I 

109TH CONGRESS 

1ST SESSION H. R. 3086 

To reduce health care costs and promote improved health by providing 

supplemental grants for additional preventive health services for women. 

IN THE HOUSE OF REPRESENTATIVES 

JUNE 28, 2005 

Ms. DELAURO (for herself, Mr. LEACH, Mr. JACKSON of Illinois, Mr. OWENS, 

Ms. MILLENDER-MCDONALD, Ms. ROYBAL-ALLARD, Mr. MENENDEZ, 

Ms. WASSERMAN SCHULTZ, Mr. MCNULTY, Mr. GRIJALVA, Mrs. MCCARTHY, Mr. STARK, Ms. EDDIE BERNICE JOHNSON of Texas, Mr. KILDEE, 

Ms. SCHAKOWSKY, Mr. UDALL of New Mexico, Mr. MCDERMOTT, Ms. 

ESHOO, Mrs. CHRISTENSEN, Mr. DICKS, Mrs. MALONEY, Mr. BOSWELL, 

Mr. MCGOVERN, Mr. WAXMAN, Ms. JACKSON-LEE of Texas, Ms. WOOLSEY, Mr. MICHAUD, Mr. WEXLER, and Mr. BRADY of Pennsylvania) introduced the following bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To reduce health care costs and promote improved health 

by providing supplemental grants for additional preventive health services for women. 

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 ‘‘WISEWOMAN Ex5 pansion Act of 2005’’. 
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1 SEC. 2. FINDINGS. 

2 The Congress finds as follows: 

3 (1) Heart disease, stroke, and other cardio4 vascular diseases remain the leading cause of death 

5 among females in the United States, killing almost 

6 500,000 women each year. 

7 (2) About 1 in 4 females have some form of 

8 cardiovascular disease, killing more than the next 6 

9 causes of death combined. 

10 (3) In women, cardiovascular disease is fre11 quently undetected and untreated until the disease 

12 has become severe, causing 42 percent of women 

13 who have heart attacks to die within 1 year. 

14 (4) Obesity increases women’s risk for some of 

15 the leading causes of death: heart disease, stroke, di16 abetes, and certain cancers. 

17 (5) Better nutrition and lifestyle changes can 

18 effectively prevent and treat obesity. 

19 (6) Osteoporosis is a major public health threat 

20 for an estimated 44 million Americans. 

21 (7) Women over age 50 accounted for over 75 

22 percent of the total cases of osteoporosis of the hip 

23 in 2002. 

24 (8) One out of every 2 women over the age of 

25 50 will have an osteoporosis-related fracture in her 

26 lifetime. 
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1 (9) The rate of hip fractures is two to three 

2 times higher in women than men. 

3 (10) The direct expenditures for osteoporotic 

4 fractures alone range from 12–18 billion dollars 

5 each year. 

6 (11) Physical activity, calcium, and vitamin D 

7 are major contributors to bone health for individuals 

8 of all ages. 

9 (12) Muscular strength and balance may be 

10 very significant in future risk reduction for 

11 osteoporosis. 

12 (13) 18.2 million Americans have diabetes, and 

13 over 200,000 people die each year from related com14 plications. Among adults in the United States, dia15 betes increased 61 percent from 1990 to 2001. Dia16 betes is the sixth leading cause of death in America. 

17 (14) Approximately 8.7 percent of all women 

18 over the age of 20 in the United States have diabe19 tes, but about one-third of them are unaware of it. 

20 (15) The risk for cardiovascular disease, the 

21 most common complication attributable to diabetes, 

22 is more serious among women than men. Deaths 

23 from heart disease in women with diabetes have in24 creased 23 percent over the past 30 years. 
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1 (16) The direct and indirect costs of diabetes 

2 are over $132 billion a year. 

3 (17) Better nutrition, physical activity, control 

4 of blood glucose levels, and access to services can 

5 delay the progression of diabetes. In fact, recent 

6 findings show that modest, consistent physical activ7 ity and a healthy diet can cut a person’s risk for de8 veloping type-2 diabetes by nearly 60 percent. 

9 (18) The direct and indirect costs of diabetes 

10 are over $130 billion a year. 

11 (19) The WISEWOMAN program has— 

12 (A) provided one-stop shopping for preven13 tive health services such as cholesterol and 

14 blood pressure screening for more than 12,000 

15 women and identified risk factors for heart dis16 ease such as obesity, high cholesterol, high 

17 blood pressure, sedentary behavior, and poor 

18 diet; and 

19 (B) identified more than 2,700 cases of 

20 previously undiagnosed hypertension, 3,000 

21 cases of undiagnosed high cholesterol, and 400 

22 cases of undiagnosed diabetes in women who 

23 would have been unaware of their risk factors 

24 if not for WISEWOMAN. 

25 (20) Research has demonstrated that— 
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1 (A) the uninsured often have significantly 

2 poorer health than the insured; and 

3 (B) being uninsured is an obstacle to re4 ceiving preventive health care services. 

5 SEC. 3. SUPPLEMENTAL GRANTS FOR ADDITIONAL PRE6 VENTIVE HEALTH SERVICES FOR WOMEN. 

7 Section 1509 of the Public Health Service Act (42 

8 U.S.C. 300n–4a) is amended to read as follows: 

9 ‘‘SEC. 1509. ESTABLISHMENT OF PROGRAM FOR ADDI10 TIONAL PREVENTIVE HEALTH SERVICES. 

11 ‘‘(a) IN GENERAL.—The Secretary, acting through 

12 the Director of the Centers for Disease Control and Pre13 vention, may, through a competitive review process, award 

14 grants to States that have received grants under section 

15 1501 for a fiscal year, to enable such State to carry out 

16 programs— 

17 ‘‘(1) to provide preventive health services, in ad18 dition to the services authorized in such section 

19 1501, for diseases such as cardiovascular diseases, 

20 diabetes, osteoporosis, and obesity; 

21 ‘‘(2) to provide screenings, such as screening 

22 for blood pressure, cholesterol, osteoporosis, and dia23 betes, and other services that the Secretary deter24 mines to be appropriate and feasible; 
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1 ‘‘(3) for health education, counseling, and inter2 ventions for behavioral risk factors, such as physical 

3 inactivity and poor nutrition, and diseases such as 

4 cardiovascular diseases, diabetes, osteoporosis, and 

5 obesity; 

6 ‘‘(4) to provide appropriate referrals for medical 

7 treatment of women receiving services pursuant to 

8 paragraph (1) through (3), and ensuring, to the ex9 tent practicable, the provision of appropriate follow10 up services; and 

11 ‘‘(5) to evaluate the activities conducted under 

12 paragraphs (1) through (4) through appropriate sur13 veillance, research, or program monitoring activities. 

14 ‘‘(b) STATUS AS PARTICIPANT IN PROGRAM REGARD15 ING BREAST AND CERVICAL CANCER.—The Secretary 

16 may not make a grant to a State under subsection (a) 

17 unless the State involved agrees that services under the 

18 grant will be provided in conjunction with entities that are 

19 screening women for breast or cervical cancer pursuant 

20 to a grant under section 1501. 

21 ‘‘(c) APPLICABILITY OF PROVISIONS.—The provi22 sions of this title shall apply to a grant under subsection 

23 (a) to the same extent and in the same manner as such 

24 provisions apply to a grant under section 1501. 

25 ‘‘(d) FUNDING.— 
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1 ‘‘(1) IN GENERAL.—There is authorized to be 

2 appropriated to carry out this section— 

3 ‘‘(A) $20,000,000 for fiscal year 2006; 

4 ‘‘(B) $25,000,000 for fiscal year 2007; 

5 ‘‘(C) $30,000,000 for fiscal year 2008; and 

6 ‘‘(D) such sums as may be necessary for 

7 each subsequent fiscal year. 

8 ‘‘(2) LIMITATION REGARDING FUNDING WITH

9 RESPECT TO BREAST AND CERVICAL CANCER.—No 

10 additional resources shall be appropriated for a fis11 cal year under paragraph (1) unless the amount ap12 propriated under section 1510(a) for such fiscal year 

13 is at least $173,920,000.’’. 

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