I 
110TH CONGRESS 
1ST SESSION H. R. 2353 
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 HOUSE OF REPRESENTATIVES 
MAY 16, 2007 
Ms. SCHAKOWSKY (for herself, Mrs. MYRICK, Mrs. CAPPS, Mr. MOORE of 
Kansas, Mr. ALLEN, Mr. LOEBSACK, Mr. ALEXANDER, and Mr. ROTH-
MAN) introduced the following bill; which was referred to the Committee 
on Energy and Commerce 
A BILL 
To amend the Public Health Service Act and the Social 
Security Act to improve screening and treatment of can-
cers, provide for survivorship services, and for other pur-
poses. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Cancer Screening, 
Treatment, and Survivorship Act of 2007’’. 
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SEC. 2. ESTABLISHMENT OF PROGRAM OF GRANTS FOR DE-
TECTION AND CONTROL OF CERTAIN CAN-
CERS. 
The Public Health Service Act (42 U.S.C. 201 et 
seq.) is amended by inserting after title XXIX the fol-
lowing new title: 
‘‘TITLE 
XXX—PREVENTIVE 
HEALTH AND EARLY DETEC-
TION MEASURES WITH RE-
SPECT TO CANCERS 
‘‘SEC. 3001. ESTABLISHMENT OF PROGRAM. 
‘‘(a) GRANTS.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, shall make grants to eligible 
entities on a competitive basis for the purpose of 
carrying out a program— 
‘‘(A) to screen for cancer utilizing a 
screening method or technology that receives a 
recommendation of ‘B’ or ‘A’ from the Preven-
tive Services Task Force convened under sec-
tion 915 (in this subsection referred to as a 
‘USPSTF recommended screening method or 
technology’) and for which the Secretary has 
made a determination of eligibility for grant 
funding based on criteria developed by the Sec-
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retary, to achieve maximum benefits from the 
funds available, that includes— 
‘‘(i) the prevalence of the cancer in 
the population; 
‘‘(ii) the mortality and morbidity at-
tributed to that cancer; 
‘‘(iii) the predictive value of the 
screening diagnostic; 
‘‘(iv) the cost of the screening diag-
nostic; 
‘‘(v) the current demonstrated efficacy 
of treatment when the diagnostic proce-
dure identifies the cancer; and 
‘‘(vi) the estimated overall cost-benefit 
projected for application of the diagnostic; 
‘‘(B) to provide appropriate referrals for 
medical treatment of individuals screened pur-
suant to subparagraph (A) and to ensure, to 
the extent practicable, the provision of appro-
priate follow-up services; 
‘‘(C) to develop and disseminate public in-
formation and education programs for the de-
tection and control of those cancers for which 
there exists a USPSTF recommended screening 
method or technology; 
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‘‘(D) to improve the education, training, 
and skills of health professionals (including al-
lied health professionals) in the detection and 
control of those cancers for which there exists 
a USPSTF recommended screening method or 
technology; 
‘‘(E) to establish mechanisms through 
which eligible entities can monitor the quality of 
screening procedures for those cancers for 
which there exists a USPSTF recommended 
screening method or technology, including the 
interpretation of such procedures; and 
‘‘(F) to evaluate activities conducted under 
subparagraphs (A) through (E) through appro-
priate surveillance or program-monitoring ac-
tivities. 
‘‘(2) ELIGIBLE
ENTITY
DEFINED.—For pur-
poses of this section, the term ‘eligible entity’ in-
cludes the following: 
‘‘(A) A State, including, in addition to the 
several States, the District of Columbia, Guam, 
the Commonwealth of Puerto Rico, the North-
ern Mariana Islands, the Virgin Islands, Amer-
ican Samoa, and the Trust Territory of the Pa-
cific Islands. 
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‘‘(B) An Indian tribe or tribal organiza-
tion, as such terms are defined in section 4 of 
the Indian Self-Determination and Education 
Assistance Act. 
‘‘(3) RANKINGS.—The Secretary may rank ap-
proved screening methods or technologies under 
paragraph (1)(A) as a factor to consider in awarding 
grants under paragraph (1). 
‘‘(b) GRANT AND CONTRACT AUTHORITY.—An eligi-
ble entity receiving a grant under subsection (a) may ex-
pend the grant to carry out the purpose described in such 
subsection through grants to, and contracts with, public 
or nonprofit private entities. 
‘‘(c) INITIAL DEMONSTRATION PERIOD.—In each of 
fiscal years 2008 through 2010, the Secretary shall make 
a grant under subsection (a) to no fewer than 5 eligible 
entities. Each such grant shall be for purposes of devel-
oping best practices and methods for implementing a pro-
gram described in such subsection. 
‘‘(d) PROGRAM EXPANSION.—Beginning in fiscal 
year 2011, the limitation on grant awards contained in 
subsection (c) shall terminate, and grants shall be award-
ed subject to availability of appropriations under condi-
tions established by the Secretary and consistent with the 
provisions of this title. 
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‘‘SEC. 3002. REQUIREMENT OF MATCHING FUNDS. 
‘‘(a) IN GENERAL.—The Secretary may not make a 
grant under section 3001 unless the eligible entity involved 
agrees, with respect to the costs to be incurred by the eligi-
ble entity in carrying out the purpose described in such 
section, to make available non-Federal contributions (in 
cash or in kind under subsection (b)) toward such costs 
in an amount that is not less than $1 for each $3 of Fed-
eral funds provided in the grant. Such contributions may 
be made directly or through donations from public or pri-
vate entities. 
‘‘(b) DETERMINATION OF AMOUNT OF NON-FED-
ERAL CONTRIBUTION.— 
‘‘(1) IN GENERAL.—Non-Federal contributions 
required in subsection (a) may be in cash or in kind, 
fairly evaluated, including equipment or services 
(and excluding indirect or overhead costs). Amounts 
provided by the Federal Government, or services as-
sisted or subsidized to any significant extent by the 
Federal Government, may not be included in deter-
mining the amount of such non-Federal contribu-
tions. 
‘‘(2) MAINTENANCE OF EFFORT.—In making a 
determination of the amount of non-Federal con-
tributions for purposes of subsection (a), the Sec-
retary may include only non-Federal contributions in 
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excess of the average amount of non-Federal con-
tributions made by the eligible entity involved to-
ward the purpose described in section 3001(a)(1) for 
the 2-year period preceding the first fiscal year for 
which the eligible entity is applying to receive a 
grant under such section. 
‘‘(3) INCLUSION OF RELEVANT NON-FEDERAL 
CONTRIBUTIONS FOR MEDICAID.—In making a de-
termination of the amount of non-Federal contribu-
tions for purposes of subsection (a), the Secretary 
shall, subject to paragraphs (1) and (2) of this sub-
section, include any non-Federal amounts expended 
pursuant to title XIX of the Social Security Act by 
the eligible entity involved toward the purpose de-
scribed in subparagraphs (A) and (B) of section 
3001(a)(1). 
‘‘SEC. 3003. REQUIREMENTS WITH RESPECT TO TYPE AND 
QUALITY OF SERVICES. 
‘‘(a) REQUIREMENT OF PROVISION OF ALL SERVICES 
BY DATE CERTAIN.—The Secretary may not make a 
grant under section 3001 unless the eligible entity involved 
agrees— 
‘‘(1) to ensure that, initially and throughout the 
period during which amounts are received pursuant 
to the grant, not less than 60 percent of the grant 
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is expended to provide each of the services or activi-
ties described in subparagraphs (A) and (B) of sec-
tion 3001(a)(1), including making available screen-
ing procedures for those cancers for which there ex-
ists a USPSTF recommended screening method or 
technology; 
‘‘(2) to ensure that, by the end of any second 
fiscal year of payments pursuant to the grant, each 
of the services or activities described in section 
3001(a)(1) is provided; and 
‘‘(3) to ensure that not more than 40 percent 
of the grant is expended to provide the services or 
activities described in subparagraphs (C) through 
(F) of such section. 
‘‘(b) QUALITY ASSURANCE REGARDING SCREENING 
FOR ADDITIONAL FORMS OF CANCER.—The Secretary 
may not make a grant under section 3001 unless the eligi-
ble entity involved— 
‘‘(1) assures the quality of any screening proce-
dure for those cancers for which there exists con-
ducted pursuant to such section; and 
‘‘(2) assures that, with respect to the first can-
cer screening performed on an individual for which 
payment is made pursuant to section 3001(a)(1), 
there are satisfactory assurances that the results of 
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the screening will be placed in permanent medical 
records maintained with respect to the individual. 
‘‘(c) ISSUANCE
BY SECRETARY
OF GUIDELINES 
WITH RESPECT TO QUALITY OF CANCER SERVICES.— 
‘‘(1) IN GENERAL.—The Secretary shall issue 
guidelines for assuring the quality of any cancer 
screening procedure conducted pursuant to section 
3001(a)(1). 
‘‘(2) 
APPLICABILITY
WITH
RESPECT
TO 
GRANTS.—The Secretary may not make a grant 
under section 3001 unless the eligible entity involved 
agrees that the eligible entity will, with respect to 
any cancer screening procedure conducted pursuant 
to such section, ensure that the procedure is con-
ducted in accordance with the guidelines issued by 
the Secretary under paragraph (1). 
‘‘SEC. 3004. ADDITIONAL REQUIRED AGREEMENTS. 
‘‘(a) PRIORITY FOR LOW-INCOME INDIVIDUALS.— 
The Secretary may not make a grant under section 3001 
unless the eligible entity involved agrees that low-income 
individuals will be given priority in the provision of serv-
ices and activities pursuant to subparagraphs (A) and (B) 
of section 3001(a)(1). 
‘‘(b) LIMITATION
ON IMPOSITION
OF FEES
FOR 
SERVICES.—The Secretary may not make a grant under 
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section 3001 unless the eligible entity involved agrees that, 
if a charge is imposed for the provision of services or ac-
tivities under the grant, such charge— 
‘‘(1) will be made according to a schedule of 
charges that is made available to the public; 
‘‘(2) will be adjusted to reflect the income of 
the individuals involved; and 
‘‘(3) will not be imposed on any individual with 
an income of less than 100 percent of the official 
poverty line, as established by the Director of the 
Office of Management and Budget and revised by 
the Secretary in accordance with section 673(2) of 
the Omnibus Budget Reconciliation Act of 1981. 
‘‘(c) STATEWIDE PROVISION OF SERVICES.— 
‘‘(1) IN GENERAL.—In the case of an eligible 
entity described in section 3001(a)(2)(A), the Sec-
retary may not make a grant under section 3001 un-
less the eligible entity agrees that services and ac-
tivities under the grant will be made available 
throughout the State, including availability to mem-
bers of any Indian tribe or tribal organization (as 
such terms are defined in section 4 of the Indian 
Self-Determination and Education Assistance Act). 
‘‘(2) WAIVER.—The Secretary may waive the 
requirement established in paragraph (1) for an eli-
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gible entity if the Secretary determines that compli-
ance by the eligible entity with the requirement 
would result in an inefficient allocation of resources 
with respect to carrying out the purpose described in 
section 3001(a)(1). 
‘‘(d) RELATIONSHIP
TO
ITEMS
AND
SERVICES 
UNDER OTHER PROGRAMS.—The Secretary may not 
make a grant under section 3001 unless the eligible entity 
involved agrees that the grant will not be expended to 
make payment for any item or service to the extent that 
payment has been made, or can reasonably be expected 
to be made, with respect to such item or service— 
‘‘(1) under any State compensation program, 
under an insurance policy, or under any Federal or 
State health benefits program; or 
‘‘(2) by an entity that provides health services 
on a prepaid basis. 
‘‘(e) COORDINATION WITH OTHER CANCER PRO-
GRAMS.—The Secretary may not make a grant under sec-
tion 3001 unless the eligible entity involved agrees that 
the services and activities funded through the grant will 
be coordinated with other Federal, State, and local cancer 
programs. 
‘‘(f) LIMITATION ON ADMINISTRATIVE EXPENSES.— 
The Secretary may not make a grant under section 3001 
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unless the eligible entity involved agrees that not more 
than 10 percent of the grant will be expended for adminis-
trative expenses with respect to the grant. 
‘‘(g) RESTRICTIONS ON USE OF GRANT.—The Sec-
retary may not make a grant under section 3001 unless 
the eligible entity involved agrees that the grant will not 
be expended to provide inpatient hospital services (as that 
term is defined by the Secretary for purposes of this sub-
section). 
‘‘(h) RECORDS AND AUDITS.—The Secretary may not 
make a grant under section 3001 unless the eligible entity 
involved agrees that— 
‘‘(1) the eligible entity will establish such fiscal 
control and fund accounting procedures as may be 
necessary to ensure the proper disbursement of, and 
accounting for, amounts received by the eligible enti-
ty under such section; and 
‘‘(2) upon request, the eligible entity will pro-
vide records maintained pursuant to paragraph (1) 
to the Secretary or the Comptroller General of the 
United States for purposes of auditing the expendi-
tures by the eligible entity of the grant. 
‘‘(i) REPORTS TO SECRETARY.—The Secretary may 
not make a grant under section 3001 unless the eligible 
entity involved agrees to submit to the Secretary such re-
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ports as the Secretary may require with respect to the 
grant. 
‘‘SEC. 3005. DESCRIPTION OF INTENDED USES OF GRANT. 
‘‘The Secretary may not make a grant under section 
3001 unless— 
‘‘(1) the eligible entity involved submits to the 
Secretary a description of the purposes for which the 
eligible entity intends to expend the grant; 
‘‘(2) the description identifies the populations, 
areas, and localities in the eligible entity with a need 
for the services or activities described in section 
3001(a)(1); 
‘‘(3) the description provides information relat-
ing to the services and activities to be provided, in-
cluding a description of the manner in which the 
services and activities will be coordinated with any 
similar services or activities of public or nonprofit 
entities; and 
‘‘(4) the description provides assurances that 
the grant funds be used in the most cost-effective 
manner. 
‘‘SEC. 3006. REQUIREMENT OF SUBMISSION OF APPLICA-
TION. 
‘‘The Secretary may not make a grant under section 
3001 unless an application for the grant is submitted to 
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the Secretary, the application contains the description of 
intended uses required in section 3005, and the applica-
tion is in such form, is made in such manner, and contains 
such agreements, assurances, and information as the Sec-
retary determines to be necessary to carry out this title. 
‘‘SEC. 3007. TECHNICAL ASSISTANCE AND PROVISION OF 
SUPPLIES AND SERVICES IN LIEU OF GRANT 
FUNDS. 
‘‘(a) TECHNICAL ASSISTANCE.—The Secretary may 
provide training and technical assistance with respect to 
the planning, development, and operation of any program 
or service carried out pursuant to section 3001. The Sec-
retary may provide such technical assistance directly or 
through grants to, or contracts with, public and private 
entities. 
‘‘(b) PROVISION
OF SUPPLIES
AND SERVICES
IN 
LIEU OF GRANT FUNDS.— 
‘‘(1) IN GENERAL.—Upon the request of an eli-
gible entity receiving a grant under section 3001, 
the Secretary may, subject to paragraph (2), provide 
supplies, equipment, and services for the purpose of 
aiding the eligible entity in carrying out such section 
and, for such purpose, may detail to the eligible enti-
ty any officer or employee of the Department of 
Health and Human Services. 
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‘‘(2) CORRESPONDING
REDUCTION
IN
PAY-
MENTS.—With respect to a request described in 
paragraph (1), the Secretary shall reduce the 
amount of payments under the grant under section 
3001 to the eligible entity involved by an amount 
equal to the costs of detailing personnel (including 
pay, allowances, and travel expenses) and the fair 
market value of any supplies, equipment, or services 
provided by the Secretary. The Secretary shall, for 
the payment of expenses incurred in complying with 
such request, expend the amounts withheld. 
‘‘SEC. 3008. EVALUATIONS AND REPORTS. 
‘‘(a) EVALUATIONS.—The Secretary shall, directly or 
through contracts with public or private entities, provide 
for annual evaluations of programs carried out pursuant 
to section 3001. 
‘‘(b) REPORTS TO CONGRESS.—Not later than March 
15, 2008, and every March 15 thereafter, the Secretary 
shall submit to the appropriate committees of Congress 
a report describing the grants awarded under this title, 
that includes— 
‘‘(1) a description of the screenings conducted, 
diagnoses made, treatment received, and analysis of 
the impact of the grants in terms of impact on mor-
tality, morbidity, and economic costs; 
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‘‘(2) a description of those screening methods 
or technologies for which the Secretary has made a 
determination of grant eligibility; and 
‘‘(3) recommendations for administrative and 
legislative initiatives with respect to this title as the 
Secretary determines to be appropriate. 
‘‘(c) CONGRESSIONAL APPROVAL.—The Secretary 
may not award a grant to an entity under this title to 
provide funding for a screening method or technology de-
scribed in subsection (b)(2) if Congress, within 60 days 
of receiving the report under such subsection, enacts a 
concurrent resolution to disapprove such funding. 
‘‘SEC. 3009. FUNDING. 
‘‘(a) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this title, there are authorized to 
be appropriated such sums as may be necessary for fiscal 
year 2008 and each subsequent fiscal year. 
‘‘(b) SET-ASIDE FOR TECHNICAL ASSISTANCE AND 
PROVISION
OF
SUPPLIES
AND
SERVICES.—Of the 
amounts appropriated under subsection (a) for a fiscal 
year, the Secretary shall reserve not more than 10 percent 
for carrying out section 3007.’’. 
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SEC. 3. OPTIONAL MEDICAID COVERAGE OF CERTAIN CAN-
CER PATIENTS. 
(a) 
COVERAGE
AS
OPTIONAL
CATEGORICALLY 
NEEDY GROUPS.— 
(1) IN
GENERAL.—Section 1902(a)(10)(A)(ii) 
of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1396a(a)(10)(A)(ii)) is amended— 
(A) in subclause (XVIII), by striking ‘‘or’’ 
at the end; 
(B) in subclause (XIX), by adding ‘‘or’’ at 
the end; and 
(C) by adding at the end the following: 
‘‘(XX) who are described in sub-
section (dd) (relating to certain per-
sons screened and found to need 
treatment from complications from 
screening or have certain cancers); or 
‘‘(XXI) who are described in sub-
section (ee) (relating to certain per-
sons eligible for survivorship pro-
grams).’’. 
(2) GROUPS DESCRIBED.—Section 1902 of such 
Act (42 U.S.C. 1396a) is amended by adding at the 
end the following: 
‘‘(dd) Individuals described in this subsection are in-
dividuals who— 
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‘‘(1) 
are 
not 
described 
in 
subsection 
(a)(10)(A)(i); 
‘‘(2) have not attained age 65; 
‘‘(3) have been screened for cancer under the 
Centers for Disease Control and Prevention cancer 
early detection program established under title XXX 
of the Public Health Service Act and have been re-
ferred under such program for treatment of cancer; 
and 
‘‘(4) are not otherwise covered under creditable 
coverage, as defined in section 2701(c) of the Public 
Health Services Act (42 U.S.C. 300gg(c)). 
‘‘(ee) Individuals described in this subsection are in-
dividuals who— 
‘‘(1) 
are 
not 
described 
in 
subsection 
(a)(10)(A)(i); 
‘‘(2) have not attained age 65; 
‘‘(3) have been diagnosed with cancer, or have 
received treatment for cancer, and are seeking med-
ical information and services related to the treat-
ment of cancer (as determined by the individual’s 
treating physician) including— 
‘‘(A) diagnosis and treatment for cancer, 
its sequelae, and deleterious effects of treat-
ment; 
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‘‘(B) a personalized comprehensive cancer 
treatment and survivorship care plan; and 
‘‘(C) an annual visit to an oncologist for a 
comprehensive exam; and 
‘‘(4) are not otherwise covered under creditable 
coverage, as defined in section 2701(c) of the Public 
Health Service Act (42 U.S.C. 300gg(c)).’’. 
(3) 
LIMITATION
ON
BENEFITS.—Section 
1902(a)(10) of the Social Security Act (42 U.S.C. 
1396a(a)(10)) is amended in the matter following 
subparagraph (G)— 
(A) by striking ‘‘and (XIV)’’ and inserting 
‘‘(XIIV)’’; and 
(B) by inserting ‘‘, and (XIV) the medical 
assistance made available to an individual de-
scribed in subsection (dd) or (ee) who is eligible 
for medical assistance only because of subclause 
(XX) or (XXI), respectively, of subparagraph 
(A)(10)(ii) shall be limited to medical assistance 
provided during the period in which such an in-
dividual requires treatment for the cancers or 
for medical assistance limited to the services 
listed in subsections (dd) and (ee), respectively’’ 
before the semicolon. 
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(4) 
CONFORMING
AMENDMENTS.—Section 
1905(a) of the Social Security Act (42 U.S.C. 
1396d(a)) is amended in the matter preceding para-
graph (1)— 
(A) in clause (xii), by striking ‘‘or’’ at the 
end; 
(B) in clause (xiii), by adding ‘‘or’’ at the 
end; and 
(C) by inserting after clause (xiii) the fol-
lowing: 
‘‘(xiv) individuals described in sub-
section (dd) or (ee) of section 1902,’’. 
(b) PRESUMPTIVE ELIGIBILITY.— 
(1) IN GENERAL.—Title XIX of the Social Se-
curity Act is amended by inserting after section 
1920B (42 U.S.C. 1396r–1b) the following: 
‘‘OPTIONAL APPLICATION OF PRESUMPTIVE ELIGIBILITY 
PROVISIONS FOR CERTAIN PERSONS WITH CERTAIN 
OTHER CANCERS 
‘‘SEC. 1920C. A State may elect to apply the provi-
sions of section 1920B to individuals described in sub-
section (dd) or (ee) of section 1902 in the same as such 
section applies to individuals described in section 1902(aa) 
(relating to certain breast or cervical cancer patients).’’. 
(2) CONFORMING AMENDMENTS.— 
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(A) Section 1902(a)(47) of such Act (42 
U.S.C. 1396a(a)(47)) is amended— 
(i) by striking ‘‘1920 and’’ and insert-
ing ‘‘1920,’’; 
(ii) by striking ‘‘with such section 
and’’ and inserting ‘‘with such section,’’; 
and 
(iii) by inserting before the semicolon 
at the end the following; ‘‘, and provide for 
making medical assistance available to in-
dividuals described in 1920C during a pre-
sumptive eligibility period in accordance 
with such section’’. 
(B) Section 1903(u)(1)(D)(v) of such Act 
(42 U.S.C. 1396b(u)(1)(D)(v)) is amended— 
(i) by striking ‘‘or for’’ and inserting 
‘‘, for’’; and 
(ii) by inserting before the period the 
following: ‘‘, or for medical assistance pro-
vided to an individual described in section 
1920C during a presumptive eligibility pe-
riod under such section’’. 
(c) MEDICAID MATCH.—The first sentence of section 
1905(b) of such Act (42 U.S.C. 1396d(b)) is amended— 
(1) by striking ‘‘and’’ before ‘‘(4)’’; and 
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(2) by inserting before the period at the end the 
following: ‘‘, and (5) the Federal medical assistance 
percentage shall be equal to the enhanced FMAP. 
described in section 2105(b) with respect to medical 
assistance provided to individuals who are eligible 
for such assistance only on the basis of subclause 
(XX) of section 1902(a)(10)(A)(ii)’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section apply to medical assistance for items and serv-
ices furnished on or after October 1, 2008, without regard 
to whether final regulations to carry out such amendments 
have been promulgated by such date. 
SEC. 4. SCREENING RESEARCH AND SURVIVORSHIP PRO-
GRAMS. 
Subpart 1 of part C of title IV of the Public Health 
Service Act (42 U.S.C. 285 et seq.) is amended by adding 
at the end the following: 
‘‘SEC. 
417E. 
RESEARCH 
WITH 
RESPECT 
TO 
CANCER 
SCREENING. 
‘‘(a) SCREENING RESEARCH INITIATIVES.— 
‘‘(1) IN GENERAL.—The Director of NIH shall 
expand, intensify, and coordinate programs for the 
conduct and support of research with respect to 
identifying and improving cancer screening and test-
ing protocols and tools in order to develop screening 
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and testing capable of achieving a recommendation 
of ‘B’ or better as measured by the Preventive Serv-
ices Task Force convened under section 915, and 
with particular emphasis on those cancers with the 
highest incidence of mortality and disability. The Di-
rector shall also consider new alternative screening 
and testing protocols of lower cost and risk, and 
those diagnostics which would identify cancers at a 
stage at which there is strong evidence for the effi-
cacy of treatment which would reduce mortality and 
morbidity. 
‘‘(2) ADMINISTRATION.—The Director of NIH 
shall carry out this subsection through the Director 
of the National Cancer Institute and in collaboration 
with any other agencies that the Director determines 
to be appropriate. 
‘‘(b) PUBLIC AWARENESS OF CANCER SCREENING, 
EARLY DETECTION, AVAILABLE TREATMENTS AND RE-
SEARCH.—The Secretary shall award grants to recognized 
cancer professional and advocacy organizations, including 
private not-for-profit public affairs organizations, for the 
expansion and widespread implementation of activities to 
raise public awareness of currently available screening and 
testing programs, treatment options, statistics regarding 
improved outcomes as a result of cancer screenings, risk 
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factors, information, treatment options, and current re-
search with the intent to ensure widespread use of cancer 
screening programs and access to best available screening 
and testing services. 
‘‘SEC. 417F. CANCER SURVIVORSHIP. 
‘‘(a) NCI-DESIGNATED CANCER CENTERS.—The 
Director of NIH shall provide for the expansion and co-
ordination of cancer survivorship research activities at Na-
tional Cancer Institute-designated cancer centers. 
‘‘(b) COMPREHENSIVE CANCER SURVIVORSHIP CEN-
TERS.— 
‘‘(1) IN GENERAL.—In carrying out the provi-
sions of subsection (a), the Director of NIH shall 
provide assistance to one or more National Cancer 
Institute-designated cancer centers to enable such 
centers to serve as comprehensive cancer survivor-
ship centers described in paragraph (2). Special em-
phasis shall be placed on those models of com-
prehensive cancer survivorship care that can be ap-
plied in community cancer center settings, as well as 
National Cancer Institute-designated cancer centers. 
‘‘(2) CENTER DESCRIPTION.—A comprehensive 
cancer survivorship center described in this para-
graph is a center designed to serve as a comprehen-
sive, one-stop source of information, care, and serv-
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ices for cancer survivors, family members, and serv-
ice providers. 
‘‘(c) EVALUATION
OF MODELS
OF SURVIVORSHIP 
CARE.—The Director of NIH shall provide assistance to 
one or more National Cancer Institute-designated cancer 
centers for research to evaluate models of survivorship 
care. 
‘‘(d) DEFINITION.—In this subsection, the term ‘Di-
rector of NIH’ means the Director of NIH, acting through 
the Director of the National Cancer Institute. 
‘‘(e) FUNDING.—For the purpose of carrying out this 
section, there are authorized to be appropriated such sums 
as may be necessary for each of fiscal years 2008 through 
2012.’’. 
Æ 
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