‘‘(3) REPORTING
REQUIREMENTS.—The Sec-
retary shall include as part of the evaluations and 
reports required under section 1508, the following: 
‘‘(A) A description of the total amount of 
dollars leveraged annually from private entities 
in States receiving a waiver under paragraph 
(1) and how these amounts were used. 
‘‘(B) With respect to States receiving a 
waiver under paragraph (1), a description of 
the percentage of the grant that is expended on 
providing each of the services or activities de-
scribed in—
‘‘(i) paragraphs (1) and (2) of section 
1501(a); and 
‘‘(ii) paragraphs (3) through (6) of 
section 1501(a). 
‘‘(C) A description of the number of States 
receiving waivers under paragraph (1) annually. 
‘‘(D) With respect to States receiving a 
waiver under paragraph (1), a description of—
‘‘(i) the number of women receiving 
services under paragraphs (1), (2), and (3) 
of section 1501(a) in programs before and 
after the granting of such waiver; and
‘‘(ii) the average annual level of State 
fiscal expenditures for the services and ac-
tivities described in paragraphs (1) and (2) 
of section 1501(a) for the year preceding 
the first year for which the waiver was 
granted. 
‘‘(4) LIMITATION.—Amounts to which a waiver 
applies under this subsection shall not be used to in-
crease the number of salaried employees. 
‘‘(5) DEFINITIONS.—In this subsection: 
‘‘(A) INDIAN
TRIBE.—The term ‘Indian 
tribe’ has the meaning given the term in section 
4 of the Indian Health Care Improvement Act 
(25 U.S.C. 1603). 
‘‘(B) TRIBAL
ORGANIZATION.—The term 
‘tribal organization’ has the meaning given the 
term in section 4 of the Indian Health Care Im-
provement Act. 
‘‘(C) STATE.—The term ‘State’ means 
each of the several States of the United States, 
the District of Columbia, the Commonwealth of 
Puerto Rico, American Samoa, the Common-
wealth of the Northern Mariana Islands, the 
Republic of the Marshall Islands, the Federated
States of Micronesia, the Republic of Palau, an 
Indian tribe, and a tribal organization.’’; 
(3) in section 1508—
(A) in subsection (a), by striking ‘‘evalua-
tions of the extent to which’’ and all that fol-
lows through the period and inserting: ‘‘evalua-
tions of—
‘‘(1) the extent to which States carrying out 
such programs are in compliance with section 
1501(a)(2) and with section 1504(c); and 
‘‘(2) the extent to which each State receiving a 
grant under this title is in compliance with section 
1502, including identification of—
‘‘(A) the amount of the non-Federal con-
tributions by the State for the preceding fiscal 
year, disaggregated according to the source of 
the contributions; and 
‘‘(B) the proportion of such amount of 
non-Federal 
contributions 
relative 
to 
the 
amount of Federal funds provided through the 
grant to the State for the preceding fiscal 
year.’’; and 
(B) in subsection (b), by striking ‘‘not 
later than 1 year after the date on which 
amounts are first appropriated pursuant to sec-
tion 1509(a), and annually thereafter’’ and in-
serting ‘‘not later than 1 year after the date of 
the enactment of the National Breast and Cer-
vical Cancer Early Detection Program Reau-
thorization of 2006, and annually thereafter’’; 
and 
(4) in section 1510(a)—
(A) by striking ‘‘and’’ after ‘‘$150,000,000 
for fiscal year 1994,’’; and 
(B) by inserting ‘‘, $225,000,000 for fiscal 
year 2007, $245,000,000 for fiscal year 2008, 
$250,000,000 
for 
fiscal 
year 
2009, 
$255,000,000 
for 
fiscal 
year 
2010, 
and 
$275,000,000 for fiscal year 2011’’ before the 
period at the end.
Passed the House of Representatives December 9, 
2006 (legislative day, December 8, 2006), 2006. 
Attest:
Clerk.
109TH CONGRESS 
2D SESSION 
H. R. 5472
AN ACT 
To amend the Public Health Service Act to provide 
waivers relating to grants for preventive health 
measures with respect to breast and cervical can-
cers.