[Congressional Record Volume 164, Number 125 (Wednesday, July 25, 2018)]
[Senate]
[Pages S5385-S5386]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 3583. Mrs. SHAHEEN (for herself, Ms. Collins, Mr. Murphy, Mr. 
Blumenthal, Mrs. Gillibrand, Mr. Menendez, Mr. Merkley, Mr. Booker, Ms. 
Hassan, and Mr. King) submitted an amendment intended to be proposed by 
her to the bill H.R. 6147, making appropriations for the Department of 
the Interior, environment, and related agencies for the fiscal year 
ending September 30, 2019, and for other purposes; which was ordered to 
lie on the table; as follows:

       At the appropriate place in Division A, insert the 
     following:

[[Page S5386]]

  


     SEC. __. ADDRESSING PEDIATRIC CANCER RATES IN THE UNITED 
                   STATES.

       (a) Report Identifying Geographic Variation of Types of 
     Pediatric Cancer.--Not later than 180 days after the date of 
     enactment of this Act, the Secretary of Health and Human 
     Services shall submit to the Committee on Health, Education, 
     Labor, and Pensions of the Senate and the Committee on 
     Appropriations of the Senate, the Committee on Energy and 
     Commerce of the House of Representatives and the Committee on 
     Appropriations of the House of Representatives, a report that 
     provides details on the geographic variation in pediatric 
     cancer incidence in the United States, including--
       (1) the types of pediatric cancer within each of the 10 
     States with the highest age-adjusted incidence rate of cancer 
     among persons aged 20 years or younger; and
       (2) geographic concentrations of types and prevalence of 
     pediatric cancers within each such State, in accordance with 
     Centers for Disease Control and Prevention guidelines.
       (b) Support for States With High Incidence of Pediatric 
     Cancer.--Funds made available under the heading ``Toxic 
     Substances and Environmental Public Health'' for the Agency 
     for Toxic Substances and Disease Registry may be expended for 
     public outreach and events to--
       (1) inform residents and State and local health agencies in 
     the 10 States with the highest age-adjusted incidence rate of 
     cancer among persons aged 20 years or younger of possible 
     contributing factors to pediatric cancer, including 
     environmental exposures; and
       (2) guide investigations relating to causes of variation in 
     pediatric cancer incidence.
       (c) Study of Pediatric Cancer Factors.--
       (1) In general.--Not later than 5 years after the date of 
     enactment of this Act, the Secretary of Health and Human 
     Services shall submit to the Committee on Health, Education, 
     Labor and Pensions of the Senate and the Committee on 
     Appropriations of the Senate, the Committee on Energy and 
     Commerce of the House of Representatives and the Committee on 
     Appropriations of the House of Representatives, and the State 
     health agencies of the States described in this paragraph, a 
     report containing the results of a study conducted by the 
     Secretary of the 10 States with the highest age-adjusted 
     incidence rate of cancer among persons aged 20 years or 
     younger to identify underlying contributing factors for 
     pediatric cancer that are unique to each of such States.
       (2) Public engagement.--Upon submission of the report under 
     paragraph (1), the Secretary of Health and Human Services 
     shall conduct public education and outreach activities to 
     provide information to residents of the States included in 
     the study under such subsection concerning the findings 
     identified in such study and actions taken to identify and 
     address contributing factors to pediatric cancer.
       (3) Funding.--The Secretary may request such funds as may 
     be necessary to carry out this subsection.
       (d) Privacy.--The Secretary of Health and Human Services 
     shall ensure that all information with respect to patients 
     that is contained in the reports under this section is de-
     identified in a manner that protects the privacy of such 
     patients.
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