```

[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 7714 Introduced in House (IH)]

<DOC>

118th CONGRESS
  2d Session
                                H. R. 7714

To authorize the Secretary of Health and Human Services, acting through 
the Director of the Centers for Disease Control and Prevention, to make 
  grants to States to increase awareness and education for colorectal 
   cancer and improve early detection of colorectal cancer in young 
                  individuals, and for other purposes.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                             March 19, 2024

   Ms. Caraveo (for herself, Mr. Payne, Ms. Stevens, and Ms. Sewell) 
 introduced the following bill; which was referred to the Committee on 
                          Energy and Commerce

_______________________________________________________________________

                                 A BILL

 
To authorize the Secretary of Health and Human Services, acting through 
the Director of the Centers for Disease Control and Prevention, to make 
  grants to States to increase awareness and education for colorectal 
   cancer and improve early detection of colorectal cancer in young 
                  individuals, 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 ``Colorectal Cancer Early Detection 
Act''.

SEC. 2. FINDINGS.

    Congress finds the following:
            (1) In the United States, colorectal cancer is the third 
        leading cause of cancer-related deaths in men and the fourth 
        leading cause in women. Colorectal cancer is the second most 
        common cause of cancer deaths when numbers for men and women 
        are combined.
            (2) In the United States, there were over 126,000 new 
        colorectal cancer cases and 51,000 new colorectal cancer deaths 
        reported in 2020. It is estimated that there will be over 
        152,810 new cases of colorectal cancer and 53,010 cases of 
        colorectal cancer deaths in 2024.
            (3) Colorectal cancer rates have been increasing in young 
        patients. About 1 in 5 cases of colorectal cancer were in 
        individuals age 54 and younger.
            (4) In early 2023, it was reported that about 20 percent of 
        diagnoses of colorectal cancer were among patients under the 
        age of 55. Additionally, half of all early-onset colorectal 
        cancer cases are diagnosed in individuals under 45 years old.
            (5) Colorectal cancer cases among individuals ages 20 to 39 
        are expected to increase by 90 percent by 2030. Additionally, 
        colorectal cancer is projected to be the leading cause of 
        cancer-related deaths by 2030.

SEC. 3. CDC STATE GRANTS FOR COLORECTAL CANCER AWARENESS, EDUCATION, 
              AND EARLY DETECTION AMONG YOUNG INDIVIDUALS.

    (a) Definitions.--In this section:
            (1) State.--The term ``State'' means each of the several 
        States, the District of Columbia, and any territory or 
        possession of the United States.
            (2) Young individual.--The term ``young individual'' means 
        an individual who has not attained the age of 45.
    (b) In General.--The Secretary of Health and Human Services, acting 
through the Director of the Centers for Disease Control and Prevention, 
(in this section referred to as the ``Secretary'') may make grants to 
States, on a competitive basis, for the purpose of increasing awareness 
and education for colorectal cancer and early detection of colorectal 
cancer in young individuals.
    (c) Application.--To be eligible for a grant under this section, a 
State shall submit to the Secretary an application at such time, in 
such manner, and containing such information as the Secretary may 
require, including a detailed description of the State's plan to 
implement the grant. Such description shall include how the State will 
use the grant to--
            (1) conduct outreach and education regarding incidence of 
        colorectal cancer and risk factors, with an emphasis on--
                    (A) young individuals with an increased risk or 
                high risk for colorectal cancer, including--
                            (i) young individuals with a family history 
                        of colorectal cancer or advanced adenomatous 
                        polyps;
                            (ii) young individuals with a personal 
                        history of inflammatory bowel disease (commonly 
                        known as ``IBD''), including ulcerative colitis 
                        and Crohn's disease of the colon;
                            (iii) young individuals with an inherited 
                        syndrome, including Lynch syndrome, familial 
                        adenomatous polyposis, and other inherited 
                        syndromes linked to colorectal cancer;
                            (iv) young individuals with signs and 
                        symptoms of colorectal cancer, particularly 
                        rectal bleeding and iron deficiency anemia; and
                            (v) other young individuals with risk 
                        factors (such as risk factors identified by 
                        nationally recognized guidelines) that put such 
                        individuals at increased risk for colorectal 
                        cancer, as determined by the Secretary; and
                    (B) individuals in underserved and rural areas, 
                individuals who identify as American Indian, Alaska 
                Native, or African American, and individuals with type 
                2 diabetes, for the purposes of--
                            (i) identifying individuals who are at 
                        increased risk or high risk for colorectal 
                        cancer (including young individuals described 
                        in clauses (i) through (v) of subparagraph (A)) 
                        and would benefit from early detection before 
                        age 45; and
                            (ii) providing education to initiate early 
                        detection at age 45 for individuals who are not 
                        at increased risk or high risk for colorectal 
                        cancer;
            (2) partner with hospitals, clinics, Tribal organizations 
        (as defined in section 4 of the Indian Self-Determination and 
        Education Assistance Act), nonprofit organizations, 
        institutions of higher education, colorectal cancer prevention 
        and control programs, and other relevant entities and programs 
        to enhance outreach, education, and early detection efforts 
        with respect to colorectal cancer in young individuals; and
            (3) conduct activities to increase awareness and education 
        for colorectal cancer and improve early detection of colorectal 
        cancer in young individuals, including navigation and program 
        evaluation.
    (d) Use of Funds.--A grant under this section may be used for any 
of the following:
            (1) To support early detection and diagnostic testing for 
        colorectal cancer in young individuals deemed to be at 
        increased risk or high risk of colorectal cancer as part of a 
        preventive health measure strategy.
            (2) To provide appropriate referrals for medical treatment, 
        including genetic testing and counseling of such young 
        individuals, and to ensure, to the extent practicable, the 
        provision of appropriate follow-up and surveillance services.
            (3) To develop and implement a public awareness and 
        education campaign for the early detection, signs and symptoms, 
        risk factors, and control management of colorectal cancer, 
        specifically in young individuals.
            (4) To conduct education and outreach to health 
        professionals (including allied health professionals) on 
        conducting and interpreting colorectal cancer screening and 
        diagnostic tests and the latest advancements in the early 
        detection of colorectal cancer, with a focus on symptoms, 
        genetic risk factors, family history, and care for young 
        individuals.
            (5) To establish mechanisms through which the States can 
        monitor the quality of screening and diagnostic procedures for 
        colorectal cancer among young individuals, including the 
        interpretation of such procedures.
            (6) To conduct surveillance to help determine other risk 
        factors for colorectal cancer.
            (7) To develop strategies to capture and assess family 
        history and genetic predispositions to colorectal cancer in 
        young individuals.
            (8) To establish patient navigation support to assist 
        individuals through the process of screening, particularly 
        those at increased risk or high risk for colorectal cancer.
            (9) To design clinician decision support tools based on 
        clinical practice guidelines for early detection of colorectal 
        cancer in young individuals.
            (10) To monitor and evaluate activities conducted under 
        paragraphs (1) through (9) to determine the effectiveness of 
        such activities to inform continuous improvement of such 
        activities.
    (e) Grant Period.--A grant under this section shall be for a period 
of 5 years, and may be renewed at the discretion of the Secretary.
    (f) Return of Unspent Grant Funds.--Each State that receives a 
grant under this section shall return, not later than 6 months after 
the date on which the period of such grant ends, any grant funds that 
were not expended by such State during the grant period.
    (g) Report.--Not later than 5 years after receiving a grant under 
this section (including a renewal of a grant), a State shall submit to 
the Secretary a report describing how the State used such grant.
    (h) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $200,000,000 for each of fiscal 
years 2025 through 2029.
                                 <all>
```