I 

114TH CONGRESS 

2D SESSION H. R. 5263 

To require a study on women and lung cancer, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 17, 2016 

Mr. NOLAN (for himself, Mr. LOBIONDO, Mrs. CAPPS, and Mr. DEFAZIO) introduced the following bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To require a study on women and lung cancer, 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 ‘‘Women and Lung Can5 cer Research and Preventive Services Act of 2016’’. 

6 SEC. 2. FINDINGS. 

7 Congress finds as follows: 

8 (1) In the United States, an average of 198 

9 women die each day of lung cancer, one every 7 min10 utes. 


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1 (2) Lung cancer is the leading cause of cancer 

2 death among women. 

3 (3) The National Cancer Institute estimates 

4 that in 2016, 71,600 women will die of lung cancer, 

5 more than the combined total of all estimated deaths 

6 from breast cancer (40,450), ovarian cancer 

7 (14,240), cervical cancer (4,120), uterine cancer 

8 (10,470), and other gynecologic cancers (1,990). 

9 (4) Two-thirds of never-smokers diagnosed with 

10 lung cancer are women; lung cancer in never-smok11 ers is the sixth leading cause of all cancer deaths. 

12 (5) According to a report of the Surgeon Gen13 eral in 2014 entitled, ‘‘The Health Consequences of 

14 Smoking—50 Years of Progress’’, the relative risk 

15 of women smokers developing lung cancer compared 

16 to women who never smoked increased tenfold be17 tween 1965 and 2010. 

18 (6) Women are at greater risk than men of 

19 being diagnosed with lung cancer at young ages. 

20 (7) Women smokers with BRCA2 mutations, 

21 more commonly associated with breast cancer, have 

22 a 1 in 4 risk of developing lung cancer. 

23 (8) A Government Accountability Office report 

24 published on October 22, 2015, called for the NaVerDate Sep 11 2014 21:08 May 18, 2016 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H5263.IH H5263

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1 tional Institutes of Health to do more in evaluating 

2 gender differences in research. 

3 (9) Additional research strategies and clinical 

4 trials are necessary to explore the differences in lung 

5 cancer risk factors, incidence, and treatment re6 sponse in women, and to address the disparate im7 pact of lung cancer on women who have never 

8 smoked. 

9 (10) Lung cancer screening, which can detect 

10 lung cancer at its earliest, most curable stage, is a 

11 covered service available without cost-sharing for 

12 those at high risk. 

13 (11) Published peer-reviewed actuarial studies 

14 indicate that lung cancer screening individuals at 

15 high risk is cost-effective. 

16 (12) The National Framework of Excellence in 

17 Lung Cancer Screening and Continuum of Care, 

18 launched in 2012, demonstrated that lung cancer 

19 screening can be safely and effectively carried out in 

20 community hospital settings around the Nation. 

21 (13) Lung cancer screening research indicates 

22 that the same technology used to screen for lung 

23 cancer could be used to simultaneously screen for 

24 early breast, heart, and lung diseases, which toVerDate Sep 11 2014 21:08 May 18, 2016 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H5263.IH H5263

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1 gether constitute more than 50 percent of deaths 

2 among women in the United States. 

3 (14) Information on the impact of lung cancer 

4 on women and the importance of early detection 

5 should be incorporated into all public health aware6 ness campaigns. 

7 SEC. 3. SENSE OF CONGRESS CONCERNING WOMEN AND 

8 LUNG CANCER. 

9 It is the sense of Congress that— 

10 (1) there is a disparate impact of lung cancer 

11 on women and, in particular, on women who have 

12 never smoked; 

13 (2) additional research strategies to explore the 

14 differences in women with respect to lung cancer 

15 risk factors, incidence, histology, and response to 

16 treatment are justified and necessary; 

17 (3) the implementation of lung cancer preven18 tive services for women should be accelerated; and 

19 (4) the public health agencies of the Federal 

20 Government should coordinate public education and 

21 awareness programs on the impact of lung cancer on 

22 women and the importance of early detection. 


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1 SEC. 4. STUDY TO EVALUATE AND MAKE RECOMMENDA2 TIONS FOR THE ACCELERATION OF RE3 SEARCH ON WOMEN AND LUNG CANCER, 

4 GREATER ACCESS TO PREVENTIVE SERV5 ICES, AND STRATEGIC PUBLIC AWARENESS 

6 AND EDUCATION CAMPAIGNS. 

7 (a) STUDY.—The Secretary of Health and Human 

8 Services, in consultation with the Secretary of Defense 

9 and Secretary of Veterans Affairs, shall conduct an inter10 agency study to evaluate the status of, and make rec11 ommendations for, increased— 

12 (1) research on women and lung cancer; 

13 (2) access to lung cancer preventive services; 

14 and 

15 (3) strategic public awareness and education 

16 campaigns on lung cancer. 

17 (b) CONTENT.—The study and recommendations 

18 under subsection (a) shall include— 

19 (1) a review and comprehensive report on the 

20 outcomes of previous research, the status of existing 

21 research activities, and knowledge gaps related to 

22 women and lung cancer in all agencies of the Fed23 eral Government; 

24 (2) specific recommendations for a collabo25 rative, interagency, multidisciplinary, and innovative 

26 research program, that would— 


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1 (A) encourage innovative approaches to 

2 eliminate knowledge gaps in research; 

3 (B) evaluate environmental and genomic 

4 factors that may be related to the etiology of 

5 lung cancer in women; and 

6 (C) foster advances in imaging technology 

7 to improve risk assessment, diagnosis, treat8 ment, and the simultaneous application of other 

9 preventive services; 

10 (3) recommendations for the development of a 

11 national lung cancer screening strategy with suffi12 cient infrastructure and personnel resources to ex13 pand access to such screening, particularly among 

14 underserved populations; and 

15 (4) recommendations for the development of a 

16 national public education and awareness campaign 

17 on women and lung cancer and the importance of 

18 early detection of lung cancer. 

19 (c) REPORT.—Not later than 180 days after the date 

20 of the enactment of this Act, the Secretary of Health and 

21 Human Services shall submit to Congress a report on the 

22 study conducted under subsection (a). 

Æ 


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