II 

110TH CONGRESS 

1ST SESSION S. 1415 

To amend the Public Health Service Act and the Social Security Act to 

improve screening and treatment of cancers, provide for survivorship 

services, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

MAY 16, 2007 

Mr. HARKIN (for himself and Ms. SNOWE) introduced the following bill; which 

was read twice and referred to the Committee on Finance 

A BILL 

To amend the Public Health Service Act and the Social 

Security Act to improve screening and treatment of cancers, provide for survivorship services, 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 ‘‘Cancer Screening, 

5 Treatment, and Survivorship Act of 2007’’. 

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1 SEC. 2. ESTABLISHMENT OF PROGRAM OF GRANTS FOR DE2 TECTION AND CONTROL OF CERTAIN CAN3 CERS. 

4 The Public Health Service Act (42 U.S.C. 201 et 

5 seq.) is amended by inserting after title XXIX the fol6 lowing new title: 

7 ‘‘TITLE XXX—PREVENTIVE 

8 HEALTH AND EARLY DETEC9 TION MEASURES WITH RE10 SPECT TO CANCERS 

11 ‘‘SEC. 3001. ESTABLISHMENT OF PROGRAM. 

12 ‘‘(a) GRANTS.— 

13 ‘‘(1) IN GENERAL.—The Secretary, acting 

14 through the Director of the Centers for Disease 

15 Control and Prevention, shall make grants to eligible 

16 entities on a competitive basis for the purpose of 

17 carrying out a program— 

18 ‘‘(A) to screen for cancer utilizing a 

19 screening method or technology that receives a 

20 recommendation of ‘B’ or ‘A’ from the Preven21 tive Services Task Force convened under sec22 tion 915 (in this subsection referred to as a 

23 ‘USPSTF recommended screening method or 

24 technology’) and for which the Secretary has 

25 made a determination of eligibility for grant 

26 funding based on criteria developed by the Secmstockstill on PROD1PC66 with BILLS

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1 retary, to achieve maximum benefits from the 

2 funds available, that includes— 

3 ‘‘(i) the prevalence of the cancer in 

4 the population; 

5 ‘‘(ii) the mortality and morbidity at6 tributed to that cancer; 

7 ‘‘(iii) the predictive value of the 

8 screening diagnostic; 

9 ‘‘(iv) the cost of the screening diag10 nostic; 

11 ‘‘(v) the current demonstrated efficacy 

12 of treatment when the diagnostic proce13 dure identifies the cancer; and 

14 ‘‘(vi) the estimated overall cost-benefit 

15 projected for application of the diagnostic; 

16 ‘‘(B) to provide appropriate referrals for 

17 medical treatment of individuals screened pur18 suant to subparagraph (A) and to ensure, to 

19 the extent practicable, the provision of appro20 priate follow-up services; 

21 ‘‘(C) to develop and disseminate public in22 formation and education programs for the de23 tection and control of those cancers for which 

24 there exists a USPSTF recommended screening 

25 method or technology; 

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1 ‘‘(D) to improve the education, training, 

2 and skills of health professionals (including al3 lied health professionals) in the detection and 

4 control of those cancers for which there exists 

5 a USPSTF recommended screening method or 

6 technology; 

7 ‘‘(E) to establish mechanisms through 

8 which eligible entities can monitor the quality of 

9 screening procedures for those cancers for 

10 which there exists a USPSTF recommended 

11 screening method or technology, including the 

12 interpretation of such procedures; and 

13 ‘‘(F) to evaluate activities conducted under 

14 subparagraphs (A) through (E) through appro15 priate surveillance or program-monitoring ac16 tivities. 

17 ‘‘(2) ELIGIBLE ENTITY DEFINED.—For pur18 poses of this section, the term ‘eligible entity’ in19 cludes the following: 

20 ‘‘(A) A State, including, in addition to the 

21 several States, the District of Columbia, Guam, 

22 the Commonwealth of Puerto Rico, the North23 ern Mariana Islands, the Virgin Islands, Amer24 ican Samoa, and the Trust Territory of the Pa25 cific Islands. 

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1 ‘‘(B) An Indian tribe or tribal organiza2 tion, as such terms are defined in section 4 of 

3 the Indian Self-Determination and Education 

4 Assistance Act. 

5 ‘‘(3) RANKINGS.—The Secretary may rank ap6 proved screening methods or technologies under 

7 paragraph (1)(A) as a factor to consider in awarding 

8 grants under paragraph (1). 

9 ‘‘(b) GRANT AND CONTRACT AUTHORITY.—An eligi10 ble entity receiving a grant under subsection (a) may ex11 pend the grant to carry out the purpose described in such 

12 subsection through grants to, and contracts with, public 

13 or nonprofit private entities. 

14 ‘‘(c) INITIAL DEMONSTRATION PERIOD.—In each of 

15 fiscal years 2008 through 2010, the Secretary shall make 

16 a grant under subsection (a) to no fewer than 5 eligible 

17 entities. Each such grant shall be for purposes of devel18 oping best practices and methods for implementing a pro19 gram described in such subsection. 

20 ‘‘(d) PROGRAM EXPANSION.—Beginning in fiscal 

21 year 2011, the limitation on grant awards contained in 

22 subsection (c) shall terminate, and grants shall be award23 ed subject to availability of appropriations under condi24 tions established by the Secretary and consistent with the 

25 provisions of this title. 

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1 ‘‘SEC. 3002. REQUIREMENT OF MATCHING FUNDS. 

2 ‘‘(a) IN GENERAL.—The Secretary may not make a 

3 grant under section 3001 unless the eligible entity involved 

4 agrees, with respect to the costs to be incurred by the eligi5 ble entity in carrying out the purpose described in such 

6 section, to make available non-Federal contributions (in 

7 cash or in kind under subsection (b)) toward such costs 

8 in an amount that is not less than $1 for each $3 of Fed9 eral funds provided in the grant. Such contributions may 

10 be made directly or through donations from public or pri11 vate entities. 

12 ‘‘(b) DETERMINATION OF AMOUNT OF NON-FED13 ERAL CONTRIBUTION.— 

14 ‘‘(1) IN GENERAL.—Non-Federal contributions 

15 required in subsection (a) may be in cash or in kind, 

16 fairly evaluated, including equipment or services 

17 (and excluding indirect or overhead costs). Amounts 

18 provided by the Federal Government, or services as19 sisted or subsidized to any significant extent by the 

20 Federal Government, may not be included in deter21 mining the amount of such non-Federal contribu22 tions. 

23 ‘‘(2) MAINTENANCE OF EFFORT.—In making a 

24 determination of the amount of non-Federal con25 tributions for purposes of subsection (a), the Sec26 retary may include only non-Federal contributions in 

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1 excess of the average amount of non-Federal con2 tributions made by the eligible entity involved to3 ward the purpose described in section 3001(a)(1) for 

4 the 2-year period preceding the first fiscal year for 

5 which the eligible entity is applying to receive a 

6 grant under such section. 

7 ‘‘(3) INCLUSION OF RELEVANT NON-FEDERAL

8 CONTRIBUTIONS FOR MEDICAID.—In making a de9 termination of the amount of non-Federal contribu10 tions for purposes of subsection (a), the Secretary 

11 shall, subject to paragraphs (1) and (2) of this sub12 section, include any non-Federal amounts expended 

13 pursuant to title XIX of the Social Security Act by 

14 the eligible entity involved toward the purpose de15 scribed in subparagraphs (A) and (B) of section 

16 3001(a)(1). 

17 ‘‘SEC. 3003. REQUIREMENTS WITH RESPECT TO TYPE AND 

18 QUALITY OF SERVICES. 

19 ‘‘(a) REQUIREMENT OF PROVISION OF ALL SERVICES

20 BY DATE CERTAIN.—The Secretary may not make a 

21 grant under section 3001 unless the eligible entity involved 

22 agrees— 

23 ‘‘(1) to ensure that, initially and throughout the 

24 period during which amounts are received pursuant 

25 to the grant, not less than 60 percent of the grant 

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1 is expended to provide each of the services or activi2 ties described in subparagraphs (A) and (B) of sec3 tion 3001(a)(1), including making available screen4 ing procedures for those cancers for which there ex5 ists a USPSTF recommended screening method or 

6 technology; 

7 ‘‘(2) to ensure that, by the end of any second 

8 fiscal year of payments pursuant to the grant, each 

9 of the services or activities described in section 

10 3001(a)(1) is provided; and 

11 ‘‘(3) to ensure that not more than 40 percent 

12 of the grant is expended to provide the services or 

13 activities described in subparagraphs (C) through 

14 (F) of such section. 

15 ‘‘(b) QUALITY ASSURANCE REGARDING SCREENING

16 FOR ADDITIONAL FORMS OF CANCER.—The Secretary 

17 may not make a grant under section 3001 unless the eligi18 ble entity involved— 

19 ‘‘(1) assures the quality of any screening proce20 dure for those cancers for which there exists con21 ducted pursuant to such section; and 

22 ‘‘(2) assures that, with respect to the first can23 cer screening performed on an individual for which 

24 payment is made pursuant to section 3001(a)(1), 

25 there are satisfactory assurances that the results of 

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1 the screening will be placed in permanent medical 

2 records maintained with respect to the individual. 

3 ‘‘(c) ISSUANCE BY SECRETARY OF GUIDELINES

4 WITH RESPECT TO QUALITY OF CANCER SERVICES.— 

5 ‘‘(1) IN GENERAL.—The Secretary shall issue 

6 guidelines for assuring the quality of any cancer 

7 screening procedure conducted pursuant to section 

8 3001(a)(1). 

9 ‘‘(2) APPLICABILITY WITH RESPECT TO

10 GRANTS.—The Secretary may not make a grant 

11 under section 3001 unless the eligible entity involved 

12 agrees that the eligible entity will, with respect to 

13 any cancer screening procedure conducted pursuant 

14 to such section, ensure that the procedure is con15 ducted in accordance with the guidelines issued by 

16 the Secretary under paragraph (1). 

17 ‘‘SEC. 3004. ADDITIONAL REQUIRED AGREEMENTS. 

18 ‘‘(a) PRIORITY FOR LOW-INCOME INDIVIDUALS.— 

19 The Secretary may not make a grant under section 3001 

20 unless the eligible entity involved agrees that low-income 

21 individuals will be given priority in the provision of serv22 ices and activities pursuant to subparagraphs (A) and (B) 

23 of section 3001(a)(1). 

24 ‘‘(b) LIMITATION ON IMPOSITION OF FEES FOR

25 SERVICES.—The Secretary may not make a grant under 

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1 section 3001 unless the eligible entity involved agrees that, 

2 if a charge is imposed for the provision of services or ac3 tivities under the grant, such charge— 

4 ‘‘(1) will be made according to a schedule of 

5 charges that is made available to the public; 

6 ‘‘(2) will be adjusted to reflect the income of 

7 the individuals involved; and 

8 ‘‘(3) will not be imposed on any individual with 

9 an income of less than 100 percent of the official 

10 poverty line, as established by the Director of the 

11 Office of Management and Budget and revised by 

12 the Secretary in accordance with section 673(2) of 

13 the Omnibus Budget Reconciliation Act of 1981. 

14 ‘‘(c) STATEWIDE PROVISION OF SERVICES.— 

15 ‘‘(1) IN GENERAL.—In the case of an eligible 

16 entity described in section 3001(a)(2)(A), the Sec17 retary may not make a grant under section 3001 un18 less the eligible entity agrees that services and ac19 tivities under the grant will be made available 

20 throughout the State, including availability to mem21 bers of any Indian tribe or tribal organization (as 

22 such terms are defined in section 4 of the Indian 

23 Self-Determination and Education Assistance Act). 

24 ‘‘(2) WAIVER.—The Secretary may waive the 

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1 gible entity if the Secretary determines that compli2 ance by the eligible entity with the requirement 

3 would result in an inefficient allocation of resources 

4 with respect to carrying out the purpose described in 

5 section 3001(a)(1). 

6 ‘‘(d) RELATIONSHIP TO ITEMS AND SERVICES

7 UNDER OTHER PROGRAMS.—The Secretary may not 

8 make a grant under section 3001 unless the eligible entity 

9 involved agrees that the grant will not be expended to 

10 make payment for any item or service to the extent that 

11 payment has been made, or can reasonably be expected 

12 to be made, with respect to such item or service— 

13 ‘‘(1) under any State compensation program, 

14 under an insurance policy, or under any Federal or 

15 State health benefits program; or 

16 ‘‘(2) by an entity that provides health services 

17 on a prepaid basis. 

18 ‘‘(e) COORDINATION WITH OTHER CANCER PRO19 GRAMS.—The Secretary may not make a grant under sec20 tion 3001 unless the eligible entity involved agrees that 

21 the services and activities funded through the grant will 

22 be coordinated with other Federal, State, and local cancer 

23 programs. 

24 ‘‘(f) LIMITATION ON ADMINISTRATIVE EXPENSES.— 

25 The Secretary may not make a grant under section 3001 

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1 unless the eligible entity involved agrees that not more 

2 than 10 percent of the grant will be expended for adminis3 trative expenses with respect to the grant. 

4 ‘‘(g) RESTRICTIONS ON USE OF GRANT.—The Sec5 retary may not make a grant under section 3001 unless 

6 the eligible entity involved agrees that the grant will not 

7 be expended to provide inpatient hospital services (as that 

8 term is defined by the Secretary for purposes of this sub9 section). 

10 ‘‘(h) RECORDS AND AUDITS.—The Secretary may not 

11 make a grant under section 3001 unless the eligible entity 

12 involved agrees that— 

13 ‘‘(1) the eligible entity will establish such fiscal 

14 control and fund accounting procedures as may be 

15 necessary to ensure the proper disbursement of, and 

16 accounting for, amounts received by the eligible enti17 ty under such section; and 

18 ‘‘(2) upon request, the eligible entity will pro19 vide records maintained pursuant to paragraph (1) 

20 to the Secretary or the Comptroller General of the 

21 United States for purposes of auditing the expendi22 tures by the eligible entity of the grant. 

23 ‘‘(i) REPORTS TO SECRETARY.—The Secretary may 

24 not make a grant under section 3001 unless the eligible 

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1 ports as the Secretary may require with respect to the 

2 grant. 

3 ‘‘SEC. 3005. DESCRIPTION OF INTENDED USES OF GRANT. 

4 ‘‘The Secretary may not make a grant under section 

5 3001 unless— 

6 ‘‘(1) the eligible entity involved submits to the 

7 Secretary a description of the purposes for which the 

8 eligible entity intends to expend the grant; 

9 ‘‘(2) the description identifies the populations, 

10 areas, and localities in the eligible entity with a need 

11 for the services or activities described in section 

12 3001(a)(1); 

13 ‘‘(3) the description provides information relat14 ing to the services and activities to be provided, in15 cluding a description of the manner in which the 

16 services and activities will be coordinated with any 

17 similar services or activities of public or nonprofit 

18 entities; and 

19 ‘‘(4) the description provides assurances that 

20 the grant funds be used in the most cost-effective 

21 manner. 

22 ‘‘SEC. 3006. REQUIREMENT OF SUBMISSION OF APPLICA23 TION. 

24 ‘‘The Secretary may not make a grant under section 

25 3001 unless an application for the grant is submitted to 

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1 the Secretary, the application contains the description of 

2 intended uses required in section 3005, and the applica3 tion is in such form, is made in such manner, and contains 

4 such agreements, assurances, and information as the Sec5 retary determines to be necessary to carry out this title. 

6 ‘‘SEC. 3007. TECHNICAL ASSISTANCE AND PROVISION OF 

7 SUPPLIES AND SERVICES IN LIEU OF GRANT 

8 FUNDS. 

9 ‘‘(a) TECHNICAL ASSISTANCE.—The Secretary may 

10 provide training and technical assistance with respect to 

11 the planning, development, and operation of any program 

12 or service carried out pursuant to section 3001. The Sec13 retary may provide such technical assistance directly or 

14 through grants to, or contracts with, public and private 

15 entities. 

16 ‘‘(b) PROVISION OF SUPPLIES AND SERVICES IN

17 LIEU OF GRANT FUNDS.— 

18 ‘‘(1) IN GENERAL.—Upon the request of an eli19 gible entity receiving a grant under section 3001, 

20 the Secretary may, subject to paragraph (2), provide 

21 supplies, equipment, and services for the purpose of 

22 aiding the eligible entity in carrying out such section 

23 and, for such purpose, may detail to the eligible enti24 ty any officer or employee of the Department of 

25 Health and Human Services. 

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1 ‘‘(2) CORRESPONDING REDUCTION IN PAY2 MENTS.—With respect to a request described in 

3 paragraph (1), the Secretary shall reduce the 

4 amount of payments under the grant under section 

5 3001 to the eligible entity involved by an amount 

6 equal to the costs of detailing personnel (including 

7 pay, allowances, and travel expenses) and the fair 

8 market value of any supplies, equipment, or services 

9 provided by the Secretary. The Secretary shall, for 

10 the payment of expenses incurred in complying with 

11 such request, expend the amounts withheld. 

12 ‘‘SEC. 3008. EVALUATIONS AND REPORTS. 

13 ‘‘(a) EVALUATIONS.—The Secretary shall, directly or 

14 through contracts with public or private entities, provide 

15 for annual evaluations of programs carried out pursuant 

16 to section 3001. 

17 ‘‘(b) REPORTS TO CONGRESS.—Not later than March 

18 15, 2008, and every March 15 thereafter, the Secretary 

19 shall submit to the appropriate committees of Congress 

20 a report describing the grants awarded under this title, 

21 that includes— 

22 ‘‘(1) a description of the screenings conducted, 

23 diagnoses made, treatment received, and analysis of 

24 the impact of the grants in terms of impact on mor25 tality, morbidity, and economic costs; 

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1 ‘‘(2) a description of those screening methods 

2 or technologies for which the Secretary has made a 

3 determination of grant eligibility; and 

4 ‘‘(3) recommendations for administrative and 

5 legislative initiatives with respect to this title as the 

6 Secretary determines to be appropriate. 

7 ‘‘(c) CONGRESSIONAL APPROVAL.—The Secretary 

8 may not award a grant to an entity under this title to 

9 provide funding for a screening method or technology de10 scribed in subsection (b)(2) if Congress, within 60 days 

11 of receiving the report under such subsection, enacts a 

12 concurrent resolution to disapprove such funding. 

13 ‘‘SEC. 3009. FUNDING. 

14 ‘‘(a) AUTHORIZATION OF APPROPRIATIONS.—For the 

15 purpose of carrying out this title, there are authorized to 

16 be appropriated such sums as may be necessary for fiscal 

17 year 2008 and each subsequent fiscal year. 

18 ‘‘(b) SET-ASIDE FOR TECHNICAL ASSISTANCE AND

19 PROVISION OF SUPPLIES AND SERVICES.—Of the 

20 amounts appropriated under subsection (a) for a fiscal 

21 year, the Secretary shall reserve not more than 10 percent 

22 for carrying out section 3007.’’. 

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1 SEC. 3. OPTIONAL MEDICAID COVERAGE OF CERTAIN CAN2 CER PATIENTS. 

3 (a) COVERAGE AS OPTIONAL CATEGORICALLY

4 NEEDY GROUPS.— 

5 (1) IN GENERAL.—Section 1902(a)(10)(A)(ii) 

6 of the Social Security Act (42 U.S.C. 

7 1396a(a)(10)(A)(ii)) is amended— 

8 (A) in subclause (XVIII), by striking ‘‘or’’ 

9 at the end; 

10 (B) in subclause (XIX), by adding ‘‘or’’ at 

11 the end; and 

12 (C) by adding at the end the following: 

13 ‘‘(XX) who are described in sub14 section (dd) (relating to certain per15 sons screened and found to need 

16 treatment from complications from 

17 screening or have certain cancers); or 

18 ‘‘(XXI) who are described in sub19 section (ee) (relating to certain per20 sons eligible for survivorship pro21 grams).’’. 

22 (2) GROUPS DESCRIBED.—Section 1902 of such 

23 Act (42 U.S.C. 1396a) is amended by adding at the 

24 end the following: 

25 ‘‘(dd) Individuals described in this subsection are in26 dividuals who— 

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1 ‘‘(1) are not described in subsection 

2 (a)(10)(A)(i); 

3 ‘‘(2) have not attained age 65; 

4 ‘‘(3) have been screened for cancer under the 

5 Centers for Disease Control and Prevention cancer 

6 early detection program established under title XXX 

7 of the Public Health Service Act and have been re8 ferred under such program for treatment of cancer; 

9 and 

10 ‘‘(4) are not otherwise covered under creditable 

11 coverage, as defined in section 2701(c) of the Public 

12 Health Services Act (42 U.S.C. 300gg(c)). 

13 ‘‘(ee) Individuals described in this subsection are in14 dividuals who— 

15 ‘‘(1) are not described in subsection 

16 (a)(10)(A)(i); 

17 ‘‘(2) have not attained age 65; 

18 ‘‘(3) have been diagnosed with cancer, or have 

19 received treatment for cancer, and are seeking med20 ical information and services related to the treat21 ment of cancer (as determined by the individual’s 

22 treating physician) including— 

23 ‘‘(A) diagnosis and treatment for cancer, 

24 its sequelae, and deleterious effects of treat25 ment; 

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1 ‘‘(B) a personalized comprehensive cancer 

2 treatment and survivorship care plan; and 

3 ‘‘(C) an annual visit to an oncologist for a 

4 comprehensive exam; and 

5 ‘‘(4) are not otherwise covered under creditable 

6 coverage, as defined in section 2701(c) of the Public 

7 Health Service Act (42 U.S.C. 300gg(c)).’’. 

8 (3) LIMITATION ON BENEFITS.—Section 

9 1902(a)(10) of the Social Security Act (42 U.S.C. 

10 1396a(a)(10)) is amended in the matter following 

11 subparagraph (G) 

12 (A) by striking ‘‘and (XIV)’’ and inserting 

13 ‘‘(XIIV)’’; and 

14 (B) by inserting ‘‘, and (XIV) the medical 

15 assistance made available to an individual de16 scribed in subsection (dd) or (ee) who is eligible 

17 for medical assistance only because of subclause 

18 (XX) or (XXI), respectively, of subparagraph 

19 (A)(10)(ii) shall be limited to medical assistance 

20 provided during the period in which such an in21 dividual requires treatment for the cancers or 

22 for medical assistance limited to the services 

23 listed in subsections (dd) and (ee), respectively’’ 

24 before the semicolon. 

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1 (4) CONFORMING AMENDMENTS.—Section 

2 1905(a) of the Social Security Act (42 U.S.C. 

3 1396d(a)) is amended in the matter preceding para4 graph (1)— 

5 (A) in clause (xii), by striking ‘‘or’’ at the 

6 end; 

7 (B) in clause (xiii), by adding ‘‘or’’ at the 

8 end; and 

9 (C) by inserting after clause (xiii) the fol10 lowing: 

11 ‘‘(xiv) individuals described in sub12 section (dd) or (ee) of section 1902,’’. 

13 (b) PRESUMPTIVE ELIGIBILITY.— 

14 (1) IN GENERAL.—Title XIX of the Social Se15 curity Act is amended by inserting after section 

16 1920B (42 U.S.C. 1396r–1b) the following: 

17 ‘‘OPTIONAL APPLICATION OF PRESUMPTIVE ELIGIBILITY

18 PROVISIONS FOR CERTAIN PERSONS WITH CERTAIN

19 OTHER CANCERS

20 ‘‘SEC. 1920C. A State may elect to apply the provi21 sions of section 1920B to individuals described in sub22 section (dd) or (ee) of section 1902 in the same as such 

23 section applies to individuals described in section 1902(aa) 

24 (relating to certain breast or cervical cancer patients).’’. 

25 (2) CONFORMING AMENDMENTS.— 

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1 (A) Section 1902(a)(47) of such Act (42 

2 U.S.C. 1396a(a)(47)) is amended— 

3 (i) by striking ‘‘1920 and’’ and insert4 ing ‘‘1920,’’; 

5 (ii) by striking ‘‘with such section 

6 and’’ and inserting ‘‘with such section,’’; 

7 and 

8 (iii) by inserting before the semicolon 

9 at the end the following; ‘‘, and provide for 

10 making medical assistance available to in11 dividuals described in 1920C during a pre12 sumptive eligibility period in accordance 

13 with such section’’. 

14 (B) Section 1903(u)(1)(D)(v) of such Act 

15 (42 U.S.C.1396b(u)(1)(D)(v)) is amended— 

16 (i) by striking ‘‘or for’’ and inserting 

17 ‘‘, for’’; and 

18 (ii) by inserting before the period the 

19 following: ‘‘, or for medical assistance pro20 vided to an individual described in section 

21 1920C during a presumptive eligibility pe22 riod under such section’’. 

23 (c) MEDICAID MATCH.—The first sentence of section 

24 1905(b) of such Act (42 U.S.C. 1396d(b)) is amended— 

25 (1) by striking ‘‘and’’ before ‘‘(4)’’; and 

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1 (2) by inserting before the period at the end the 

2 following: ‘‘, and (5) the Federal medical assistance 

3 percentage shall be equal to the enhanced FMAP. 

4 described in section 2105(b) with respect to medical 

5 assistance provided to individuals who are eligible 

6 for such assistance only on the basis of subclause 

7 (XX) of section 1902(a)(10)(A)(ii)’’. 

8 (d) EFFECTIVE DATE.—The amendments made by 

9 this section apply to medical assistance for items and serv10 ices furnished on or after October 1, 2008, without regard 

11 to whether final regulations to carry out such amendments 

12 have been promulgated by such date. 

13 SEC. 4. SCREENING RESEARCH AND SURVIVORSHIP PRO14 GRAMS. 

15 Subpart 1 of part C of title IV of the Public Health 

16 Service Act (42 U.S.C. 285 et seq.) is amended by adding 

17 at the end the following: 

18 ‘‘SEC. 417E. RESEARCH WITH RESPECT TO CANCER 

19 SCREENING. 

20 ‘‘(a) SCREENING RESEARCH INITIATIVES.— 

21 ‘‘(1) IN GENERAL.—The Director of NIH shall 

22 expand, intensify, and coordinate programs for the 

23 conduct and support of research with respect to 

24 identifying and improving cancer screening and test25 ing protocols and tools in order to develop screening 

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1 and testing capable of achieving a recommendation 

2 of ‘B’ or better as measured by the Preventive Serv3 ices Task Force convened under section 915, and 

4 with particular emphasis on those cancers with the 

5 highest incidence of mortality and disability. The Di6 rector shall also consider new alternative screening 

7 and testing protocols of lower cost and risk, and 

8 those diagnostics which would identify cancers at a 

9 stage at which there is strong evidence for the effi10 cacy of treatment which would reduce mortality and 

11 morbidity. 

12 ‘‘(2) ADMINISTRATION.—The Director of NIH 

13 shall carry out this subsection through the Director 

14 of the National Cancer Institute and in collaboration 

15 with any other agencies that the Director determines 

16 to be appropriate. 

17 ‘‘(b) PUBLIC AWARENESS OF CANCER SCREENING, 

18 EARLY DETECTION, AVAILABLE TREATMENTS AND RE19 SEARCH.—The Secretary shall award grants to recognized 

20 cancer professional and advocacy organizations, including 

21 private not-for-profit public affairs organizations, for the 

22 expansion and widespread implementation of activities to 

23 raise public awareness of currently available screening and 

24 testing programs, treatment options, statistics regarding 

25 improved outcomes as a result of cancer screenings, risk 

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1 factors, information, treatment options, and current re2 search with the intent to ensure widespread use of cancer 

3 screening programs and access to best available screening 

4 and testing services. 

5 ‘‘SEC. 417F. CANCER SURVIVORSHIP. 

6 ‘‘(a) NCI-DESIGNATED CANCER CENTERS.—The Di7 rector of NIH shall provide for the expansion and coordi8 nation of cancer survivorship research activities at Na9 tional Cancer Institute-designated cancer centers. 

10 ‘‘(b) COMPREHENSIVE CANCER SURVIVORSHIP CEN11 TERS.— 

12 ‘‘(1) IN GENERAL.—In carrying out the provi13 sions of subsection (a), the Director of NIH shall 

14 provide assistance to one or more National Cancer 

15 Institute-designated cancer centers to enable such 

16 centers to serve as comprehensive cancer survivor17 ship centers described in paragraph (2). Special em18 phasis shall be placed on those models of com19 prehensive cancer survivorship care that can be ap20 plied in community cancer center settings, as well as 

21 National Cancer Institute-designated cancer centers. 

22 ‘‘(2) CENTER DESCRIPTION.—A comprehensive 

23 cancer survivorship center described in this para24 graph is a center designed to serve as a comprehen25 sive, one-stop source of information, care, and servmstockstill on PROD1PC66 with BILLS

25 

•S 1415 IS

1 ices for cancer survivors, family members, and serv2 ice providers. 

3 ‘‘(c) EVALUATION OF MODELS OF SURVIVORSHIP

4 CARE.—The Director of NIH shall provide assistance to 

5 one or more National Cancer Institute-designated cancer 

6 centers for research to evaluate models of survivorship 

7 care. 

8 ‘‘(d) DEFINITION.—In this subsection, the term ‘Di9 rector of NIH’ means the Director of NIH, acting through 

10 the Director of the National Cancer Institute. 

11 ‘‘(e) FUNDING.—For the purpose of carrying out this 

12 section, there are authorized to be appropriated such sums 

13 as may be necessary for each of fiscal years 2008 through 

14 2012.’’. 

Æ 

mstockstill on PROD1PC66 with BILLS