I 
109TH CONGRESS 
2D SESSION 
H. R. 5790 
To amend the Public Health Service Act to provide for demonstration projects 
to carry out preventive health measures with respect to colorectal cancer. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 13, 2006 
Ms. GRANGER (for herself, Mr. WYNN, and Ms. PRYCE of Ohio) 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 for 
demonstration projects to carry out preventive health 
measures with respect to colorectal cancer. 
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, Prevention, and Treatment Act’’. 
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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 317S the following section: 
‘‘SEC. 317T. PREVENTIVE HEALTH MEASURES WITH RE-
SPECT TO COLORECTAL CANCER. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention, may make grants to public and nonprofit private 
entities for the purpose of carrying out not fewer than 20 
demonstration projects for the following: 
‘‘(1) Providing screenings for colorectal cancer 
to individuals who— 
‘‘(A) are 50 years of age or older; or 
‘‘(B)(i) are under 50 years of age; and 
‘‘(ii) are at high risk for such cancer. 
‘‘(2) Providing appropriate case management 
and referrals for medical treatment of individuals 
screened pursuant to paragraph (1). 
‘‘(3) Ensuring the provision of the full con-
tinuum of cancer care for individuals so screened, in-
cluding appropriate follow-up for abnormal tests, di-
agnostic and therapeutic services, and treatment for 
detected cancers, which continuum is, as necessary, 
but subject to subsection (e), provided for through 
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the use of amounts appropriated under subsection 
(h). 
‘‘(4) Carrying out activities to improve the edu-
cation, training, and skills of health professionals 
(including allied health professionals) in the detec-
tion and control of colorectal cancer, which activities 
are carried out pursuant to the participation of the 
health professionals in the projects. 
‘‘(5) Evaluating the projects through appro-
priate surveillance or program monitoring activities. 
‘‘(6) Developing and disseminating findings de-
rived through such evaluations and the collection of 
data on outcomes. 
‘‘(7) Promoting the benefits of receiving 
screenings through the projects. 
‘‘(b) PRIORITY FOR LOW-INCOME, UNINSURED INDI-
VIDUALS.—A grant may be made under subsection (a) 
only if the applicant involved agrees that, in providing 
screenings under paragraph (1) of such subsection, the ap-
plicant will give priority to low-income individuals who 
lack coverage under health insurance and health plans 
with respect to screenings for colorectal cancer. 
‘‘(c) SPECIAL CONSIDERATION FOR CERTAIN APPLI-
CANTS.—In making grants under subsection (a) for a fis-
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cal year, the Secretary shall give special consideration to 
the following applicants: 
‘‘(1) In the case of services under such sub-
section for women, to applicants that, for such year, 
are grantees under title XV. 
‘‘(2) In the case of services under such sub-
section for men, to applicants that, for such year, 
are grantees under section 317D. 
‘‘(d) USE OF CERTAIN STANDARDS UNDER MEDI-
CARE PROGRAM.—A grant may be made under subsection 
(a) only if the applicant involved agrees as follows: 
‘‘(1) Screenings under subsection (a)(1) will be 
carried out as preventive health measures in accord-
ance with evidence-based screening procedures as 
specified in section 1861(pp)(1) of the Social Secu-
rity Act. 
‘‘(2) An individual will be considered high risk 
for purposes of subsection (a)(1)(B)(ii) only if the 
individual is high risk within the meaning of section 
1861(pp)(2) of such Act. 
‘‘(3) The payment made from the grant for a 
screening procedure under subsection (a)(1) will not 
exceed the amount that would be paid under part B 
of title XVIII of such Act if payment were made 
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under such part for furnishing the procedure to an 
individual enrolled under such part. 
‘‘(e) RELATIONSHIP
TO
ITEMS
AND
SERVICES 
UNDER OTHER PROGRAMS.—A grant under subsection 
(a) may be made only if the applicant involved agrees that 
the grant will not be expended to make payment for any 
item or service to the extent that payment has been made, 
or can reasonably be expected to be made, with respect 
to such item or service— 
‘‘(1) under any State compensation program, 
under an insurance policy, or under any Federal or 
State health benefits program; or 
‘‘(2) by an entity that provides health services 
on a prepaid basis. 
‘‘(f) RECORDS AND AUDITS.—A grant under sub-
section (a) may be made only if the applicant involved 
agrees that the applicant will— 
‘‘(1) establish such fiscal control and fund ac-
counting procedures as may be necessary to ensure 
proper disbursal of, and accounting for, amounts re-
ceived under subsection (a); and 
‘‘(2) upon request, provide records maintained 
pursuant to paragraph (1) to the Secretary or the 
Comptroller of the United States for purposes of au-
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