I 

108TH CONGRESS 

1ST SESSION H. R. 1868

To amend the Public Health Service Act to establish a program to provide 

screenings and treatment for cancer to minority and other populations 

served by health centers under section 330 of such Act, and for other 

purposes. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 29, 2003

Ms. WATERS (for herself, Mr. DAVIS of Illinois, Ms. NORTON, Mr. SERRANO, 

Mr. THOMPSON of Mississippi, Ms. LEE, Ms. KAPTUR, Ms. JACKSON-LEE

of Texas, Mr. UDALL of New Mexico, Mr. ABERCROMBIE, and Ms. EDDIE

BERNICE JOHNSON of Texas) introduced the following bill; which was referred to the Committee on Energy and Commerce 

A BILL

To amend the Public Health Service Act to establish a program to provide screenings and treatment for cancer 

to minority and other populations served by health centers under section 330 of such Act, 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 ‘‘Cancer Testing, Edu5 cation, Screening, and Treatment Act’’. 
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1 SEC. 2. CANCER PREVENTION AND TREATMENT FOR UN2 DERSERVED MINORITY OR OTHER POPU3 LATIONS. 

4 Part D of title III of the Public Health Service Act 

5 (42 U.S.C. 254b et seq.) is amended by inserting after 

6 section 330H the following: 

7 ‘‘SEC. 330L. CANCER PREVENTION AND TREATMENT FOR 

8 UNDERSERVED MINORITY OR OTHER POPU9 LATIONS. 

10 ‘‘(a) IN GENERAL.—The Secretary may make grants 

11 to qualifying health centers for the development, expan12 sion, or operation of programs that, for individuals other13 wise served by such centers, provide—

14 ‘‘(1) information and education on cancer pre15 vention; 

16 ‘‘(2) screenings for cancer; 

17 ‘‘(3) counseling on cancer, including counseling 

18 upon a diagnosis of cancer; and 

19 ‘‘(4) treatment for cancer. 

20 ‘‘(b) QUALIFYING HEALTH CENTERS.—For purposes 

21 of this section, the term ‘qualifying health center’ means 

22 health centers receiving grants under section 330, includ23 ing community health centers, migrant health centers, 

24 health centers for the homeless, and health centers for 

25 residents of public housing. 
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1 ‘‘(c) PREFERENCE IN MAKING GRANTS.—In making 

2 grants under subsection (a), the Secretary shall give pref3 erence to applicants that—

4 ‘‘(1) have service populations under section 330 

5 that include a significant number of low-income mi6 nority individuals who are at-risk for cancer; 

7 ‘‘(2) will, through programs under subsection 

8 (a)—

9 ‘‘(A) emphasize early detection of and 

10 treatment for cancer; 

11 ‘‘(B) provide comprehensive treatment 

12 services for cancer in its earliest stages; and 

13 ‘‘(C) carry out subparagraphs (A) and (B) 

14 for two or more types of cancer; 

15 ‘‘(3) provide health services in a manner that is 

16 convenient to individuals in the communities served 

17 by the applicants; and 

18 ‘‘(4) in order to provide treatment for cancer, 

19 have established or will establish referral arrange20 ments with entities that provide screenings for low21 income individuals. 

22 ‘‘(d) APPROPRIATE CULTURAL CONTEXT.—A condi23 tion for the receipt of a grant under subsection (a) is that 

24 the applicant involved agree that, in the program carried 

25 out with the grant, services will be provided in the lan-
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1 guages and cultural contexts most appropriate for the in2 dividuals for whom the services are provided. 

3 ‘‘(e) OUTREACH SERVICES.—A condition for the re4 ceipt of a grant under subsection (a) is that the applicant 

5 involved agree to provide outreach activities to inform the 

6 public of the services of the program, and to provide offsite 

7 information on cancer; and 

8 ‘‘(f) APPLICATION FOR GRANT.—A grant may be 

9 made under subsection (a) only if an application for the 

10 grant is submitted to the Secretary and the application 

11 is in such form, is made in such manner, and contains 

12 such agreements, assurances, and information as the Sec13 retary determines to be necessary to carry out this section. 

14 ‘‘(g) DESIGNATION OF TYPE OF CANCER.—In mak15 ing a grant under subsection (a), the Secretary shall des16 ignate the type or types of cancer with respect to which 

17 the grant is being made. 

18 ‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—For the 

19 purpose of carrying out this section, there are authorized 

20 to be appropriated such sums as may be necessary for 

21 each of the fiscal years 2004 through 2008.’’.

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