NOLDS, Mr. ALTMIRE, Mr. HINCHEY, Mr. KENNEDY, Mr. LEVIN, Ms. 
SCHAKOWSKY, Mr. RADANOVICH, Mr. BILIRAKIS, Mr. FOSSELLA, Mr. 
MARKEY, Mr. LEWIS of Georgia, Mr. TIBERI, Mr. BARROW, Mr. 
PASCRELL, Mr. CASTLE, Mr. UPTON, Ms. SOLIS, Mr. ISSA, Ms. KAPTUR, 
Mr. HALL of New York, Mr. WHITFIELD of Kentucky, Mr. MEEK of 
Florida, Mr. LANGEVIN, Mr. INSLEE, Mr. WAXMAN, Mr. MATHESON, Mr. 
THOMPSON of Mississippi, Mr. SENSENBRENNER, Mr. KING of New 
York, Mr. COURTNEY, Ms. BERKLEY, Mr. PETRI, Mr. LARSON of Con-
necticut, Mr. SCOTT of Georgia, Ms. SCHWARTZ, Mr. KIRK, Mr. UDALL 
of New Mexico, Mr. TOWNS, Mr. CAMP of Michigan, Mrs. BOYDA of Kan-
sas, Mr. STUPAK, Ms. GINNY BROWN-WAITE of Florida, Mr. BERMAN, 
Ms. ZOE LOFGREN of California, Mr. WALDEN of Oregon, Mr. BISHOP 
of Georgia, Mr. JOHNSON of Illinois, Mr. COSTELLO, Mr. CALVERT, Ms. 
RICHARDSON, Mr. STEARNS, Mr. OLVER, Mr. WALSH of New York, Mr. 
AL GREEN of Texas, Mrs. GILLIBRAND, Mr. LOBIONDO, Mr. KUHL of 
New York, Mr. BRADY of Pennsylvania, Mr. MCINTYRE, Mr. WELCH of 
Vermont, Mr. SHADEGG, Mr. BUCHANAN, Mrs. CHRISTENSEN, Mr. 
DENT, Ms. SUTTON, Mrs. JONES of Ohio, Mr. SHAYS, Mr. FATTAH, Ms. 
MOORE of Wisconsin, Ms. DELAURO, Mr. PORTER, Mr. MURPHY of Con-
necticut, Mr. SAM JOHNSON of Texas, Ms. CLARKE, Mr. LYNCH, Mr. 
RUSH, Mr. LATOURETTE, Mr. EHLERS, Ms. TSONGAS, Mr. HOEKSTRA, 
Mr. BOREN, Mr. FEENEY, and Ms. SHEA-PORTER 
APRIL 8, 2008 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
A BILL 
To amend the Public Health Service Act to provide revised 
standards for quality assurance in screening and evalua-
tion of gynecologic cytology preparations, 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 ‘‘Cytology Proficiency 
Improvement Act of 2007’’. 
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SEC. 2. REVISED STANDARDS FOR QUALITY ASSURANCE IN 
SCREENING
AND
EVALUATION
OF 
GYNECOLOGIC CYTOLOGY PREPARATIONS. 
(a) IN GENERAL.—Section 353(f)(4)(B)(iv) of the 
Public Health Service Act (42 U.S.C. 263a(f)(4)(B)(iv)) 
is amended to read as follows: 
‘‘(iv) requirements that each clinical 
laboratory— 
‘‘(I) ensure that all individuals 
involved in screening and interpreting 
cytological preparations at the labora-
tory participate annually in a con-
tinuing medical education program in 
gynecologic cytology that— 
‘‘(aa) is approved by the Ac-
crediting Council for Continuing 
Medical Education or the Amer-
ican
Academy
of
Continuing 
Medical Education, and 
‘‘(bb)
provides
each
indi-
vidual participating in the pro-
gram with gynecologic cytologic 
preparations (in the form of ref-
erenced glass slides or equivalent 
technologies) designed to improve 
the locator, recognition and inter-
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pretive skills of the individual, 
and 
‘‘(II) maintain a record of the cy-
tology continuing medical education 
results of each individual involved in 
screening and interpreting cytological 
preparations at the laboratory,’’. 
(b) EFFECTIVE DATE AND IMPLEMENTATION; TER-
MINATION OF CURRENT PROGRAM OF INDIVIDUAL PRO-
FICIENCY TESTING.— 
(1) EFFECTIVE DATE AND IMPLEMENTATION.— 
Except as provided in paragraph (2), the amend-
ment made by subsection (a) applies to gynecologic 
cytology services provided on or after the date that 
is one year after the date of the enactment of this 
Act, and the Secretary of Health and Human Serv-
ices (hereafter in this subsection referred to as the 
‘‘Secretary’’) shall issue final regulations imple-
menting such amendment not later than 270 days 
after such date of enactment. 
(2) TERMINATION
OF
CURRENT
INDIVIDUAL 
PROFICIENCY TESTING PROGRAM.—As of the date of 
the enactment of this Act, the Secretary shall termi-
nate the individual proficiency testing program es-
tablished pursuant to section 353(f)(4)(B)(iv) of the 
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