I 
119TH CONGRESS 
1ST SESSION H. R. 4417 
To amend the Public Health Service Act to direct the Secretary of Health 
and Human Services, acting through the Administrator of the Health 
Resources and Services Administration, to award grants, contracts, or 
cooperative agreements for supporting new mobile cancer screening units 
to expand patient access to essential screening services in rural and 
underserved communities, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 15, 2025 
Mr. RUIZ (for himself, Mr. EVANS of Colorado, and Ms. WASSERMAN 
SCHULTZ) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to direct the Sec-
retary of Health and Human Services, acting through 
the Administrator of the Health Resources and Services 
Administration, to award grants, contracts, or coopera-
tive agreements for supporting new mobile cancer screen-
ing units to expand patient access to essential screening 
services in rural and underserved communities, and for 
other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Mobile Cancer Screen-
ing Act’’. 
SEC. 2. FINDINGS. 
Congress finds the following: 
(1) Each year, 2,000,000 people in the United 
States are diagnosed with cancer. 
(2) Lung cancer remains the leading cause of 
cancer deaths in the United States, with 127,070 
deaths in 2023 alone. Despite its prevalence, only 
4.5 percent of eligible individuals were screened for 
lung cancer in 2022. 
(3) Mobile cancer screening units have proven 
effective in increasing access to essential screenings, 
including for breast cancer and more recently lung 
cancer. 
(4) Nationally, only 26.6 percent of lung cancer 
cases are diagnosed at an early stage when the 5- 
year survival rate is 63 percent. 
SEC. 3. MOBILE CANCER SCREENING GRANTS. 
Part D of title III of the Public Health Service Act 
(42 U.S.C. 254b et seq.) is amended by adding at the end 
the following: 
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‘‘Subpart XIII—Mobile Cancer Screening Units 
‘‘SEC. 340J. GRANTS, CONTRACTS, AND COOPERATIVE 
AGREEMENTS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration, shall award grants, contracts, or coopera-
tive agreements to eligible entities for the purpose of sup-
porting new mobile cancer screening units to expand pa-
tient access to essential screening services in rural and un-
derserved areas. 
‘‘(b) ELIGIBLE ENTITIES.—Entities eligible for an 
award under subsection (a) include— 
‘‘(1) a nonprofit hospital; 
‘‘(2) a Federally qualified health center; 
‘‘(3) an academic health center; 
‘‘(4) a health system; and 
‘‘(5) a consortium or other collaboration of two 
or more entities listed in any of paragraphs (1) 
through (4). 
‘‘(c) USE OF FUNDS.—For the purpose described in 
subsection (a), funds awarded under this section may be 
used for— 
‘‘(1) purchasing a commercial vehicle to operate 
a mobile cancer screening unit; 
‘‘(2) acquiring imaging technology; 
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‘‘(3) purchasing digital tools needed to operate 
a mobile cancer screening unit; and 
‘‘(4) covering other costs determined by the 
Secretary to be essential startup or operational 
costs. 
‘‘(d) FUNDING LIMIT.—The amount of an award 
under subsection (a) may not exceed $2,000,000. 
‘‘(e) PRIORITIZATION.—In making awards under sub-
section (a), the Secretary shall prioritize— 
‘‘(1) applicants with the highest potential im-
pact on patient mortality and screening gaps for 
high-risk individuals; 
‘‘(2) applicants serving underserved popu-
lations, including— 
‘‘(A) rural areas; and 
‘‘(B) areas served by the Indian Health 
Service; and 
‘‘(3) applicants able to provide comprehensive 
follow-up care for abnormal findings within 90 min-
utes of the unit by ground transportation. 
‘‘(f) MATCHING FUNDS.—As a condition on receipt 
of an award under this section, an eligible entity shall 
agree that, with respect to costs to be incurred by the enti-
ty in carrying out activities for which the award is made, 
the entity will contribute from non-Federal sources, in 
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cash or in kind, an amount equal to not less than one 
dollar for every three dollars provided through the award. 
‘‘(g) REPORT TO CONGRESS.— 
‘‘(1) SUBMISSION.—Not later than 4 years 
after the date of enactment of this section, the Sec-
retary shall submit a report to the Committee on 
Energy and Commerce of the House of Representa-
tives and the Committee on Health, Education, 
Labor, and Pensions of the Senate. 
‘‘(2) CONTENTS.—The report required by para-
graph (1) shall include— 
‘‘(A) the total number of patients screened 
using mobile cancer screening units funded 
through awards under this section, with data on 
such total number of patients de-identified and 
disaggregated by race, ethnicity, age, sex, geo-
graphic region, disability status, and other rel-
evant factors; 
‘‘(B) the impact of awards under sub-
section (a) on increasing screening rates, early 
cancer detection, and improved patient out-
comes; 
‘‘(C) recommendations for improving the 
program under this section; and 
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‘‘(D) such other information and rec-
ommendations as the Secretary determines to 
be relevant. 
‘‘(h) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $15,000,000 for each of fiscal years 2027 through 
2031.’’. 
Æ 
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