I 
117TH CONGRESS 
1ST SESSION H. R. 4412 
To amend the Public Health Service Act to reauthorize Johanna’s Law, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 13, 2021 
Ms. DELAURO (for herself, Mr. FITZPATRICK, Mr. GRIJALVA, Ms. NORTON, 
Mr. ISSA, and Mrs. DINGELL) introduced the following bill; which was 
referred to the Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to reauthorize 
Johanna’s Law, 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. REAUTHORIZATION AND ENHANCEMENT OF 
JOHANNA’S LAW. 
(a) IN GENERAL.—Section 317P(d) of the Public 
Health Service Act (42 U.S.C. 247b–17(d)) is amended— 
(1) in paragraph (1), by adding at the end the 
following: 
‘‘(D) Activities under the national cam-
paign under subparagraph (A) shall include 
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public service announcements using traditional 
or digital media under subparagraph (C) tar-
geted to specific higher-risk populations of 
women based on race, ethnicity, level of accul-
turation, and family history, including the Afri-
can-American and Ashkenazi Jewish popu-
lations.’’; and 
(2) by amending paragraph (6) to read as fol-
lows: 
‘‘(6) AUTHORIZATION
OF
APPROPRIATIONS.— 
For the purpose of carrying out this subsection, 
there is authorized to be appropriated $45,000,000 
for the period of fiscal years 2020 through 2022.’’. 
SEC. 2. DEMONSTRATION PROJECTS REGARDING OUT-
REACH AND EDUCATION STRATEGIES RELAT-
ING TO GYNECOLOGIC CANCER. 
(a) IN GENERAL.—Section 317P(d) of the Public 
Health Service Act (42 U.S.C. 247b–17(d)) is amended 
by inserting after paragraph (4) the following new para-
graph: 
‘‘(5) DEMONSTRATION
PROJECTS
REGARDING 
OUTREACH AND EDUCATION STRATEGIES.— 
‘‘(A) IN GENERAL.— 
‘‘(i) PROGRAM.—The Secretary may 
carry out a program to award grants or 
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contracts to public or nonprofit private en-
tities for the purpose of carrying out dem-
onstration projects to test, compare, and 
evaluate different evidence-based outreach 
and education strategies to increase the 
awareness and knowledge of women and 
health care providers with respect to 
gynecologic cancers, including with respect 
to early warning signs, risk factors, pre-
vention, screening, and treatment options. 
Such strategies shall include efforts di-
rected at women and their families, physi-
cians, nurses, and key health professionals. 
‘‘(ii) SCIENCE-BASED
RESOURCES.— 
In making awards under subparagraph 
(A), the Secretary shall encourage award-
ees to use science-based resources such as 
the Inside Knowledge About Gynecologic 
Cancer education campaign of the Centers 
for Disease Control and Prevention. 
‘‘(B) PREFERENCES IN AWARDING GRANTS 
OR CONTRACTS.—In making awards under sub-
paragraph (A), the Secretary shall give pref-
erence to— 
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‘‘(i) applicants with demonstrated ex-
pertise in gynecologic cancer education or 
treatment or in working with groups of 
women who are at increased risk of 
gynecologic cancers; and 
‘‘(ii) applicants that, in the dem-
onstration project funded by the grant or 
contract, will establish linkages between 
physicians, nurses, and key health profes-
sionals, health profession students, hos-
pitals, payers, and State health depart-
ments. 
‘‘(C) APPLICATION.—To seek a grant or 
contract under subparagraph (A), an entity 
shall submit an application to the Secretary in 
such form, in such manner, and containing such 
agreements, assurances, and information as the 
Secretary determines to be necessary to carry 
out this paragraph. 
‘‘(D) CERTAIN REQUIREMENTS.—In mak-
ing awards under subparagraph (A), the Sec-
retary shall— 
‘‘(i) make awards, as practicable, to 
not fewer than five applicants; and 
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‘‘(ii) ensure that information provided 
through demonstration projects under this 
paragraph is consistent with the best avail-
able medical information. 
‘‘(E) REPORT
TO
CONGRESS.—Not later 
than 24 months after the date of the enactment 
of this paragraph, and annually thereafter, the 
Secretary shall submit to the Congress a report 
that— 
‘‘(i) summarizes the activities of dem-
onstration projects under subparagraph 
(A); 
‘‘(ii) evaluates the extent to which the 
projects were effective in increasing aware-
ness and knowledge of risk factors and 
early warning signs in the populations to 
which the projects were directed; and 
‘‘(iii) identifies barriers to early detec-
tion and appropriate treatment of such 
cancers.’’. 
(b) 
CONFORMING
AMENDMENT.—Section 
317P(d)(3)(A) of the Public Health Service Act (42 
U.S.C. 247b–17(d)(3)(A)) is amended by inserting 
‘‘(other than paragraph (5))’’ after ‘‘this section’’. 
Æ 
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