC078"><enum>(1)</enum><header>Special programs
				of research excellence in pediatric cancers</header><text>The Director of NIH,
				acting through the National Cancer Institute, shall establish special programs
				of research excellence in the area of pediatric cancers. Such programs shall
				demonstrate a balanced approach to research cause, prognosis, prevention,
				diagnosis, and treatment of pediatric cancers that foster translation of basic
				research findings into innovative interventions applied to patients.</text>
						</paragraph><paragraph id="IDa98acb394109446989c3a3e7905d50d8"><enum>(2)</enum><header>Fellowship of
				excellence in pediatric cancer research</header><text>The Secretary shall
				develop a grant mechanism for the establishment, in cooperation with the
				National Cancer Institute-supported pediatric cancer clinical trial groups, of
				Research Fellowships in Pediatric Cancer to support adequate numbers of
				pediatric focused clinical and translational investigators thereby facilitating
				continuous momentum of research excellence.</text>
						</paragraph></subsection><subsection id="IDf807ef93ac914d5da934a4c883e4114d"><enum>(b)</enum><header>National
				Childhood Cancer Registry</header><text>The Director of NIH shall award a grant
				for the operation of a population-based national childhood cancer database, the
				Childhood Cancer Research Network (CCRN), of the Children’s Oncology Group, in
				cooperation with the National Cancer Institute.</text>
					</subsection><subsection id="ID27e611d0648b404b9ad86c4e445a104c"><enum>(c)</enum><header>Public awareness
				of pediatric cancers and available treatments and research</header><text>The
				Secretary shall award grants to recognized childhood cancer professional and
				advocacy organizations for the expansion and widespread implementation of
				activities to raise public awareness of currently available information,
				treatment, and research with the intent to ensure access to best available
				therapies for pediatric cancers.</text>
					</subsection><subsection id="ID5452bd052884485a8fadba9efff17bc8"><enum>(d)</enum><header>Authorization of
				appropriations</header><text>There are authorized to be appropriated to carry
				out this section, $30,000,000 for each of fiscal years 2008 through 2012. Funds
				appropriated under this section shall remain available until
				expended.</text>
					</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
		</section></legis-body>
	<legis-body display-enacting-clause="no-display-enacting-clause">
		<section changed="added" committee-id="SSHR00" id="id8d8f2674-fd80-40f0-a487-7c2b6b66cce5" reported-display-style="italic" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the
			 <quote><short-title>Conquer Childhood Cancer Act of
			 2007</short-title></quote>.</text>
		</section><section id="id13a4ed9f-f704-4a01-8097-0bddc46098ee" changed="added" reported-display-style="italic" committee-id="SSHR00"><enum>2.</enum><header>Findings</header><text display-inline="no-display-inline">Congress makes the following
			 findings:</text>
			<paragraph id="id7e4d9c81-29e3-453a-a6c0-3f0a9bcbaca9"><enum>(1)</enum><text>Cancer kills more
			 children than any other disease.</text>
			</paragraph><paragraph id="idafc190a8-bcb6-4d6a-bc00-d84b38361fd0"><enum>(2)</enum><text>Each year cancer kills
			 more children between 1 and 20 years of age than asthma, diabetes, cystic
			 fibrosis, and AIDS, combined.</text>
			</paragraph><paragraph id="id15370f4e-0252-431d-a788-5ac847c537a4"><enum>(3)</enum><text>Every year, over 12,500
			 young people are diagnosed with cancer.</text>
			</paragraph><paragraph id="id19f85d66-85f7-4d69-872a-315df7061c66"><enum>(4)</enum><text>Each year about 2,300
			 children and teenagers die from cancer.</text>
			</paragraph><paragraph id="idb52e103d-8554-497b-b79a-711a79299cac"><enum>(5)</enum><text>One in every 330
			 Americans develops cancer before age 20.</text>
			</paragraph><paragraph id="id59c73f49-3ee2-4125-8d18-abd006eaff7b"><enum>(6)</enum><text>Some forms of childhood
			 cancer have proven to be so resistant that even in spite of the great research
			 strides made, most of those children die. Up to 75 percent of the children with
			 cancer can now be cured.</text>
			</paragraph><paragraph id="ide5fb02ff-f5be-4f8c-8634-1c5204c7b56a"><enum>(7)</enum><text>The causes of most
			 childhood cancers are not yet known.</text>
			</paragraph><paragraph id="id1385dc0e-2cb6-41e6-88b1-e28ad71833f8"><enum>(8)</enum><text>Childhood cancers are
			 mostly those of the white blood cells (leukemias), brain, bone, the lymphatic
			 system, and tumors of the muscles, kidneys, and nervous system. Each of these
			 behaves differently, but all are characterized by an uncontrolled proliferation
			 of abnormal cells.</text>
			</paragraph><paragraph id="id73c4a31e-ebfd-49f7-9e24-24aa45631a71"><enum>(9)</enum><text>Eighty percent of the
			 children who are diagnosed with cancer have disease which has already spread to
			 distant sites in the body.</text>
			</paragraph><paragraph id="ide41996dd-6f9d-4972-9000-1e90cda67f99"><enum>(10)</enum><text>Ninety percent of
			 children with a form of pediatric cancer are treated at 1 of the more than 200
			 Children's Oncology Group member institutions throughout the United
			 States.</text>
			</paragraph></section><section id="id9419eed6-ad2d-4455-9ae3-7ec345406781" changed="added" reported-display-style="italic" committee-id="SSHR00"><enum>3.</enum><header>Pediatric cancer
			 research and awareness; national childhood cancer registry</header>
			<subsection id="id21ADFB8DD2344544A07A46AED436AF27"><enum>(a)</enum><header>Pediatric cancer
			 research and awareness</header><text display-inline="yes-display-inline">Subpart 1 of part C of title IV of the
			 Public Health Service Act (42 U.S.C. 285 et seq.) is amended by adding at the
			 end the following:</text>
				<quoted-block display-inline="no-display-inline" id="id43f0b881-b12d-4172-a4b4-66d2641ce59a" style="OLC" changed="added" reported-display-style="italic" committee-id="SSHR00">
					<section id="id162baca4-074b-493d-ab70-413b27efa238"><enum>417E.</enum><header>Pediatric cancer
				research and awareness</header>
						<subsection id="iddd6227b1-b420-4479-ae24-c729b1bd2835"><enum>(a)</enum><header>Pediatric cancer
				research</header>
							<paragraph id="idac15ca3e-01e0-4baa-a2e0-c7a8c87973d0"><enum>(1)</enum><header>Programs of research
				excellence in pediatric cancer</header><text>The Secretary, acting through the
				Director of NIH, in collaboration with other Federal agencies with interest in
				prevention and treatment of pediatric cancer, shall enhance, expand, and
				intensify pediatric cancer research, including therapeutically applicable
				research to generate effective treatments, pediatric preclinical testing, and
				pediatric clinical trials through National Cancer Institute-supported pediatric
				cancer clinical trial groups and their member institutions. For purposes of
				this section, the term <term>pediatric cancer research</term> means research on
				the causes, prevention, diagnosis, recognition, treatment, and long-term
				effects of pediatric cancer.</text>
							</paragraph><paragraph id="id71153df6-0c3f-43e7-96e1-21272596e1b9"><enum>(2)</enum><header>Fellowship of
				excellence in pediatric cancer research</header><text>The Secretary, acting
				through the Director of NIH, shall award grants to enhance and expand cancer
				research fellowships to train and develop clinical investigators focused on
				pediatric cancer research.</text>
							</paragraph><paragraph id="idE250BC43434D4F3883E85CDF60BA8D7E"><enum>(3)</enum><header>Peer review
				requirements</header><text>All grants awarded under this subsection shall be
				awarded in accordance with section 492.</text>
							</paragraph></subsection><subsection id="id9adceee9-f03b-4645-b333-d7d91a8c3723"><enum>(b)</enum><header>Public awareness of
				pediatric cancers and available treatments and research</header>
							<paragraph id="id25310EFC81E24329A56FB338E372A069"><enum>(1)</enum><header>In
				general</header><text>The Secretary may award grants to childhood cancer
				professional and direct service organizations for the expansion and widespread
				implementation of—</text>
								<subparagraph id="IDd939c2e3c28f4e06b5df5c7d9f1ecc4d"><enum>(A)</enum><text>activities that provide
				available information on treatment protocols to ensure early access to the best
				available therapies and clinical trials for pediatric cancers;</text>
								</subparagraph><subparagraph id="IDf62689e71b914335a6b8b4fb7674d185"><enum>(B)</enum><text>activities that provide
				available information on the late effects of pediatric cancer treatment to
				ensure access to necessary long-term medical and psychological care; and</text>
								</subparagraph><subparagraph id="IDac25e8b8c7e844ed91595ac12fca2f93"><enum>(C)</enum><text>direct resource services
				such as educational outreach for parents, peer-to-peer and parent-to-parent
				support networks, information on school re-entry and postsecondary education,
				and resource directories or referral services for financial assistance,
				psychological counseling, and other support services.</text>
								</subparagraph></paragraph><paragraph id="id21C5589517B14DCE88DEA0218A91B039"><enum>(2)</enum><header>Performance
				measurement, transparency, and accountability</header><text>For each grant
				awarded under this subsection, the Secretary shall develop and implement
				metrics-based performance measures to assess the effectiveness of activities
				funded under such grant.</text>
							</paragraph></subsection><subsection id="idb1b45a5b-04d7-4af1-9ed9-4843fe5d5a0d"><enum>(c)</enum><header>Authorization of
				appropriations</header><text>For purposes of carrying out this section and
				section 399E–1, there are authorized to be appropriated $30,000,000 for each of
				fiscal years 2008 through 2012. Such authorization of appropriations is in
				addition to the authorization of appropriations established in section 402A
				with respect to such purpose. Funds appropriated under this subsection shall
				remain available until
				expended.</text>
						</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
			</subsection><subsection id="id2B0BFCDCD55A40EA874DD890B33BBD4A"><enum>(b)</enum><header>National Childhood
			 Cancer registry</header><text>Part M of title III of the Public Health Service
			 Act (42 U.S.C. 280e et seq.) is amended—</text>
				<paragraph id="id1972D17AE747461CAE47D396F869F713"><enum>(1)</enum><text>by inserting after
			 section 399E the following:</text>
					<quoted-block display-inline="no-display-inline" id="id31DCDEED7CF2441197EA0B414159140A" style="OLC" changed="added" reported-display-style="italic" committee-id="SSHR00">
						<section id="id7ACFE0F8D7B34355846FCF7B2CAB8B2B"><enum>399E–1.</enum><header>National Childhood
				Cancer Registry</header>
							<subsection id="idCD4D4F93CACF425F8CA805074AB3FFE6"><enum>(a)</enum><header>In
				general</header><text display-inline="yes-display-inline">The Secretary, acting
				through the Director of the Centers for Disease Control and Prevention, shall
				award a grant to enhance and expand infrastructure to track the epidemiology of
				pediatric cancer into a comprehensive nationwide registry of actual occurrences
				of pediatric cancer. Such registry shall be updated to include an actual
				occurrence within weeks of the date of such occurrence.</text>
							</subsection><subsection id="idE269F389DC6A4439A2FC7602D3EDBA47"><enum>(b)</enum><header>Informed consent and
				privacy requirements and coordination with existing programs</header><text>The
				registry established pursuant to subsection (a) shall be subject to section
				552a of title 5, United States Code, the regulations promulgated under section
				264(c) of the Health Insurance Portability and Accountability Act of 1996,
				applicable Federal and State informed consent regulations, any other Federal
				laws relating to the privacy of patient information, and section 399B(d)(4) of
				this Act.</text>
							</subsection></section><after-quoted-block>;
				and</after-quoted-block></quoted-block>
				</paragraph><paragraph id="id5FBDD6E338A448F3B78F60F3067C13F0"><enum>(2)</enum><text>in section 399F(a), by
			 inserting <quote>(other than section 399E–1)</quote> after <quote>this
			 part</quote>.</text>
				</paragraph></subsection></section></legis-body>
	<endorsement>
		<action-date date="20071212">December 12, 2007</action-date>
		<action-desc>Reported with an amendment</action-desc>
	</endorsement>
</bill>
