I 
108TH CONGRESS 
1ST SESSION H. R. 3438
To provide for programs to increase the awareness and knowledge of women 
and health care providers with respect to gynecologic cancers. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 4, 2003
Mr. LEVIN (for himself, Ms. GRANGER, Ms. DELAURO, Mrs. WILSON of New 
Mexico, Mr. ABERCROMBIE, Ms. BALDWIN, Mr. BACHUS, Mr. BELL, Mr. 
BISHOP of New York, Mr. BURGESS, Mr. CUMMINGS, Mr. DEUTSCH, Mr. 
FALEOMAVAEGA, Mr. FRANK of Massachusetts, Mr. FROST, Ms. HART, 
Mr. HONDA, Mr. ISRAEL, Mr. KILDEE, Mr. LATOURETTE, Ms. 
LOFGREN, Mrs. MALONEY, Mr. MATSUI, Mrs. MCCARTHY of New York, 
Ms. MCCOLLUM, Mr. MCDERMOTT, Mr. MCHUGH, Mr. MCNULTY, Mr. 
MENENDEZ, Mr. MORAN of Virginia, Mr. NADLER, Mr. OWENS, Ms. 
SLAUGHTER, Mr. TOWNS, Mrs. JONES of Ohio, Mr. WAXMAN, Mr. 
WEXLER, and Mr. WYNN) introduced the following bill; which was re-
ferred to the Committee on Energy and Commerce 
A BILL 
To provide for programs to increase the awareness and 
knowledge of women and health care providers with re-
spect to gynecologic cancers.
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 ‘‘Gynecologic Cancer 
Education and Awareness Act of 2003’’ or ‘‘Johanna’s 
Law’’. 
SEC. 2. CERTAIN PROGRAMS REGARDING GYNECOLOGIC 
CANCERS. 
(a) NATIONAL PUBLIC AWARENESS CAMPAIGN.—
(1) IN GENERAL.—The Secretary of Health and 
Human Services (referred to in this section as the 
‘‘Secretary’’), acting through the Director of the Na-
tional Institutes of Health and in collaboration with 
the Director of the Centers for Disease Control and 
Prevention, shall carry out a national campaign to 
increase the awareness and knowledge of women 
with respect to gynecologic cancers. 
(2) WRITTEN MATERIALS.—Activities under the 
national campaign under paragraph (1) shall in-
clude—
(A) maintaining a supply of written mate-
rials that provide information to the public on 
gynecologic cancers; and 
(B) distributing the materials to members 
of the public upon request. 
(3) PUBLIC
SERVICE
ANNOUNCEMENTS.—Ac-
tivities under the national campaign under para-
graph (1) shall, in accordance with applicable law
and regulations, include developing and placing, in 
telecommunications media, public service announce-
ments intended to encourage women to discuss with 
their physicians their risks of gynecologic cancers. 
Such announcement shall inform the public on the 
manner in which the written materials referred to in 
paragraph (2) can be obtained upon request, and 
shall call attention to early warning signs and risk 
factors based on the best available medical informa-
tion. 
(b) DEMONSTRATION PROJECTS REGARDING OUT-
REACH AND EDUCATION STRATEGIES.—
(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Director of the National Institutes of 
Health and the Director of the Centers for Disease 
Control and Prevention, shall carry out a program 
to make grants to nonprofit private entities for the 
purpose of testing different outreach and education 
strategies to increase the awareness and knowledge 
of women and health care providers with respect to 
gynecologic cancers, including early warning signs 
and treatment options. Such strategies shall include 
strategies directed at physicians, nurses, and key 
health professionals and families.
(2) PREFERENCES
IN
MAKING
GRANTS.—In 
making grants under paragraph (1), the Secretary 
shall give preference—
(A) to applicants with demonstrated exper-
tise in gynecologic cancer education or treat-
ment or in working with groups of women who 
are at especially high risk of gynecologic can-
cers; and 
(B) to applicants that, in the demonstra-
tion project under the grant, will establish link-
ages between physicians, nurses, and key health 
professionals, hospitals, payers, and State 
health departments. 
(3) APPLICATION FOR GRANT.—A grant may be 
made under paragraph (1) only if an application for 
the grant is submitted to the Secretary and the ap-
plication is in such form, is made in such manner, 
and contains such agreements, assurances, and in-
formation as the Secretary determines to be nec-
essary to carry out this subsection. 
(4) 
CERTAIN
REQUIREMENTS.—In 
making 
grants under paragraph (1)—
(A) the Secretary shall make grants to not 
fewer than five applicants, subject to the extent
of amounts made available in appropriations 
Acts; and 
(B) the Secretary shall ensure that infor-
mation provided through demonstration projects 
under such grants is consistent with the best 
available medical information. 
(5) REPORT
TO
CONGRESS.—Not later than 
February 1, 2008, the Secretary shall submit to the 
Congress a report that—
(A) summarizes the activities of dem-
onstration projects under paragraph (1); 
(B) evaluates the extent to which the 
projects were effective in increasing early detec-
tion of gynecologic cancers and awareness of 
risk factors and early warning signs in the pop-
ulations to which the projects were directed; 
and 
(C) identifies barriers to early detection 
and appropriate treatment of such cancers. 
(c) FUNDING.—
(1) 
NATIONAL
PUBLIC
AWARENESS
CAM-
PAIGN.—For the purpose of carrying out subsection 
(a), there is authorized to be appropriated in the ag-
gregate $15,000,000 for the fiscal years 2004 
through 2006.
(2) DEMONSTRATION
PROJECTS
REGARDING 
OUTREACH AND EDUCATION STRATEGIES.—
(A) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—For the purpose of carrying out sub-
section (b), there is authorized to be appro-
priated in the aggregate $55,000,000 for the 
fiscal years 2004 through 2006. 
(B) ADMINISTRATION, TECHNICAL ASSIST-
ANCE, AND EVALUATION.—Of the amounts ap-
propriated under subparagraph (A), not more 
than 9 percent may be expended for the pur-
pose of administering subsection (b), providing 
technical assistance to grantees under such sub-
section, and preparing the report under para-
graph (5) of such subsection.
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