services, and treatment of detected cancers and 
management of unanticipated medical complica-
tions. 
‘‘(D) Carrying out activities to improve the 
education, training, and skills of health profes-
sionals (including allied health professionals) in 
the detection and control of colorectal cancer, 
which activities are carried out pursuant to the 
participation of the health professionals in the 
program. 
‘‘(E) Establishing mechanisms through 
which the eligible entity involved can monitor 
the quality of screening and diagnostic follow- 
up procedures for colorectal cancer, including 
the interpretation of such procedures. 
‘‘(F) Evaluating the activities described in 
this subsection through appropriate surveillance 
and program monitoring activities. 
‘‘(G) Developing and disseminating find-
ings derived through such evaluations and the 
collection of data on outcomes. 
‘‘(H) Developing and disseminating public 
information and education programs for the de-
tection and control of colorectal cancer and pro-
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moting the benefits of receiving screenings 
through this program. 
‘‘(2) SUPPLEMENT
NOT
SUPPLANT.—In the 
case of an eligible entity that implements a universal 
colorectal screening program under which the eligi-
ble entity makes available funds for activities de-
scribed in subparagraph (A), (B), or (C) of para-
graph (1), such entity shall be able to receive grant 
funds under subsection (a) only for purposes of— 
‘‘(A) carrying out those activities under 
this subsection that are not so funded; or 
‘‘(B) supplementing (and not supplanting) 
funds made available by the entity for such 
funded program. 
‘‘(c) PRIORITY FOR LOW-INCOME, UNINSURED AND 
UNDERINSURED INDIVIDUALS.—A grant may be made 
under subsection (a) to an eligible entity only if the eligible 
entity agrees that, in providing screenings under sub-
section (b)(1)(A), the eligible entity will give priority to 
low-income individuals who lack adequate coverage, as de-
termined by the Secretary, under health insurance and 
health plans with respect to screenings for colorectal can-
cer. 
‘‘(d) SPECIAL CONSIDERATION FOR CERTAIN APPLI-
CANTS.—In making grants under subsection (a) for a fis-
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cal year, the Secretary shall give special consideration to 
the following eligible entities: 
‘‘(1) In the case of services under such sub-
section for women, to such entities that, for such 
year, are grantees under title XV. 
‘‘(2) In the case of services under such sub-
section for men, to such entities that, for such year, 
are grantees under section 317D. 
‘‘(3) To such entities that coordinate with other 
Federal, State, and local colorectal cancer programs. 
‘‘(4) To such entities with an existing program 
to provide cancer screening to individuals. 
‘‘(e) USE OF CERTAIN STANDARDS UNDER MEDI-
CARE PROGRAM.—A grant may be made under subsection 
(a) to an eligible entity only if the eligible entity provides, 
as applicable, assurances as follows: 
‘‘(1) Screenings under subsection (b)(1)(A) will 
be carried out as preventive health measures in ac-
cordance with evidence-based screening guidelines 
and procedures and in accordance with the standard 
of care required for purposes of title XVIII of the 
Social Security Act to carry out colorectal screening 
tests defined in section 1861(pp)(1) of such Act. 
‘‘(2) An individual will be considered high risk 
for purposes of subsection (b)(1)(A)(ii) only if the 
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individual is high risk within the meaning of section 
1861(pp)(2) of such Act. 
‘‘(3) The payment made from the grant for a 
screening procedure under subsection (b)(1)(A) will 
not exceed the amount that would be paid under 
part B of title XVIII of such Act if payment were 
made under such part for furnishing the procedure 
to an individual enrolled under such part. 
‘‘(f) RELATIONSHIP TO ITEMS AND SERVICES UNDER 
OTHER PROGRAMS.—A grant under subsection (a) may 
be made to an eligible entity only if the eligible entity, 
as applicable, provides assurances that the grant will not 
be expended to make payment for any item or service to 
the extent that payment has been made, or can reasonably 
be expected to be made, with respect to such item or serv-
ice— 
‘‘(1) under any State compensation program, 
under an insurance policy, or under any Federal or 
State health benefits program; or 
‘‘(2) by an entity that provides health services 
on a prepaid basis. 
‘‘(g) RECORDS AND AUDITS.—A grant under sub-
section (a) may be made to an eligible entity only if the 
eligible entity provides assurances that the eligible entity 
will— 
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