I
119THCONGRESS
1
STSESSION H. R. 2381
To amend the Public Health Service Act to reauthorize and improve the
National Breast and Cervical Cancer Early Detection Program for fiscal
years 2026 through 2030, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
MARCH26, 2025
Mr. M
ORELLE(for himself and Mr. FITZPATRICK) introduced the following
bill; which was referred to the Committee on Energy and Commerce
A BILL
To amend the Public Health Service Act to reauthorize and
improve the National Breast and Cervical Cancer Early
Detection Program for fiscal years 2026 through 2030,
and for other purposes.
Be it enacted by the Senate and House of Representa-1
tives of the United States of America in Congress assembled, 2
SECTION 1. SHORT TITLE. 3
This Act may be cited as the ‘‘Screening for Commu-4
nities to Receive Early and Equitable Needed Services for 5
Cancer Act of 2025’’ or the ‘‘SCREENS for Cancer Act 6
of 2025’’. 7
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SEC. 2. FINDINGS. 1
Congress finds the following: 2
(1) In 2025, there will be more than 319,750 3
new cases of invasive breast cancer and nearly 4
43,000 breast cancer deaths in the United States. 5
(2) In 2025, there will be about 13,360 new 6
cases of invasive cervical cancer and about 4,320 7
deaths from cervical cancer. 8
(3) Since its creation in 1991, the National 9
Breast and Cervical Cancer Early Detection Pro-10
gram (referred to in this section as the 11
‘‘NBCCEDP’’) has provided lifesaving cancer 12
screening and diagnostic services to low-income, un-13
insured, or underinsured women in all 50 States, the 14
District of Columbia, 6 territories, and 13 Tribes or 15
Tribal organizations. 16
(4) NBCCEDP places special emphasis on out-17
reach to women who are geographically or culturally 18
isolated. 19
(5) NBCCEDP has served more than 20
6,400,000 people and provided more than 21
16,500,000 breast and cervical cancer screening ex-22
aminations. 23
(6) These screening exams have diagnosed 24
nearly 80,000 invasive breast cancers and more than 25
25,000 premalignant breast lesions, as well as al-26
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most 5,300 invasive cervical cancers and over 1
248,000 premalignant cervical lesions, of which 38 2
percent were high-grade. 3
(7) The program also provides public education, 4
outreach, patient navigation, and care coordination 5
to increase breast and cervical cancer screening 6
rates. 7
(8) Reauthorizing NBCCEDP will result in ex-8
panded services, leading to more people being 9
screened and more cancers diagnosed at earlier 10
stages. 11
SEC. 3. NATIONAL BREAST AND CERVICAL CANCER EARLY 12
DETECTION PROGRAM. 13
Title XV of the Public Health Service Act (42 U.S.C. 14
300k et seq.) is amended— 15
(1) in section 1501 (42 U.S.C. 300k)— 16
(A) in subsection (a)— 17
(i) in paragraph (2), by striking ‘‘the 18
provision of appropriate follow-up services 19
and support services such as case manage-20
ment’’ and inserting ‘‘that appropriate fol-21
low-up services are provided’’; 22
(ii) in paragraph (3), by striking 23
‘‘programs for the detection and control’’ 24
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and inserting ‘‘for the prevention, detec-1
tion, and control’’; 2
(iii) in paragraph (4), by striking ‘‘the 3
detection and control’’ and inserting ‘‘the 4
prevention, detection, and control’’; 5
(iv) in paragraph (5)— 6
(I) by striking ‘‘monitor’’ and in-7
serting ‘‘ensure’’; and 8
(II) by striking ‘‘; and’’ and in-9
serting a semicolon; 10
(v) by redesignating paragraph (6) as 11
paragraph (9); 12
(vi) by inserting after paragraph (5), 13
the following: 14
‘‘(6) to enhance appropriate support activities 15
to increase breast and cervical cancer screening, 16
such as navigation of health care services, implemen-17
tation of evidence-based or evidence-informed strate-18
gies proven to increase breast and cervical cancer 19
screening in health care settings, and facilitation of 20
access to health care settings that provide breast 21
and cervical cancer screenings; 22
‘‘(7) to reduce disparities in incidents of and 23
deaths due to breast and cervical cancer in popu-24
lations with higher-than-average rates; 25
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‘‘(8) to improve equitable access to breast and 1
cervical cancer screening and diagnostic services and 2
to reduce related barriers, including due to factors 3
that relate to negative health outcomes; and’’; and 4
(vii) in paragraph (9), as so redesig-5
nated, by striking ‘‘through (5)’’ and in-6
serting ‘‘through (8)’’; and 7
(B) by striking subsection (d); 8
(2) in section 1503 (42 U.S.C. 300m)— 9
(A) in subsection (a)— 10
(i) in paragraph (1), by striking 11
‘‘that, initially’’ and all that follows 12
through the semicolon and inserting ‘‘that 13
appropriate breast and cervical cancer 14
screening and diagnostic services are pro-15
vided consistent with relevant evidence- 16
based recommendations; and’’; 17
(ii) by striking paragraphs (2) and 18
(4); 19
(iii) by redesignating paragraph (3) as 20
paragraph (2); and 21
(iv) in paragraph (2), as so redesig-22
nated, by striking ‘‘; and’’ and inserting a 23
period; and 24
(B) by striking subsection (d); 25
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(3) in section 1508(b) (42 U.S.C. 300n–4(b))— 1
(A) by striking ‘‘1 year after the date of 2
the enactment of the National Breast and Cer-3
vical Cancer Early Detection Program Reau-4
thorization of 2007, and annually thereafter,’’ 5
and inserting ‘‘2 years after the date of enact-6
ment of the Screening for Communities to Re-7
ceive Early and Equitable Needed Services for 8
Cancer Act of 2025, and every 5 years there-9
after,’’; 10
(B) by striking ‘‘Labor and Human Re-11
sources’’ and inserting ‘‘Health, Education, 12
Labor, and Pensions’’; and 13
(C) by striking ‘‘preceding fiscal year’’ and 14
inserting ‘‘preceding 2 fiscal years in the case 15
of the first report after the date of enactment 16
of the Screening for Communities to Receive 17
Early and Equitable Needed Services for Can-18
cer Act of 2025 and preceding 5 fiscal years for 19
each report thereafter’’; and 20
(4) in section 1510(a) (42 U.S.C. 300n–5(a))— 21
(A) by striking ‘‘and’’ after ‘‘2011,’’; and 22
(B) by inserting ‘‘, and $235,000,000 for 23
fiscal year 2026 through 2030’’ before the pe-24
riod at the end. 25
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SEC. 4. GAO STUDY. 1
Not later than September 30, 2027, the Comptroller 2
General of the United States shall report to the Committee 3
on Health, Education, Labor, and Pensions of the Senate 4
and the Committee on Energy and Commerce of the 5
House of Representatives on the work of the National 6
Breast and Cervical Cancer Early Detection Program, in-7
cluding— 8
(1) an estimate of the number of individuals eli-9
gible for services provided under such program; 10
(2) a summary of trends in the number of indi-11
viduals served through such program; and 12
(3) an assessment of any factors that may be 13
driving the trends identified under paragraph (2), 14
including any barriers to accessing breast and cer-15
vical cancer screenings provided by such program. 16
Æ
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