[Congressional Record Volume 146, Number 56 (Tuesday, May 9, 2000)]
[House]
[Pages H2687-H2698]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
BREAST AND CERVICAL CANCER PREVENTION AND TREATMENT ACT OF 2000
Mr. LAZIO. Mr. Speaker, I move to suspend the rules and pass the bill
(H.R. 4386) to amend title XIX of the Social Security Act to provide
medical assistance for certain women screened and found to have breast
or cervical cancer under a federally funded screening program, to amend
the Public Health Service Act and the Federal Food, Drug, and Cosmetic
Act with respect to surveillance and information concerning the
relationship between cervical cancer and the human papillomavirus
(HPV), and for other purposes, as amended.
The Clerk read as follows:
H.R. 4386
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 ``Breast and Cervical Cancer
Prevention and Treatment Act of 2000''.
SEC. 2. OPTIONAL MEDICAID COVERAGE OF CERTAIN BREAST OR
CERVICAL CANCER PATIENTS.
(a) Coverage as Optional Categorically Needy Group.--
(1) In general.--Section 1902(a)(10)(A)(ii) of the Social
Security Act (42 U.S.C. 1396a(a)(10)(A)(ii)) is amended--
(A) in subclause (XVI), by striking ``or'' at the end;
(B) in subclause (XVII), by adding ``or'' at the end; and
(C) by adding at the end the following:
``(XVIII) who are described in subsection (aa) (relating to
certain breast or cervical cancer patients);''.
(2) Group described.--Section 1902 of the Social Security
Act (42 U.S.C. 1396a) is amended by adding at the end the
following:
[[Page H2688]]
``(aa) Individuals described in this paragraph are
individuals who--
``(1) are not described in subsection (a)(10)(A)(i);
``(2) have not attained age 65;
``(3) have been screened for breast and cervical cancer
under the Centers for Disease Control and Prevention breast
and cervical cancer early detection program established under
title XV of the Public Health Service Act (42 U.S.C. 300k et
seq.) in accordance with the requirements of section 1504 of
that Act (42 U.S.C. 300n) and need treatment for breast or
cervical cancer; and
``(4) are not otherwise covered under creditable coverage,
as defined in section 2701(c) of the Public Health Service
Act (45 U.S.C. 300gg(c)).''.
(3) Limitation on Benefits.--Section 1902(a)(10) of the
Social Security Act (42 U.S.C. 1396a(a)(10)) is amended in
the matter following subparagraph (G)--
(A) by striking ``and (XIII)'' and inserting ``(XIII)'';
and
(B) by inserting ``, and (XIV) the medical assistance made
available to an individual described in subsection (aa) who
is eligible for medical assistance only because of
subparagraph (A)(10)(ii)(XVIII) shall be limited to medical
assistance provided during the period in which such an
individual requires treatment for breast or cervical cancer''
before the semicolon.
(4) Conforming amendments.--Section 1905(a) of the Social
Security Act (42 U.S.C. 1396d(a)) is amended in the matter
preceding paragraph (1)--
(A) in clause (xi), by striking ``or'' at the end;
(B) in clause (xii), by adding ``or'' at the end; and
(C) by inserting after clause (xii) the following:
``(xiii) individuals described in section 1902(aa),''.
(b) Presumptive Eligibility.--
(1) In general.--Title XIX of the Social Security Act (42
U.S.C. 1396 et seq.) is amended by inserting after section
1920A the following:
``presumptive eligibility for certain breast or cervical cancer
patients
``Sec. 1920B. (a) State Option.--A State plan approved
under section 1902 may provide for making medical assistance
available to an individual described in section 1902(aa)
(relating to certain breast or cervical cancer patients)
during a presumptive eligibility period.
``(b) Definitions.--For purposes of this section:
``(1) Presumptive eligibility period.--The term
`presumptive eligibility period' means, with respect to an
individual described in subsection (a), the period that--
``(A) begins with the date on which a qualified entity
determines, on the basis of preliminary information, that the
individual is described in section 1902(aa); and
``(B) ends with (and includes) the earlier of--
``(i) the day on which a determination is made with respect
to the eligibility of such individual for services under the
State plan; or
``(ii) in the case of such an individual who does not file
an application by the last day of the month following the
month during which the entity makes the determination
referred to in subparagraph (A), such last day.
``(2) Qualified entity.--
``(A) In general.--Subject to subparagraph (B), the term
`qualified entity' means any entity that--
``(i) is eligible for payments under a State plan approved
under this title; and
``(ii) is determined by the State agency to be capable of
making determinations of the type described in paragraph
(1)(A).
``(B) Regulations.--The Secretary may issue regulations
further limiting those entities that may become qualified
entities in order to prevent fraud and abuse and for other
reasons.
``(C) Rule of construction.--Nothing in this paragraph
shall be construed as preventing a State from limiting the
classes of entities that may become qualified entities,
consistent with any limitations imposed under subparagraph
(B).
``(c) Administration.--
``(1) In general.--The State agency shall provide qualified
entities with--
``(A) such forms as are necessary for an application to be
made by an individual described in subsection (a) for medical
assistance under the State plan; and
``(B) information on how to assist such individuals in
completing and filing such forms.
``(2) Notification requirements.--A qualified entity that
determines under subsection (b)(1)(A) that an individual
described in subsection (a) is presumptively eligible for
medical assistance under a State plan shall--
``(A) notify the State agency of the determination within 5
working days after the date on which determination is made;
and
``(B) inform such individual at the time the determination
is made that an application for medical assistance under the
State plan is required to be made by not later than the last
day of the month following the month during which the
determination is made.
``(3) Application for medical assistance.--In the case of
an individual described in subsection (a) who is determined
by a qualified entity to be presumptively eligible for
medical assistance under a State plan, the individual shall
apply for medical assistance under such plan by not later
than the last day of the month following the month during
which the determination is made.
``(d) Payment.--Notwithstanding any other provision of this
title, medical assistance that--
``(1) is furnished to an individual described in subsection
(a)--
``(A) during a presumptive eligibility period;
``(B) by a entity that is eligible for payments under the
State plan; and
``(2) is included in the care and services covered by the
State plan;
shall be treated as medical assistance provided by such plan
for purposes of section 1903(a)(5).''.
(2) Conforming amendments.--
(A) Section 1902(a)(47) of the Social Security Act (42
U.S.C. 1396a(a)(47)) is amended by inserting before the
semicolon at the end the following: ``and provide for making
medical assistance available to individuals described in
subsection (a) of section 1920B during a presumptive
eligibility period in accordance with such section''.
(B) Section 1903(u)(1)(D)(v) of such Act (42 U.S.C.
1396b(u)(1)(D)(v)) is amended--
(i) by striking ``or for'' and inserting ``, for''; and
(ii) by inserting before the period the following: ``, or
for medical assistance provided to an individual described in
subsection (a) of section 1920B during a presumptive
eligibility period under such section''.
(c) Enhanced Match.--The first sentence of section 1905(b)
of the Social Security Act (42 U.S.C. 1396d(b)) is amended--
(1) by striking ``and'' before ``(3)''; and
(2) by inserting before the period at the end the
following: ``, and (4) the Federal medical assistance
percentage shall not be less than 75 percent with respect to
medical assistance provided to individuals who are eligible
for such assistance only on the basis of section
1902(a)(10)(A)(ii)(XVIII)''.
(d) Effective Date.--The amendments made by this section
apply to medical assistance for items and services furnished
on or after October 1, 2001, without regard to whether final
regulations to carry out such amendments have been
promulgated by such date.
(e) Sense of Congress.--It is the sense of Congress that
the amendments made by this section, as enacted into law,
should conform to the levels of new budget authority and
budget outlays of the most recently adopted concurrent
resolution on the budget for the fiscal years that are
subject to such resolution, and to the extent that those
amendments result in estimated expenditures for the five-
fiscal-year period beginning with fiscal year 2001 in excess
of such levels, that excess for such period should be fully
offset before this section is enacted by both houses of
Congress.
SEC. 3. HUMAN PAPILLOMAVIRUS; ACTIVITIES OF CENTERS FOR
DISEASE CONTROL AND PREVENTION.
Part B of title III of the Public Health Service Act (42
U.S.C. 243 et seq.) is amended by inserting after section
317G the following section:
``human papillomavirus
``Sec. 317H. (a) Surveillance.--
``(1) In general.--The Secretary, acting through the
Director of the Centers for Disease Control and Prevention,
shall--
``(A) enter into cooperative agreements with States and
other entities to conduct sentinel surveillance or other
special studies that would determine the prevalence in
various age groups and populations of specific types of human
papillomavirus (referred to in this section as `HPV') in
different sites in various regions of the United States,
through collection of special specimens for HPV using a
variety of laboratory-based testing and diagnostic tools; and
``(B) develop and analyze data from the HPV sentinel
surveillance system described in subparagraph (A).
``(2) Report.--The Secretary shall make a progress report
to the Congress with respect to paragraph (1) not later than
one year after the effective date of this section.
``(b) Prevention Activities; Education Program.--
``(1) In general.--The Secretary, acting through the
Director of the Centers for Disease Control and Prevention,
shall conduct prevention research on HPV, including--
``(A) behavioral and other research on the impact of HPV-
related diagnoses on individuals;
``(B) formative research to assist with the development of
educational messages and information for the public, for
patients, and for their partners about HPV;
``(C) surveys of physician and public knowledge, attitudes,
and practices about genital HPV infection; and
``(D) upon the completion of and based on the findings
under subparagraphs (A) through (C), develop and disseminate
educational materials for the public and health care
providers regarding HPV and its impact and prevention.
``(2) Report; final proposal.--The Secretary shall make a
progress report to the Congress with respect to paragraph (1)
not later than one year after the effective date of this
section, and shall develop a final proposal not later than
two years after such effective date, including a detailed
summary of the significant findings and problems. The report
shall outline the further steps needed to make HPV a
reportable disease and the best strategies to prevent future
infections.
[[Page H2689]]
``(c) Condom Effectiveness; Education.--The Secretary shall
require that the Department of Health and Human Services and
all contractors, grantees, and subgrantees of such Department
specifically state the effectiveness or lack of effectiveness
of condoms in preventing the transmission of HPV, herpes, and
other sexually transmitted diseases in all informational
materials related to condoms or sexually transmitted diseases
that are made available to the public. The Secretary shall
assure that such information is made available to relevant
operating divisions and offices of the Department of Health
and Human Services. This subsection shall be effective within
6 months of the date of its enactment.''.
SEC. 4. LABELING OF CONDOMS WITH RESPECT TO HUMAN
PAPILLOMAVIRUS.
(a) In General.--Section 502 of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 352) is amended by adding at the end
the following:
``(u) If it is a condom, unless its label and labeling bear
information providing that condoms do not effectively prevent
the transmission of the human papillomavirus and that such
virus can cause cervical cancer.''.
(b) Applicability.--The amendment made by subsection (a)
applies to condoms manufactured on or after the expiration of
the 180-day period beginning on the date of the enactment of
this Act.
The SPEAKER pro tempore. Pursuant to the rule, the gentleman from New
York (Mr. Lazio) and the gentleman from Ohio (Mr. Brown) each will
control 20 minutes.
The Chair recognizes the gentleman from New York (Mr. Lazio).
General Leave
Mr. LAZIO. Mr. Speaker, I ask unanimous consent that all Members may
have 5 legislative days within which to revise and extend their remarks
and include extraneous material on this legislation.
The SPEAKER pro tempore. Is there objection to the request of the
gentleman from New York?
There was no objection.
Mr. LAZIO. Mr. Speaker, I yield myself such time as I may consume.
Mr. Speaker, today Mother's Day comes a few days early in this House
because of the hard work in a bipartisan fashion of a number of
different leaders in the House of Representatives, beginning with the
Speaker of the House, the gentleman from Illinois (Mr. Hastert).
Without his support and his commitment to this legislation, we simply
would not be here right now.
Mr. Speaker, the gentleman from Virginia (Mr. Bliley), chairman of
the Committee on Commerce, deserves our respect and our appreciation
for having addressed the merits of this bill in hearings and then
supported it throughout the process.
I also commend the gentlewoman from Florida (Ms. Ros-Lehtinen), the
gentlewoman from Florida (Mrs. Fowler) and the gentlewoman from Ohio
(Ms. Pryce), my colleagues, for their considerable influence with the
leadership and with the membership to help move this along.
Finally, I want to thank the gentlewoman from North Carolina (Mrs.
Myrick), who for her entire tenure in the House has been focused on
issues involving those people who are in struggles and need to build
better partnerships. She has been an incredible advocate for women who
face breast and cervical cancer and as the lead sponsor on this bill, I
express my deep appreciation.
{time} 1315
Mr. Speaker, I want to tell my colleagues a story. It is a true
story. It is a story about one of my constituents, but she can just as
well have been born or lived somewhere else in America. It is about a
woman named Judy Lewis.
See, Judy is a woman of modest means. She is an honest woman. She
works as a waitress. Her employer, like a lot of employers throughout
America, cannot afford to give his employees health insurance. On a
waitress' salary, Judy cannot afford to purchase a policy either.
So imagine Judy's delight when she heard of a Federal program that
would provide breast and cervical cancer screenings free of charge. So
Judy went out and had herself screened, just as the Federal Government
has encouraged her to do.
Mr. Speaker, one can imagine how Judy's delight turned to devastation
when she received the diagnosis of breast cancer. One can imagine how
her devastation turned to utter despondency when she was told that this
Federal program was limited solely to cancer screening and that there
was no treatment to be had.
Mr. Speaker, Judy Lewis found herself facing hard, hard options that
I would not wish on anyone. She was forced to spend her life savings,
to reduce herself to penury, in order to qualify for the Medicaid
program that might just save her life.
Mr. Speaker, there are thousands of Judy Lewises out there. Thousands
of women who are forced to face a Hobsons choice between a flatline or
the bread line, between chemotherapy or the homeless shelter.
Mr. Speaker, it is about time that Congress acted, and it is about
time that we filled in this deadly crack in our medical system that is
consuming thousands of women like Judy Lewis each and every year.
Mr. Speaker, this is a good bill. This is a just bill. Let us work to
make sure that no American woman would needlessly die of these deadly
yet treatable diseases.
I want to conclude by emphasizing once again, Mr. Speaker, the
bipartisan nature of this bill. I want to thank the gentleman from Ohio
(Mr. Brown), and I want to thank the gentlewoman from California (Mrs.
Capps), and I would like to thank the gentlewoman from California (Ms.
Eshoo) for their work on this as well.
Mr. Speaker, I reserve the balance of my time.
Mr. BROWN of Ohio. Mr. Speaker, I yield myself such time as I may
consume.
Mr. Speaker, I want to commend the gentlewoman from California (Ms.
Eshoo) and the gentleman from New York (Mr. Lazio) for their hard work
on behalf of women screened under the CDC National Breast and Cervical
Cancer screening program. H.R. 1070 has tremendous support with 315
cosponsors.
In 1990, Congress passed a Breast and Cervical Cancer Mortality
Prevention Act authorizing funding for a national breast and cervical
cancer screening program, focusing on uninsured and under-insured
women. The program is federally funded and locally operated, and it
works.
My home State of Ohio set up 12 local screening sites providing
coverage for all of Ohio's 88 counties. Since its inception, some
16,000 women in my State have been screened for cervical and breast
cancer, and cancer has been detected in more than 200 women.
Early detection alters the odds of successful treatment dramatically,
restoring precious years otherwise lost to these devastating cancers.
But there is a catch. Early detention is a futile and ultimately cruel
exercise if the cancer diagnosis does not trigger appropriate
treatment. They go hand in hand.
The 1990 bill authorizes funding for screening but not for treatment.
Screening alone surely cannot reduce cancer mortality. Thankfully, only
a small percentage of women screened under the CDC program were
actually diagnosed with cancer.
Imagine if one of these women was your sister, your mother, your
wife, your daughter. Maybe she works for a company that does not offer
health insurance. Maybe she is out of a job. Maybe you are.
With our encouragement, she participates in the CDC cancer screening
program and learned she has life threatening cancer. What is next? If
we pass this bill, she will face cancer with doctors and in a setting
that makes sense. If we do not, she will be relegated to charity care.
It is as simple as that.
The Nation can make a small investment and, in so doing, reduce
cancer mortality, promote cost-effective early detection and prevention
of cancer, and spare seriously ill women the added trauma of cobbled
together often-ineffective care. Or we can look the other way.
There is only one right answer, Mr. Speaker. We need to pass this
bill.
Mr. Speaker, I reserve the balance of my time.
Mr. LAZIO. Mr. Speaker, it is now my pleasure to yield 2 minutes to
the gentlewoman from North Carolina (Mrs. Myrick), the primary sponsor
of this legislation.
Mrs. MYRICK. Mr. Speaker, I thank the gentleman from New York
(Chairman Lazio) for yielding me this time.
I am so pleased to be able to be here today and support this bill
because it is a great day for American women. Today we can actually
pass a bill that is going to ensure that low-income
[[Page H2690]]
working women can get treatment for their breast or cervical cancer.
This is a bill that covers women who are not eligible for Medicaid
and too young for Medicare, but are caught in that crack of not having
insurance coverage for a lot of reasons. Some, their employer does not
provide it. Other times, they just flat cannot afford it.
So this program is a follow-up to something Congress has been doing
for the last 10 years. We have been providing screening for breast and
cervical cancer. But then if the woman is told that she has cancer, the
critical aspect of treatment is not there. A lot of them are sent home
with no treatment options.
By establishing this service, they are going to have that peace of
mind that they will receive the care that they need. If we care enough
to screen the women, we certainly should care enough to be able to
provide the treatment.
I am very fortunate. I am currently undergoing treatment for breast
cancer, but I have insurance. It is paying my thousands and thousands
of dollars of medical bills. But the women that we are talking about
today do not have that luxury. I cannot imagine anything more
devastating than being told one has cancer, but I am sorry, there is no
way one can get treated. I mean, one goes through enough emotional
turmoil when one has to deal with this disease alone, let alone knowing
that there is no hope there for one as a human being to continue to
lead the rest of one's life, live the rest of one's life in a healthy
manner.
So this is not only a great day for American women, it is a great
Mother's Day gift for American women because, yes, Sunday is Mother's
Day.
I would like so much to thank the gentleman from New York (Mr. Lazio)
and the gentlewoman from California (Ms. Eshoo) who have taken the lead
on this bill. I thank Speaker Hastert for his willingness to bring it
to the floor.
I urge all of my colleagues to support the bill.
Mr. BROWN of Ohio. Mr. Speaker, I yield 3\1/2\ minutes to the
gentlewoman from California (Ms. Eshoo) who has done yeoman's work in
pushing this bill to the House floor.
Ms. ESHOO. Mr. Speaker, I thank the gentleman from Ohio, the ranking
member, for yielding me this time.
Mr. Speaker, I rise in support of the legislation that is here on the
floor under suspension, which, to the American people, what that means
is that there are so many people that support this that we do not have
to worry about its passage.
On March 11, 1999, we held a press conference. The gentleman from New
York (Mr. Lazio) and myself brought about this bill, and I am very
proud to be the chief Democratic sponsor of it.
On that day, I issued a challenge, our challenge to ourselves and the
women around the country, that we would lobby the Congress and all of
its Members so that, by Mother's Day of last year, we would have more
than a simple majority to pass the bill. I did not realize what a fight
we had on our hands.
We are here today for a bill that today, as brought to the floor, has
three cosponsors. Why did it go from 315 to 3? Because last Friday the
bill was gutted, plain and simple.
Now, this bill is not about my work. This bill is really not about
the work of the gentleman from New York (Mr. Lazio). This bill is about
a need of women to have treatment for breast and cervical cancer. That
is why I brought everything that I could to it.
The reason the bill was reconstituted with money in it, make no
mistake about it, is because of the National Breast Cancer Coalition
and its brave and courageous members. They were the ones that put in
the telephone calls to the Speaker's office and to the leadership and
said, unless you retain money in the bill, the Congress might as well
send a greeting card to the families of America who have been
victimized by either breast or cervical cancer, and said we are
thinking about you on Mother's Day.
So I rejoice for them and their courageous advocacy, because, were it
not for the National Breast Cancer Coalition, Mr. Speaker, we would not
be here today with the reconstituted bill, because it was gutted and
thrown by the side of the road last week.
This is a need in our Nation. Imagine women being victimized, not
once, but twice, first by the breast or cervical cancer and then by a
lack of insurance coverage. These are the waitresses, these are the
uninsured or the under-insured women of our Nation.
So we do noble work for them today by passing this and saying to them
that America is a better country, that she can, indeed, step up to and
fund and advocate for and recognize where there is a weak link, where
something is broken in our society.
I want to salute everyone in the House that was a cosponsor of H.R.
1070. That was the legislation that really allowed this to happen
today. I want to thank all of my colleagues for having done that. It
was a very important bipartisan effort. No major legislation in this
House, no meaningful legislation can ever pass the Congress unless it
is bipartisan.
So as we used to say when we were kids, sticks and stones may break
my bones, but no one is going to break the spirit of those that need
the most of what they need; and those of us in this House are going to
insist that it be done the way it should be done in order to make it
happen for them.
So God bless the women. Happy Mother's Day. They deserve it. They
earned it. I thank the National Breast Cancer Coalition.
Mr. LAZIO. Mr. Speaker, I include for the Record the letter of
glowing support of H.R. 4386 from the National Breast Cancer Coalition,
as follows:
National Breast Cancer Coalition,
May 9, 2000.
Dear Congressperson: On behalf of the National Breast
Cancer Coalition (NBCC) and the 2.6 million American women
living with breast cancer. I urge you to support H.R. 4386,
the substitute for H.R. 1070, the Breast and Cervical Cancer
Treatment Act, when it comes to the House floor for a vote
today. H.R. 4386 is bi-partisan legislation offered by
Representatives Myrick (R-NC), Danner (D-MO), and Lazio (R-
NY). This legislation is very similar to H.R. 1070, the
Breast and Cervical Cancer Treatment Act, offered by
Representatives Lazio (R-NY), Eschoo (D-CA), Ros-Lehtinen (R-
FL) and Capps (D-CA), one of NBCC's priority issues for the
106th Congress.
H.R. 4386 would give states the option of providing
Medicaid coverage to low-income women who are screened and
diagnosed with breast and cervical cancer through the Centers
for Disease Control and Prevention's (CDC) National Breast
and Cervical Cancer Early Detection Program. While the CDC
Early Detection Program currently provides screening for
breast and cervical cancer for low-income, uninsured and
underinsured women, if lacks a critical aspect--funding for
treatment for women diagnosed with these cancers. These women
are often working mothers who are too young for Medicare and
whose incomes are too high for Medicaid, but who do not have
health insurance. Screening must be coupled with treatment to
reduce mortality.
H.R. 4386, like H.R. 1070, also includes the enhanced match
of 75% Federal-25% State dollars for treatment, instead of
the basic 60% Federal-40% State dollars. This enhanced match
is a major incentive for governors to enroll their states in
the program once the bill is signed into law so that these
women can be created for their cancers. Many governors,
including George W. Bush, have endorsed this legislation.
Congress provided funding for H.R. 4386 in the FY 01 Budget
Resolution. President Clinton also included funding for this
program in his FY 01 budget. H.R. 1070, which contains almost
all of the same provisions as H.R. 4385, has 315 co-sponsors.
The Breast and Cervical Cancer Treatment Act passed
unanimously out of the House Commerce Committee.
Please vote ``yes'' on H.R. 4386. NBCC will record Members'
votes on this legislation in our 2000 Voting Record, which
will come out prior to the November elections.
With all of this support, we must pass H.R. 4386. Let's
give all the mothers in this country the best gift we can
this Mothers Day week--peace of mind that we are one step
closer to assurance that if they are diagnosed with breast or
cervical cancer they will receive the life-saving treatment
they need.
Sincerely,
Fran Visco,
President.
Mr. LAZIO. Mr. Speaker, I yield 2\1/2\ minutes to the distinguished
gentlewoman from Florida (Ms. Ros-Lehtinen) who has been just an
amazing advocate for this bill and for women who struggle with breast
and cervical cancer.
Ms. ROS-LEHTINEN. Mr. Speaker, I congratulate the gentleman from New
York (Mr. Lazio) for his tireless leadership efforts on this bill
because today marks a significant day in women's history as we will
help decide the fate of scores of women throughout our country.
The bill before us, the Breast and Cervical Cancer Treatment Act, is
a
[[Page H2691]]
bill that has long been awaited by our Nation's mothers and daughters
whose lives have been touched by breast or cervical cancer.
Women's cancers are sweeping the Nation at high speeds. While
researchers continue to look for cures and effective treatments, many
women will never be able to see the benefits of such research because
they simply are not able to afford it.
The bill before us will enable many low-income women to receive the
necessary life treatment, life saving treatment through a State-
optional Medicaid benefit which will help provide coverage for
treatment for women who are screened and diagnosed through the Federal
CDC Early Detection Program.
Today, if we pass our bill, our Nation's women will finally be given
a fighting chance at beating a life-threatening disease. Today if we
pass the bill of the gentleman from New York (Mr. Lazio), low-income
women everywhere will have peace of mind that, should she ever be
diagnosed with breast or cervical cancer, life-saving treatment will be
made available to them.
Despite education on preventative measures and early detection, the
rate of cancer among women continues to increase at an alarming rate.
Every 64 minutes, a woman is diagnosed with a reproductive tract
cancer; and just today, one in eight women will be diagnosed with
breast cancer.
The gentlewoman from North Carolina (Mrs. Myrick), our own colleague,
shared with us how her life has been directly touched by breast cancer.
Fortunately for the gentlewoman, she is among the fortunate ones who
can afford life-saving treatment after diagnosis, but many women
unfortunately are not as lucky.
As cancer eats away at their spirits, many women are left to scramble
and search for funding. They are forced to hold bake sales and car
washes just to be able to afford the necessary life-saving treatment
they so desperately need.
As role models and community leaders, we encourage all mothers and
daughters to have mammogram screenings and take early detection
measures. Today, Congress can make a difference and give mothers all
over the country the best gift this coming Mother's Day by giving them
life.
By passing the bill of the gentleman from New York, (Mr. Lazio), the
Breast and Cervical Cancer Treatment Act, we can give women a fighting
chance at beating cancer. It is the very least that all of us in
Congress can do for mothers and women everywhere.
I thank our colleagues for their extraordinary leadership, especially
the gentleman from New York (Mr. Lazio). I also thank the gentlewoman
from North Carolina (Mrs. Myrick) whose perseverance in the battle to
eradicate breast cancer has been a strong inspiration for all of us.
When battling a fierce and treacherous disease such as cancer, every
minute counts. Mr. Speaker, many of our Nation's mothers and daughters
cannot wait any longer. I urge my colleagues to vote for passage of
H.R. 4386, to extend to them the gift of life.
{time} 1330
Mr. BROWN of Ohio. Mr. Speaker, I yield 3 minutes to the gentleman
from California (Mr. Waxman).
Mr. WAXMAN. Mr. Speaker, I rise in support of H.R. 4386, the Breast
and Cervical Cancer Treatment Act of 2000. This bill is a variation of
legislation originally introduced by the gentlewoman from California
(Ms. Eshoo) and the gentleman from New York (Mr. Lazio) as H.R. 1070.
Because of the untiring efforts of both of these sponsors, that
legislation was finally considered by the Committee on Commerce and
passed by a vote last October.
The gentlewoman from California (Ms. Eshoo) has continued to work to
see that this legislation would receive consideration by the full
House. She has been a driving force for this legislation. In view of
those efforts, I find it disturbing that her name appears nowhere on
the legislation before us today. Instead, we have a new bill and new
Republican lead sponsors.
The bipartisan way this bill has been approached from the beginning
is now paid lip service at best. Well, that will not fool the many
groups who have long fought for this bill and who know the dedication
of the gentlewoman from California (Ms. Eshoo) and many other Democrats
who have fought for this effort as well. It will not fool the women of
America.
I think it reflects poorly on the Republican leadership for trying to
take sole partisan credit for a bill that has been bipartisan from the
very beginning and is bipartisan in support of this legislation today.
The Republicans are trying to take partisan credit for this bill, and
by the time we are finished, they will take partisan credit for
Mother's Day.
I regret also that the bill that is before us is not going to even be
put into effect until the year 2001. This bill should have been
effective immediately. It should have been brought up last year.
Instead, what we have is a bill that will not be effective until 2001
but is called the Breast and Cervical Cancer Treatment Act of 2000.
Notwithstanding these last-minute changes, this bill will provide
crucial treatment and follow-up services under Medicaid for women
screened under the Breast and Cervical Cancer Screening Program who are
found to have cancer.
Mr. Speaker, I was chairman of the Subcommittee on Health and the
Environment when we originally passed the Breast and Cervical Cancer
Screening Program into law. It was an important step forward. We did it
on a bipartisan basis. It has proved to be a real success story in
helping women. It remains a law that I am proud of. But when we have no
services available for women who find that they have breast cancer, it,
one, discourages many from even going in to be screened, and it is
inhumane not to have those services available.
However, there is one part of this bill that was added in committee
that is of great concern to me, and I want to point that out. I believe
the mandate concerning human papilloma virus, HPV, was a well-intended
but deeply misguided provision. From a public health point of view,
this provision will not achieve a meaningful improvement in health or
in the prevention of HPV. On the contrary, it threatens to discourage
the use of condoms in preventing other sexually transmitted diseases,
including HIV and AIDS.
I urge my colleagues to support the bill because of its important
contributions to the treatment and care of American women with breast
and cervical cancer.
Mr. Speaker, I rise in support of H.R. 4365, ``The Children's Health
Research and Prevention Amendments of 2000.'' This bill includes many
important provisions which will advance the treatment, cure and
prevention of many childhood diseases and disorders.
Important Titles on Asthma and Autoimmune Diseases
I am very pleased that H.R. 4365 includes two titles which I have
authored. Both titles promise to make significant advances in the
treatment and prevention of childhood asthma and of autoimmune
diseases, like multiple sclerosis, juvenile diabetes and lupus: Title V
of this bill consists of H.R. 2840, ``The Children's Asthma Relief Act
of 1999,'' introduced by Congressman Fred Upton and myself; and title
XIX is based on H.R. 2573, ``The NIH Office of Autoimmune Diseases Act
of 1999,'' which was authored by Congresswoman Connie Morella and
myself.
Children's Asthma Relief Act
Today, more than 5 million American children have asthma, one of the
most significant and prevalent chronic diseases in America. Surgeon
General David Satcher recently concluded that the United States is
``moving in the wrong direction, especially among minority children in
the urban communities.''
That is why the Children's Asthma Relief Act provides new funding for
pediatric asthma prevention and treatment programs, allowing States and
local communities to target and improve the health of low-income
children suffering from asthma. The act would also increase the
enrollment of these children into Medicaid and State Children's Health
Insurance Programs, (CHIP), such as California's Healthy Families.
I am particularly pleased that title V of H.R. 4365 includes mobile
``breathmobiles'' among the community-based programs eligible for
funding. These school-based mobile clinics were developed by the
southern California chapter of the Asthma and Allergy Foundation of
America, in conjunction with Los Angeles County, Los Angeles Unified
School District, and the University of Southern California.
Finally, this title reflects the leadership and work of Senators Dick
Durbin and Mike DeWine. It also has the strong support of leading child
health and asthma organizations, including the American Lung
Association, the American Academy of Pediatrics, Association
[[Page H2692]]
of Maternal and Child Health Programs, the National Association of
Children's Hospitals, the American Academy of Chest Physicians, and the
Children's Health Fund.
NIH Initiative on Autoimmune Diseases
I am also pleased that H.R. 4365 establishes a new initiative at NIH
to ``expand, intensify and coordinate'' research and education on
autoimmune diseases.
Last year, Congresswoman Morella and I introduced ``The NIH Office of
Autoimmune Diseases Act of 1999.'' This legislation created an office
in the NIH Office of the Director to ensure the Federal funding of
autoimmune disease research is used optimally and that clinical
treatments are developed as rapidly as possible.
There are more than 80 autoimmune diseases--including multiple
sclerosis, lupus, and rheumatoid arthritis--in which the body's immune
system mistakenly attacks healthy tissues. These diseases affect more
than 13.5 million Americans and are major causes of disability. Most
striking of all, three-quarters of those afflicted with an autoimmune
disease are women.
Research on autoimmune diseases is spread through many institutes of
the National Institutes of Health (NIH), just as treatments involve
many clinical specialties. Increasingly, however, scientists are
identifying the common risk factors and symptoms of autoimmune
diseases. This is why greater coordination and additional resources are
needed in our Nation's autoimmune research effort.
Title XIX of H.R. 4365 adopts our office, transferring its activities
and mission to an Autoimmune Diseases Coordinating Committee. Composed
of NIH institute directors and permanently staffed with scientists and
health professionals, the coordinating committee would be advised by a
public advisory council.
Most significantly, the coordinating committee, in close consultation
with the advisory council, will develop a plan for research and
education on autoimmune diseases. The plan will establish NIH
priorities and the Director of NIH will ensure the plan is fully and
appropriately funded. The strategic plan would create crucial new
funding opportunities for autoimmune research, based on the
professional and scientific judgments of researchers, patients, and
clinicians.
Finally, the committee would report to Congress on implementation of
the plan, including the actual amounts dedicated by NIH to autoimmune
disease research. The committee will also prospectively identify areas
and projects of great promise which Congress should support.
I cannot overstate the importance of these activities. In conjunction
with the strategic plan, these reports will provide an objective,
scientifically sound roadmap to Congress and NIH to follow in the
pursuit of new treatments and cures for autoimmune diseases.
controversy concerning title xii on adoption awareness
However, I do have serious concerns over one section of this bill--
title XII's adoption awareness provisions. This title was the subject
of great controversy and debate. The original language raised many
serious objections concerning adoption policy as well as abortion
policy.
These objections were made by Members, including myself, and
important public health organizations including the American College of
Obstetricians and Gynecologists, the National Association of Community
Health Centers, and the National Abortion and Reproductive Rights
Action League.
I recognize the sincerity of Chairman Bliley's concern on the issue
of adoption. And he has clearly made significant efforts to achieve a
compromise and to remove the more troubling provisions from this title.
But while I support the passage of H.R. 4365, I join many colleagues
in calling for careful scrutiny of this title when the legislation is
in conference with the Senate. We must assure that its provisions do no
harm to the provision of federally funded reproductive health services
or to sensible adoption policy across the country.
Again, I urge passage of this bill's important provisions for
children's health, and ask every Member to join me in voting for H.R.
4365.
Mr. LAZIO. Mr. Speaker, I yield myself 30 seconds just to respond, if
I can, to the remarks of the gentleman from California.
First of all, I want to say it has been 10 years now since the
Federal Government developed the screening program for low-income women
who have breast and cervical cancer, and I am proud of the leadership
in allowing us to bring this to the floor to finally address this. That
is number one.
Number two, we are going to work very hard to try to ensure that we
will move the effective date up to October of 2000 in conference. We
are trying to make adjustments. Because of budgetary constraints and
the budget resolution, we cannot move it any further until then.
Finally, let me just note that the gentlewoman from Missouri (Ms.
Danner), the last time I checked, was on the other side of the aisle
and is a cosponsor of this bill. It is a bipartisan bill and I did try
to pay tribute, in fact, to the gentlewoman from California (Ms.
Eshoo), who has played an important role in moving this bill forward.
Mr. Speaker, I yield 2\1/2\ minutes to the gentleman from Oklahoma
(Mr. Coburn).
Mr. COBURN. Mr. Speaker, first of all, I would like to pay tribute to
the gentlewoman from California (Ms. Eshoo) and to the gentleman from
New York (Mr. Lazio) for their work on this bill. I do not think it
would have come about without their efforts.
And I do not believe this has anything to do with partisan politics,
and I am sorry that that has been raised as a part of this. The human
papilloma virus, breast cancer, does not care what one's political
affiliation is. It just is coming after us.
I also want to make clear the statements by the gentleman from
California are erroneous. The number one sexually transmitted disease
in this country today, that claims 15,000 lives, more lives than AIDS,
is human papilloma virus. And for the American College of Obstetricians
and Gynecologists to stick their head in the sands and say they do not
really care about women because they do not want them educated about
the number one risk factor for them developing cervical cancer.
It is true that 15,000 women will be diagnosed with cervical cancer
this year. Fifteen thousand women will die. But hundreds of thousands
of women will be treated for precancer dysplasia because we, as a
government and health policy, have decided we are not going to let
everybody know about the most dangerous sexually transmitted disease
out there. This bill moves a long way toward that, of informing women
of the actual method of transmission and the fact that prophylactic use
of condoms will not prevent this disease.
ACOG did not dispute the facts. They just said they did not want the
public to know. I think it is highly ironic in this day and time of
advances in health care that those that control the power over the
medical institutions have chosen to go against knowledge, against
informing women. If they were to apply the same logic to breast cancer,
they would not tell women about annual screening with mammograms, they
would not tell women about how important it is for them to get a report
back on their mammogram or to have a follow-up doctor visit or to do
annual self-breast exams.
So I find it very ironic that, number one, this bill can be claimed
to be partisan. It is not. The gentlewoman from Missouri (Ms. Danner),
the gentlewoman from California (Ms. Eshoo), and many others in this
Chamber have worked hard to see that this bill came to fruition,
including the ranking minority member of this subcommittee. Let us not
let it be partisan.
Number two, let us not deny scientific truth. Let us let people know
what they are at risk for. That is all this is about, to inform the
public of the risks that are out there in terms of a disease that
causes more deaths than AIDS in this country, and it is preventable.
And, Mr. Speaker, I am providing for insertion into the Record a
letter from the Medical Institute on Human Papilloma Virus.
The Medical Institute,
Austin, TX, May 9, 2000.
Press Release
house to decide whether americans should be told the truth about the
most common std, human papilloma virus (hpv)
Austin, Texas (May 9, 2000).--Today the House of
Representatives will consider the Breast and Cervical
Treatment Act legislation (H.R. 4386). This important
legislation has the potential to dramatically decrease the
number of lives shortened each year by cervical cancer, which
results from the most common STD, human papilloma virus
(HPV).
H.R. 4386 would make HPV and cervical cancer prevention a
new public health priority. The bill directs the CDC to
determine the prevalence of HPV, and to develop and
disseminate educational materials for the public and for
health care providers regarding the impact and prevention of
HPV. In addition, condom labels and government sponsored
informational materials would be required to state that
condoms do not prevent the transmission of HPV and that HPV
can cause cervical cancer.
[[Page H2693]]
This bill is particularly significant in that it would make
HPV a reportable disease to the Centers for Disease Control
and Prevention. This action would make it possible to
accurately assess how many individuals are hurt by the
disease each year. Current estimates suggest that 75 percent
of all sexually active adults currently have, or previously
had, an HPV infection--that's over 80 million Americans
between the ages of 15 and 49.
Current labeling on condom packages suggests that condoms
protect users from HIV and other sexually transmitted
diseases, including HPV. This bill would require condom
packaging and public health messages to warn the public that
condoms do not provide adequate protection for HPV
transmission, which can lead to cervical cancer.
Most Americans--including American health care
professionals--are currently unaware of HPV's dramatic
prevalence.
HPV is the most common viral STD in the United States.
Current estimates suggest that 5.5 million Americans acquire
the infection each year.
HPV is the virus present in over 93 percent of all cervical
cancers (according to a 1995 study in the Journal of the
National Cancer Institute).
More women die from cervical cancer than die from AIDS each
year in the U.S.
In addition to cervical cancer, HPV can lead to vaginal,
vulvar, penile, anal and oral cancer. According to the
National Cancer Institute, the evidence that condoms do not
protect against HPV is so definitive that ``additional
research efforts by NCI on the effectiveness of condoms in
preventing HPV transmission is not warranted.''
Dr. Richard Klausner of the National Cancer Institute has
stated, ``condoms are ineffective against HPV because the
virus is prevalent not only in mucosal tissue, but also on
dry skin of the surrounding abdomen and groin, and can
migrate from those areas into the vagina and cervix.''
Despite these findings, The American College of
Obstetricians and Gynecologists (ACOG) does not support this
legislation. In a letter sent to the members of the House,
the College states, ``We believe that the HPV language
included in H.R. 4386 is not medically appropriate. Indeed,
we feel the language, if passed, would discourage condom use
although condoms are effective in preventing other serious
STDs such as HIV/AIDS.''
This statement indicates that ACOG has abandoned its
responsibility to inform the American public about the truth:
condoms don't protect against the transmission of the most
common STD--HPV. It's worth noting that ACOG is not
questioning the medical accuracy of the legislation. They are
simply fearful that the data might discourage condom usage
(although there is no scientific or anecdotal evidence to
support this conclusion).
H.R. 4386 must be passed to protect the future health of
Americans. Americans have a right to know the truth about
human papilloma virus (HPV). It is only when individuals know
the facts that they can make informed decisions that impact
their personal health and future happiness. The Medical
Institute applauds the House for addressing this important
issue.
The Medical Institute is a nonprofit medical organization
founded in 1992 to confront the worldwide epidemics of
nonmartial pregnancy and sexually transmitted infection with
incisive health care data.
Mr. BROWN of Ohio. Mr. Speaker, how much time is remaining for each
side?
The SPEAKER pro tempore (Mr. LaTourette). The gentleman from Ohio
(Mr. Brown) has 11\1/2\ minutes remaining, and the gentleman from New
York (Mr. Lazio) has 9 minutes remaining.
Mr. BROWN of Ohio. Mr. Speaker, I yield 2 minutes to the gentlewoman
from Missouri (Ms. Danner).
Ms. DANNER. Mr. Speaker, during the break between the first and
second session of the 106th Congress the gentlewoman from North
Carolina (Mrs. Myrick) and I had similar schedules to many of our
compatriots here on the floor; cutting ribbons, going to civic affairs,
meeting with our constituents in general. However, she and I differed
from other Members in a very significant way. We each began our
personal battle against breast cancer.
Fortunately, we were diagnosed very early. And since each of us have
routine physical checkups and mammograms, our diagnoses were followed
immediately by treatment because we both had insurance to cover us. And
I might mention that we do pay premiums for that insurance. Some people
wonder about that.
Unfortunately, there are many women who do not have the ability to
pay for treatment after being diagnosed with breast or cervical cancer.
This is a most tragic situation that this legislation seeks to address.
Because of my early diagnosis and subsequent treatment, along with
millions of other women in America, I am a survivor. The early
detection of my cancer has strengthened my belief in the vital role of
having a regular mammogram and an annual physical checkup. I attribute
my favorable and fortunate outcome to this diligence, and I encourage
all women to take similar action for themselves, their families and
their loved ones.
There is no denying that this short examination each year can be
rather unnerving, rather trying, but I promise it may be a life-
changing and, indeed, it may be a lifesaving experience for any woman
and her family.
I urge all Members of this body to adopt this legislation, Mr.
Speaker.
Mr. LAZIO. Mr. Speaker, I yield 2 minutes to the gentleman from
Florida (Mr. Bilirakis), the chairman of the Subcommittee on Health and
Environment of the Committee on Commerce, and a true advocate for all
people suffering with cancer.
Mr. BILIRAKIS. Mr. Speaker, I thank the gentleman for yielding me
this time, and I rise in support of H.R. 4386, this bipartisan bill,
and I emphasize bipartisan bill, which was introduced by our colleagues
the gentleman from New York (Mr. Lazio), the gentlewoman from North
Carolina (Mrs. Myrick), and the gentlewoman from Missouri (Ms. Danner).
This bill would allow States to expand coverage under the Medicaid
program to breast and cervical cancer patients who have been screened
through the National Breast and Cervical Cancer Early Detection
Program. I was pleased to secure passage of similar legislation through
my Subcommittee on Health and Environment last year, and that
legislation was clearly ramrodded by the gentlewoman from California
(Ms. Eshoo), and we must really credit her for starting the ball
rolling in this regard.
The screening program is administered by the Centers for Disease
Control and Prevention. I had the opportunity to learn more about the
agency's important work in this area during a trip which I took with
the gentleman from Ohio (Mr. Brown) to its Atlanta headquarters last
year, and I was also proud to sponsor women's health legislation which
was enacted into law in 1998 to reauthorize the screening program.
H.R. 4386 will close the gap, as others have already said, left open
when the screening program was first created, and it represents an
important step forward in the battle against breast and cervical
cancer. I urge my colleagues to support passage of this critical
measure which will give new hope to breast and cervical cancer patients
in need as we continue the fight to find a cure for these terrible,
terrible diseases.
Mr. BROWN of Ohio. Mr. Speaker, I yield 2 minutes to the gentlewoman
from Connecticut (Ms. DeLauro).
Ms. DeLAURO. Mr. Speaker, in the past decade, over 2 million women
were diagnosed with breast or cervical cancer. One quarter of these
women, America's mothers, daughters, sisters, and wives, will be taken
from their loved ones by the disease.
As a cancer survivor, I recognize the importance of cancer research
and I am committed to increasing funding for research. Today, over 8
million people are alive as a result of the progress of cancer
research. It has increased the cancer survival rate. With early
detection, there is hope. I am living proof of that. I survived ovarian
cancer because it was caught early. It gave me a fighting chance.
Congress made a commitment to early detection when it passed the
Breast and Cervical Cancer Mortality Prevention Act, providing low-
income women with access to a mammogram or a Pap smear through the
Centers for Disease Control's Breast and Cervical Cancer Screening. An
important step. Early detection can make all the difference. As a
result of this program, over three-quarters of a million women receive
breast and cervical cancer screenings.
Because it helped detect their cancers early, many of these women
were easily treated and cured. In too many cases, women who are
screened receive the awful news that they are facing cancer. They are
without treatment because they are without insurance. This is wrong
and, thankfully, today, we can do something about it. By passing the
Breast and Cervical Cancer Treatment Act, we can ensure that these
women are not left to battle cancer alone. The legislation will make
these women eligible for Medicaid so that they can get
[[Page H2694]]
the care and the treatment that they need.
Being told that one has cancer is frightening enough; a million fears
run through the mind all at once: Will I survive? What will happen to
my family? The fear can be crippling. It takes the help of loved ones
to build up strength to battle back. But love alone will not battle and
defeat cancer. Access to treatment is critical. This legislation
ensures that these women are given a fighting chance. I urge my
colleagues to give it their full support.
Mr. LAZIO. Mr. Speaker, I yield 1\1/2\ minutes to the gentleman from
Florida (Mr. Foley), a member of the Committee on Ways and Means.
Mr. FOLEY. Mr. Speaker, I want to thank the gentleman for yielding me
this time, and I strongly support passage of H.R. 4386.
Breast cancer is a disease that can strike almost anyone, no matter
how young or how healthy, no matter how rich or how poor. One of my
friends was recently diagnosed with breast cancer. When she got her
diagnosis, she was able to get the best care money could buy. She was
soon on a plane to Sloan-Kettering to be treated by one of the foremost
cancer doctors in the country. Once there, she received quick treatment
and top quality reconstructive surgery. Then she was able to return to
the comfort of her own home for a long recovery.
{time} 1345
Tricia was also fortunate that she had a loving and supportive family
to help her cope with this disease. Even though she was fortunate
enough to have these benefits, she has still suffered great emotional
and physical pain from the breast cancer, painful surgery, the sickness
of chemotherapy, the loss of hair, and the terrible uncertainty of
whether the cancer would spread or be eliminated completely.
I think of someone in Tricia's situation, and then I try to imagine
what breast or cervical cancer would mean to someone with no health
insurance, no good medical care, and no support network.
These women not only face the fear of having this disease, they must
also cope with the costs associated with their medical treatment, they
have to worry about how to pay for their treatment, about whether they
will be fired from their job, if their recovery period is too long, and
about who will take care of their children while they recover.
These fears also lead to denial and to a delay in diagnosis and
treatment. This delay is one of the leading factors in breast and
cervical cancer morbidity and mortality.
The passage of this bill will help eliminate these fears and give
uninsured women the hope and help that they need to get treated quickly
and, God willing, to get back their lives.
Saving someone's life should not be determined by how much money or
health insurance someone has. Let us give those who do not have wealth
or good insurance the same chance at life the rest of us enjoy.
Mr. BROWN of Ohio. Mr. Speaker, I yield 1\1/2\ minutes to the
gentlewoman from New York (Mrs. Lowey).
(Mrs. LOWEY asked and was given permission to revise and extend her
remarks.)
Mrs. LOWEY. Mr. Speaker, I rise in support of H.R. 4386, the Breast
and Cervical Cancer Treatment Act, which has the potential to save the
lives of thousands of American women.
Right now, with limited resources, only 15 percent of eligible women
are being screened. But even if we could screen all eligible women,
early detection is not enough. If we are serious about eradicating the
scourge of breast and cervical cancer, all women diagnosed must have
access to medical treatment.
The screening program was not designed to do that, and States have
found themselves haphazardly and frantically cobbling together whatever
resources they can. That is why this bill is so important.
I am truly delighted that this leadership brought the bill to the
floor today. Yet, while I strongly support the overall bill, I do want
to express my disappointment about the provisions dealing with human
papillomavirus, which would make HPV a reportable disease and allow
condoms to be labeled with a disclaimer that they do not effectively
protect against HPV. I think it is critical that we get more research
done and more education done with regard to HPV.
While there is a relationship between HPV and cervical cancer, the
overwhelming majority of HPV cases do not result in cancer, and it is
entirely too early to make HPV a reportable disease.
We also do not yet fully understand how condom use affects the
transmission of HPV, and that is why again we must bolster the funding
for HPV-related research and prevention programs. But it is imperative
that we provide accurate information about HPV.
So I hope as the bill moves through the Senate we can work with our
colleagues to address this issue, protect the health and safety of
American women. Again, I want to reiterate my strong support for this
bill.
Mr. LAZIO. Mr. Speaker, I now have the pleasure of yielding 2 minutes
to the distinguished gentlewoman from Ohio (Ms. Pryce) a member of the
House leadership.
Ms. PRYCE of Ohio. Mr. Speaker, let me first congratulate my good
friend the gentleman from New York (Mr. Lazio) for his dedication to
this cause and for his hard work in the battle against cancer on every
front.
I also want to recognize the courage of my colleague the gentlewoman
from North Carolina (Mrs. Myrick). Her own personal fight against
cancer is truly inspiring. The battle she is waging is not just for her
own survival but also to promote awareness so that other women may
prevail against this dreaded and all too familiar disease.
The public education that promotes early detection is absolutely
crucial for cancer patients. And in the case of breast cancer,
education is no small task, since one in eight American women will
develop breast cancer in her lifetime.
After breast cancer, cervical cancer is the second most commonly
diagnosed malignancy in women, 15,000 each year. This cancer often has
no symptoms, and regular pap smears are our best defense.
This legislation builds on efforts Congress has already taken to
encourage early detection of these cancers among low-income women.
While these services are absolutely critical, their value is
significantly diminished if these women find out they have cancer but
do not have the resources to access treatment.
Imagine coping with the fear of being diagnosed with cancer
compounded by the prospect of having no way to pay for the treatment
that could save your life.
This bill helps these vulnerable women by encouraging States to
provide Medicaid coverage to those diagnosed. And, in my mind, if it is
a good public policy to use tax dollars to help these women detect
their disease, then certainly it is worth every penny we spend to help
them fight it.
I urge all of my colleagues to join with me in giving these women
hope by voting for the Breast and Cervical Cancer Treatment Act.
I congratulate the gentleman from New York (Mr. Lazio) and the
gentlewoman from North Carolina (Mrs. Myrick).
Mr. BROWN of Ohio. Mr. Speaker, I yield 1\1/2\ minutes to my friend,
the gentleman from Texas (Mr. Bentsen).
(Mr. BENTSEN asked and was given permission to revise and extend his
remarks.)
Mr. BENTSEN. Mr. Speaker, if this Congress does anything this year,
this might be the bill to pass and get signed into law. This bill
underscores the whole issue of the uninsured in this country.
When women are diagnosed with breast cancer or cervical cancer and do
not have the means to get the treatment, it is effectively giving them
a death sentence. This bill will, at least, start the process of trying
to help these women and help them beat this disease, which they can.
Now, I want to give my colleagues a story about somebody in my
district, a woman named Barbara Mitchell, who was recently diagnosed
with Stage 3 breast cancer at the Rose Center at Pasadena, Texas. The
Rose in my district does free examinations.
The problem is, once they you examined, if they cannot get treatment,
they are pretty much out of luck.
[[Page H2695]]
Ms. Mitchell is 35 years old and cannot afford the treatment for her
breast cancer. She fought her first battle with cancer in 1988.
Although uninsured at the time, Ms. Mitchell beat her cervical cancer
and she managed to pay for her services. But because of her previous
cancer history, she cannot afford to buy prohibitively expensive health
insurance.
At 32, when she discovered a lump in her breast and was treated for
breast cancer through the public health system, because she owns a
dance studio, she is considered to have assets and, thus, has to pay
$26,000 and probably will have to sell her only business, her only
asset.
Now, this is counterproductive to what Democrats and Republicans
would want to see Americans do. We want to see them create more jobs,
create small businesses, and beat this terrible disease. This bill will
allow it to happen, and I think we ought to pass it and get it signed
into law.
Mr. LAZIO. Mr. Speaker, may I inquire as to the remaining time.
The SPEAKER pro tempore (Mr. LaTourette). The gentleman from New York
(Mr. Lazio) has 4 minutes remaining, and the gentleman from Ohio (Mr.
Brown) has 4\1/2\ minutes remaining.
Mr. LAZIO. Mr. Speaker, I yield 1\1/2\ minutes to the gentlewoman
from Maryland (Mrs. Morella).
Mrs. MORELLA. Mr. Speaker, I thank the gentleman for yielding me the
time.
Mr. Speaker, to honor Mother's Day on May 14, with passage of this
bill, H.R. 4386, the Breast and Cervical Cancer Act, we will celebrate
another step forward to stop the violence of cancer against women.
I want to congratulate the gentleman from New York (Mr. Lazio), the
gentlewoman from California (Ms. Eshoo), certainly the gentlewoman from
North Carolina (Mrs. Myrick), and the gentlewoman from Missouri (Ms.
Danner) who have indicated their own personal experiences have shown
the need for this bill.
The legislation will provide treatment for low-income, uninsured
working women who are diagnosed with breast or cervical cancer. Today
the program provides screening for breast or cervical cancer but does
not provide treatment. This must change. This bill will do it.
However, Mr. Speaker, while I strongly support this overall bill and
its potential for saving lives, I am troubled with the provision on HPV
and concerned that the proposed language could be problematic from a
public health perspective. I hope the provision will be dropped in
conference.
I do understand that there will be a meeting of some medical experts
to discuss this issue and that meeting will be forthcoming. I look
forward to that meeting to help to ameliorate this problem.
H.R. 4386 deserves to be passed unanimously by this body. Because,
indeed, if we offer screening, we must offer treatment. Congress must
and should pass the Breast and Cervical Cancer Treatment Act.
I again applaud the cosponsors and those who worked so hard,
including the leadership, to help bring it to the floor now.
The proposed language on HPV and condom labeling could discourage
condom use, thereby exposing men and women to the risks of HPV and
other STDs, including HIV/AIDS.
The language of HPV belies the fact that condoms are highly effective
in reducing the risk of contracting HPV and other STDs, including HIV/
AIDS.
Mr. Speaker, there are over 100 strains of the HPV virus, and very
few of these have the potential to lead to cervical cancer. It is
misleading to have a label that does not clarify this point.
The HPV provision also suggests working to make HPV a reportable
disease. Over 80 percent of the population has been found to carry one
of the 100's of HPV strains. Reporting 80 percent of the population
would not only be costly, but it is unrealistic.
Mr. Speaker, our goal should be to educate Americans about how to
best prevent all STDs.
I support this H.R. 4386, it will save lives. This legislation will
provide treatment for low-income, uninsured working women who are
diagnosed with breast or cervical cancer.
Mr. BROWN of Ohio. Mr. Speaker, I yield 1\1/2\ minutes to the
gentlewoman from New York (Mrs. Maloney).
(Mrs. MALONEY of New York asked and was given permission to revise
and extend her remarks.)
Mrs. MALONEY of New York. Mr. Speaker, I thank the gentleman for
yielding me the time.
Mr. Speaker, as co-chair of the Congressional Caucus for Women's
Issues, I rise in strong support of this bill and congratulate my
colleagues who have been leaders on this issue on both sides of the
aisle, the gentleman from New York (Mr. Lazio), the gentlewoman from
California (Ms. Eshoo), the gentlewoman from California (Mrs. Capps),
the gentlewoman from Missouri (Ms. Danner), the gentlewoman from North
Carolina (Mrs. Myrick) and the gentlewoman from Connecticut (Ms.
DeLauro).
Some of them have come to the floor today and shared their personal
experiences that have highlighted the important need for this bill.
This particular bill is one of the top priorities of the Women's
Caucus, and we urge its passage.
The Center for Disease Control's National Breast and Cervical Cancer
Early Detection Program provides screening services for low-income
people who have little or no health insurance. But for many women who
find that they have cancer from this important screening program, there
is no guarantee of complete and comprehensive treatment.
This bill underscores the need for the uninsured and it underscores
the fact that many, many women and, actually, many men cannot afford
treatment. It is clear that much more needs to be done to provide
coverage.
The bill, H.R. 4386, the Breast and Cervical Cancer Treatment Act,
will help low-income women find resources to combat and, hopefully,
cure cancer. I am a proud cosponsor of this legislation, and I
encourage its swift enactment. It will save thousands and thousands of
lives.
Mr. LAZIO. Mr. Speaker, it is now my pleasure to yield 1\1/2\ minutes
to the distinguished gentlemen from Kentucky (Mr. Fletcher), a fine
Member of the House and a physician in his own right.
Mr. FLETCHER. Mr. Speaker, I stand before the House today to express
my strong support for the Breast and Cancer Prevention Treatment Act.
Back a few weeks ago during the budget debate, myself, along with a
number of colleagues, worked very hard to set aside what ended up being
$250 million to provide treatment for those women that were identified
to have breast and cervical cancer to make sure that they got Medicaid,
that they got treatment if they were uninsured. So this certainly is a
very important issue.
Also, in the State of Kentucky, we were able to get last year and
worked very hard to get a CDC Cancer Prevention Center at the
University of Kentucky. Because we have in Kentucky the highest rates
of cervical cancer in the Nation. And, so, this bill is very important.
We also have a degree, unfortunately, levels of poverty and uninsured
in Kentucky. This bill will be very important to make sure we address
those needs, that those individuals first get detected early and,
second, so that they can get the kind of treatment.
When we look at medical studies, we find that an individual that is
hospitalized without insurance or coverage and matched demographically
with others is three times more likely to die if they have no insurance
versus having insurance.
So this bill is substantially, I believe, going to reduce morbidity
and mortality to our women across the Nation and especially help at the
University of Kentucky and in central Kentucky as we work to screen
more individuals for breast and cervical cancer.
Let me talk briefly about HPV. Its unequivocally associated with
cervical cancer. No question from a medical standpoint that it is
associated. I think it is time for us to be honest to make sure that we
report this and reduce the number of deaths.
I rise to support this bill.
Mr. BROWN of Ohio. Mr. Speaker, I yield 1 minute to the gentlewoman
from Colorado (Ms. DeGette) who has done excellent work on this bill.
(Ms. DeGETTE asked and was given permission to revise and extend her
remarks.)
Ms. DeGETTE. Mr. Speaker, I want to thank everybody who has worked on
[[Page H2696]]
this legislation, most particularly my colleague the gentlewoman from
California (Mrs. Eshoo) and my colleague the gentleman from New York
(Mr. Lazio).
In general, it is a good piece of legislation. However, I am deeply
concerned about the provision included on human papilloma virus, or
HPV, because I think from a public health perspective it is misguided.
I agree with the American College of Obstetrics and Gynecology that
the condom labeling requirement may very well have the unintended
consequence of discouraging condom use, which, as we all know, is very
effective in preventing other diseases, including HIV/AIDS.
Taking steps to make HPV a reportable disease also does not make
sense, since most all of these cases do resolve on their own and only a
very small percentage lead to cervical cancer.
We should not be trying to instill panic here. Rather, we should be
trying to encourage every American woman to have regular pap smear
examinations, which are still the state of the art; and then we should
finish researching all of these other issues.
{time} 1400
The SPEAKER pro tempore (Mr. Barrett of Nebraska). The Chair advises
that the gentleman from New York (Mr. Lazio) has 1 minute remaining;
the gentleman from Ohio (Mr. Brown) has 2 minutes remaining.
Mr. LAZIO. Mr. Speaker, I want to reserve the right to close. I have
no other additional speakers.
Mr. BROWN of Ohio. Mr. Speaker, I have one additional speaker, and
then I will close on our side.
Mr. Speaker, I yield 1 minute to the gentlewoman from New York (Ms.
Slaughter).
(Ms. SLAUGHTER asked and was given permission to revise and extend
her remarks.)
Ms. SLAUGHTER. Mr. Speaker, I rise to express some serious concerns
about a section of the bill that has gone largely unnoticed, that
dealing with human papillomavirus virus, or HVP.
First and foremost, I would like to express my strong support for the
underlying bill. I am proud to be an original cosponsor on which this
legislation is based. Our consideration of this measure is long
overdue, and I commend my friend, the gentlewoman from California (Ms.
Eshoo), for her hard work and perseverance in advancing it.
My colleagues should be aware, however, of a troublesome provision
that was added to H.R. 4386 in committee dealing with HPV issues. HPV
is a group of viruses composed of over a 100 strains, of which
approximately 30 are sexually transmitted. Recent research has shown
that a few select strains appears to have precursors to cervical
cancer. Promising research is being done on preventing and treating HPV
as a method of reducing cervical cancer rates.
Mr. Speaker, unfortunately, this bill could damage our efforts to
reduce HPV transmission and, by extension, cases of cervical cancer.
During a markup, the language was added to the bill that directs the
Department of Health and Human Services to outline further steps toward
making HPV a reportable disease.
Mr. BROWN of Ohio. Mr. Speaker, I yield myself such time as I may
consume.
Mr. Speaker, I ask House support for H.R. 4386. When women are
diagnosed under a Federal program that has been in existence for about
a decade with breast cancer, some women clearly have nowhere to turn,
they must cobble together various kind of charitable care and any
health services that they can get.
I would hope this legislation, Mr. Speaker, will change that and take
care of those women once they are diagnosed with breast cancer. I hope
that H.R. 4386 will set the tone in this House and set the direction in
this House for universal coverage for all Americans.
Mr. Speaker, I yield back the balance of my time.
Mr. LAZIO. Mr. Speaker, I yield myself such time as I may consume.
Mr. Speaker, let me thank the 310-plus Members of this House who have
been cosponsors of H.R. 1070, and let me thank the two lead sponsors of
H.R. 4386, the gentlewoman from North Carolina (Mrs. Myrick) and the
gentlewoman from Missouri (Ms. Danner), one a Republican and one a
Democrat, both Members of this House, and both breast cancer survivors.
How could we have better advocates for this bill than those two?
Mr. Speaker, de Tocqueville said ``America is a great Nation because
America is a good Nation, and the moment that America ceases to be
good, she will cease to be great.''
Mr. Speaker, what greater test of goodness can there be to our
willingness to take care of our own who are in need? Mr. Speaker, let
us pass this bill. Let us give thousands of American women the gift of
life. The cost is nominal. The benefit is enormous. It is the only fair
and decent thing to do.
Mr. Speaker, I urge my colleagues to vote aye.
Mr. KLECZKA. Mr. Speaker, I would like to add my comments to those of
my colleagues who have taken the floor in support of the Breast and
Cervical Cancer Treatment Act.
Every year more than 4,400 American women die of cervical cancer.
Breast cancer, the leading cause of death among women between 40 and
45, kills more than 46,000 women a year. This year it is estimated that
in Wisconsin alone over 800 women will die of breast or cervical
cancer. In many cases, early detection and treatment would have
prevented these deaths. Nine years ago, Congress enacted the Breast and
Cervical Cancer Mortality Prevention Act of 1990, authorizing the
Centers for Disease Control to offer a breast and cervical cancer-
screening program for low-income, uninsured, or underinsured women.
Unfortunately, the screening program lacks a critical aspect:
treatment services for women diagnosed with breast cancer. Under
current law, cancer therapy for Medicaid-eligible women is provided
through an ad hoc patchwork of providers, volunteers, and local
programs and often results in unpredictable, delayed, or incomplete
treatment. Women are often forced to rely on charity care, donated
services by physicians, or funds from bake sales and quilting bees. The
Breast and Cervical Cancer Treatment Act would solve this problem by
allowing States to establish an optional State Medicaid benefit for the
treatment of low-income women diagnosed under the 1990 law.
I am pleased to see that the Breast and Cervical Cancer Treatment Act
is supported by a bipartisan majority of the House. I salute the
efforts of the advocacy groups, including the Wisconsin Breast Cancer
Coalition to make this day possible.
Mr. WATTS of Oklahoma. Mr. Speaker, today I urge my colleagues to
provide relief for low-income women who are screened and diagnosed with
breast and cervical cancer. As you know, breast and cervical cancer is
killing too many of our wives, mothers, sisters and daughters.
Currently, the early detection screening program does not provide
treatment for women who discover they have cancer as a result of that
screening. This screening must be coupled with treatment in order to
save lives.
Cancer is often fatal and the women who are tested can't afford
critical treatment without help. These women face numerous difficulties
in trying to obtain and pay for treatment for cancer. Resources are
limited and yet the numbers of women being diagnosed are increasing.
Today, we have an opportunity to do something about this devastating
disease by allowing states to expand Medicaid coverage to these women.
Follow-up and treatment are the key to saving lives.
The fight against cancer transcends party lines and partisan
bickering. So today, I urge all of my colleagues to join me in the
fight against breast and cervical cancer. We must act now.
Mrs. KELLY. Mr. Speaker, I am in support of H.R. 4386, the Breast and
Cervical Cancer Treatment Act. This legislation will give the States
the ability to provide a reliable method of treatment for uninsured and
underinsured women battling breast or cervical cancer.
The program currently provides screening for cancer, but it provides
no treatment options for these women. If they are diagnosed with
cancer, they have no options for their cure, which is a harsh problem.
Giving States the option of providing Medicaid coverage for women will
help save thousands of lives.
The present CDC program is a tremendous first step in identifying
this disease early enough to make a difference in the lives of these
women, but we need to help cover the cost of treatment when necessary.
Being diagnosed with cancer is terrifying. Women shouldn't have the
pain of knowing they have cancer, compounded with the despair of not
being able to do anything about it.
The Breast and Cervical Cancer Treatment Act will allow women to
focus their efforts on getting well instead of worrying about how they
or their family will pay for their treatment. This legislation is a
very important step in the process of getting treatment to women who
need it. With Mother's Day just around the
[[Page H2697]]
corner, it is critical that we pass this legislation in time to give
our mothers, our sisters, our daughters the most important gift of all,
the gift of life.
Mr. WELDON of Florida. Mr. Speaker, I am in strong support of H.R.
4386, the Breast and Cervical Cancer Treatment Act. This measure amends
title XIX of the Social Security Act to provide medical assistance for
certain women under 65 who have been screened and found to have breast
or cervical cancer by the Center for Disease Control and Prevention
[CDC] early detection program.
In the United States, one out of eight women will develop breast
cancer at some point in her lifetime. It is the second most common form
of cancer in the country, afflicting three million women--including one
million women who do not know they have breast cancer. Cervical cancer
kills 4,400 women a year, and is increasingly becoming a nationwide
concern due to a lack of proper education and research.
The Breast and Cervical Cancer Treatment Act will protect women who
are diagnosed with breast and cervical cancer but do not have insurance
to pay for treatment. Currently, the National Breast and Cervical
Cancer Early Detection Program provides screening services for low-
income women who have little or no health insurance. Treatment,
however, is not provided through the program. Women who earn too much
to be on federal assistance, but do not earn enough to afford private
insurance are left without resources to cover the treatment they need
to fight this dreaded disease. This bill will provide that much needed
treatment.
As a physician I have treated hundreds of cancer patients and the key
to providing a successful remedy to their life-threatening illness is,
when possible, prevention, otherwise early detection, followed by
immediate treatment. This bill will offer much needed assistance to
thousands of American women who need these vital medical resources.
I am also very pleased with the provisions in this bill relating to
the human papillomavirus [HPV] which affects at least 24 million
Americans and is the principal cause of cervical cancer. H.R. 4386
makes cervical cancer prevention a priority. This bill requires the CDC
to develop educational materials for health care providers and the
public regarding HPV. And, it requires condom packages to include
information stating that HPV is a cause of cervical cancer and that
condoms do not prevent HPV transmission.
Many sexually active Americans have been mislead to believe a condom
will protect them; however, this is not the case with HPV. In fact, the
American Cancer Society has stated ``research shows that condoms cannot
protect against infection with HPV.'' Our young people need to know
this and H.R. 4386 takes a big step toward informing them.
This is a good bill and I urge all of my colleagues to support its
passage.
Mr. TOWNS. Mr. Speaker, I am pleased that we will have an opportunity
to vote on this important health bill before this weekend's celebration
of Mother's Day. Certainly, no action is more important than the
preventive breast and cervical cancer health screenings which will be
authorized by this bill. As an advocate for retaining mammography
screenings at age 40, I am pleased that H.R. 4386 will afford us the
opportunity to provide breast and cervical cancer screenings for early
detection and treatment.
For the grandmothers, mothers and aunts who are too young for
Medicare and whose incomes are too high for Medicaid, but who still do
not have health insurance, this bill can literally be the difference
between life and death. H.R. 4386 includes the enhanced match of 75
percent Federal to 25 percent state dollars for treatment, instead of
the basic 60 percent Federal to 40 percent State dollars. Hopefully,
this enhanced match will be a major incentive for Governors to enroll
their States in the program once the bill is signed into law so that
these women can receive the treatment they need. I remain hopeful that
our Senate colleagues will soon join us in passing this important
initiative.
Mr. CROWLEY. Mr. Speaker, this year more than 200,000 American women
will be diagnosed with breast and cervical cancer. These women are our
mothers, our sisters, our friends, and our colleagues.
I am proud to be a cosponsor of the bipartisan Breast and Cervical
Treatment Act that will enable low-income, uninsured women diagnosed
with breast or cervical cancer in the National Breast and Cervical
Cancer early detection program [NBCCEDP] to obtain treatment.
Currently, the CDC detection programs provide eligible women with
screening, but if cancer is detected, there are no funds to provide
much-needed treatment. Instead, these women have to find other funds
for treatment. No woman should have to worry about funding her
treatment.
H.R. 4386 is bipartisan legislation that would add the life-saving
treatment component to the NBCCEDP. The Breast and Cervical Cancer
Treatment Act has overwhelming support and was passed unanimously by
the Commerce Committee. I support this critical legislation and urge
every member to vote for passage.
It is simply unfair that low-income, uninsured women are not given
every treatment available to save their lives because they cannot
afford costly medication and treatments.
Passage of this legislation is the best Mother's Day gift we can give
our mothers, wives, sisters, and daughters. All women and their
families in this country deserve the peace of mind that if diagnosed
with one of these terrible illnesses, they will have access to the
treatment they deserve.
While I strongly support the overall bill, I am deeply concerned
about the provision included on human papillomavirus [HPV] and believe
it is misguided from a public health perspective. The condom labeling
requirement may have the unintended effect to discouraging condom use,
which, as we all know, is effective in preventing other serious STDs,
including HIV/AIDS. HPV is a serious public health issue, which
deserves Federal funding and a coordinated response to educate men and
women on its causes, effects, and treatment. I urge my colleagues to
provide that by supporting more funding for title X, and other programs
that work in a comprehensive and holistic way to improve women's
health.
We should be advocating for public health policy that encourages
women to be screened through Pap smear examinations to prevent the
potential for cervical cancer, not discouraging condom use. I urge my
colleagues to reexamine this issue.
Mr. QUINN. Mr. Speaker, I am in support of H.R. 4386, to provide
financial assistance to women for the treatment of breast and cervical
cancer.
Breast and cervical cancer together claim the lives of approximately
50,000 women each year. As Americans we must continue to address this
crisis which today constitutes the number one cause of death among
women aged 40-45. In 1990 we took a critical step in fighting this
battle by passing the Breast and Cervical Cancer Mortality Prevention
Act. This act authorized a screening program for low-income, uninsured
or underinsured women. This was an important step since detection is
the first step in fighting breast and cervical cancer. Indeed, more
widespread use of regular screening mammography has been a major
contributor to recent improvements in the breast cancer survival rate.
Providing financial assistance for screening and testing for women in
financial need has been a major accomplishment in the fight against
breast and cervical cancer. If detected early, breast cancer can be
treated effectively with surgery that preserves the breast, followed by
radiation therapy. However, screening and early detection are
meaningless without following through with cancer treatment. For many
women however, the costs of treatment are prohibitive and merely
knowing that their cancer has been detected is inadequate when they are
unable to seek treatment. The time has come for us to comprehensively
confront these cancers and provide women with the power to conquer
these odds. I urge the support of this bill critical to protecting
women's health.
Mr. BEREUTER. Mr. Speaker, this Member is in support of H.R. 4386,
the Breast and Cervical Cancer Prevention and Treatment Act of 2000.
The American Cancer Society estimates that within his home state of
Nebraska, approximately 1,000 women will be diagnosed with breast
cancer this year and nearly 300 will die as a result of breast cancer.
We must provide this enhanced Medicaid matching funds to our states to
continue to promote early detection and prevention of breast and
cervical cancer.
The five-year survival rate is over 95 percent if breast cancer can
be detected early. Because only 5-10 percent of breast cancers are due
to heredity, early detection must be made available to all women.
Mr. Speaker, this Member encourages his colleagues to continue to
support the early detection and prevention of breast and cervical
cancer and support H.R. 4386.
Mr. GILMAN. Mr. Speaker, I am in support of H.R. 4368, the Breast and
Cervical Cancer Treatment Act. I am an original cosponsor of the
legislation on which this bill is based, H.R. 1070 and I commend the
gentleman from New York Mr. Lazio, the gentlewoman from Missouri, Ms.
Danner and the gentlewoman from North Carolina Mrs. Myrick for their
commitment to fighting breast and cervical cancers and for helping to
bring this legislation before us today.
This legislation will provide medical assistance for certain women
under 65 who have been screened and found to have breast or cervical
cancer by the Center for Disease Control and Prevention (CDC) Early
Detection Program. Many women simply cannot afford to undergo
prevention screenings and especially medical treatments. By providing
screenings for breast and cervical cancer for the uninsured, many will
benefit from early detection
[[Page H2698]]
and by following up a screening with medical treatment, fewer women
will succumb to these devastating diseases.
Mr. Speaker, this issue is especially important to me and to my
constituents, especially those in Rockland county. Recent studies have
found that Rockland county has the highest rate of breast cancer in New
York State and according to some studies, in the Nation. This
legislation will help many of my constituents during a very difficult
time in their lives. Providing medical treatment to those women who
have been screened by the CDC will vastly improve their chances of
survival and reduce the rate of mortality due to these cancers. I
strongly support this legislation.
Accordingly, I urge my colleagues to support this important measure.
Mr. DINGELL. Mr. Speaker, I am in support of a bill that will make a
big difference in the lives of low-income women with cancer, H.R. 4386,
the Breast and Cervical Cancer Treatment Act.
Two individuals have campaigned tirelessly for this bill and the
rights of low-income women. First, I commend Representative Anna Eshoo.
Were it not for the energy and attention that Ms. Eshoo brought to this
issue, this bill would not be on the floor today. Secondly, I would
like to remember Senator John Chafee, the original cosponsor of the
companion bill in the Senate. The late Senator Chafee's advocacy for
women, children, the poor, and the disabled will continue with the
passage of this bill.
We all know that early detection and treatment are the key to
surviving cancer. This is the reason why the Centers for Disease
Control (CDC) uses Federal funds to provide free diagnostic tests for
breast and cervical cancer for low-income uninsured women, many of whom
are minorities.
With this bill, the Federal Government will complete its commitment
to the low-income women who are diagnosed with cancer through the CDC's
screening program. No longer will women diagnosed through the program
have to scramble to find state funds, rely on charity care, or incur
enormous debts in order to pay for radiation or chemotherapy. H.R. 4386
will allow women to enroll in the Medicaid program for the duration of
their cancer treatment, so that they can focus their energies on
fighting cancer instead of the health care system.
I hope that my colleagues will join me in voting for H.R. 4386.
Advocates of this bill have waited a long time for this day. Let's not
make women with breast and cervical cancer wait any longer.
Mr. BLILEY. Mr. Speaker, I commend the gentlelady from North
Carolina, Mrs. Myrick, for her personal courage in the face of breast
cancer and for her many hours of work in persuading the House
Leadership to bring this important bill to the floor today.
I also wish to recognize one of the original cosponsors of H.R. 4386,
Mr. Lazio of New York for his many months of hard work on the Commerce
Committee persuading members and forging alliances with the American
Cancer Society, the National Women's Health Network, the National
Cervical Cancer Coalition, the National Breast Cancer Coalition, the
Cancer Research Foundation of America, and so many others to make this
day possible.
Like so many women with whom I have met over the last few years
advocating for this legislation, my own wife is a breast cancer
survivor. I know firsthand the fears that families face when they first
hear that word. It is with those memories in my mind that I work in
Congress to help find new ways that we can help more women from falling
victim to cancer.
In the closing days of the last session, the Committee I chair
reported out H.R. 1070, the Lazio ``Breast and Cervical Cancer
Prevention and Treatment Act of 1999.'' I am very pleased that we are
now on the floor debating a bill based on the Committee's work, which
addresses both breast cancer, the leading cause of cancer deaths among
women, and cervical cancer, a form of cancer caused by a viral
infection that kills more women in America than AIDS.
Again, I thank Congresswoman Myrick, my Commerce Committee
colleagues, and many other Members who have contributed to bringing
this legislation to the floor today.
Mr. LAZIO. Mr. Speaker, I yield back the balance of my time.
The SPEAKER pro tempore. The question is on the motion offered by the
gentleman from New York (Mr. Lazio) that the House suspend the rules
and pass the bill, H.R. 4386, as amended.
The question was taken.
Mr. LAZIO. Mr. Speaker, on that I demand the yeas and nays.
The yeas and nays were ordered.
The SPEAKER pro tempore. Pursuant to clause 8 of rule XX and the
Chair's prior announcement, further proceedings on this motion will be
postponed.
____________________