I
107TH CONGRESS
1ST SESSION
H. R. 633
To reduce health care costs and promote improved health by providing
supplemental grants for additional preventive health services for women.
IN THE HOUSE OF REPRESENTATIVES
FEBRUARY 14, 2001
Ms. DELAURO (for herself and Mr. LEACH) introduced the following bill;
which was referred to the Committee on Energy and Commerce
A BILL
To reduce health care costs and promote improved health
by providing supplemental grants for additional preven-
tive health services for women.
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 ‘‘WISEWOMAN Ex-
pansion Act of 2001’’.
SEC. 2. FINDINGS.
Congress makes the following findings:
(1) Heart disease, stroke, and other cardio-
vascular diseases remain the leading cause of death
among females in the United States, killing more
than 500,000 women each year.
(2) About 1 in 5 females have some form of
cardiovascular disease, killing more American women
than the next 14 causes of death combined.
(3) In women, cardiovascular disease is fre-
quently undetected and untreated until the disease
has become severe, causing 38 percent of women
who have heart attacks to die within 1 year.
(4) Obesity increases women’s risk for some of
the leading causes of death: heart disease, stroke, di-
abetes, and certain cancers.
(5) Better nutrition and lifestyle changes can
effectively prevent and treat obesity.
(6) Osteoporosis afflicts more than 20,000,000
American women.
(7) More than 1⁄2 of all women over 65 have
osteoporosis.
(8) One out of every 2 women over 50 will have
an osteoporosis-related fracture during her lifetime.
(9) The national annual costs associated with
osteoporosis are estimated at $14,000,000,000.
(10) Physical activity is necessary for bone ac-
quisition and maintenance throughout adulthood.
(11) Muscular strength and balance may be
very significant in future risk reduction for
osteoporosis.
(12) There is consensus that adequate vitamin
D and calcium intakes are required for bone health.
(13) Research has demonstrated that—
(A) the uninsured often have significantly
poorer health than the insured; and
(B) being uninsured is an obstacle to re-
ceiving preventive health care services.
(14) The WISEWOMAN program has—
(A) provided one-stop shopping for preven-
tive health services such as cholesterol and
blood pressure screening for close to 8,000
women and identified risk factors for heart dis-
ease such as obesity, high cholesterol, high
blood pressure, sedentary behavior and poor
diet; and
(B) found that many of the women
screened have returned for additional interven-
tions and follow-up, resulting in improved
weight management, lower blood pressure and
lower cholesterol.
(15) Expansion of the WISEWOMAN model
program to additional States would help reduce
women’s risk of illness and death from heart disease
and other preventable diseases and provide further
insights into the feasibility and effectiveness of mak-
ing comprehensive, integrated preventive services
available to low-income and uninsured women.
SEC. 3. SUPPLEMENTAL GRANTS FOR ADDITIONAL PRE-
VENTIVE HEALTH SERVICES FOR WOMEN.
Section 1509 of the Public Health Service Act (42
U.S.C. 300n–4a) is amended to read as follows:
‘‘SEC. 1509. ESTABLISHMENT OF PROGRAM FOR ADDI-
TIONAL PREVENTIVE HEALTH SERVICES.
‘‘(a) IN GENERAL.—The Secretary, acting through
the Director of the Centers for Disease Control and Pre-
vention, may, through a competitive review process, award
grants to States that have received grants under section
1501 for a fiscal year, to enable such State to carry out
programs—
‘‘(1) to provide preventive health services, in ad-
dition to the services authorized in such section
1501, for diseases such as cardiovascular diseases,
osteoporosis, and obesity;
‘‘(2) to provide screenings, such as screening
for blood pressure, cholesterol, and osteoporosis, and
other services that the Secretary, acting through the
Director of the Centers for Disease Control and Pre-
vention, determines to be appropriate and feasible;
‘‘(3) for health education, counseling, and inter-
ventions for behavioral risk factors, such as physical
inactivity and poor nutrition, and diseases referred
to in paragraph (1);
‘‘(4) to provide appropriate referrals for medical
treatment of women receiving services pursuant to
paragraph (1) through (3), and ensuring, to the ex-
tent practicable, the provision of appropriate follow-
up services; and
‘‘(5) to evaluate the activities conducted under
paragraphs (1) through (4) through appropriate sur-
veillance, research, or program monitoring activities.
‘‘(b) STATUS AS PARTICIPANT IN PROGRAM REGARD-
ING BREAST
AND CERVICAL CANCER.—The Secretary
may not make a grant to a State under subsection (a)
unless the State involved agrees that services under the
grant will be provided in conjunction with entities that are
screening women for breast or cervical cancer pursuant
to a grant under section 1501.
‘‘(c) APPLICABILITY
OF PROVISIONS.—The provi-
sions of this title shall apply to a grant under subsection
(a) to the same extent and in the same manner as such
provisions apply to a grant under section 1501.