I 

118TH CONGRESS 

2D SESSION H. R. 9304 

To require the Director of the National Cancer Institute to conduct a review 

of the current state of stomach cancer incidence, prevention, screening, 

awareness, and future public health importance, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

AUGUST 6, 2024 

Ms. CARAVEO (for herself and Mr. WILSON of South Carolina) introduced the 

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

A BILL 

To require the Director of the National Cancer Institute 

to conduct a review of the current state of stomach 

cancer incidence, prevention, screening, awareness, and 

future public health importance, 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 ‘‘Stomach Cancer Pre5 vention and Early Detection Act’’. 

6 SEC. 2. FINDINGS. 

7 Congress finds the following: 


kjohnson on DSK7ZCZBW3PROD with $$_JOB
2 

•HR 9304 IH

1 (1) Stomach cancer accounts for about 1.5 per2 cent of all new cancers diagnosed in the United 

3 States each year. 

4 (2) It is estimated that there will be nearly 

5 27,000 new cases of stomach cancer in 2024. 

6 (3) There are disparities in stomach cancer in7 cidence and mortality among racial and ethnic 

8 groups in the United States. 

9 (4) While there has been a decline in stomach 

10 cancer incidence, the lack of awareness and focus on 

11 risk factors and early detection through screening 

12 and surveillance may cause individuals at high risk 

13 for the disease to dismiss their symptoms. 

14 (5) Establishing a basis for stomach cancer 

15 prevalence, awareness, current screening, and impli16 cations for future public health importance will allow 

17 for— 

18 (A) more effective outreach and screening 

19 among individuals at risk; 

20 (B) increased awareness and education 

21 among the general public to prevent stomach 

22 cancer; and 

23 (C) increased awareness and education 

24 among health care providers regarding gastric 


kjohnson on DSK7ZCZBW3PROD with $$_JOB
3 

•HR 9304 IH

1 cancer disparities, screening, treatment, and 

2 monitoring. 

3 SEC. 3. NCI REVIEW ON CURRENT STATE OF STOMACH CAN4 CER INCIDENCE, PREVENTION, SCREENING, 

5 AWARENESS, AND FUTURE PUBLIC HEALTH 

6 IMPORTANCE. 

7 (a) REVIEW.—The Director of the National Cancer 

8 Institute shall conduct a review of— 

9 (1) the current incidence of stomach cancer in 

10 the United States; 

11 (2) the risk factors for stomach cancer, includ12 ing the incidence of such risk factors among high13 risk populations and the general public; 

14 (3) the optimal age range to test for and treat 

15 Helicobacter pylori (H. pylori) infection, as a risk 

16 factor, for the purpose of primary prevention in 

17 high-risk populations and the general population; 

18 (4) the availability and frequency of screening 

19 for stomach cancer, including utilization and effec20 tiveness, among high-risk populations; 

21 (5) the availability and effectiveness of 

22 endoscopic screenings in high-risk populations; 

23 (6) the availability and effectiveness of 

24 endoscopic resection and surveillance endoscopy for 

25 patients with confirmed gastric intestinal metaplasia 


kjohnson on DSK7ZCZBW3PROD with $$_JOB
4 

•HR 9304 IH

1 (GIM) with high-grade dysplasia and early gastric 

2 cancer; 

3 (7) the benefits of surveillance endoscopy for 

4 patients at elevated risk, including patients with gas5 tric intestinal metaplasia (GIM) who are at in6 creased risk of gastric cancer due to ethnic back7 ground, family history, or other risk stratification 

8 parameters such as smoking and H. pylori infection; 

9 (8) current awareness and education about 

10 stomach cancer risk factors, prevention, symptoms, 

11 screening, and treatment options among high-risk 

12 populations and the general public; and 

13 (9) current Federal efforts to increase aware14 ness and education of stomach cancer among high15 risk populations and the general public. 

16 (b) REPORT.—Not later than 18 months after the 

17 date of enactment of this Act, the Director of the National 

18 Cancer Institute shall— 

19 (1) submit to the Congress a report on the re20 sults of the review under subsection (a); and 

21 (2) include in such report recommendations 

22 for— 

23 (A) establishing a clear definition of high24 risk populations in the United States; 


kjohnson on DSK7ZCZBW3PROD with $$_JOB
5 

•HR 9304 IH

1 (B) informing researchers, clinicians, phy2 sicians, patients, and other relevant stake3 holders on— 

4 (i) identifying high-risk individuals; 

5 and 

6 (ii) effective methods for detecting 

7 precancerous lesions and early gastric can8 cer; 

9 (C) establishing routine screening guide10 lines for stomach cancer; and 

11 (D) actions to improve research on, pre12 vention and early diagnosis of, and screening 

13 and treatment for stomach cancer. 

Æ 


kjohnson on DSK7ZCZBW3PROD with $$_JOB