H.R. 4541

To reauthorize the Young Women’s Breast Health Education and Awareness Requires Learning Young Act of 2009.

Sponsor: Debbie Wasserman Schultz

20 cosponsors
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Official summary

Written by the Congressional Research Service.

This bill reauthorizes and revises programs of the Centers for Disease Control and Prevention (CDC) that support services and education addressing breast and cervical cancer.

The bill reauthorizes through FY2030 and makes changes to the CDC’s National Breast and Cervical Cancer Early Detection Program. This program provides grants to states for breast and cervical cancer screening, diagnostic, and treatment services for individuals who have low incomes, are uninsured, or otherwise lack access to such services. The bill increases flexibility in how states may spend grant funds under the program.

The Government Accountability Office must report to Congress on the work of the National Breast and Cervical Cancer Early Detection Program, including the number of individuals served and barriers to accessing screenings.

Also, the bill reauthorizes through FY2031 CDC programs relating to young women’s awareness of breast health and breast cancer. These programs include campaigns to educate young women and health care professionals, research on preventing breast cancer in younger women, and grants for resources and services to young women diagnosed with breast cancer and precancerous conditions.

Text of the bill

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I EARLY Act Reauthorization

II SCREENS for Cancer Act

Sec. 202. National Breast and Cervical Cancer Early Detection Program Added Jul 13

Where this section came from

Not in the first version (Introduced in House, Jul 17).

  1. Jul 13, 2026 · Reported in House Marked up by House Committee on Energy and Commerce, May 21 Reported by House Committee on Energy and Commerce, Jul 13 Committee members' individual votes aren't in our records.
What is a markup?

A markup is a committee meeting where members go through a bill and vote on changes before sending it to the full chamber.

(a) 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 1501 (42 U.S.C. 300k)—

(A) in subsection (a)—

(i) in paragraph (2), by striking the provision of appropriate follow-up services and support services such as case management and inserting that appropriate follow-up services are provided;

(ii) in paragraph (3), by striking programs for the detection and control and inserting programs for the prevention, detection, and control;

(iii) in paragraph (4), by striking the detection and control and inserting the prevention, detection, and control;

(iv) in paragraph (5)—

(I) by striking monitor and inserting ensure; and

(II) by striking ; and and inserting a semicolon;

(v) by redesignating paragraph (6) as paragraph (9);

(vi) by inserting after paragraph (5) the following:

Text this section adds to the law

(6) to enhance appropriate support activities to increase breast and cervical cancer screenings, such as navigation of health care services, implementation of evidence-based or evidence-informed strategies to increase breast and cervical cancer screening in health care settings, and facilitation of access to health care settings;

(7) to reduce disparities in breast and cervical cancer incidence, morbidity, and mortality, including in populations with higher than average rates;

(8) to improve access to breast and cervical cancer screening and diagnostic services and reduce related barriers, including factors that relate to negative health outcomes; and

; and

(vii) in paragraph (9), as so redesignated, by striking through (5) and inserting through (8); and

(B) by striking subsection (d);

(2) in section 1503 (42 U.S.C. 300m)—

(A) in subsection (a)—

(i) in paragraph (1), by striking that, initially and all that follows through the semicolon and inserting that appropriate breast and cervical cancer screening and diagnostic services are provided consistent with relevant evidence-based recommendations; and;

(ii) by striking paragraphs (2) and (4);

(iii) by redesignating paragraph (3) as paragraph (2); and

(iv) in paragraph (2), as so redesignated, by striking ; and and inserting a period; and

(B) by striking subsection (d);

(3) in section 1508(b) (42 U.S.C. 300n–4(b))—

(A) by striking 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 inserting 2 years after the date of enactment of the SCREENS for Cancer Act of 2025, and every 5 years thereafter,;

(B) by striking Labor and Human Resources and inserting Health, Education, Labor, and Pensions; and

(C) by striking preceding fiscal year and inserting preceding 2 fiscal years in the case of the first report after the date of enactment of the SCREENS for Cancer Act of 2025, and preceding 5 fiscal years for each report thereafter,; and

(4) in section 1510(a) (42 U.S.C. 300n–5(a))—

(A) by striking 2011, and and inserting 2011,; and

(B) by inserting , and $235,500,000 for each of fiscal years 2026 through 2030 before the period at the end.

(b) GAO study. Not later than September 30, 2027, the Comptroller General of the United States shall report to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives on the work of the National Breast and Cervical Cancer Early Detection Program, including—

(1) an estimate of the number of individuals eligible for services provided under such program;

(2) a summary of trends in the number of individuals served through such program; and

(3) an assessment of any factors that may be driving the trends identified under paragraph (2), including any barriers to accessing breast and cervical cancer screenings provided by such program.