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[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1657 Introduced in House (IH)]

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.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Annie Fox Act''.

SEC. 2. FINDINGS.

    The Congress finds the following:
            (1) Breast cancer is a serious health concern for all 
        women, striking more women in the world than any other type of 
        cancer other than skin cancer.
            (2) In the past 50 years, women's lifetime risk of breast 
        cancer has nearly tripled in the United States.
            (3) Despite notable progress in efforts to expand knowledge 
        of breast cancer and its causes, there is still much to learn, 
        and financial resources are needed to accomplish this goal.
            (4) Broadening the scope of current research to include 
        underrepresented populations, in particular women who are 15 to 
        40 years of age, is necessary to have a comprehensive 
        understanding of breast cancer and the long-term health effects 
        of cancer treatments on younger women.
            (5) Breast cancer is a leading cause of cancer death in 
        women who are 15 to 40 years of age.
            (6) Approximately 11,000 women under the age of 40 will be 
        diagnosed with breast cancer this year, of which nearly 1,300 
        will die.
            (7) There are nearly 250,000 women in the United States 
        under the age of 40 currently living with breast cancer.
            (8) Breast cancer tends to be more aggressive in younger 
        women than in their post-menopausal counterparts due to the 
        lack of appropriate diagnostic tools and screening devices, and 
        inadequate education about the disease among younger women and 
        the medical community.
            (9) Because younger women's cancers are generally more 
        aggressive, they typically have lower survival rates than their 
        post-menopausal counterparts.
            (10) Younger women with breast cancer are confronted with 
        many issues that their post-menopausal counterparts do not 
        face, including the possibility of early menopause, pregnancy 
        after diagnosis, generally more advanced cancers at diagnosis, 
        and higher mortality rates.
            (11) Younger women are virtually excluded from breast 
        cancer studies, most of which are conducted on women over the 
        age of 45.

SEC. 3. PROGRAMS AT NIEHS REGARDING BREAST CANCER IN YOUNGER WOMEN.

    Supbart 12 of part C of title IV of the Public Health Service Act 
(42 U.S.C. 285l et seq.; relating to the National Institute of 
Environmental Health Sciences) is amended by adding at the end the 
following:

          ``programs regarding breast cancer in younger women

    ``Sec. 463B. (a) Expansion and Coordination of Activities.--The 
Director of the Institute shall expand, intensify, and coordinate the 
activities of the Institute regarding breast cancer in younger women.
    ``(b) Research.--In carrying out subsection (a), the Director of 
the Institute shall provide for an expansion and intensification of the 
conduct and support of basic and clinical research on the causes, 
prevention, detection, treatment, and long-term effects of breast 
cancer in younger women, including the long-term effects of treatment.
    ``(c) Information and Education.--In carrying out subsection (a), 
the Director of the Institute shall provide for an expansion and 
intensification of the conduct and support of information and education 
programs for health professionals and the public regarding breast 
cancer in younger women.
    ``(d) Reports.--The Director of the Institute shall prepare, for 
inclusion in the biennial report submitted under section 407, a report 
that includes a description of the activities of the Institute under 
this section, and such other comments and recommendations regarding 
breast cancer in younger women as the Director considers appropriate.
    ``(e) Authorization of Appropriations.--For the purpose of 
expanding, intensifying, and coordinating activities regarding breast 
cancer in younger women under this section, there are authorized to be 
appropriated $9,000,000 for each of fiscal years 2004 through 2009, and 
such sums as may be necessary for fiscal years 2010 through 2014. Such 
authorizations of appropriations are in addition to any other 
authorizations of appropriations available for such purpose.''.
                                 <all>
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