II 

117TH CONGRESS 

2D SESSION S. 4440 

To amend the Public Health Service Act to reauthorize and improve the 

National Breast and Cervical Cancer Early Detection Program for fiscal 

years 2023 through 2027, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

JUNE 22, 2022 

Ms. BALDWIN (for herself, Ms. COLLINS, Ms. CORTEZ MASTO, Mrs. CAPITO, 

and Ms. KLOBUCHAR) introduced the following bill; which was read twice 

and referred to the Committee on Health, Education, Labor, and Pensions 

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 2023 through 2027, 

and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Screening for Commu5 nities to Receive Early and Equitable Needed Services for 

6 Cancer Act of 2022’’ or the ‘‘SCREENS for Cancer Act 

7 of 2022’’. 


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1 SEC. 2. FINDINGS. 

2 Congress finds the following: 

3 (1) In 2022, there will be more than 290,500 

4 new cases of invasive breast cancer and nearly 

5 44,000 breast cancer deaths in the United States. 

6 (2) In 2022, there will be about 14,100 new 

7 cases of invasive cervical cancer and about 4,280 

8 deaths from cervical cancer. 

9 (3) Black women have the highest breast, cer10 vical, and uterine cancer death rates of all racial and 

11 ethnic groups and are more likely to be diagnosed 

12 with triple-negative breast cancer, a more aggressive 

13 form of cancer. 

14 (4) Research shows that the COVID–19 pan15 demic was associated with a decline of more than 

16 3,900,000 breast cancer screenings in 2020, as com17 pared to 2019. Similarly, cervical cancer screening 

18 utilization dropped by 90 percent in April 2020, rel19 ative to the prior year. 

20 (5) Recent National Cancer Institute studies 

21 have estimated that pandemic-related disruptions or 

22 delays in breast care and screening are expected to 

23 result in an excess of 2,500 breast cancer deaths by 

24 2030. 

25 (6) Since its creation in 1991, the National 

26 Breast and Cervical Cancer Early Detection ProVerDate Sep 11 2014 16:43 Jun 30, 2022 Jkt 029200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S4440.IS S4440

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1 gram (referred to in this section as the 

2 ‘‘NBCCEDP’’) has provided lifesaving cancer 

3 screening and diagnostic services to low-income, un4 insured, or underinsured women in all 50 States, the 

5 District of Columbia, 6 territories, and 13 Tribes or 

6 Tribal organizations. 

7 (7) NBCCEDP seeks to reduce inequities in 

8 breast and cervical cancer screening and diagnosis, 

9 placing special emphasis on outreach to women who 

10 are members of racial or ethnic minority groups, and 

11 those who are geographically or culturally isolated. 

12 (8) NBCCEDP has served more than 

13 6,000,000 people and provided more than 

14 15,600,000 breast and cervical cancer screening ex15 aminations. 

16 (9) These screening exams have diagnosed over 

17 70,000 invasive breast cancers and 23,000 

18 premalignant breast lesions, as well as over 5,000 

19 invasive cervical cancers and 230,000 premalignant 

20 cervical lesions, of which 39 percent were high21 grade. 

22 (10) The program also provides public edu23 cation, outreach, patient navigation, and care coordi24 nation to increase breast and cervical cancer screen25 ing rates and reach underserved populations. 


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1 (11) Reauthorizing NBCCEDP will result in 

2 expanded services, leading to more people being 

3 screened and more cancers diagnosed at earlier 

4 stages. 

5 SEC. 3. NATIONAL BREAST AND CERVICAL CANCER EARLY 

6 DETECTION PROGRAM. 

7 Title XV of the Public Health Service Act (42 U.S.C. 

8 300k et seq.) is amended— 

9 (1) in section 1501 (42 U.S.C. 300k)— 

10 (A) in subsection (a)— 

11 (i) in paragraph (2), by striking ‘‘the 

12 provision of appropriate follow-up services 

13 and support services such as case manage14 ment’’ and inserting ‘‘that appropriate fol15 low-up services are provided’’; 

16 (ii) in paragraph (3), by striking 

17 ‘‘programs for the detection and control’’ 

18 and inserting ‘‘for the prevention, detec19 tion, and control’’; 

20 (iii) in paragraph (4), by striking ‘‘the 

21 detection and control’’ and inserting ‘‘the 

22 prevention, detection, and control’’; 

23 (iv) in paragraph (5)— 

24 (I) by striking ‘‘monitor’’ and in25 serting ‘‘ensure’’; and 


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1 (II) by striking ‘‘; and’’ and in2 serting a semicolon; 

3 (v) by redesignating paragraph (6) as 

4 paragraph (9); 

5 (vi) by inserting after paragraph (5), 

6 the following: 

7 ‘‘(6) to enhance appropriate support activities 

8 to increase breast and cervical cancer screening such 

9 as patient navigation, implementation of evidence10 based or evidence-informed strategies proven to in11 crease breast and cervical cancer screening in health 

12 care settings, and facilitating access to health care 

13 settings; 

14 ‘‘(7) to reduce disparities in incidents of and 

15 deaths due to breast and cervical cancer in popu16 lations with higher than average rates; and 

17 ‘‘(8) to ensure equitable access to screening and 

18 diagnostic services and improve access for individ19 uals who encounter additional barriers to receiving 

20 services, including due to various social determinants 

21 of health; and’’; and 

22 (vii) in paragraph (9), as so redesig23 nated, by striking ‘‘through (5)’’ and in24 serting ‘‘through (8)’’; and 

25 (B) by striking subsection (d); 


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1 (2) in section 1503 (42 U.S.C. 300m)— 

2 (A) in subsection (a)— 

3 (i) in paragraph (1), by striking 

4 ‘‘that, initially’’ and all that follows 

5 through the semicolon and inserting ‘‘that 

6 appropriate breast and cervical cancer 

7 screening and diagnostic services are pro8 vided based on national recommendations; 

9 and’’; 

10 (ii) by striking paragraphs (2) and 

11 (4); 

12 (iii) by redesignating paragraph (3) as 

13 paragraph (2); and 

14 (iv) in paragraph (2), as so redesig15 nated, by striking ‘‘; and’’ and inserting a 

16 period; and 

17 (B) by striking subsection (d); 

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

19 (A) by striking ‘‘1 year after the date of 

20 the enactment of the National Breast and Cer21 vical Cancer Early Detection Program Reau22 thorization of 2007, and annually thereafter,’’ 

23 and inserting ‘‘2 years after the date of enact24 ment of the Screening for Communities to Re25 ceive Early and Equitable Needed Services for 


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1 Cancer Act of 2022, and every 5 years there2 after,’’; 

3 (B) by striking ‘‘Labor and Human Re4 sources’’ and inserting ‘‘Health, Education, 

5 Labor, and Pensions’’; and 

6 (C) by striking ‘‘preceding fiscal year’’ and 

7 inserting ‘‘preceding 2 fiscal years in the case 

8 of the first report after the date of enactment 

9 of the Screening for Communities to Receive 

10 Early and Equitable Needed Services for Can11 cer Act of 2022 and preceding 5 fiscal years for 

12 each report thereafter’’; and 

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

14 (A) by striking ‘‘and’’ after ‘‘2011,’’; and 

15 (B) by inserting ‘‘, and $500,000,000 for 

16 each of fiscal years 2023 through 2027’’ before 

17 the period at the end. 

Æ 


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