I 

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. 

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 ‘‘Colorectal Cancer 

5 Early Detection Act’’. 


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1 SEC. 2. FINDINGS. 

2 Congress finds the following: 

3 (1) In the United States, colorectal cancer is 

4 the third leading cause of cancer-related deaths in 

5 men and the fourth leading cause in women. 

6 Colorectal cancer is the second most common cause 

7 of cancer deaths when numbers for men and women 

8 are combined. 

9 (2) In the United States, there were over 

10 126,000 new colorectal cancer cases and 51,000 new 

11 colorectal cancer deaths reported in 2020. It is esti12 mated that there will be over 152,810 new cases of 

13 colorectal cancer and 53,010 cases of colorectal can14 cer deaths in 2024. 

15 (3) Colorectal cancer rates have been increasing 

16 in young patients. About 1 in 5 cases of colorectal 

17 cancer were in individuals age 54 and younger. 

18 (4) In early 2023, it was reported that about 

19 20 percent of diagnoses of colorectal cancer were 

20 among patients under the age of 55. Additionally, 

21 half of all early-onset colorectal cancer cases are di22 agnosed in individuals under 45 years old. 

23 (5) Colorectal cancer cases among individuals 

24 ages 20 to 39 are expected to increase by 90 percent 

25 by 2030. Additionally, colorectal cancer is projected 


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1 to be the leading cause of cancer-related deaths by 

2 2030. 

3 SEC. 3. CDC STATE GRANTS FOR COLORECTAL CANCER 

4 AWARENESS, EDUCATION, AND EARLY DE5 TECTION AMONG YOUNG INDIVIDUALS. 

6 (a) DEFINITIONS.—In this section: 

7 (1) STATE.—The term ‘‘State’’ means each of 

8 the several States, the District of Columbia, and any 

9 territory or possession of the United States. 

10 (2) YOUNG INDIVIDUAL.—The term ‘‘young in11 dividual’’ means an individual who has not attained 

12 the age of 45. 

13 (b) IN GENERAL.—The Secretary of Health and 

14 Human Services, acting through the Director of the Cen15 ters for Disease Control and Prevention, (in this section 

16 referred to as the ‘‘Secretary’’) may make grants to 

17 States, on a competitive basis, for the purpose of increas18 ing awareness and education for colorectal cancer and 

19 early detection of colorectal cancer in young individuals. 

20 (c) APPLICATION.—To be eligible for a grant under 

21 this section, a State shall submit to the Secretary an appli22 cation at such time, in such manner, and containing such 

23 information as the Secretary may require, including a de24 tailed description of the State’s plan to implement the 


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1 grant. Such description shall include how the State will 

2 use the grant to— 

3 (1) conduct outreach and education regarding 

4 incidence of colorectal cancer and risk factors, with 

5 an emphasis on— 

6 (A) young individuals with an increased 

7 risk or high risk for colorectal cancer, includ8 ing— 

9 (i) young individuals with a family 

10 history of colorectal cancer or advanced ad11 enomatous polyps; 

12 (ii) young individuals with a personal 

13 history of inflammatory bowel disease 

14 (commonly known as ‘‘IBD’’), including ul15 cerative colitis and Crohn’s disease of the 

16 colon; 

17 (iii) young individuals with an inher18 ited syndrome, including Lynch syndrome, 

19 familial adenomatous polyposis, and other 

20 inherited syndromes linked to colorectal 

21 cancer; 

22 (iv) young individuals with signs and 

23 symptoms of colorectal cancer, particularly 

24 rectal bleeding and iron deficiency anemia; 

25 and 


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1 (v) other young individuals with risk 

2 factors (such as risk factors identified by 

3 nationally recognized guidelines) that put 

4 such individuals at increased risk for 

5 colorectal cancer, as determined by the 

6 Secretary; and 

7 (B) individuals in underserved and rural 

8 areas, individuals who identify as American In9 dian, Alaska Native, or African American, and 

10 individuals with type 2 diabetes, for the pur11 poses of— 

12 (i) identifying individuals who are at 

13 increased risk or high risk for colorectal 

14 cancer (including young individuals de15 scribed in clauses (i) through (v) of sub16 paragraph (A)) and would benefit from 

17 early detection before age 45; and 

18 (ii) providing education to initiate 

19 early detection at age 45 for individuals 

20 who are not at increased risk or high risk 

21 for colorectal cancer; 

22 (2) partner with hospitals, clinics, Tribal orga23 nizations (as defined in section 4 of the Indian Self24 Determination and Education Assistance Act), non25 profit organizations, institutions of higher education, 


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1 colorectal cancer prevention and control programs, 

2 and other relevant entities and programs to enhance 

3 outreach, education, and early detection efforts with 

4 respect to colorectal cancer in young individuals; and 

5 (3) conduct activities to increase awareness and 

6 education for colorectal cancer and improve early de7 tection of colorectal cancer in young individuals, in8 cluding navigation and program evaluation. 

9 (d) USE OF FUNDS.—A grant under this section may 

10 be used for any of the following: 

11 (1) To support early detection and diagnostic 

12 testing for colorectal cancer in young individuals 

13 deemed to be at increased risk or high risk of 

14 colorectal cancer as part of a preventive health 

15 measure strategy. 

16 (2) To provide appropriate referrals for medical 

17 treatment, including genetic testing and counseling 

18 of such young individuals, and to ensure, to the ex19 tent practicable, the provision of appropriate follow20 up and surveillance services. 

21 (3) To develop and implement a public aware22 ness and education campaign for the early detection, 

23 signs and symptoms, risk factors, and control man24 agement of colorectal cancer, specifically in young 

25 individuals. 


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1 (4) To conduct education and outreach to 

2 health professionals (including allied health profes3 sionals) on conducting and interpreting colorectal 

4 cancer screening and diagnostic tests and the latest 

5 advancements in the early detection of colorectal 

6 cancer, with a focus on symptoms, genetic risk fac7 tors, family history, and care for young individuals. 

8 (5) To establish mechanisms through which the 

9 States can monitor the quality of screening and di10 agnostic procedures for colorectal cancer among 

11 young individuals, including the interpretation of 

12 such procedures. 

13 (6) To conduct surveillance to help determine 

14 other risk factors for colorectal cancer. 

15 (7) To develop strategies to capture and assess 

16 family history and genetic predispositions to 

17 colorectal cancer in young individuals. 

18 (8) To establish patient navigation support to 

19 assist individuals through the process of screening, 

20 particularly those at increased risk or high risk for 

21 colorectal cancer. 

22 (9) To design clinician decision support tools 

23 based on clinical practice guidelines for early detec24 tion of colorectal cancer in young individuals. 


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1 (10) To monitor and evaluate activities con2 ducted under paragraphs (1) through (9) to deter3 mine the effectiveness of such activities to inform 

4 continuous improvement of such activities. 

5 (e) GRANT PERIOD.—A grant under this section shall 

6 be for a period of 5 years, and may be renewed at the 

7 discretion of the Secretary. 

8 (f) RETURN OF UNSPENT GRANT FUNDS.—Each 

9 State that receives a grant under this section shall return, 

10 not later than 6 months after the date on which the period 

11 of such grant ends, any grant funds that were not ex12 pended by such State during the grant period. 

13 (g) REPORT.—Not later than 5 years after receiving 

14 a grant under this section (including a renewal of a grant), 

15 a State shall submit to the Secretary a report describing 

16 how the State used such grant. 

17 (h) AUTHORIZATION OF APPROPRIATIONS.—There is 

18 authorized to be appropriated to carry out this section 

19 $200,000,000 for each of fiscal years 2025 through 2029. 

Æ 


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