I 
109TH CONGRESS 
2D SESSION 
H. R. 6133 
To amend the Public Health Service Act to provide revised standards for 
quality assurance in screening and evaluation of gynecologic cytology 
preparations, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 21, 2006 
Mr. PRICE of Georgia (for himself, Mr. GORDON, Mrs. MYRICK, Mr. NOR-
WOOD, Ms. HERSETH, Mr. WELDON of Florida, Mr. DEAL of Georgia, 
Mr. BURGESS, Mr. SHIMKUS, and Mr. SHUSTER) introduced the following 
bill; which was referred to the Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to provide revised 
standards for quality assurance in screening and evalua-
tion of gynecologic cytology preparations, and for other 
purposes. 
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 ‘‘Cytology Proficiency 
Improvement Act of 2006’’. 
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SEC. 2. REVISED STANDARDS FOR QUALITY ASSURANCE IN 
SCREENING 
AND 
EVALUATION 
OF 
GYNECOLOGIC CYTOLOGY PREPARATIONS. 
(a) IN GENERAL.—Section 353(f)(4)(B)(iv) of the 
Public Health Service Act (42 U.S.C. 263a(f)(4)(B)(iv)) 
is amended to read as follows: 
‘‘(iv) requirements that each clinical 
laboratory— 
‘‘(I) ensure that all individuals 
involved in screening and interpreting 
cytological preparations at the labora-
tory participate annually in a con-
tinuing medical education program in 
gynecologic cytology that— 
‘‘(aa) is approved by the Ac-
crediting Council for Continuing 
Medical Education or the Amer-
ican 
Academy 
of 
Continuing 
Medical Education, and 
‘‘(bb) provides each indi-
vidual participating in the pro-
gram with gynecologic cytologic 
preparations (in the form of ref-
erenced glass slides or equivalent 
technologies) designed to improve 
the locator, recognition and inter-
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pretive skills of the individual, 
and 
‘‘(II) maintain a record of the cy-
tology continuing medical education 
results of each individual involved in 
screening and interpreting cytological 
preparations at the laboratory,’’. 
(b) EFFECTIVE DATE AND IMPLEMENTATION; TER-
MINATION OF CURRENT PROGRAM OF INDIVIDUAL PRO-
FICIENCY TESTING.— 
(1) EFFECTIVE DATE AND IMPLEMENTATION.— 
Except as provided in paragraph (2), the amend-
ment made by subsection (a) applies to gynecologic 
cytology services provided on or after the date that 
is one year after the date of the enactment of this 
Act, and the Secretary of Health and Human Serv-
ices (hereafter in this subsection referred to as the 
‘‘Secretary’’) shall issue final regulations imple-
menting such amendment not later than 270 days 
after such date of enactment. 
(2) TERMINATION
OF
CURRENT
INDIVIDUAL 
PROFICIENCY TESTING PROGRAM.—As of the date of 
the enactment of this Act, the Secretary shall termi-
nate the individual proficiency testing program es-
tablished pursuant to section 353(f)(4)(B)(iv) of the 
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Public 
Health 
Service 
Act 
(42 
U.S.C. 
263a(f)(4)(B)(iv)), as in effect before the enactment 
of this section. 
Æ 
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