119 HR 4541 EH: EARLY Act Reauthorization of 2025
U.S. House of Representatives
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EN
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<enum>I</enum><header>EARLY Act Reauthorization</header>
<section id="HE28EAB3FBE8F4B129509C07E740E21E5" section-type="subsequent-section"><enum>101.</enum><header>Short title</header><text display-inline="no-display-inline">This title may be cited as the <quote><short-title>EARLY Act Reauthorization of 2025</short-title></quote>.</text></section> <section id="HF61795B05C9A46909831B280AFCEEE8D"><enum>102.</enum><header>Reauthorization of the Young Women’s Breast Health Education and Awareness Requires Learning Young Act of 2009</header><text display-inline="no-display-inline">Section 399NN(h) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/280m">42 U.S.C. 280m(h)</external-xref>) is amended by striking <quote>2026</quote> and inserting <quote>2031</quote>.</text></section>
<enum>II</enum><header>SCREENS for Cancer Act</header>
<section id="H09B95CF5B1C34E16971302342C659166" section-type="subsequent-section"><enum>201.</enum><header>Short title</header><text display-inline="no-display-inline">This title may be cited as the <quote><short-title>Screening for Communities to Receive Early and Equitable Needed Services for Cancer Act of 2025</short-title></quote> or the <quote><short-title>SCREENS for Cancer Act of 2025</short-title></quote>.</text></section> <section id="H8A979BC35FDB4702836EAF83BCCAA078"><enum>202.</enum><header>National Breast and Cervical Cancer Early Detection Program</header> <subsection id="HE7A2FE1BCAB74725971E17FEA5FDBF70" display-inline="no-display-inline"><enum>(a)</enum><header>National Breast and Cervical Cancer Early Detection Program</header><text>Title XV of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300k">42 U.S.C. 300k et seq.</external-xref>) is amended—</text>
<paragraph id="HF835DFD1A1BB40A59FE331E517F12E38"><enum>(1)</enum><text>in section 1501 (<external-xref legal-doc="usc" parsable-cite="usc/42/300k">42 U.S.C. 300k</external-xref>)—</text> <subparagraph id="H63C42A918B3A4A1A9739DAE3336EB9B0"><enum>(A)</enum><text>in subsection (a)—</text>
<clause id="HE452D36073954D0E8AB6A7ED992660D1"><enum>(i)</enum><text>in paragraph (2), by striking <quote>the provision of appropriate follow-up services and support services such as case management</quote> and inserting <quote>that appropriate follow-up services are provided</quote>;</text></clause> <clause id="H7082B794C20B4590A840AADCE6D132B4"><enum>(ii)</enum><text>in paragraph (3), by striking <quote>programs for the detection and control</quote> and inserting <quote>programs for the prevention, detection, and control</quote>;</text></clause>
<clause id="HB0600324EFE94700B90659612691C586"><enum>(iii)</enum><text>in paragraph (4), by striking <quote>the detection and control</quote> and inserting <quote>the prevention, detection, and control</quote>;</text></clause> <clause id="H176F145C677C4ECFB164A590F8BD9301"><enum>(iv)</enum><text>in paragraph (5)—</text>
<subclause id="HCC70B8CEB32D4C54867D6D3A67AABC65"><enum>(I)</enum><text>by striking <quote>monitor</quote> and inserting <quote>ensure</quote>; and</text></subclause> <subclause id="H280B76D6A1C148BE9A4254EB5A09C70F"><enum>(II)</enum><text>by striking <quote>; and</quote> and inserting a semicolon;</text></subclause></clause>
<clause id="H8A348D1D05284B7B98E3C664901CEF17"><enum>(v)</enum><text>by redesignating paragraph (6) as paragraph (9);</text></clause> <clause id="H79144CE269D442C8836297086DFBB1BC"><enum>(vi)</enum><text>by inserting after paragraph (5) the following:</text>
<quoted-block style="OLC" id="HFD0313CEFB81471B8F6A6BB8BDED532B" display-inline="no-display-inline">
<paragraph id="H6C1D45F178BE4F04BE95032931586438"><enum>(6)</enum><text display-inline="yes-display-inline">to enhance appropriate support activities to increase breast and cervical cancer screenings, such as navigation of health care services, implementation of evidence-based or evidence-informed strategies to increase breast and cervical cancer screening in health care settings, and facilitation of access to health care settings;</text></paragraph> <paragraph id="HAEEFC3ED25CB49F9BEB83E50BDEFD886"><enum>(7)</enum><text display-inline="yes-display-inline">to reduce disparities in breast and cervical cancer incidence, morbidity, and mortality, including in populations with higher than average rates;</text></paragraph>
<paragraph id="HE9D394442BD3487BB16C616EDEA6AF10"><enum>(8)</enum><text display-inline="yes-display-inline">to improve access to breast and cervical cancer screening and diagnostic services and reduce related barriers, including factors that relate to negative health outcomes; and</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block></clause> <clause id="HEAED84BCCC174148BF42F28177A462A1"><enum>(vii)</enum><text>in paragraph (9), as so redesignated, by striking <quote>through (5)</quote> and inserting <quote>through (8)</quote>; and</text></clause></subparagraph>
<subparagraph id="H6527689019A44587892D5358FD082ADB" commented="no"><enum>(B)</enum><text>by striking subsection (d); </text></subparagraph></paragraph> <paragraph id="HDED4431D0C7A4D73A77F3E0EC2089641"><enum>(2)</enum><text>in section 1503 (<external-xref legal-doc="usc" parsable-cite="usc/42/300m">42 U.S.C. 300m</external-xref>)—</text>
<subparagraph id="HCEEBF525135B441EAD8461E886E04FF7"><enum>(A)</enum><text>in subsection (a)—</text> <clause id="H8BD131D75DB641B189DFB70F680C63DD"><enum>(i)</enum><text>in paragraph (1), by striking <quote>that, initially</quote> and all that follows through the semicolon and inserting <quote>that appropriate breast and cervical cancer screening and diagnostic services are provided consistent with relevant evidence-based recommendations; and</quote>;</text></clause>
<clause id="HEB0B681E199E4F7CA937B4DA5686433F"><enum>(ii)</enum><text>by striking paragraphs (2) and (4);</text></clause> <clause id="HDC2FAD897A514650946ADED14EA62E3A"><enum>(iii)</enum><text>by redesignating paragraph (3) as paragraph (2); and</text></clause>
<clause id="HEB73705E88534118B3FD0FF92B24EE3E"><enum>(iv)</enum><text>in paragraph (2), as so redesignated, by striking <quote>; and</quote> and inserting a period; and</text></clause></subparagraph> <subparagraph id="H56430B43C9EB407CB7EC9DF94F880764"><enum>(B)</enum><text>by striking subsection (d);</text></subparagraph></paragraph>
<paragraph id="H6572283BEF5F48AAB43DA3E91C66AD3F"><enum>(3)</enum><text>in section 1508(b) (<external-xref legal-doc="usc" parsable-cite="usc/42/300n-4">42 U.S.C. 300n–4(b)</external-xref>)—</text> <subparagraph id="HBB7539BDAA3D45D0B63624EA48C927CF"><enum>(A)</enum><text>by striking <quote>1 year after the date of the enactment of the National Breast and Cervical Cancer Early Detection Program Reauthorization of 2007, and annually thereafter,</quote> and inserting <quote>2 years after the date of enactment of the <short-title>SCREENS for Cancer Act of 2025</short-title>, and every 5 years thereafter,</quote>; </text></subparagraph>
<subparagraph id="H9EEC10317B1246BC81F3D841198B75CF"><enum>(B)</enum><text>by striking <quote>Labor and Human Resources</quote> and inserting <quote>Health, Education, Labor, and Pensions</quote>; and </text></subparagraph> <subparagraph id="HB5A95546C4214C30A5AFBE5AF1F1EE5A"><enum>(C)</enum><text>by striking <quote>preceding fiscal year</quote> and inserting <quote>preceding 2 fiscal years in the case of the first report after the date of enactment of the <short-title>SCREENS for Cancer Act of 2025</short-title>, and preceding 5 fiscal years for each report thereafter,</quote>; and</text></subparagraph></paragraph>
<paragraph id="H10274575721543CC8EA69B2B90C5229D"><enum>(4)</enum><text>in section 1510(a) (<external-xref legal-doc="usc" parsable-cite="usc/42/300n-5">42 U.S.C. 300n–5(a)</external-xref>)—</text> <subparagraph id="HA099D09C95D44007AD809BB56F7CD477" commented="no" display-inline="no-display-inline"><enum>(A)</enum><text display-inline="yes-display-inline">by striking <quote>2011, and</quote> and inserting <quote>2011,</quote>; and</text></subparagraph>
<subparagraph id="HA88DA296FE4A4259813712B098723A95" commented="no" display-inline="no-display-inline"><enum>(B)</enum><text display-inline="yes-display-inline">by inserting <quote>, and $235,500,000 for each of fiscal years 2026 through 2030</quote> before the period at the end.</text></subparagraph></paragraph></subsection> <subsection id="H6EDC49CB60524E24887845AEDD380101" display-inline="no-display-inline"><enum>(b)</enum><header>GAO study</header><text>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— </text>
<paragraph id="H75E973E02A894DBC81B8ADD7E2B7FCC5"><enum>(1)</enum><text>an estimate of the number of individuals eligible for services provided under such program; </text></paragraph> <paragraph id="H4D7C5A010F974557A223E5DC3BB6D6E1"><enum>(2)</enum><text>a summary of trends in the number of individuals served through such program; and</text></paragraph>
<paragraph id="HB9561B381578492795A1A9A9140D18E8"><enum>(3)</enum><text>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.</text></paragraph></subsection></section> Passed the House of Representatives July 20, 2026.Kevin F. McCumber,Clerk.