II 

109TH CONGRESS 

2D SESSION S. 4056 

To amend the Public Health Service Act to provide revised standards for 

quality assurance in screening and evaluation of gynecologic cytology 

preparations, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

NOVEMBER 15, 2006 

Mr. ISAKSON (for himself and Mr. CHAMBLISS) introduced the following bill; 

which was read twice and referred to the Committee on Health, Education, Labor, and Pensions 

A BILL 

To amend the Public Health Service Act to provide revised 

standards for quality assurance in screening and evaluation of gynecologic cytology preparations, 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 ‘‘Cytology Proficiency 

5 Improvement Act of 2006’’. 


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1 SEC. 2. REVISED STANDARDS FOR QUALITY ASSURANCE IN 

2 SCREENING AND EVALUATION OF 

3 GYNECOLOGIC CYTOLOGY PREPARATIONS. 

4 (a) IN GENERAL.—Section 353(f)(4)(B)(iv) of the 

5 Public Health Service Act (42 U.S.C. 263a(f)(4)(B)(iv)) 

6 is amended to read as follows: 

7 ‘‘(iv) requirements that each clinical 

8 laboratory— 

9 ‘‘(I) ensure that all individuals 

10 involved in screening and interpreting 

11 cytological preparations at the labora12 tory participate annually in a con13 tinuing medical education program in 

14 gynecologic cytology that— 

15 ‘‘(aa) is approved by the Ac16 crediting Council for Continuing 

17 Medical Education or the Amer18 ican Academy of Continuing 

19 Medical Education, and 

20 ‘‘(bb) provides each indi21 vidual participating in the pro22 gram with gynecologic cytologic 

23 preparations (in the form of ref24 erenced glass slides or equivalent 

25 technologies) designed to improve 

26 the locator, recognition and interVerDate Aug 31 2005 00:07 Nov 17, 2006 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S4056.IS S4056

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1 pretive skills of the individual, 

2 and 

3 ‘‘(II) maintain a record of the cy4 tology continuing medical education 

5 results of each individual involved in 

6 screening and interpreting cytological 

7 preparations at the laboratory,’’. 

8 (b) EFFECTIVE DATE AND IMPLEMENTATION; TER9 MINATION OF CURRENT PROGRAM OF INDIVIDUAL PRO10 FICIENCY TESTING.— 

11 (1) EFFECTIVE DATE AND IMPLEMENTATION.— 

12 Except as provided in paragraph (2), the amend13 ment made by subsection (a) applies to gynecologic 

14 cytology services provided on or after the date that 

15 is one year after the date of the enactment of this 

16 Act, and the Secretary of Health and Human Serv17 ices (hereafter in this subsection referred to as the 

18 ‘‘Secretary’’) shall issue final regulations imple19 menting such amendment not later than 270 days 

20 after such date of enactment. 

21 (2) TERMINATION OF CURRENT INDIVIDUAL

22 PROFICIENCY TESTING PROGRAM.—As of the date of 

23 the enactment of this Act, the Secretary shall termi24 nate the individual proficiency testing program es25 tablished pursuant to section 353(f)(4)(B)(iv) of the 


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1 Public Health Service Act (42 U.S.C. 

2 263a(f)(4)(B)(iv)), as in effect before the enactment 

3 of this section. 

Æ 


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