I 

108TH CONGRESS 

1ST SESSION H. R. 1657

To provide funding for programs at the National Institute of Environmental 

Health Sciences regarding breast cancer in younger women, and for 

other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 7, 2003

Ms. WOOLSEY (for herself, Ms. KILPATRICK, Ms. LEE, Mrs. JONES of Ohio, 

Ms. KAPTUR, Mrs. MALONEY, Mr. PAYNE, Ms. CORRINE BROWN of Florida, Ms. CARSON of Indiana, Mrs. DAVIS of California, and Mrs. CAPPS) 

introduced the following bill; which was referred to the Committee on Energy and Commerce 

A BILL

To provide funding for programs at the National Institute 

of Environmental Health Sciences regarding breast cancer in younger women, 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 ‘‘Annie Fox Act’’. 

5 SEC. 2. FINDINGS. 

6 The Congress finds the following: 

7 (1) Breast cancer is a serious health concern 

8 for all women, striking more women in the world 
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1 than any other type of cancer other than skin can2 cer. 

3 (2) In the past 50 years, women’s lifetime risk 

4 of breast cancer has nearly tripled in the United 

5 States. 

6 (3) Despite notable progress in efforts to ex7 pand knowledge of breast cancer and its causes, 

8 there is still much to learn, and financial resources 

9 are needed to accomplish this goal. 

10 (4) Broadening the scope of current research to 

11 include underrepresented populations, in particular 

12 women who are 15 to 40 years of age, is necessary 

13 to have a comprehensive understanding of breast 

14 cancer and the long-term health effects of cancer 

15 treatments on younger women. 

16 (5) Breast cancer is a leading cause of cancer 

17 death in women who are 15 to 40 years of age. 

18 (6) Approximately 11,000 women under the age 

19 of 40 will be diagnosed with breast cancer this year, 

20 of which nearly 1,300 will die. 

21 (7) There are nearly 250,000 women in the 

22 United States under the age of 40 currently living 

23 with breast cancer. 

24 (8) Breast cancer tends to be more aggressive 

25 in younger women than in their post-menopausal 
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1 counterparts due to the lack of appropriate diag2 nostic tools and screening devices, and inadequate 

3 education about the disease among younger women 

4 and the medical community. 

5 (9) Because younger women’s cancers are gen6 erally more aggressive, they typically have lower sur7 vival rates than their post-menopausal counterparts. 

8 (10) Younger women with breast cancer are 

9 confronted with many issues that their post-meno10 pausal counterparts do not face, including the possi11 bility of early menopause, pregnancy after diagnosis, 

12 generally more advanced cancers at diagnosis, and 

13 higher mortality rates. 

14 (11) Younger women are virtually excluded 

15 from breast cancer studies, most of which are con16 ducted on women over the age of 45. 

17 SEC. 3. PROGRAMS AT NIEHS REGARDING BREAST CANCER 

18 IN YOUNGER WOMEN. 

19 Supbart 12 of part C of title IV of the Public Health 

20 Service Act (42 U.S.C. 285l et seq.; relating to the Na21 tional Institute of Environmental Health Sciences) is 

22 amended by adding at the end the following: 

23 ‘‘PROGRAMS REGARDING BREAST CANCER IN YOUNGER

24 WOMEN

25 ‘‘SEC. 463B. (a) EXPANSION AND COORDINATION OF

26 ACTIVITIES.—The Director of the Institute shall expand, 
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1 intensify, and coordinate the activities of the Institute re2 garding breast cancer in younger women. 

3 ‘‘(b) RESEARCH.—In carrying out subsection (a), the 

4 Director of the Institute shall provide for an expansion 

5 and intensification of the conduct and support of basic and 

6 clinical research on the causes, prevention, detection, 

7 treatment, and long-term effects of breast cancer in 

8 younger women, including the long-term effects of treat9 ment. 

10 ‘‘(c) INFORMATION AND EDUCATION.—In carrying 

11 out subsection (a), the Director of the Institute shall pro12 vide for an expansion and intensification of the conduct 

13 and support of information and education programs for 

14 health professionals and the public regarding breast can15 cer in younger women. 

16 ‘‘(d) REPORTS.—The Director of the Institute shall 

17 prepare, for inclusion in the biennial report submitted 

18 under section 407, a report that includes a description of 

19 the activities of the Institute under this section, and such 

20 other comments and recommendations regarding breast 

21 cancer in younger women as the Director considers appro22 priate. 

23 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the 

24 purpose of expanding, intensifying, and coordinating ac25 tivities regarding breast cancer in younger women under 
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1 this section, there are authorized to be appropriated 

2 $9,000,000 for each of fiscal years 2004 through 2009, 

3 and such sums as may be necessary for fiscal years 2010 

4 through 2014. Such authorizations of appropriations are 

5 in addition to any other authorizations of appropriations 

6 available for such purpose.’’.

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