I 
117TH CONGRESS 
2D SESSION 
H. R. 8185 
To amend the Public Health Service Act to reauthorize and improve the 
National Breast and Cervical Cancer Early Detection Program for fiscal 
years 2023 through 2027, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 22, 2022 
Mr. MORELLE (for himself, Ms. BARRAGA´N, and Mr. FITZPATRICK) intro-
duced the following bill; which was referred to the Committee on Energy 
and Commerce 
A BILL 
To amend the Public Health Service Act to reauthorize and 
improve the National Breast and Cervical Cancer Early 
Detection Program for fiscal years 2023 through 2027, 
and for other purposes. 
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 ‘‘Screening for Commu-
nities to Receive Early and Equitable Needed Services for 
Cancer Act’’ or the ‘‘SCREENS for Cancer Act of 2022’’. 
SEC. 2. FINDINGS. 
Congress finds the following: 
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(1) In 2022, there will be more than 290,500 
new cases of invasive breast cancer and nearly 
44,000 breast cancer deaths in the United States. 
(2) In 2022, there will be about 14,100 new 
cases of invasive cervical cancer and about 4,280 
deaths from cervical cancer. 
(3) Black women have the highest breast, cer-
vical, and uterine cancer death rates of all racial and 
ethnic groups and are more likely to be diagnosed 
with triple-negative breast cancer, a more aggressive 
form of cancer. 
(4) Research shows that the COVID–19 pan-
demic was associated with a decline of more than 
3,900,000 breast cancer screenings in 2020, as com-
pared to 2019. Similarly, cervical cancer screening 
utilization dropped by 90 percent in April 2020, rel-
ative to the prior year. 
(5) Recent National Cancer Institute studies 
have estimated that pandemic-related disruptions or 
delays in breast care and screening are expected to 
result in an excess of 2,500 breast cancer deaths by 
2030. 
(6) Since its creation in 1991, the National 
Breast and Cervical Cancer Early Detection Pro-
gram 
(referred 
to 
in 
this 
section 
as 
the 
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‘‘NBCCEDP’’) 
has 
provided 
lifesaving 
cancer 
screening and diagnostic services to low-income, un-
insured, or underinsured women in all 50 States, the 
District of Columbia, 6 territories, and 13 Tribes or 
Tribal organizations. 
(7) NBCCEDP seeks to reduce inequities in 
breast and cervical cancer screening and diagnosis, 
placing special emphasis on outreach to women who 
are members of racial or ethnic minority groups, and 
those who are geographically or culturally isolated. 
(8) 
NBCCEDP 
has 
served 
more 
than 
6,000,000 
people 
and 
provided 
more 
than 
15,600,000 breast and cervical cancer screening ex-
aminations. 
(9) These screening exams have diagnosed over 
70,000 
invasive 
breast 
cancers 
and 
23,000 
premalignant breast lesions, as well as over 5,000 
invasive cervical cancers and 230,000 premalignant 
cervical lesions, of which 39 percent were high- 
grade. 
(10) The program also provides public edu-
cation, outreach, patient navigation, and care coordi-
nation to increase breast and cervical cancer screen-
ing rates and reach underserved populations. 
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(11) Reauthorizing NBCCEDP will result in 
expanded services, leading to more people being 
screened and more cancers diagnosed at earlier 
stages. 
SEC. 3. NATIONAL BREAST AND CERVICAL CANCER EARLY 
DETECTION PROGRAM. 
Title XV of the Public Health Service Act (42 U.S.C. 
300k et seq.) is amended— 
(1) in section 1501 (42 U.S.C. 300k)— 
(A) in subsection (a)— 
(i) in paragraph (2), by striking ‘‘the 
provision of appropriate follow-up services 
and support services such as case manage-
ment’’ and inserting ‘‘that appropriate fol-
low-up services are provided’’; 
(ii) in paragraph (3), by striking 
‘‘programs for the detection and control’’ 
and inserting ‘‘for the prevention, detec-
tion, and control’’; 
(iii) in paragraph (4), by striking ‘‘the 
detection and control’’ and inserting ‘‘the 
prevention, detection, and control’’; 
(iv) in paragraph (5)— 
(I) by striking ‘‘monitor’’ and in-
serting ‘‘ensure’’; and 
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(II) by striking ‘‘; and’’ and in-
serting a semicolon; 
(v) by redesignating paragraph (6) as 
paragraph (9); 
(vi) by inserting after paragraph (5), 
the following: 
‘‘(6) to enhance appropriate support activities 
to increase breast and cervical cancer screening such 
as patient navigation, implementation of evidence- 
based or evidence-informed strategies proven to in-
crease breast and cervical cancer screening in health 
care settings, and facilitating access to health care 
settings; 
‘‘(7) to reduce disparities in incidents of and 
deaths due to breast and cervical cancer in popu-
lations with higher than average rates; 
‘‘(8) to ensure equitable access to screening and 
diagnostic services and improve access for individ-
uals who encounter additional barriers to receiving 
services, including due to various social determinants 
of health; and’’; and 
(vii) in paragraph (9), as so redesig-
nated, by striking ‘‘through (5)’’ and in-
serting ‘‘through (8)’’; and 
(B) by striking subsection (d); 
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(2) in section 1503 (42 U.S.C. 300m)— 
(A) in subsection (a)— 
(i) in paragraph (1), by striking 
‘‘that, initially’’ and all that follows 
through the semicolon and inserting ‘‘that 
appropriate breast and cervical cancer 
screening and diagnostic services are pro-
vided based on national recommendations; 
and’’; 
(ii) by striking paragraphs (2) and 
(4); 
(iii) by redesignating paragraph (3) as 
paragraph (2); and 
(iv) in paragraph (2), as so redesig-
nated, by striking ‘‘; and’’ and inserting a 
period; and 
(B) by striking subsection (d); 
(3) in section 1508(b) (42 U.S.C. 300n–4(b))— 
(A) by striking ‘‘1 year after the date of 
the enactment of the National Breast and Cer-
vical Cancer Early Detection Program Reau-
thorization of 2007, and annually thereafter,’’ 
and inserting ‘‘2 years after the date of enact-
ment of the Screening for Communities to Re-
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ceive Early and Equitable Needed Services for 
Cancer Act, and every 5 years thereafter,’’; 
(B) by striking ‘‘Labor and Human Re-
sources’’ and inserting ‘‘Health, Education, 
Labor, and Pensions’’; and 
(C) by striking ‘‘preceding fiscal year’’ and 
inserting ‘‘preceding 2 fiscal years in the case 
of the first report after the date of enactment 
of the Screening for Communities to Receive 
Early and Equitable Needed Services for Can-
cer Act and preceding 5 fiscal years for each re-
port thereafter’’; and 
(4) in section 1510(a) (42 U.S.C. 300n–5(a))— 
(A) by striking ‘‘and’’ after ‘‘2011,’’; and 
(B) by inserting ‘‘, and $500,000,000 for 
each of fiscal years 2023 through 2027’’ before 
the period at the end. 
Æ 
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