```

[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1070 Reported in House (RH)]

                                                 Union Calendar No. 353
106th CONGRESS
  2d Session
                                H. R. 1070

                      [Report No. 106-486, Part I]

   To amend title XIX of the Social Security Act to provide medical 
   assistance for certain women screened and found to have breast or 
      cervical cancer under a federally funded screening program.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                             March 11, 1999

 Mr. Lazio (for himself, Ms. Eshoo, Ms. Ros-Lehtinen, Mrs. Capps, Mrs. 
     Morella, Mrs. Kelly, Mr. Brown of Ohio, Mr. George Miller of 
   California, Mr. Horn, Mr. Dixon, Ms. Pelosi, Mr. LaTourette, Mr. 
   Waxman, Mr. Serrano, Mr. Gilman, Mr. Maloney of Connecticut, Mr. 
   Meehan, Mr. Weldon of Pennsylvania, Mr. Underwood, Mr. Shows, Mr. 
Abercrombie, Mr. McHugh, Mr. Etheridge, Mr. Sanders, Mrs. Clayton, Mr. 
 Walsh, Mr. McGovern, Mr. McNulty, Mr. Frost, Mr. Ney, Mr. Olver, Ms. 
 Millender-McDonald, Mr. Crowley, Mr. Sununu, Mr. Clement, Mr. Stark, 
Ms. Carson, Mr. Foley, Mr. Coyne, Mr. Lantos, Mr. Inslee, Mrs. Wilson, 
Mr. Sherman, Mr. Baldacci, Mr. Boehlert, Mr. Luther, Mr. Hinojosa, Mr. 
   DeFazio, Mr. Quinn, Mr. Price of North Carolina, Mr. Rangel, Mr. 
Weygand, Mr. Forbes, Mr. Meeks of New York, Mr. Nadler, Mr. Barrett of 
  Wisconsin, Ms. Woolsey, Mr. Kucinich, Mr. King, Ms. Slaughter, Mrs. 
 Tauscher, Mr. Bilbray, Mr. Thompson of Mississippi, Mr. Hinchey, Mr. 
 Kleczka, Mr. Payne, Mr. Wynn, Mr. Jefferson, Mr. Smith of New Jersey, 
   Mr. Mascara, Mr. LoBiondo, Mr. Oberstar, Mr. Leach, Mr. Rush, Mr. 
  Matsui, Mr. Dingell, Mrs. Emerson, Mr. Filner, Mrs. Myrick, and Ms. 
   Lofgren) introduced the following bill; which was referred to the 
                         Committee on Commerce

                           November 22, 1999

  Reported with amendments and referred to the Committee on Ways and 
    Means for a period ending not later than February 29, 2000, for 
  consideration of such provisions of the bill and amendment as fall 
within the jurisdiction of that committee pursuant to clause 1(s), rule 
                                   X
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]

                           February 29, 2000

   Referral to the Committee on Ways and Means extended for a period 
                  ending not later than March 2, 2000

                             March 2, 2000

   Referral to the Committee on Ways and Means extended for a period 
                   ending not later than May 26, 2000

                              May 26, 2000

  Additional sponsors: Mr. Wexler, Mr. Allen, Mr. Green of Texas, Mr. 
  Cummings, Mrs. Thurman, Ms. Berkley, Ms. Jackson-Lee of Texas, Mr. 
   McIntyre, Mrs. McCarthy of New York, Mr. Clay, Mr. Gary Miller of 
  California, Mr. Delahunt, Mr. Lewis of Georgia, Mr. McDermott, Mr. 
Cook, Mr. Gibbons, Mr. Menendez, Mrs. Meek of Florida, Ms. Schakowsky, 
  Mr. Davis of Florida, Mr. Farr of California, Mr. Diaz-Balart, Ms. 
  DeGette, Mr. Berman, Mr. Blagojevich, Ms. Norton, Ms. Sanchez, Mr. 
Weiner, Mr. Gonzalez, Mr. Sandlin, Mr. Martinez, Mr. Bass, Mr. Capuano, 
Mrs. Lowey, Mrs. Maloney of New York, Mr. Phelps, Mrs. Napolitano, Ms. 
Eddie Bernice Johnson of Texas, Ms. Lee, Ms. DeLauro, Mr. Bishop, Mrs. 
Mink of Hawaii, Mr. Frank of Massachusetts, Mrs. Fowler, Mr. Kennedy of 
 Rhode Island, Mr. Kind, Mr. Tierney, Mr. Bentsen, Mr. Whitfield, Mr. 
 Wolf, Mr. Jackson of Illinois, Ms. Kaptur, Ms. McKinney, Mr. Condit, 
 Ms. Rivers, Ms. Waters, Ms. Kilpatrick, Mr. Peterson of Pennsylvania, 
     Mr. Moakley, Mr. Larson, Mr. Goodling, Mr. Hyde, Mr. Brady of 
  Pennsylvania, Mr. Towns, Mr. Pomeroy, Mr. Roemer, Mr. Edwards, Mr. 
 Skelton, Ms. Baldwin, Ms. Danner, Mr. Baker, Mr. Upton, Mr. Metcalf, 
Mr. Barton of Texas, Mr. Pastor, Mr. Castle, Mrs. Bono, Mrs. Johnson of 
Connecticut, Mr. Shays, Mr. Pallone, Mr. Klink, Mr. Stupak, Mr. Snyder, 
 Mr. Boswell, Mr. Becerra, Mr. Vento, Ms. Pryce of Ohio, Mr. Watts of 
 Oklahoma, Mr. LaHood, Mr. Houghton, Mrs. Roukema, Mr. Bilirakis, Mr. 
Baird, Mr. Murtha, Mrs. Biggert, Mr. Camp, Mr. Ramstad, Mr. Berry, Mr. 
Markey, Mr. Kuykendall, Mr. Rodriguez, Mr. Pascrell, Mr. Ackerman, Mr. 
  Brown of California, Ms. Velazquez, Mr. Burr of North Carolina, Mr. 
   Engel, Mr. Boucher, Mr. Thompson of California, Mr. Deutsch, Mr. 
 Gordon, Mr. Sawyer, Ms. Roybal-Allard, Ms. McCarthy of Missouri, Mr. 
Strickland, Mr. Barcia, Mr. Hall of Texas, Mr. Costello, Mr. Gutierrez, 
Mr. Hilliard, Mr. Hoeffel, Mrs. Jones of Ohio, Mr. Bonior, Mr. Ehrlich, 
  Ms. Brown of Florida, Ms. Stabenow, Mrs. Christensen, Mr. Davis of 
   Illinois, Mr. Gilchrest, Mr. Burton of Indiana, Mr. Hayworth, Mr. 
  Rahall, Mr. Ford, Mr. Gejdenson, Ms. Hooley of Oregon, Mr. Neal of 
Massachusetts, Mr. Owens, Mr. Sweeney, Mr. Ose, Mr. Lucas of Kentucky, 
  Mr. Portman, Ms. Dunn, Mr. Udall of New Mexico, Mr. Blumenauer, Mr. 
LaFalce, Mr. Moran of Virginia, Mr. Norwood, Mr. Pickering, Mr. Borski, 
   Mr. Clyburn, Mr. Minge, Mr. Watt of North Carolina, Mr. Smith of 
Washington, Mr. Gillmor, Mr. Nussle, Mr. Lipinski, Mr. Deal of Georgia, 
  Mr. Udall of Colorado, Mr. Wicker, Mr. Cunningham, Mr. Salmon, Mr. 
Andrews, Mr. Cardin, Mr. Dicks, Mr. Shaw, Mr. Lampson, Mr. Bonilla, Mr. 
Barrett of Nebraska, Mr. Simpson, Mr. Jenkins, Mr. Cooksey, Mr. Hefley, 
    Mr. English, Mr. Saxton, Mr. Petri, Mr. Ganske, Mr. Bachus, Mr. 
Hastings of Florida, Mr. Franks of New Jersey, Mr. Weller, Mr. Wu, Mr. 
Bartlett of Maryland, Mr. Talent, Mr. Shadegg, Mr. Gallegly, Mr. Canady 
of Florida, Mr. Kolbe, Mr. Vitter, Mr. Kildee, Mr. Terry, Mr. Bereuter, 
  Mr. Conyers, Mr. Coburn, Mr. Tancredo, Mr. Evans, Mr. Fletcher, Mr. 
Doyle, Mr. Levin, Mr. Hall of Ohio, Mr. Riley, Mr. Porter, Mr. Holden, 
   Mr. Goode, Mr. Cramer, Mr. Scott, Mr. Traficant, Mr. Pickett, Mr. 
   Turner, Mr. Stenholm, Mr. Schaffer, Mr. Isakson, Mr. Tanner, Mr. 
Visclosky, Mr. Reyes, Mr. Ewing, Mr. Holt, Mr. Sisisky, Mr. Moore, Mr. 
 Dooley of California, Mr. Ortiz, Mr. Green of Wisconsin, Mr. Shimkus, 
    Mr. Smith of Texas, Mr. McCrery, Mr. Hilleary, Mr. Packard, Mr. 
Reynolds, Mr. Mollohan, Mr. Baca, Mr. Boyd, Mr. Ryan of Wisconsin, Mr. 
    Gutknecht, Mr. Wamp, Mr. Latham, Mr. Peterson of Minnesota, Mr. 
                  Manzullo, Mr. McInnis, and Mr. Pease

                              May 26, 2000

 Committee on Ways and Means discharged; committed to the Committee of 
  the Whole House on the State of the Union and ordered to be printed
 [For text of introduced bill, see copy of bill as introduced on March 
                               11, 1999]

_______________________________________________________________________

                                 A BILL

 
   To amend title XIX of the Social Security Act to provide medical 
   assistance for certain women screened and found to have breast or 
      cervical cancer under a federally funded screening program.

    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 ``Breast and Cervical Cancer 
Prevention and Treatment Act of 1999''.

SEC. 2. OPTIONAL MEDICAID COVERAGE OF CERTAIN BREAST OR CERVICAL CANCER 
              PATIENTS.

    (a) Coverage as Optional Categorically Needy Group.--
            (1) In general.--Section 1902(a)(10)(A)(ii) of the Social 
        Security Act (42 U.S.C. 1396a(a)(10)(A)(ii)) is amended--
                    (A) in subclause (XIII), by striking ``or'' at the 
                end;
                    (B) in subclause (XIV), by adding ``or'' at the 
                end; and
                    (C) by adding at the end the following:
                                    ``(XV) who are described in 
                                subsection (aa) (relating to certain 
                                breast or cervical cancer patients);''.
            (2) Group described.--Section 1902 of the Social Security 
        Act (42 U.S.C. 1396a) is amended by adding at the end the 
        following:
    ``(aa) Individuals described in this paragraph are individuals 
who--
            ``(1) are not described in subsection (a)(10)(A)(i);
            ``(2) have not attained age 65;
            ``(3) have been screened for breast and cervical cancer 
        under the Centers for Disease Control and Prevention breast and 
        cervical cancer early detection program established under title 
        XV of the Public Health Service Act (42 U.S.C. 300k et seq.) in 
        accordance with the requirements of section 1504 of that Act 
        (42 U.S.C. 300n) and need treatment for breast or cervical 
        cancer; and
            ``(4) are not otherwise covered under creditable coverage, 
        as defined in section 2701(c) of the Public Health Service Act 
        (45 U.S.C. 300gg(c)).''.
            (3) Limitation on Benefits.--Section 1902(a)(10) of the 
        Social Security Act (42 U.S.C. 1396a(a)(10)) is amended in the 
matter following subparagraph (F)--
                    (A) by striking ``and (XIII)'' and inserting 
                ``(XIII)''; and
                    (B) by inserting ``, and (XIV) the medical 
                assistance made available to an individual described in 
                subsection (aa) who is eligible for medical assistance 
                only because of subparagraph (A)(10)(ii)(XV) shall be 
                limited to medical assistance provided during the 
                period in which such an individual requires treatment 
                for breast or cervical cancer'' before the semicolon.
            (4) Conforming amendments.--Section 1905(a) of the Social 
        Security Act (42 U.S.C. 1396d(a)) is amended in the matter 
        preceding paragraph (1)--
                    (A) in clause (x), by striking ``or'' at the end;
                    (B) in clause (xi), by adding ``or'' at the end; 
                and
                    (C) by inserting after clause (xi) the following:
            ``(xii) individuals described in section 1902(aa),''.
    (b) Presumptive Eligibility.--
            (1) In general.--Title XIX of the Social Security Act (42 
        U.S.C. 1396 et seq.) is amended by inserting after section 
        1920A the following:

    ``presumptive eligibility for certain breast or cervical cancer 
                                patients

    ``Sec. 1920B. (a) State Option.--A State plan approved under 
section 1902 may provide for making medical assistance available to an 
individual described in section 1902(aa) (relating to certain breast or 
cervical cancer patients) during a presumptive eligibility period.
    ``(b) Definitions.--For purposes of this section:
            ``(1) Presumptive eligibility period.--The term 
        `presumptive eligibility period' means, with respect to an 
        individual described in subsection (a), the period that--
                    ``(A) begins with the date on which a qualified 
                entity determines, on the basis of preliminary 
                information, that the individual is described in 
                section 1902(aa); and
                    ``(B) ends with (and includes) the earlier of--
                            ``(i) the day on which a determination is 
                        made with respect to the eligibility of such 
                        individual for services under the State plan; 
                        or
                            ``(ii) in the case of such an individual 
                        who does not file an application by the last 
                        day of the month following the month during 
                        which the entity makes the determination 
                        referred to in subparagraph (A), such last day.
            ``(2) Qualified entity.--
                    ``(A) In general.--Subject to subparagraph (B), the 
                term `qualified entity' means any entity that--
                            ``(i) is eligible for payments under a 
                        State plan approved under this title; and
                            ``(ii) is determined by the State agency to 
                        be capable of making determinations of the type 
                        described in paragraph (1)(A).
                    ``(B) Regulations.--The Secretary may issue 
                regulations further limiting those entities that may 
                become qualified entities in order to prevent fraud and 
                abuse and for other reasons.
                    ``(C) Rule of construction.--Nothing in this 
                paragraph shall be construed as preventing a State from 
                limiting the classes of entities that may become 
                qualified entities, consistent with any limitations 
                imposed under subparagraph (B).
    ``(c) Administration.--
            ``(1) In general.--The State agency shall provide qualified 
        entities with--
                    ``(A) such forms as are necessary for an 
                application to be made by an individual described in 
                subsection (a) for medical assistance under the State 
                plan; and
                    ``(B) information on how to assist such individuals 
                in completing and filing such forms.
            ``(2) Notification requirements.--A qualified entity that 
        determines under subsection (b)(1)(A) that an individual 
        described in subsection (a) is presumptively eligible for 
        medical assistance under a State plan shall--
                    ``(A) notify the State agency of the determination 
                within 5 working days after the date on which 
                determination is made; and
                    ``(B) inform such individual at the time the 
                determination is made that an application for medical 
                assistance under the State plan is required to be made 
                by not later than the last day of the month following 
                the month during which the determination is made.
            ``(3) Application for medical assistance.--In the case of 
        an individual described in subsection (a) who is determined by 
a qualified entity to be presumptively eligible for medical assistance 
under a State plan, the individual shall apply for medical assistance 
under such plan by not later than the last day of the month following 
the month during which the determination is made.
    ``(d) Payment.--Notwithstanding any other provision of this title, 
medical assistance that--
            ``(1) is furnished to an individual described in subsection 
        (a)--
                    ``(A) during a presumptive eligibility period;
                    ``(B) by a entity that is eligible for payments 
                under the State plan; and
            ``(2) is included in the care and services covered by the 
        State plan;
shall be treated as medical assistance provided by such plan for 
purposes of section 1903.''.
            (2) Conforming amendments.--
                    (A) Section 1902(a)(47) of the Social Security Act 
                (42 U.S.C. 1396a(a)(47)) is amended by inserting before 
                the semicolon at the end the following: ``and provide 
                for making medical assistance available to individuals 
                described in subsection (a) of section 1920B during a 
                presumptive eligibility period in accordance with such 
                section''.
                    (B) Section 1903(u)(1)(D)(v) of such Act (42 U.S.C. 
                1396b(u)(1)(D)(v)) is amended--
                            (i) by striking ``or for'' and inserting 
                        ``, for''; and
                            (ii) by inserting before the period the 
                        following: ``, or for medical assistance 
                        provided to an individual described in 
                        subsection (a) of section 1920B during a 
                        presumptive eligibility period under such 
                        section''.
    (c) Enhanced Match.--The first sentence of section 1905(b) of the 
Social Security Act (42 U.S.C. 1396d(b)) is amended--
            (1) by striking ``,, (2)'' and inserting ``, (2)'';
            (2) by striking ``and'' before ``(3)''; and
            (3) by inserting before the period at the end the 
        following: ``, and (4) in the case of a State for which the 
        Federal medical assistance percentage is otherwise less than 75 
        percent, it shall be equal to 75 percent with respect to 
        medical assistance provided to individuals who are eligible for 
        such assistance only on the basis of section 
        1902(a)(10)(A)(ii)(XV)''.
    (d) Effective Date.--The amendments made by this section apply to 
medical assistance for items and services furnished on or after October 
1, 2000, without regard to whether final regulations to carry out such 
amendments have been promulgated by such date.

SEC. 3. HUMAN PAPILLOMAVIRUS; ACTIVITIES OF CENTERS FOR DISEASE CONTROL 
              AND PREVENTION.

    Part B of title III of the Public Health Service Act (42 U.S.C. 243 
et seq.) is amended by inserting after section 317G the following 
section:

                         ``human papillomavirus

    ``Sec. 317H. (a) Surveillance.--
            ``(1) In general.--The Secretary, acting through the 
        Director of the Centers for Disease Control and Prevention, 
        shall--
                    ``(A) enter into cooperative agreements with States 
                and other entities to conduct sentinel surveillance or 
                other special studies that would determine the 
                prevalence in various age groups and populations of 
                specific types of human papillomavirus (referred to in 
                this section as `HPV') in different sites in various 
                regions of the United States, through collection of 
                special specimens for HPV using a variety of 
                laboratory-based testing and diagnostic tools; and
                    ``(B) develop and analyze data from the HPV 
                sentinel surveillance system described in subparagraph 
                (A).
            ``(2) Report.--The Secretary shall make a progress report 
        to the Congress with respect to paragraph (1) not later than 
        one year after the effective date of this section.
    ``(b) Prevention Activities; Education Program.--
            ``(1) In general.--The Secretary, acting through the 
        Director of the Centers for Disease Control and Prevention, 
        shall conduct prevention research on HPV, including--
                    ``(A) behavioral and other research on the impact 
                of HPV-related diagnoses on individuals;
                    ``(B) formative research to assist with the 
                development of educational messages and information for 
                the public, for patients, and for their partners about 
                HPV;
                    ``(C) surveys of physician and public knowledge, 
                attitudes, and practices about genital HPV infection; 
                and
                    ``(D) upon the completion of and based on the 
                findings under subparagraphs (A) through (C), develop 
                and disseminate educational materials for the public 
                and health care providers regarding HPV and its impact 
                and prevention.
            ``(2) Report; final proposal.--The Secretary shall make a 
        progress report to the Congress with respect to paragraph (1) 
        not later than one year after the effective date of this 
        section, and shall develop a final proposal not later than two 
        years after such effective date, including a detailed summary 
        of the significant findings and problems. The report shall 
        outline the further steps needed to make HPV a reportable 
        disease and the best strategies to prevent future infections.
    ``(c) Condom Effectiveness; Education.--The Secretary shall require 
that the Department of Health and Human Services and all contractors, 
grantees, and subgrantees of such Department specifically state the 
effectiveness or lack of effectiveness of condoms in preventing the 
transmission of HPV, herpes, and other sexually transmitted diseases in 
all informational materials related to condoms or sexually transmitted 
diseases that are made available to the public. The Secretary shall 
assure that such information is made available to relevant operating 
divisions and offices of the Department of Health and Human Services. 
This subsection shall be effective within 6 months of the date of its 
enactment.''.

SEC. 4. LABELING OF CONDOMS WITH RESPECT TO HUMAN PAPILLOMAVIRUS.

    (a) In General.--Section 502 of the Federal Food, Drug, and 
Cosmetic Act (21 U.S.C. 352) is amended by adding at the end the 
following:
    ``(u) If it is a condom, unless its label and labeling bear 
information providing that condoms do not effectively prevent the 
transmission of the human papillomavirus and that such virus can cause 
cervical cancer.''.
    (b) Applicability.--The amendment made by subsection (a) applies to 
condoms manufactured on or after the expiration of the 180-day period 
beginning on the date of the enactment of this Act.

SEC. 5. MENTAL HEALTH PARTIAL HOSPITALIZATION SERVICES.

    (a) Limitation on Location of Provision of Services.--
            (1) In general.--Section 1861(ff)(2) of the Social Security 
        Act (42 U.S.C. 1395x(ff)(2)) is amended in the matter following 
        subparagraph (I)--
                    (A) by striking ``and furnished'' and inserting 
                ``furnished''; and
                    (B) by inserting before the period the following: 
                ``, and furnished other than in a skilled nursing 
                facility, residential treatment facility or other 
                residential setting (as determined by the Secretary)''.
            (2) Effective date.--The amendments made by paragraph (1) 
        apply with respect to partial hospitalization services 
        furnished on or after the first day of the third month 
        beginning after the date of the enactment of this Act.
    (b) Qualifications for Community Mental Health Centers.--
            (1) In general.--Section 1861(ff)(3)(B) of such Act (42 
        U.S.C. 1395x(ff)(3)(B)) is amended by striking ``entity'' and 
        all that follows and inserting the following: ``entity that--
            ``(i)(I) provides the mental health services described in 
        section 1913(c)(1) of the Public Health Service Act; or
            ``(II) in the case of an entity operating in a State that 
        by law precludes the entity from providing a service described 
        in such section itself, provides for such service by contract 
        with an approved organization or entity (as determined by the 
        Secretary);
            ``(ii) meets applicable licensing or certification 
        requirements for community mental health centers in the State 
        in which it is located; and
            ``(iii) meets such additional conditions as the Secretary 
        shall specify to ensure (I) the health and safety of 
        individuals being furnished such services, (II) the effective 
        and efficient furnishing of such services, and (III) the 
        compliance of such entity with the criteria described in such 
        section.''.
            (2) Clarification of criteria for community mental health 
        centers.--Section 1913(c)(1)(E) of the Public Health Service 
        Act (42 U.S.C. 300x-3(c)(1)(E)) is amended to read as follows:
                    ``(E) Determining the clinical appropriateness of 
                admissions to inpatient psychiatric hospitals by 
                engaging a full-time mental health professional who is 
                licensed or certified to make such a determination by 
                the State involved.''.
            (3) Effective date.--The amendments made by this subsection 
        apply with respect to community mental health centers 
        furnishing services under the medicare program on or after the 
        first day of the third month beginning after the date of the 
        enactment of this Act.
    (c) Refinement of Periodicity of Review of Plan for Partial 
Hospitalization Services.--
            (1) In general.--Section 1835(a)(2)(F)(ii) of the Social 
        Security Act (42 U.S.C. 1395n(a)(2)(F)(ii)) is amended by 
        inserting ``at a reasonable rate (as determined by the 
        Secretary)'' after ``is reviewed periodically''.
            (2) Effective date.--The amendment made by paragraph (1) 
        applies with respect to plans of care for furnishing partial 
        hospitalization services established on or after the first day 
        of the third month beginning after the date of the enactment of 
        this Act.
    (d) Recertification of Providers of Partial Hospitalization 
Services.--
            (1) In general.--With respect to each community mental 
        health center that furnishes partial hospitalization services 
        for which payment is made under title XVIII of the Social 
        Security Act, the Secretary of Health and Human Services shall 
        provide for periodic recertification to ensure that the 
        provision of such services complies with applicable 
        requirements of such title.
            (2) Deadline for first recertification.--The first 
        recertification under subsection (a) shall be completed not 
        later than one year after the date of the enactment of this 
        Act.
    (e) Guidelines for Items and Services Comprising Partial 
Hospitalization Services.--Not later than one year after the date of 
the enactment of this Act, the Secretary shall promulgate regulations 
using a negotiated rulemaking process under subchapter III of chapter 5 
of title 5, United States Code, for national coverage policies for 
partial hospitalization services furnished under title XVIII of the 
Social Security Act, including for periodicity of review under section 
503 of this title.

SEC. 6. SENSE OF COMMITTEE ON COMMERCE TO FULLY PAY FOR ADDITIONAL 
              EXPENDITURES BEFORE PASSAGE BY THE HOUSE OF 
              REPRESENTATIVES.

    It is the sense of the Committee on Commerce of the House of 
Representatives that the additional net expenditures resulting from the 
enactment of this bill, as reported by the Committee, should be fully 
offset in an appropriate manner before the bill is passed by the House 
of 
Representatives.
            Amend the title so as to read: ``A bill to amend title XIX 
        of the Social Security Act to provide medical assistance for 
        certain women screened and found to have breast or cervical 
        cancer under a federally funded screening program, to amend the 
        Public Health Service Act and the Federal Food, Drug, and 
        Cosmetic Act with respect to surveillance and information 
        concerning the relationship between cervical cancer and the 
        human papillomavirus (HPV), and for other purposes.''.

                                                 Union Calendar No. 353

106th CONGRESS

  2d Session

                               H. R. 1070

                      [Report No. 106-486, Part I]

_______________________________________________________________________

                                 A BILL

   To amend title XIX of the Social Security Act to provide medical 
   assistance for certain women screened and found to have breast or 
      cervical cancer under a federally funded screening program.

_______________________________________________________________________

                              May 26, 2000

 Committee on Ways and Means discharged; committed to the Committee of 
  the Whole House on the State of the Union and ordered to be printed
```