I 
111TH CONGRESS 
1ST SESSION H. R. 1189 
To amend the Public Health Service Act to establish a national screening 
program at the Centers for Disease Control and Prevention and to 
amend title XIX of the Social Security Act to provide States the option 
to provide medical assistance for men and women screened and found 
to have colorectal cancer or colorectal polyps. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 25, 2009 
Ms. GRANGER (for herself and Mr. KENNEDY) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to establish a na-
tional screening program at the Centers for Disease Con-
trol and Prevention and to amend title XIX of the Social 
Security Act to provide States the option to provide 
medical assistance for men and women screened and 
found to have colorectal cancer or colorectal polyps. 
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 Pre-
vention, Early Detection, and Treatment Act of 2009’’. 
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SEC. 2. PREVENTIVE HEALTH MEASURES WITH RESPECT 
TO COLORECTAL CANCER. 
Part B of title III of the Public Health Service Act 
(42 U.S.C. 243 et seq.) is amended by inserting after sec-
tion 317T the following new section: 
‘‘SEC. 317U. PREVENTIVE HEALTH MEASURES WITH RE-
SPECT TO COLORECTAL CANCER. 
‘‘(a) GRANT PROGRAM AUTHORIZATION.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, may make grants to eligible 
entities for the purpose of carrying out a program 
described in subsection (b). An eligible entity that is 
a recipient of a grant under this subsection may use 
such grant to carry out such programs directly or 
through grants to, or contracts with, public and not- 
for-profit private entities. 
‘‘(2) ELIGIBLE
ENTITY
DEFINED.—For pur-
poses of this section, the term ‘eligible entity’ in-
cludes the following: 
‘‘(A) A State, including, in addition to the 
several States, the District of Columbia, Guam, 
the Commonwealth of Puerto Rico, the North-
ern Mariana Islands, the Virgin Islands, Amer-
ican Samoa, and the Trust Territory of the Pa-
cific Islands. 
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‘‘(B) An Indian tribe or tribal organiza-
tion, as such terms are defined in section 4 of 
the Indian Self-Determination and Education 
Assistance Act. 
‘‘(b) PROGRAMS DESCRIBED.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), a 
program described in this subsection is a program 
for planning or implementing each of the following: 
‘‘(A) Providing screenings for colorectal 
cancer to individuals who— 
‘‘(i) are 50 years of age or older; or 
‘‘(ii)(I) are under 50 years of age; and 
‘‘(II) are at high risk for such cancer, 
as determined in accordance with sub-
section (e)(2). 
‘‘(B) Providing appropriate case manage-
ment and referrals for medical treatment of in-
dividuals screened pursuant to subparagraph 
(A). 
‘‘(C) Ensuring (directly or through coordi-
nation or an arrangement with health care pro-
viders or programs) the full continuum of fol-
low-up and cancer care for individuals so 
screened, including appropriate follow-up for 
abnormal tests, diagnostic services, therapeutic 
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