I 

118TH CONGRESS 

2D SESSION H. R. 10506 

To amend the Public Health Service Act to direct the Secretary of Health 

and Human Services, acting through the Administrator of the Health 

Resources and Services Administration, to award grants, contracts, or 

cooperative agreements for supporting new mobile cancer screening units 

to expand patient access to essential screening services in rural and 

underserved communities, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

DECEMBER 18, 2024 

Mr. RUIZ (for himself, Mr. BUCSHON, Ms. WASSERMAN SCHULTZ, and Mr. 

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

A BILL 

To amend the Public Health Service Act to direct the Secretary of Health and Human Services, acting through 

the Administrator of the Health Resources and Services 

Administration, to award grants, contracts, or cooperative agreements for supporting new mobile cancer screening units to expand patient access to essential screening 

services in rural and underserved communities, 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, 


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Mobile Cancer Screen3 ing Act’’. 

4 SEC. 2. FINDINGS. 

5 Congress finds the following: 

6 (1) Each year, 2,000,000 people in the United 

7 States are diagnosed with cancer. 

8 (2) Lung cancer remains the leading cause of 

9 cancer deaths in the United States, with 127,070 

10 deaths in 2023 alone. Despite its prevalence, only 

11 4.5 percent of eligible individuals were screened for 

12 lung cancer in 2022. 

13 (3) Mobile cancer screening units have proven 

14 effective in increasing access to essential screenings, 

15 including for breast cancer and more recently lung 

16 cancer. 

17 (4) Nationally, only 26.6 percent of lung cancer 

18 cases are diagnosed at an early stage when the 5- 

19 year survival rate is 63 percent. 

20 SEC. 3. MOBILE CANCER SCREENING GRANTS. 

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

22 (42 U.S.C. 254b et seq.) is amended by adding at the end 

23 the following: 


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1 ‘‘Subpart XIII—Mobile Cancer Screening Units 

2 ‘‘SEC. 340J. GRANTS, CONTRACTS, AND COOPERATIVE 

3 AGREEMENTS. 

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

5 the Administrator of the Health Resources and Services 

6 Administration, shall award grants, contracts, or coopera7 tive agreements to eligible entities for the purpose of sup8 porting new mobile cancer screening units to expand pa9 tient access to essential screening services in rural and un10 derserved areas. 

11 ‘‘(b) ELIGIBLE ENTITIES.—Entities eligible for an 

12 award under subsection (a) include— 

13 ‘‘(1) a nonprofit hospital; 

14 ‘‘(2) a Federally qualified health center; 

15 ‘‘(3) an academic health center; 

16 ‘‘(4) a health system; and 

17 ‘‘(5) a consortium or other collaboration of two 

18 or more entities listed in any of paragraphs (1) 

19 through (4). 

20 ‘‘(c) USE OF FUNDS.—For the purpose described in 

21 subsection (a), funds awarded under this section may be 

22 used for— 

23 ‘‘(1) purchasing a commercial vehicle to operate 

24 a mobile cancer screening unit; 

25 ‘‘(2) acquiring imaging technology; 


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1 ‘‘(3) purchasing digital tools needed to operate 

2 a mobile cancer screening unit; and 

3 ‘‘(4) covering other costs determined by the 

4 Secretary to be essential startup or operational 

5 costs. 

6 ‘‘(d) FUNDING LIMIT.—The amount of an award 

7 under subsection (a) may not exceed $2,000,000. 

8 ‘‘(e) PRIORITIZATION.—In making awards under sub9 section (a), the Secretary shall prioritize— 

10 ‘‘(1) applicants with the highest potential im11 pact on patient mortality and screening gaps for 

12 high-risk individuals; 

13 ‘‘(2) applicants serving underserved popu14 lations, including— 

15 ‘‘(A) rural areas; and 

16 ‘‘(B) areas served by the Indian Health 

17 Service; and 

18 ‘‘(3) applicants able to provide comprehensive 

19 follow-up care for abnormal findings within 90 min20 utes of the unit by ground transportation. 

21 ‘‘(f) MATCHING FUNDS.—As a condition on receipt 

22 of an award under this section, an eligible entity shall 

23 agree that, with respect to costs to be incurred by the enti24 ty in carrying out activities for which the award is made, 

25 the entity will contribute from non-Federal sources, in 


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1 cash or in kind, an amount equal to not less than one 

2 dollar for every three dollars provided through the award. 

3 ‘‘(g) REPORT TO CONGRESS.— 

4 ‘‘(1) SUBMISSION.—Not later than 4 years 

5 after the date of enactment of this section, the Sec6 retary shall submit a report to the Committee on 

7 Energy and Commerce of the House of Representa8 tives and the Committee on Health, Education, 

9 Labor, and Pensions of the Senate. 

10 ‘‘(2) CONTENTS.—The report required by para11 graph (1) shall include— 

12 ‘‘(A) the total number of patients screened 

13 using mobile cancer screening units funded 

14 through awards under this section, with data on 

15 such total number of patients de-identified and 

16 disaggregated by race, ethnicity, age, sex, geo17 graphic region, disability status, and other rel18 evant factors; 

19 ‘‘(B) the impact of awards under sub20 section (a) on increasing screening rates, early 

21 cancer detection, and improved patient out22 comes; 

23 ‘‘(C) recommendations for improving the 

24 program under this section; and 


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1 ‘‘(D) such other information and rec2 ommendations as the Secretary determines to 

3 be relevant. 

4 ‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—To 

5 carry out this section, there is authorized to be appro6 priated $15,000,000 for each of fiscal years 2026 through 

7 2030.’’. 

Æ 


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