I 

116TH CONGRESS 

1ST SESSION H. R. 4560 

To amend the Public Health Service Act to reauthorize Johanna’s Law, 

and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

SEPTEMBER 27, 2019 

Ms. DELAURO (for herself, Mr. FITZPATRICK, Mr. NADLER, and Mrs. DINGELL) introduced the following bill; which was referred to the Committee 

on Energy and Commerce 

A BILL 

To amend the Public Health Service Act to reauthorize 

Johanna’s Law, 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. REAUTHORIZATION AND ENHANCEMENT OF 

4 JOHANNA’S LAW. 

5 (a) IN GENERAL.—Section 317P(d) of the Public 

6 Health Service Act (42 U.S.C. 247b–17(d)) is amended— 

7 (1) in paragraph (1), by adding at the end the 

8 following: 

9 ‘‘(D) Activities under the national cam10 paign under subparagraph (A) shall include 


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1 public service announcements using traditional 

2 or digital media under subparagraph (C) tar3 geted to specific higher-risk populations of 

4 women based on race, ethnicity, level of accul5 turation, and family history, including the Afri6 can-American and Ashkenazi Jewish popu7 lations.’’; and 

8 (2) by amending paragraph (6) to read as fol9 lows: 

10 ‘‘(6) AUTHORIZATION OF APPROPRIATIONS.— 

11 For the purpose of carrying out this subsection, 

12 there is authorized to be appropriated $45,000,000 

13 for the period of fiscal years 2020 through 2022.’’. 

14 SEC. 2. DEMONSTRATION PROJECTS REGARDING OUT15 REACH AND EDUCATION STRATEGIES RELAT16 ING TO GYNECOLOGIC CANCER. 

17 (a) IN GENERAL.—Section 317P(d) of the Public 

18 Health Service Act (42 U.S.C. 247b–17(d)) is amended 

19 by inserting after paragraph (4) the following new para20 graph: 

21 ‘‘(5) DEMONSTRATION PROJECTS REGARDING

22 OUTREACH AND EDUCATION STRATEGIES.— 

23 ‘‘(A) IN GENERAL.— 

24 ‘‘(i) PROGRAM.—The Secretary may 

25 carry out a program to award grants or 


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1 contracts to public or nonprofit private en2 tities for the purpose of carrying out dem3 onstration projects to test, compare, and 

4 evaluate different evidence-based outreach 

5 and education strategies to increase the 

6 awareness and knowledge of women and 

7 health care providers with respect to 

8 gynecologic cancers, including with respect 

9 to early warning signs, risk factors, pre10 vention, screening, and treatment options. 

11 Such strategies shall include efforts di12 rected at women and their families, physi13 cians, nurses, and key health professionals. 

14 ‘‘(ii) SCIENCE-BASED RESOURCES.— 

15 In making awards under subparagraph 

16 (A), the Secretary shall encourage award17 ees to use science-based resources such as 

18 the Inside Knowledge About Gynecologic 

19 Cancer education campaign of the Centers 

20 for Disease Control and Prevention. 

21 ‘‘(B) PREFERENCES IN AWARDING GRANTS

22 OR CONTRACTS.—In making awards under sub23 paragraph (A), the Secretary shall give pref24 erence to— 


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1 ‘‘(i) applicants with demonstrated ex2 pertise in gynecologic cancer education or 

3 treatment or in working with groups of 

4 women who are at increased risk of 

5 gynecologic cancers; and 

6 ‘‘(ii) applicants that, in the dem7 onstration project funded by the grant or 

8 contract, will establish linkages between 

9 physicians, nurses, and key health profes10 sionals, health profession students, hos11 pitals, payers, and State health depart12 ments. 

13 ‘‘(C) APPLICATION.—To seek a grant or 

14 contract under subparagraph (A), an entity 

15 shall submit an application to the Secretary in 

16 such form, in such manner, and containing such 

17 agreements, assurances, and information as the 

18 Secretary determines to be necessary to carry 

19 out this paragraph. 

20 ‘‘(D) CERTAIN REQUIREMENTS.—In mak21 ing awards under subparagraph (A), the Sec22 retary shall— 

23 ‘‘(i) make awards, as practicable, to 

24 not fewer than five applicants; and 


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1 ‘‘(ii) ensure that information provided 

2 through demonstration projects under this 

3 paragraph is consistent with the best avail4 able medical information. 

5 ‘‘(E) REPORT TO CONGRESS.—Not later 

6 than 24 months after the date of the enactment 

7 of this paragraph, and annually thereafter, the 

8 Secretary shall submit to the Congress a report 

9 that— 

10 ‘‘(i) summarizes the activities of dem11 onstration projects under subparagraph 

12 (A); 

13 ‘‘(ii) evaluates the extent to which the 

14 projects were effective in increasing aware15 ness and knowledge of risk factors and 

16 early warning signs in the populations to 

17 which the projects were directed; and 

18 ‘‘(iii) identifies barriers to early detec19 tion and appropriate treatment of such 

20 cancers.’’. 

21 (b) CONFORMING AMENDMENT.—Section 

22 317P(d)(3)(A) of the Public Health Service Act (42 

23 U.S.C. 247b–17(d)(3)(A)) is amended by inserting 

24 ‘‘(other than paragraph (5))’’ after ‘‘this section’’. 

Æ 


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