I 
118TH CONGRESS 
2D SESSION 
H. R. 7714 
To authorize the Secretary of Health and Human Services, acting through 
the Director of the Centers for Disease Control and Prevention, to 
make grants to States to increase awareness and education for colorectal 
cancer and improve early detection of colorectal cancer in young individ-
uals, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 19, 2024 
Ms. CARAVEO (for herself, Mr. PAYNE, Ms. STEVENS, and Ms. SEWELL) intro-
duced the following bill; which was referred to the Committee on Energy 
and Commerce 
A BILL 
To authorize the Secretary of Health and Human Services, 
acting through the Director of the Centers for Disease 
Control and Prevention, to make grants to States to 
increase awareness and education for colorectal cancer 
and improve early detection of colorectal cancer in young 
individuals, 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 ‘‘Colorectal Cancer 
Early Detection Act’’. 
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SEC. 2. FINDINGS. 
Congress finds the following: 
(1) In the United States, colorectal cancer is 
the third leading cause of cancer-related deaths in 
men and the fourth leading cause in women. 
Colorectal cancer is the second most common cause 
of cancer deaths when numbers for men and women 
are combined. 
(2) In the United States, there were over 
126,000 new colorectal cancer cases and 51,000 new 
colorectal cancer deaths reported in 2020. It is esti-
mated that there will be over 152,810 new cases of 
colorectal cancer and 53,010 cases of colorectal can-
cer deaths in 2024. 
(3) Colorectal cancer rates have been increasing 
in young patients. About 1 in 5 cases of colorectal 
cancer were in individuals age 54 and younger. 
(4) In early 2023, it was reported that about 
20 percent of diagnoses of colorectal cancer were 
among patients under the age of 55. Additionally, 
half of all early-onset colorectal cancer cases are di-
agnosed in individuals under 45 years old. 
(5) Colorectal cancer cases among individuals 
ages 20 to 39 are expected to increase by 90 percent 
by 2030. Additionally, colorectal cancer is projected 
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to be the leading cause of cancer-related deaths by 
2030. 
SEC. 3. CDC STATE GRANTS FOR COLORECTAL CANCER 
AWARENESS, EDUCATION, AND EARLY DE-
TECTION AMONG YOUNG INDIVIDUALS. 
(a) DEFINITIONS.—In this section: 
(1) STATE.—The term ‘‘State’’ means each of 
the several States, the District of Columbia, and any 
territory or possession of the United States. 
(2) YOUNG INDIVIDUAL.—The term ‘‘young in-
dividual’’ means an individual who has not attained 
the age of 45. 
(b) IN GENERAL.—The Secretary of Health and 
Human Services, acting through the Director of the Cen-
ters for Disease Control and Prevention, (in this section 
referred to as the ‘‘Secretary’’) may make grants to 
States, on a competitive basis, for the purpose of increas-
ing awareness and education for colorectal cancer and 
early detection of colorectal cancer in young individuals. 
(c) APPLICATION.—To be eligible for a grant under 
this section, a State shall submit to the Secretary an appli-
cation at such time, in such manner, and containing such 
information as the Secretary may require, including a de-
tailed description of the State’s plan to implement the 
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grant. Such description shall include how the State will 
use the grant to— 
(1) conduct outreach and education regarding 
incidence of colorectal cancer and risk factors, with 
an emphasis on— 
(A) young individuals with an increased 
risk or high risk for colorectal cancer, includ-
ing— 
(i) young individuals with a family 
history of colorectal cancer or advanced ad-
enomatous polyps; 
(ii) young individuals with a personal 
history of inflammatory bowel disease 
(commonly known as ‘‘IBD’’), including ul-
cerative colitis and Crohn’s disease of the 
colon; 
(iii) young individuals with an inher-
ited syndrome, including Lynch syndrome, 
familial adenomatous polyposis, and other 
inherited syndromes linked to colorectal 
cancer; 
(iv) young individuals with signs and 
symptoms of colorectal cancer, particularly 
rectal bleeding and iron deficiency anemia; 
and 
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(v) other young individuals with risk 
factors (such as risk factors identified by 
nationally recognized guidelines) that put 
such individuals at increased risk for 
colorectal cancer, as determined by the 
Secretary; and 
(B) individuals in underserved and rural 
areas, individuals who identify as American In-
dian, Alaska Native, or African American, and 
individuals with type 2 diabetes, for the pur-
poses of— 
(i) identifying individuals who are at 
increased risk or high risk for colorectal 
cancer (including young individuals de-
scribed in clauses (i) through (v) of sub-
paragraph (A)) and would benefit from 
early detection before age 45; and 
(ii) providing education to initiate 
early detection at age 45 for individuals 
who are not at increased risk or high risk 
for colorectal cancer; 
(2) partner with hospitals, clinics, Tribal orga-
nizations (as defined in section 4 of the Indian Self- 
Determination and Education Assistance Act), non-
profit organizations, institutions of higher education, 
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colorectal cancer prevention and control programs, 
and other relevant entities and programs to enhance 
outreach, education, and early detection efforts with 
respect to colorectal cancer in young individuals; and 
(3) conduct activities to increase awareness and 
education for colorectal cancer and improve early de-
tection of colorectal cancer in young individuals, in-
cluding navigation and program evaluation. 
(d) USE OF FUNDS.—A grant under this section may 
be used for any of the following: 
(1) To support early detection and diagnostic 
testing for colorectal cancer in young individuals 
deemed to be at increased risk or high risk of 
colorectal cancer as part of a preventive health 
measure strategy. 
(2) To provide appropriate referrals for medical 
treatment, including genetic testing and counseling 
of such young individuals, and to ensure, to the ex-
tent practicable, the provision of appropriate follow- 
up and surveillance services. 
(3) To develop and implement a public aware-
ness and education campaign for the early detection, 
signs and symptoms, risk factors, and control man-
agement of colorectal cancer, specifically in young 
individuals. 
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(4) To conduct education and outreach to 
health professionals (including allied health profes-
sionals) on conducting and interpreting colorectal 
cancer screening and diagnostic tests and the latest 
advancements in the early detection of colorectal 
cancer, with a focus on symptoms, genetic risk fac-
tors, family history, and care for young individuals. 
(5) To establish mechanisms through which the 
States can monitor the quality of screening and di-
agnostic procedures for colorectal cancer among 
young individuals, including the interpretation of 
such procedures. 
(6) To conduct surveillance to help determine 
other risk factors for colorectal cancer. 
(7) To develop strategies to capture and assess 
family 
history 
and 
genetic 
predispositions 
to 
colorectal cancer in young individuals. 
(8) To establish patient navigation support to 
assist individuals through the process of screening, 
particularly those at increased risk or high risk for 
colorectal cancer. 
(9) To design clinician decision support tools 
based on clinical practice guidelines for early detec-
tion of colorectal cancer in young individuals. 
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(10) To monitor and evaluate activities con-
ducted under paragraphs (1) through (9) to deter-
mine the effectiveness of such activities to inform 
continuous improvement of such activities. 
(e) GRANT PERIOD.—A grant under this section shall 
be for a period of 5 years, and may be renewed at the 
discretion of the Secretary. 
(f) RETURN
OF UNSPENT GRANT FUNDS.—Each 
State that receives a grant under this section shall return, 
not later than 6 months after the date on which the period 
of such grant ends, any grant funds that were not ex-
pended by such State during the grant period. 
(g) REPORT.—Not later than 5 years after receiving 
a grant under this section (including a renewal of a grant), 
a State shall submit to the Secretary a report describing 
how the State used such grant. 
(h) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$200,000,000 for each of fiscal years 2025 through 2029. 
Æ 
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