110TH CONGRESS 
1ST SESSION H. R. 1132
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 cancers.
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 ‘‘National Breast and 
Cervical Cancer Early Detection Program Reauthorization 
Act of 2007’’. 
SEC. 2. NATIONAL BREAST AND CERVICAL CANCER EARLY 
DETECTION PROGRAM. 
Title XV of the Public Health Service Act (42 U.S.C. 
300k et seq.) is amended—
(1) in section 1501(d)—
(A) in the heading, by striking ‘‘2000’’ and 
inserting ‘‘2020’’; and 
(B) by striking ‘‘by the year 2000’’ and in-
serting ‘‘by the year 2020’’; 
(2) in section 1503, by adding at the end the 
following: 
‘‘(d) WAIVER OF SERVICES REQUIREMENT ON DIVI-
SION OF FUNDS.—
‘‘(1) IN GENERAL.—The Secretary shall estab-
lish a demonstration project under which the Sec-
retary may waive the requirements of paragraphs 
(1) and (4) of subsection (a) for not more than 5 
States, if—
‘‘(A) the State involved will use the waiver 
to leverage non-Federal funds to supplement 
each of the services or activities described in 
paragraphs (1) and (2) of section 1501(a);
‘‘(B) the application of such requirement 
would result in a barrier to the enrollment of 
qualifying women; 
‘‘(C) the State involved—
‘‘(i) demonstrates, to the satisfaction 
of the Secretary, the manner in which the 
State will use such waiver to expand the 
level of screening and follow-up services 
provided immediately prior to the date on 
which the waiver is granted; and 
‘‘(ii) provides assurances, satisfactory 
to the Secretary, that the State will, on an 
annual basis, demonstrate, through such 
documentation as the Secretary may re-
quire, that the State has used such waiver 
as described in clause (i); 
‘‘(D) the State involved submits to the 
Secretary—
‘‘(i) assurances, satisfactory to the 
Secretary, that the State will maintain the 
average annual level of State fiscal year ex-
penditures for the services and activities 
described in paragraphs (1) and (2) of sec-
tion 1501(a) for the period for which the 
waiver is granted, and for the period for
which any extension of such wavier is 
granted, at a level that is not less than—
‘‘(I) the level of the State fiscal 
year expenditures for such services 
and activities for the fiscal year pre-
ceding the first fiscal year for which 
the waiver is granted; or 
‘‘(II) at the option of the State 
and upon approval by the Secretary, 
the average level of the State expendi-
tures for such services and activities 
for the 3-fiscal year period preceding 
the first fiscal year for which the 
waiver is granted; and 
‘‘(ii) a plan, satisfactory to the Sec-
retary, for maintaining the level of activi-
ties carried out under the waiver after the 
expiration of the waiver and any extension 
of such waiver; 
‘‘(E) the Secretary finds that granting 
such a waiver to a State will increase the num-
ber of women in the State that receive each of 
the services or activities described in para-
graphs (1) and (2) of section 1501(a), including