To reduce health care costs and promote improved health by providing supplemental grants for additional preventive health services for women.

Summary: WISEWOMAN Expansion Act of 2005 - Amends the Public Health Service Act to: (1) remove the limit on the number of states that may receive preventive heath services grants; (2) require a competitive review process; and (3) include among the uses for such grants health education, counseling, and interventions for behavioral risk factors and diseases. Authorizes appropriations.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``WISEWOMAN Expansion Act of 2005''.

SEC. 2. FINDINGS.

    The Congress finds as follows:
            (1) Heart disease, stroke, and other cardiovascular 
        diseases remain the leading cause of death among females in the 
        United States, killing almost 500,000 women each year.
            (2) About 1 in 4 females have some form of cardiovascular 
        disease, killing more than the next 6 causes of death combined.
            (3) In women, cardiovascular disease is frequently 
        undetected and untreated until the disease has become severe, 
        causing 42 percent of women who have heart attacks to die 
        within 1 year.
            (4) Obesity increases women's risk for some of the leading 
        causes of death: heart disease, stroke, diabetes, and certain 
        cancers.
            (5) Better nutrition and lifestyle changes can effectively 
        prevent and treat obesity.
            (6) Osteoporosis is a major public health threat for an 
        estimated 44 million Americans.
            (7) Women over age 50 accounted for over 75 percent of the 
        total cases of osteoporosis of the hip in 2002.
            (8) One out of every 2 women over the age of 50 will have 
        an osteoporosis-related fracture in her lifetime.
            (9) The rate of hip fractures is two to three times higher 
        in women than men.
            (10) The direct expenditures for osteoporotic fractures 
        alone range from 12-18 billion dollars each year.
            (11) Physical activity, calcium, and vitamin D are major 
        contributors to bone health for individuals of all ages.
            (12) Muscular strength and balance may be very significant 
        in future risk reduction for osteoporosis.
            (13) 18.2 million Americans have diabetes, and over 200,000 
        people die each year from related complications. Among adults 
        in the United States, diabetes increased 61 percent from 1990 
        to 2001. Diabetes is the sixth leading cause of death in 
        America.
            (14) Approximately 8.7 percent of all women over the age of 
        20 in the United States have diabetes, but about one-third of 
        them are unaware of it.
            (15) The risk for cardiovascular disease, the most common 
        complication attributable to diabetes, is more serious among 
        women than men. Deaths from heart disease in women with 
        diabetes have increased 23 percent over the past 30 years.
            (16) The direct and indirect costs of diabetes are over 
        $132 billion a year.
            (17) Better nutrition, physical activity, control of blood 
        glucose levels, and access to services can delay the 
        progression of diabetes. In fact, recent findings show that 
        modest, consistent physical activity and a healthy diet can cut 
        a person's risk for developing type-2 diabetes by nearly 60 
        percent.
            (18) The direct and indirect costs of diabetes are over 
        $130 billion a year.
            (19) The WISEWOMAN program has--
                    (A) provided one-stop shopping for preventive 
                health services such as cholesterol and blood pressure 
                screening for more than 12,000 women and identified 
                risk factors for heart disease such as obesity, high 
                cholesterol, high blood pressure, sedentary behavior, 
                and poor diet; and
                    (B) identified more than 2,700 cases of previously 
                undiagnosed hypertension, 3,000 cases of undiagnosed 
                high cholesterol, and 400 cases of undiagnosed diabetes 
                in women who would have been unaware of their risk 
                factors if not for WISEWOMAN.
            (20) Research has demonstrated that--
                    (A) the uninsured often have significantly poorer 
                health than the insured; and
                    (B) being uninsured is an obstacle to receiving 
                preventive health care services.

SEC. 3. SUPPLEMENTAL GRANTS FOR ADDITIONAL PREVENTIVE HEALTH SERVICES 
              FOR WOMEN.

    Section 1509 of the Public Health Service Act (42 U.S.C. 300n-4a) 
is amended to read as follows:

``SEC. 1509. ESTABLISHMENT OF PROGRAM FOR ADDITIONAL PREVENTIVE HEALTH 
              SERVICES.

    ``(a) In General.--The Secretary, acting through the Director of 
the Centers for Disease Control and Prevention, may, through a 
competitive review process, award grants to States that have received 
grants under section 1501 for a fiscal year, to enable such State to 
carry out programs--
            ``(1) to provide preventive health services, in addition to 
        the services authorized in such section 1501, for diseases such 
        as cardiovascular diseases, diabetes, osteoporosis, and 
        obesity;
            ``(2) to provide screenings, such as screening for blood 
        pressure, cholesterol, osteoporosis, and diabetes, and other 
        services that the Secretary determines to be appropriate and 
        feasible;
            ``(3) for health education, counseling, and interventions 
        for behavioral risk factors, such as physical inactivity and 
        poor nutrition, and diseases such as cardiovascular diseases, 
        diabetes, osteoporosis, and obesity;
            ``(4) to provide appropriate referrals for medical 
        treatment of women receiving services pursuant to paragraph (1) 
        through (3), and ensuring, to the extent practicable, the 
        provision of appropriate follow-up services; and
            ``(5) to evaluate the activities conducted under paragraphs 
        (1) through (4) through appropriate surveillance, research, or 
        program monitoring activities.
    ``(b) Status as Participant in Program Regarding Breast and 
Cervical Cancer.--The Secretary may not make a grant to a State under 
subsection (a) unless the State involved agrees that services under the 
grant will be provided in conjunction with entities that are screening 
women for breast or cervical cancer pursuant to a grant under section 
1501.
    ``(c) Applicability of Provisions.--The provisions of this title 
shall apply to a grant under subsection (a) to the same extent and in 
the same manner as such provisions apply to a grant under section 1501.
    ``(d) Funding.--
            ``(1) In general.--There is authorized to be appropriated 
        to carry out this section--
                    ``(A) $20,000,000 for fiscal year 2006;
                    ``(B) $25,000,000 for fiscal year 2007;
                    ``(C) $30,000,000 for fiscal year 2008; and
                    ``(D) such sums as may be necessary for each 
                subsequent fiscal year.
            ``(2) Limitation regarding funding with respect to breast 
        and cervical cancer.--No additional resources shall be 
        appropriated for a fiscal year under paragraph (1) unless the 
        amount appropriated under section 1510(a) for such fiscal year 
        is at least $173,920,000.''.