[United States Statutes at Large, Volume 121, 110th Congress, 1st Session]
[From the U.S. Government Publishing Office, www.gpo.gov]

121 STAT. 80

Public Law 110-18
110th Congress

An Act


 
To amend the Public Health Service Act to provide waivers relating to
grants for preventive health measures with respect to breast and
cervical cancers. [NOTE: Apr. 20, 2007 -  [H.R. 1132]

Be it enacted by the Senate and House of Representatives of the
United States of America in Congress [NOTE: National Breast and
Cervical Cancer Early Detection Program Reauthorization Act of 2007. 42
USC 201 note.] assembled,
SECTION 1. SHORT TITLE.

This Act may be cited as the ``National Breast and Cervical Cancer
Early Detection Program Reauthorization Act of 2007''.
SEC. 2. NATIONAL BREAST AND CERVICAL CANCER EARLY DETECTION
PROGRAM.

Title XV of the Public Health Service Act (42 U.S.C. 300k et seq.)
is amended--
(1) in section [NOTE: 42 USC 300k.] 1501(d)--
(A) in the heading, by striking ``2000'' and
inserting ``2020''; and
(B) by striking ``by the year 2000'' and inserting
``by the year 2020'';
(2) in section [NOTE: 42 USC 300m.] 1503, by adding at the
end the following:

``(d) Waiver of Services Requirement on Division of Funds.--
``(1) In general.--The Secretary shall establish a
demonstration project under which the Secretary may waive the
requirements of paragraphs (1) and (4) of subsection (a) for not
more than 5 States, if--
``(A) the State involved will use the waiver to
leverage non-Federal funds to supplement each of the
services or activities described in paragraphs (1) and
(2) of section 1501(a);
``(B) the application of such requirement would
result in a barrier to the enrollment of qualifying
women;
``(C) the State involved--
``(i) demonstrates, to the satisfaction of the
Secretary, the manner in which the State will use
such waiver to expand the level of screening and
follow-up services provided immediately prior to
the date on which the waiver is granted; and
``(ii) provides assurances, satisfactory to
the Secretary, that the State will, on an annual
basis, demonstrate, through such documentation as
the Secretary may require, that the State has used
such waiver as described in clause (i);
``(D) the State involved submits to the Secretary--

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121 STAT. 81

``(i) assurances, satisfactory to the
Secretary, that the State will maintain the
average annual level of State fiscal year
expenditures for the services and activities
described in paragraphs (1) and (2) of section
1501(a) for the period for which the waiver is
granted, and for the period for which any
extension of such wavier is granted, at a level
that is not less than--
``(I) the level of the State fiscal
year expenditures for such services and
activities for the fiscal year preceding
the first fiscal year for which the
waiver is granted; or
``(II) at the option of the State
and upon approval by the Secretary, the
average level of the State expenditures
for such services and activities for the
3-fiscal year period preceding the first
fiscal year for which the waiver is
granted; and
``(ii) a plan, satisfactory to the Secretary,
for maintaining the level of activities carried
out under the waiver after the expiration of the
waiver and any extension of such waiver;
``(E) the Secretary finds that granting such a
waiver to a State will increase the number of women in
the State that receive each of the services or
activities described in paragraphs (1) and (2) of
section 1501(a), including making available screening
procedures for both breast and cervical cancers; and
``(F) the Secretary finds that granting such a
waiver to a State will not adversely affect the quality
of each of the services or activities described in
paragraphs (1) and (2) of section 1501(a).
``(2) Duration of waiver.--
``(A) In general.--In granting waivers under
paragraph (1), the Secretary--
``(i) shall grant such waivers for a period
that is not less than 1 year but not more than 2
years; and
``(ii) upon request of a State, may extend a
waiver for an additional period that is not less
than 1 year but not more than 2 years in
accordance with subparagraph (B).
``(B) Additional period.--The Secretary, upon the
request of a State that has received a waiver under
paragraph (1), shall, at the end of the waiver period
described in subparagraph (A)(i), review performance
under the waiver and may extend the waiver for an
additional period if the Secretary determines that--
``(i) without an extension of the waiver,
there will be a barrier to the enrollment of
qualifying women;
``(ii) the State requesting such extended
waiver will use the waiver to leverage non-Federal
funds to supplement the services or activities
described in paragraphs (1) and (2) of section
1501(a);
``(iii) the waiver has increased, and will
continue to increase, the number of women in the
State that receive the services or activities
described in paragraphs (1) and (2) of section
1501(a);

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121 STAT. 82

``(iv) the waiver has not, and will not,
result in lower quality in the State of the
services or activities described in paragraphs (1)
and (2) of section 1501(a); and
``(v) the State has maintained the average
annual level of State fiscal expenditures for the
services and activities described in paragraphs
(1) and (2) of section 1501(a) for the period for
which the waiver was granted at a level that is
not less than--
``(I) the level of the State fiscal
year expenditures for such services and
activities for the fiscal year preceding
the first fiscal year for which the
waiver is granted; or
``(II) at the option of the State
and upon approval by the Secretary, the
average level of the State expenditures
for such services and activities for the
3-fiscal year period preceding the first
fiscal year for which the waiver is
granted.
``(3) Reporting requirements.--The Secretary shall include
as part of the evaluations and reports required under section
1508, the following:
``(A) A description of the total amount of dollars
leveraged annually from Non-Federal entities in States
receiving a waiver under paragraph (1) and how these
amounts were used.
``(B) With respect to States receiving a waiver
under paragraph (1), a description of the percentage of
the grant that is expended on providing each of the
services or activities described in--
``(i) paragraphs (1) and (2) of section
1501(a); and
``(ii) paragraphs (3) through (6) of section
1501(a).
``(C) A description of the number of States
receiving waivers under paragraph (1) annually.
``(D) With respect to States receiving a waiver
under paragraph (1), a description of--
``(i) the number of women receiving services
under paragraphs (1), (2), and (3) of section
1501(a) in programs before and after the granting
of such waiver; and
``(ii) the average annual level of State
fiscal expenditures for the services and
activities described in paragraphs (1) and (2) of
section 1501(a) for the year preceding the first
year for which the waiver was granted.
``(4) Limitation.--Amounts to which a waiver applies under
this subsection shall not be used to increase the number of
salaried employees.
``(5) Definitions.--In this subsection:
``(A) Indian tribe.--The term `Indian tribe' has the
meaning given the term in section 4 of the Indian Health
Care Improvement Act (25 U.S.C. 1603).
``(B) Tribal organization.--The term `tribal
organization' has the meaning given the term in section
4 of the Indian Health Care Improvement Act.
``(C) State.--The term `State' means each of the
several States of the United States, the District of
Columbia, the Commonwealth of Puerto Rico, American
Samoa, the

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121 STAT. 83

Commonwealth of the Northern Mariana Islands, the
Republic of the Marshall Islands, the Federated States
of Micronesia, the Republic of Palau, an Indian tribe,
and a tribal organization.
``(6) Sunset.--The Secretary may not grant a waiver or
extension under this subsection after September 30, 2012.'';
(3) in section [NOTE: 42 USC 300n-4.] 1508--
(A) in subsection (a), by striking ``evaluations of
the extent to which'' and all that follows through the
period and inserting: ``evaluations of--
``(1) the extent to which States carrying out such programs
are in compliance with section 1501(a)(2) and with section
1504(c); and
``(2) the extent to which each State receiving a grant under
this title is in compliance with section 1502, including
identification of--
``(A) the amount of the non-Federal contributions by
the State for the preceding fiscal year, disaggregated
according to the source of the contributions; and
``(B) the proportion of such amount of non-Federal
contributions relative to the amount of Federal funds
provided through the grant to the State for the
preceding fiscal year.''; and
(B) [NOTE: Deadline.] in subsection (b), by
striking ``not later than 1 year after the date on which
amounts are first appropriated pursuant to section
1509(a), and annually thereafter'' and inserting ``not
later than 1 year after the date of the enactment of the
National Breast and Cervical Cancer Early Detection
Program Reauthorization of 2007, and annually
thereafter''; and
(4) in section [NOTE: 42 USC 300n-5.] 1510(a)--
(A) by striking ``and'' after ``$150,000,000 for
fiscal year 1994,''; and
(B) by inserting ``, $225,000,000 for fiscal year
2008, $245,000,000 for fiscal year 2009, $250,000,000
for fiscal year 2010, $255,000,000 for fiscal year 2011,
and $275,000,000 for fiscal year 2012'' before the
period at the end.

Approved April 20, 2007.

LEGISLATIVE HISTORY--H.R. 1132 (S. 624):
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HOUSE REPORTS: No. 110-76 (Comm. on Energy and Commerce).
CONGRESSIONAL RECORD, Vol. 153 (2007):
Mar. 27, considered and passed House.
Mar. 29, considered and passed Senate.
WEEKLY COMPILATION OF PRESIDENTIAL DOCUMENTS, Vol. 43 (2007):
Apr. 20, Presidential remarks.