I 
108TH CONGRESS 
1ST SESSION H. R. 1657
To provide funding for programs at the National Institute of Environmental 
Health Sciences regarding breast cancer in younger women, and for 
other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 7, 2003
Ms. WOOLSEY (for herself, Ms. KILPATRICK, Ms. LEE, Mrs. JONES of Ohio, 
Ms. KAPTUR, Mrs. MALONEY, Mr. PAYNE, Ms. CORRINE BROWN of Flor-
ida, Ms. CARSON of Indiana, Mrs. DAVIS of California, and Mrs. CAPPS) 
introduced the following bill; which was referred to the Committee on En-
ergy and Commerce 
A BILL 
To provide funding for programs at the National Institute 
of Environmental Health Sciences regarding breast can-
cer in younger women, 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 ‘‘Annie Fox Act’’. 
SEC. 2. FINDINGS. 
The Congress finds the following: 
(1) Breast cancer is a serious health concern 
for all women, striking more women in the world
counterparts due to the lack of appropriate diag-
nostic tools and screening devices, and inadequate 
education about the disease among younger women 
and the medical community. 
(9) Because younger women’s cancers are gen-
erally more aggressive, they typically have lower sur-
vival rates than their post-menopausal counterparts. 
(10) Younger women with breast cancer are 
confronted with many issues that their post-meno-
pausal counterparts do not face, including the possi-
bility of early menopause, pregnancy after diagnosis, 
generally more advanced cancers at diagnosis, and 
higher mortality rates. 
(11) Younger women are virtually excluded 
from breast cancer studies, most of which are con-
ducted on women over the age of 45. 
SEC. 3. PROGRAMS AT NIEHS REGARDING BREAST CANCER 
IN YOUNGER WOMEN. 
Supbart 12 of part C of title IV of the Public Health 
Service Act (42 U.S.C. 285l et seq.; relating to the Na-
tional Institute of Environmental Health Sciences) is 
amended by adding at the end the following: 
‘‘PROGRAMS REGARDING BREAST CANCER IN YOUNGER 
WOMEN 
‘‘SEC. 463B. (a) EXPANSION AND COORDINATION OF 
ACTIVITIES.—The Director of the Institute shall expand,
intensify, and coordinate the activities of the Institute re-
garding breast cancer in younger women. 
‘‘(b) RESEARCH.—In carrying out subsection (a), the 
Director of the Institute shall provide for an expansion 
and intensification of the conduct and support of basic and 
clinical research on the causes, prevention, detection, 
treatment, and long-term effects of breast cancer in 
younger women, including the long-term effects of treat-
ment. 
‘‘(c) INFORMATION AND EDUCATION.—In carrying 
out subsection (a), the Director of the Institute shall pro-
vide for an expansion and intensification of the conduct 
and support of information and education programs for 
health professionals and the public regarding breast can-
cer in younger women. 
‘‘(d) REPORTS.—The Director of the Institute shall 
prepare, for inclusion in the biennial report submitted 
under section 407, a report that includes a description of 
the activities of the Institute under this section, and such 
other comments and recommendations regarding breast 
cancer in younger women as the Director considers appro-
priate. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of expanding, intensifying, and coordinating ac-
tivities regarding breast cancer in younger women under
this section, there are authorized to be appropriated 
$9,000,000 for each of fiscal years 2004 through 2009, 
and such sums as may be necessary for fiscal years 2010 
through 2014. Such authorizations of appropriations are 
in addition to any other authorizations of appropriations 
available for such purpose.’’.
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