I 
108TH CONGRESS 
1ST SESSION H. R. 1868
To amend the Public Health Service Act to establish a program to provide 
screenings and treatment for cancer to minority and other populations 
served by health centers under section 330 of such Act, and for other 
purposes. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 29, 2003
Ms. WATERS (for herself, Mr. DAVIS of Illinois, Ms. NORTON, Mr. SERRANO, 
Mr. THOMPSON of Mississippi, Ms. LEE, Ms. KAPTUR, Ms. JACKSON-LEE 
of Texas, Mr. UDALL of New Mexico, Mr. ABERCROMBIE, and Ms. EDDIE 
BERNICE JOHNSON of Texas) introduced the following bill; which was re-
ferred to the Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to establish a pro-
gram to provide screenings and treatment for cancer 
to minority and other populations served by health cen-
ters under section 330 of such Act, and for other pur-
poses.
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 ‘‘Cancer Testing, Edu-
cation, Screening, and Treatment Act’’.
SEC. 2. CANCER PREVENTION AND TREATMENT FOR UN-
DERSERVED MINORITY OR OTHER POPU-
LATIONS. 
Part D of title III of the Public Health Service Act 
(42 U.S.C. 254b et seq.) is amended by inserting after 
section 330H the following: 
‘‘SEC. 330L. CANCER PREVENTION AND TREATMENT FOR 
UNDERSERVED MINORITY OR OTHER POPU-
LATIONS. 
‘‘(a) IN GENERAL.—The Secretary may make grants 
to qualifying health centers for the development, expan-
sion, or operation of programs that, for individuals other-
wise served by such centers, provide—
‘‘(1) information and education on cancer pre-
vention; 
‘‘(2) screenings for cancer; 
‘‘(3) counseling on cancer, including counseling 
upon a diagnosis of cancer; and 
‘‘(4) treatment for cancer. 
‘‘(b) QUALIFYING HEALTH CENTERS.—For purposes 
of this section, the term ‘qualifying health center’ means 
health centers receiving grants under section 330, includ-
ing community health centers, migrant health centers, 
health centers for the homeless, and health centers for 
residents of public housing.
‘‘(c) PREFERENCE IN MAKING GRANTS.—In making 
grants under subsection (a), the Secretary shall give pref-
erence to applicants that—
‘‘(1) have service populations under section 330 
that include a significant number of low-income mi-
nority individuals who are at-risk for cancer; 
‘‘(2) will, through programs under subsection 
(a)—
‘‘(A) emphasize early detection of and 
treatment for cancer; 
‘‘(B) provide comprehensive treatment 
services for cancer in its earliest stages; and 
‘‘(C) carry out subparagraphs (A) and (B) 
for two or more types of cancer; 
‘‘(3) provide health services in a manner that is 
convenient to individuals in the communities served 
by the applicants; and 
‘‘(4) in order to provide treatment for cancer, 
have established or will establish referral arrange-
ments with entities that provide screenings for low-
income individuals. 
‘‘(d) APPROPRIATE CULTURAL CONTEXT.—A condi-
tion for the receipt of a grant under subsection (a) is that 
the applicant involved agree that, in the program carried 
out with the grant, services will be provided in the lan-
guages and cultural contexts most appropriate for the in-
dividuals for whom the services are provided. 
‘‘(e) OUTREACH SERVICES.—A condition for the re-
ceipt of a grant under subsection (a) is that the applicant 
involved agree to provide outreach activities to inform the 
public of the services of the program, and to provide offsite 
information on cancer; and 
‘‘(f) APPLICATION FOR GRANT.—A grant may be 
made under subsection (a) only if an application for the 
grant is submitted to the Secretary and the application 
is in such form, is made in such manner, and contains 
such agreements, assurances, and information as the Sec-
retary determines to be necessary to carry out this section. 
‘‘(g) DESIGNATION OF TYPE OF CANCER.—In mak-
ing a grant under subsection (a), the Secretary shall des-
ignate the type or types of cancer with respect to which 
the grant is being made. 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated such sums as may be necessary for 
each of the fiscal years 2004 through 2008.’’.
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