H. R. 3590—873 
‘‘PART V—PROGRAMS RELATING TO BREAST 
HEALTH AND CANCER 
‘‘SEC. 399NN. YOUNG WOMEN’S BREAST HEALTH AWARENESS AND SUP-
PORT OF YOUNG WOMEN DIAGNOSED WITH BREAST 
CANCER. 
‘‘(a) PUBLIC EDUCATION CAMPAIGN.— 
‘‘(1) IN
GENERAL.—The Secretary, acting through the 
Director of the Centers for Disease Control and Prevention, 
shall conduct a national evidence-based education campaign 
to increase awareness of young women’s knowledge regarding— 
‘‘(A) breast health in young women of all racial, ethnic, 
and cultural backgrounds; 
‘‘(B) breast awareness and good breast health habits; 
‘‘(C) the occurrence of breast cancer and the general 
and specific risk factors in women who may be at high 
risk for breast cancer based on familial, racial, ethnic, 
and cultural backgrounds such as Ashkenazi Jewish popu-
lations; 
‘‘(D) evidence-based information that would encourage 
young women and their health care professional to increase 
early detection of breast cancers; and 
‘‘(E) the availability of health information and other 
resources for young women diagnosed with breast cancer. 
‘‘(2) EVIDENCE-BASED, AGE
APPROPRIATE
MESSAGES.—The 
campaign shall provide evidence-based, age-appropriate mes-
sages and materials as developed by the Centers for Disease 
Control and Prevention and the Advisory Committee estab-
lished under paragraph (4). 
‘‘(3) MEDIA CAMPAIGN.—In conducting the education cam-
paign under paragraph (1), the Secretary shall award grants 
to entities to establish national multimedia campaigns oriented 
to young women that may include advertising through tele-
vision, radio, print media, billboards, posters, all forms of 
existing and especially emerging social networking media, other 
Internet media, and any other medium determined appropriate 
by the Secretary. 
‘‘(4) ADVISORY COMMITTEE.— 
‘‘(A) ESTABLISHMENT.—Not later than 60 days after 
the date of the enactment of this section, the Secretary, 
acting through the Director of the Centers for Disease 
Control and Prevention, shall establish an advisory com-
mittee to assist in creating and conducting the education 
campaigns under paragraph (1) and subsection (b)(1). 
‘‘(B) MEMBERSHIP.—The Secretary, acting through the 
Director of the Centers for Disease Control and Prevention, 
shall appoint to the advisory committee under subpara-
graph (A) such members as deemed necessary to properly 
advise the Secretary, and shall include organizations and 
individuals with expertise in breast cancer, disease preven-
tion, early detection, diagnosis, public health, social mar-
keting, genetic screening and counseling, treatment, 
rehabilitation, palliative care, and survivorship in young 
women. 
‘‘(b) HEALTH CARE PROFESSIONAL EDUCATION CAMPAIGN.—The 
Secretary, acting through the Director of the Centers for Disease
H. R. 3590—874 
Control and Prevention, and in consultation with the Administrator 
of the Health Resources and Services Administration, shall conduct 
an education campaign among physicians and other health care 
professionals to increase awareness— 
‘‘(1) of breast health, symptoms, and early diagnosis and 
treatment of breast cancer in young women, including specific 
risk factors such as family history of cancer and women that 
may be at high risk for breast cancer, such as Ashkenazi 
Jewish population; 
‘‘(2) on how to provide counseling to young women about 
their breast health, including knowledge of their family cancer 
history and importance of providing regular clinical breast 
examinations; 
‘‘(3) concerning the importance of discussing healthy behav-
iors, and increasing awareness of services and programs avail-
able to address overall health and wellness, and making patient 
referrals to address tobacco cessation, good nutrition, and phys-
ical activity; 
‘‘(4) on when to refer patients to a health care provider 
with genetics expertise; 
‘‘(5) on how to provide counseling that addresses long- 
term survivorship and health concerns of young women 
diagnosed with breast cancer; and 
‘‘(6) on when to provide referrals to organizations and 
institutions that provide credible health information and sub-
stantive assistance and support to young women diagnosed 
with breast cancer. 
‘‘(c) PREVENTION RESEARCH ACTIVITIES.—The Secretary, acting 
through— 
‘‘(1) the Director of the Centers for Disease Control and 
Prevention, shall conduct prevention research on breast cancer 
in younger women, including— 
‘‘(A) behavioral, survivorship studies, and other 
research on the impact of breast cancer diagnosis on young 
women; 
‘‘(B) formative research to assist with the development 
of educational messages and information for the public, 
targeted populations, and their families about breast 
health, breast cancer, and healthy lifestyles; 
‘‘(C) testing and evaluating existing and new social 
marketing strategies targeted at young women; and 
‘‘(D) surveys of health care providers and the public 
regarding knowledge, attitudes, and practices related to 
breast health and breast cancer prevention and control 
in high-risk populations; and 
‘‘(2) the Director of the National Institutes of Health, shall 
conduct research to develop and validate new screening tests 
and methods for prevention and early detection of breast cancer 
in young women. 
‘‘(d) SUPPORT FOR YOUNG WOMEN DIAGNOSED WITH BREAST 
CANCER.— 
‘‘(1) IN
GENERAL.—The Secretary shall award grants to 
organizations and institutions to provide health information 
from credible sources and substantive assistance directed to 
young women diagnosed with breast cancer and pre-neoplastic 
breast diseases.
H. R. 3590—875 
‘‘(2) PRIORITY.—In making grants under paragraph (1), the 
Secretary shall give priority to applicants that deal specifically 
with young women diagnosed with breast cancer and pre-neo-
plastic breast disease. 
‘‘(e) NO DUPLICATION OF EFFORT.—In conducting an education 
campaign or other program under subsections (a), (b), (c), or (d), 
the Secretary shall avoid duplicating other existing Federal breast 
cancer education efforts. 
‘‘(f) MEASUREMENT; REPORTING.—The Secretary, acting through 
the Director of the Centers for Disease Control and Prevention, 
shall— 
‘‘(1) measure— 
‘‘(A) young women’s awareness regarding breast health, 
including knowledge of family cancer history, specific risk 
factors and early warning signs, and young women’s 
proactive efforts at early detection; 
‘‘(B) the number or percentage of young women uti-
lizing information regarding lifestyle interventions that 
foster healthy behaviors; 
‘‘(C) the number or percentage of young women 
receiving regular clinical breast exams; and 
‘‘(D) the number or percentage of young women who 
perform breast self exams, and the frequency of such 
exams, before the implementation of this section; 
‘‘(2) not less than every 3 years, measure the impact of 
such activities; and 
‘‘(3) submit reports to the Congress on the results of such 
measurements. 
‘‘(g) DEFINITION.—In this section, the term ‘young women’ 
means women 15 to 44 years of age. 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—To carry out sub-
sections (a), (b), (c)(1), and (d), there are authorized to be appro-
priated $9,000,000 for each of the fiscal years 2010 through 2014.’’. 
Subtitle E—Provisions Relating to Title V 
SEC. 10501. AMENDMENTS TO THE PUBLIC HEALTH SERVICE ACT, THE 
SOCIAL SECURITY ACT, AND TITLE V OF THIS ACT. 
(a) Section 5101 of this Act is amended— 
(1) in subsection (c)(2)(B)(i)(II), by inserting ‘‘, including 
representatives of small business and self-employed individ-
uals’’ after ‘‘employers’’; 
(2) in subsection (d)(4)(A)— 
(A) by redesignating clause (iv) as clause (v); and 
(B) by inserting after clause (iii) the following: 
‘‘(iv) An analysis of, and recommendations for, 
eliminating the barriers to entering and staying in 
primary care, including provider compensation.’’; and 
(3) in subsection (i)(2)(B), by inserting ‘‘optometrists, 
ophthalmologists,’’ after ‘‘occupational therapists,’’. 
(b) Subtitle B of title V of this Act is amended by adding 
at the end the following:
H. R. 3590—876 
‘‘SEC. 5104. INTERAGENCY TASK FORCE TO ASSESS AND IMPROVE 
ACCESS TO HEALTH CARE IN THE STATE OF ALASKA. 
‘‘(a) ESTABLISHMENT.—There is established a task force to be 
known as the ‘Interagency Access to Health Care in Alaska Task 
Force’ (referred to in this section as the ‘Task Force’). 
‘‘(b) DUTIES.—The Task Force shall— 
‘‘(1) assess access to health care for beneficiaries of Federal 
health care systems in Alaska; and 
‘‘(2) develop a strategy for the Federal Government to 
improve delivery of health care to Federal beneficiaries in the 
State of Alaska. 
‘‘(c) MEMBERSHIP.—The Task Force shall be comprised of Fed-
eral members who shall be appointed, not later than 45 days 
after the date of enactment of this Act, as follows: 
‘‘(1) The Secretary of Health and Human Services shall 
appoint one representative of each of the following: 
‘‘(A) The Department of Health and Human Services. 
‘‘(B) The Centers for Medicare and Medicaid Services. 
‘‘(C) The Indian Health Service. 
‘‘(2) The Secretary of Defense shall appoint one representa-
tive of the TRICARE Management Activity. 
‘‘(3) The Secretary of the Army shall appoint one represent-
ative of the Army Medical Department. 
‘‘(4) The Secretary of the Air Force shall appoint one rep-
resentative of the Air Force, from among officers at the Air 
Force performing medical service functions. 
‘‘(5) The Secretary of Veterans Affairs shall appoint one 
representative of each of the following: 
‘‘(A) The Department of Veterans Affairs. 
‘‘(B) The Veterans Health Administration. 
‘‘(6) The Secretary of Homeland Security shall appoint one 
representative of the United States Coast Guard. 
‘‘(d) CHAIRPERSON.—One chairperson of the Task Force shall 
be appointed by the Secretary at the time of appointment of mem-
bers under subsection (c), selected from among the members 
appointed under paragraph (1). 
‘‘(e) MEETINGS.—The Task Force shall meet at the call of the 
chairperson. 
‘‘(f) REPORT.—Not later than 180 days after the date of enact-
ment of this Act, the Task Force shall submit to Congress a report 
detailing the activities of the Task Force and containing the 
findings, strategies, recommendations, policies, and initiatives 
developed pursuant to the duty described in subsection (b)(2). In 
preparing such report, the Task Force shall consider completed 
and ongoing efforts by Federal agencies to improve access to health 
care in the State of Alaska. 
‘‘(g) TERMINATION.—The Task Force shall be terminated on 
the date of submission of the report described in subsection (f).’’. 
(c) Section 399V of the Public Health Service Act, as added 
by section 5313, is amended— 
(1) in subsection (b)(4), by striking ‘‘identify, educate, refer, 
and enroll’’ and inserting ‘‘identify and refer’’; and 
(2) in subsection (k)(1), by striking ‘‘, as defined by the 
Department of Labor as Standard Occupational Classification 
[21–1094]’’.