I 
109TH CONGRESS 
1ST SESSION H. R. 3086 
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 
JUNE 28, 2005 
Ms. DELAURO (for herself, Mr. LEACH, Mr. JACKSON of Illinois, Mr. OWENS, 
Ms. MILLENDER-MCDONALD, Ms. ROYBAL-ALLARD, Mr. MENENDEZ, 
Ms. WASSERMAN SCHULTZ, Mr. MCNULTY, Mr. GRIJALVA, Mrs. MCCAR-
THY, Mr. STARK, Ms. EDDIE BERNICE JOHNSON of Texas, Mr. KILDEE, 
Ms. SCHAKOWSKY, Mr. UDALL of New Mexico, Mr. MCDERMOTT, Ms. 
ESHOO, Mrs. CHRISTENSEN, Mr. DICKS, Mrs. MALONEY, Mr. BOSWELL, 
Mr. MCGOVERN, Mr. WAXMAN, Ms. JACKSON-LEE of Texas, Ms. WOOL-
SEY, Mr. MICHAUD, Mr. WEXLER, and Mr. BRADY of Pennsylvania) in-
troduced the following bill; which was referred to the Committee on En-
ergy 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 2005’’.
SEC. 2. FINDINGS. 
The Congress finds as follows: 
(1) Heart disease, stroke, and other cardio-
vascular diseases remain the leading cause of death 
among females in the United States, killing almost 
500,000 women each year. 
(2) About 1 in 4 females have some form of 
cardiovascular disease, killing more than the next 6 
causes of death combined. 
(3) In women, cardiovascular disease is fre-
quently undetected and untreated until the disease 
has become severe, causing 42 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 is a major public health threat 
for an estimated 44 million Americans. 
(7) Women over age 50 accounted for over 75 
percent of the total cases of osteoporosis of the hip 
in 2002. 
(8) One out of every 2 women over the age of 
50 will have an osteoporosis-related fracture in her 
lifetime.
(9) The rate of hip fractures is two to three 
times higher in women than men. 
(10) The direct expenditures for osteoporotic 
fractures alone range from 12–18 billion dollars 
each year. 
(11) Physical activity, calcium, and vitamin D 
are major contributors to bone health for individuals 
of all ages. 
(12) Muscular strength and balance may be 
very significant in future risk reduction for 
osteoporosis. 
(13) 18.2 million Americans have diabetes, and 
over 200,000 people die each year from related com-
plications. Among adults in the United States, dia-
betes increased 61 percent from 1990 to 2001. Dia-
betes is the sixth leading cause of death in America. 
(14) Approximately 8.7 percent of all women 
over the age of 20 in the United States have diabe-
tes, but about one-third of them are unaware of it. 
(15) The risk for cardiovascular disease, the 
most common complication attributable to diabetes, 
is more serious among women than men. Deaths 
from heart disease in women with diabetes have in-
creased 23 percent over the past 30 years.
(16) The direct and indirect costs of diabetes 
are over $132 billion a year. 
(17) Better nutrition, physical activity, control 
of blood glucose levels, and access to services can 
delay the progression of diabetes. In fact, recent 
findings show that modest, consistent physical activ-
ity and a healthy diet can cut a person’s risk for de-
veloping type-2 diabetes by nearly 60 percent. 
(18) The direct and indirect costs of diabetes 
are over $130 billion a year. 
(19) The WISEWOMAN program has— 
(A) provided one-stop shopping for preven-
tive health services such as cholesterol and 
blood pressure screening for more than 12,000 
women and identified risk factors for heart dis-
ease such as obesity, high cholesterol, high 
blood pressure, sedentary behavior, and poor 
diet; and 
(B) identified more than 2,700 cases of 
previously undiagnosed hypertension, 3,000 
cases of undiagnosed high cholesterol, and 400 
cases of undiagnosed diabetes in women who 
would have been unaware of their risk factors 
if not for WISEWOMAN. 
(20) 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. 
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, 
diabetes, osteoporosis, and obesity; 
‘‘(2) to provide screenings, such as screening 
for blood pressure, cholesterol, osteoporosis, and dia-
betes, and other services that the Secretary deter-
mines 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 such as 
cardiovascular diseases, diabetes, osteoporosis, and 
obesity; 
‘‘(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. 
‘‘(d) FUNDING.—
‘‘(1) IN GENERAL.—There is authorized to be 
appropriated to carry out this section— 
‘‘(A) $20,000,000 for fiscal year 2006; 
‘‘(B) $25,000,000 for fiscal year 2007; 
‘‘(C) $30,000,000 for fiscal year 2008; and 
‘‘(D) such sums as may be necessary for 
each subsequent fiscal year. 
‘‘(2) LIMITATION REGARDING FUNDING WITH 
RESPECT TO BREAST AND CERVICAL CANCER.—No 
additional resources shall be appropriated for a fis-
cal year under paragraph (1) unless the amount ap-
propriated under section 1510(a) for such fiscal year 
is at least $173,920,000.’’. 
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