I 
109TH CONGRESS 
2D SESSION 
H. R. 5472 
To amend the Public Health Service Act to provide waivers relating to 
grants for preventive health measures with respect to breast and cervical 
cancers. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 24, 2006 
Mrs. MYRICK (for herself, Ms. BALDWIN, Mr. NORWOOD, Mr. MURPHY, Mrs. 
CAPPS, Ms. ESHOO, Mr. WAXMAN, and Mr. DINGELL) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce 
A BILL 
To amend the Public Health Service Act to provide waivers 
relating to grants for preventive health measures with 
respect to breast and cervical cancers. 
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 ‘‘National Breast and 
Cervical Cancer Early Detection Program Reauthorization 
Act of 2006’’. 
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SEC. 2. WAIVERS RELATING TO GRANTS FOR PREVENTIVE 
HEALTH 
MEASURES 
WITH 
RESPECT 
TO 
BREAST AND CERVICAL CANCERS. 
(a) IN GENERAL.—Section 1503 of the Public Health 
Service Act (42 U.S.C. 300m) is amended by adding at 
the end the following: 
‘‘(d) WAIVER OF SERVICES REQUIREMENT ON DIVI-
SION OF FUNDS.— 
‘‘(1) IN GENERAL.—The Secretary may waive 
the requirements of paragraphs (1) and (4) of sub-
section (a) if the Secretary finds that— 
‘‘(A)(i) the State involved will use the 
waiver to leverage private funds to supplement 
each of the services or activities described in 
paragraphs (1) and (2) of section 1501(a); or 
‘‘(ii) the application of such requirements 
would result in a barrier to the participation of 
qualifying women in the services or activities 
described in paragraphs (1) and (2) of section 
1501(a); 
‘‘(B) granting such a waiver to the State 
will not reduce the number of women in the 
State who receive any of the services or activi-
ties described in paragraphs (1) and (2) of sec-
tion 1501(a), including screening procedures for 
both breast and cervical cancers; and 
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‘‘(C) granting such a waiver to the State 
will not adversely affect the quality of any of 
the services or activities described in para-
graphs (1) and (2) of section 1501(a). 
‘‘(2) DURATION OF WAIVER.— 
‘‘(A) IN
GENERAL.—In granting waivers 
under paragraph (1), the Secretary— 
‘‘(i) shall grant such waivers for a pe-
riod of 2 years; and 
‘‘(ii) upon request of a State, may ex-
tend a waiver for additional 2-year periods 
in accordance with subparagraph (B). 
‘‘(B) ADDITIONAL
PERIODS.—The Sec-
retary, upon the request of a State that has re-
ceived a waiver under paragraph (1), shall, at 
the end of each 2-year waiver period described 
in subparagraph (A), review performance under 
the waiver and may extend the waiver for an 
additional 2-year period if the Secretary finds 
that— 
‘‘(i)(I) the State involved will use the 
waiver to leverage private funds to supple-
ment each of the services or activities de-
scribed in paragraphs (1) and (2) of sec-
tion 1501(a); or 
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‘‘(II) without an extension of the 
waiver, the application of the requirements 
of paragraphs (1) and (4) of subsection (a) 
will result in a barrier to the participation 
of qualifying women in the services or ac-
tivities described in paragraphs (1) and (2) 
of section 1501(a); 
‘‘(ii) the waiver has not reduced, and 
granting the waiver extension will not re-
duce, the number of women in the State 
who receive any of the services or activities 
described in paragraphs (1) and (2) of sec-
tion 1501(a); and 
‘‘(iii) the waiver has not adversely af-
fected, and granting the waiver extension 
will not adversely affect, the quality in the 
State of any of the services or activities de-
scribed in paragraphs (1) and (2) of sec-
tion 1501(a). 
‘‘(3) REPORTING
REQUIREMENTS.—The Sec-
retary shall include as part of the evaluations and 
reports required under section 1508, the following: 
‘‘(A) A description of the total amount of 
dollars leveraged annually from private entities 
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in States receiving a waiver under this sub-
section and how these amounts were used. 
‘‘(B) With respect to States receiving a 
waiver under this subsection, a description of 
the percentage of the grant that is expended on 
providing each of the services or activities de-
scribed in paragraphs (1) and (2) and para-
graphs (3) through (6) of section 1501(a). 
‘‘(C) A description of the number of States 
receiving waivers under this subsection annu-
ally. 
‘‘(D) With respect to States receiving a 
waiver under this subsection, a description of 
the number of women receiving services under 
paragraphs (1), (2), and (3) of section 1501(a) 
in programs before and after the granting of 
such waiver.’’. 
(b) AUTHORIZATION OF APPROPRIATIONS.—Section 
1510(a) of the Public Health Service Act (42 U.S.C. 
300n–5(a)) is amended— 
(1) by striking ‘‘and’’ after ‘‘$150,000,000 for 
fiscal year 1994,’’; and 
(2) by inserting ‘‘, $250,000,000 for fiscal year 
2007, and such sums as may be necessary for each 
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of fiscal years 2008 through 2012’’ before the period 
at the end. 
Æ 
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