`[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5472 Reported in House (RH)]







                                                 Union Calendar No. 424
109th CONGRESS
  2d Session
                                H. R. 5472

                          [Report No. 109-705]

 To amend the Public Health Service Act to provide waivers relating to 
   grants for preventive health measures with respect to breast and 
                           cervical cancers.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 24, 2006

 Mrs. Myrick (for herself, Ms. Baldwin, Mr. Norwood, Mr. Murphy, Mrs. 
Capps, Ms. Eshoo, Mr. Waxman, and Mr. Dingell) introduced the following 
    bill; which was referred to the Committee on Energy and Commerce

                           September 29, 2006

Additional sponsors: Mr. Reyes, Mr. Upton, Ms. Solis, Ms. Woolsey, Mrs. 
 Blackburn, Mr. Kildee, Mrs. Christensen, Mr. Leach, Ms. Kilpatrick of 
Michigan, Mrs. Jo Ann Davis of Virginia, Mr. Delahunt, Mr. Van Hollen, 
Ms. Jackson-Lee of Texas, Mrs. Lowey, Ms. Matsui, Ms. Ginny Brown-Waite 
 of Florida, Mr. McDermott, Mr. Capuano, Ms. DeLauro, Mr. Conyers, Mr. 
Hinchey, Mr. Grijalva, Ms. Berkley, Mr. McIntyre, Mr. Porter, Mr. Neal 
 of Massachusetts, Ms. Wasserman Schultz, Mr. Farr, Mr. Brown of Ohio, 
 Mr. Terry, Mr. Kennedy of Rhode Island, Mr. Gene Green of Texas, Mr. 
Gary G. Miller of California, Mr. Burton of Indiana, Mr. McCotter, Ms. 
   Harman, Mr. Higgins, Mr. Miller of North Carolina, Mr. Costa, Mr. 
Doggett, Mr. Buyer, Mr. Moran of Virginia, Mr. Allen, Mr. Sanders, Mr. 
 Hastings of Florida, Mr. Cleaver, Ms. Hooley, Mr. Honda, Ms. McCollum 
of Minnesota, Mr. Berman, Ms. Schakowsky, Mr. Hinojosa, Mr. Nadler, Mr. 
Cardin, Mr. Rangel, Mr. Walsh, Ms. Schwartz of Pennsylvania, Mr. Scott 
of Georgia, Mr. King of New York, Mr. Kirk, Mr. Gonzalez, Mr. Emanuel, 
 Mr. Stark, Mrs. Wilson of New Mexico, Mr. Frank of Massachusetts, Mr. 
 Issa, Mr. Larson of Connecticut, Mr. Foley, Mrs. Biggert, Mr. Levin, 
  Mr. Shays, Mr. Gillmor, Mr. Udall of New Mexico, Mr. Lipinski, Mr. 
Cummings, Mr. Hall, Ms. Linda T. Sanchez of California, Mr. Hobson, Mr. 
  Olver, Mr. Moore of Kansas, Mr. McGovern, Mr. Simmons, Ms. Pryce of 
 Ohio, Mr. Ramstad, Mr. Boswell, Mrs. Davis of California, Mr. Meehan, 
  Mrs. Maloney, Mr. Boehlert, Mr. Latham, Mr. Ryan of Wisconsin, Mr. 
Costello, Mr. Fitzpatrick of Pennsylvania, Ms. Moore of Wisconsin, Ms. 
   Kaptur, Mrs. McCarthy, Ms. Velazquez, Ms. Millender-McDonald, Mr. 
  Schiff, Mr. LoBiondo, Ms. Herseth, Mr. Weldon of Pennsylvania, Mr. 
   Ortiz, Mr. Matheson, Mr. Peterson of Minnesota, Ms. Harris, Mrs. 
 Capito, Mr. Pickering, Mr. Pallone, Mrs. Napolitano, Mr. Saxton, Mr. 
Burgess, Mr. Camp of Michigan, Mr. Calvert, Ms. DeGette, Mr. Whitfield, 
                        Mr. Bass, and Mrs. Bono

                           September 29, 2006

  Reported with an amendment, committed to the Committee of the Whole 
       House on the State of the Union, and ordered to be printed
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]
[For text of introduced bill, see copy of bill as introduced on May 24, 
                                 2006]

_______________________________________________________________________

                                 A BILL


 
 To amend the Public Health Service Act to provide waivers relating to 
   grants for preventive health measures with respect to breast and 
                           cervical cancers.

    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 ``National Breast and Cervical Cancer 
Early Detection Program Reauthorization Act of 2006''.

SEC. 2. NATIONAL BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM.

    Title XV of the Public Health Service Act (42 U.S.C. 300k et seq.) 
is amended--
            (1) in section 1501(d)--
                    (A) in the heading, by striking ``2000'' and 
                inserting ``2020''; and
                    (B) by striking ``by the year 2000'' and inserting 
                ``by the year 2020'';
            (2) in section 1503, by adding at the end the following:
    ``(d) Waiver of Services Requirement on Division of Funds.--
            ``(1) In general.--The Secretary may waive the requirements 
        of paragraphs (1) and (4) of subsection (a) if the Secretary 
        finds that--
                    ``(A)(i) the State involved will use the waiver to 
                leverage private funds to supplement each of the 
                services or activities described in paragraphs (1) and 
                (2) of section 1501(a); or
                    ``(ii) the application of such requirements would 
                result in a barrier to the participation of qualifying 
                women in the services or activities described in 
                paragraphs (1) and (2) of section 1501(a);
                    ``(B) granting such a waiver to the State will not 
                reduce the number of women in the State who receive any 
                of the services or activities described in paragraphs 
                (1) and (2) of section 1501(a), including screening 
                procedures for both breast and cervical cancers; and
                    ``(C) granting such a waiver to the State will not 
                adversely affect the quality of any of the services or 
                activities described in paragraphs (1) and (2) of 
                section 1501(a).
            ``(2) Duration of waiver.--
                    ``(A) In general.--In granting waivers under 
                paragraph (1), the Secretary--
                            ``(i) shall grant such waivers for a period 
                        of 2 years; and
                            ``(ii) upon request of a State, may extend 
                        a waiver for additional 2-year periods in 
                        accordance with subparagraph (B).
                    ``(B) Additional periods.--The Secretary, upon the 
                request of a State that has received a waiver under 
                paragraph (1), shall, at the end of each 2-year waiver 
                period described in subparagraph (A), review 
                performance under the waiver and may extend the waiver 
                for an additional 2-year period if the Secretary finds 
                that--
                            ``(i)(I) the State involved will use the 
                        waiver to leverage private funds to supplement 
                        each of the services or activities described in 
                        paragraphs (1) and (2) of section 1501(a); or
                            ``(II) without an extension of the waiver, 
                        the application of the requirements of 
                        paragraphs (1) and (4) of subsection (a) would 
                        result in a barrier to the participation of 
                        qualifying women in the services or activities 
                        described in paragraphs (1) and (2) of section 
                        1501(a);
                            ``(ii) the waiver has not reduced, and 
                        granting the waiver extension will not reduce, 
                        the number of women in the State who receive 
                        any of the services or activities described in 
                        paragraphs (1) and (2) of section 1501(a); and
                            ``(iii) the waiver has not adversely 
                        affected, and granting the waiver extension 
                        will not adversely affect, the quality in the 
                        State of any of the services or activities 
                        described in paragraphs (1) and (2) of section 
                        1501(a).
            ``(3) Reporting requirements.--The Secretary shall include 
        as part of the evaluations and reports required under section 
        1508, the following:
                    ``(A) A description of the total amount of dollars 
                leveraged annually from private entities in States 
                receiving a waiver under this subsection and how these 
                amounts were used.
                    ``(B) With respect to States receiving a waiver 
                under this subsection, a description of--
                            ``(i) the percentage of the grant that is 
                        expended on services or activities described in 
                        paragraphs (1) and (2) of section 1501(a); and
                            ``(ii) the percentage of the grant that is 
                        expended on services or activities described in 
                        paragraphs (3) through (6) of section 1501(a).
                    ``(C) A description of the number of States 
                receiving waivers under this subsection annually.
                    ``(D) With respect to States receiving a waiver 
                under this subsection, a description of the number of 
                women receiving services under paragraphs (1), (2), and 
                (3) of section 1501(a) in programs before and after the 
                granting of such waiver.'';
            (3) in section 1504(a), by striking ``pursuant to 
        paragraphs (1) and (2) of section 1501(a)'' and inserting 
        ``pursuant to paragraphs (1), (2), and (3) of section 
        1501(a)''; and
            (4) in section 1510(a)--
                    (A) by striking ``and'' after ``$150,000,000 for 
                fiscal year 1994,''; and
                    (B) by inserting ``, and $250,000,000 for each of 
                fiscal years 2007 through 2011'' before the period at 
                the end.
                                                 Union Calendar No. 424

109th CONGRESS

  2d Session

                               H. R. 5472

                          [Report No. 109-705]

_______________________________________________________________________

                                 A BILL

 To amend the Public Health Service Act to provide waivers relating to 
   grants for preventive health measures with respect to breast and 
                           cervical cancers.

_______________________________________________________________________

                           September 29, 2006

  Reported with an amendment, committed to the Committee of the Whole 
       House on the State of the Union, and ordered to be printed`