I 
111TH CONGRESS 
1ST SESSION 
H. R. 822 
To provide for an awareness program, and a study, on a rare form of 
breast cancer. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 3, 2009 
Mr. KING of New York introduced the following bill; which was referred to 
the Committee on Energy and Commerce 
A BILL 
To provide for an awareness program, and a study, on a 
rare form of breast 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 ‘‘Paget’s Cancer Aware-
ness Act’’. 
SEC. 2. FINDINGS. 
The Congress finds as follows: 
(1) Paget’s disease of the breast is a rare can-
cer of the nipple, accounting for a small fraction of 
all breast cancers. The cancer is a different disease 
VerDate Nov 24 2008 
01:29 Feb 05, 2009
Jkt 079200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H822.IH
H822
rfrederick on PROD1PC67 with BILLS
than any other, not to be confused with Paget’s dis-
ease, a devastating bone disease. 
(2) In Paget’s disease of the breast, the abnor-
mal cells begin growing in the milk ducts of the nip-
ple and can develop into a tumor. 
(3) The cancer usually appears in women, but 
can also affect males. 
(4) It is a slow growing cancer, and with proper 
treatment can be cured. 
(5) The symptoms of the cancer appear to be 
harmless. The symptoms in the nipple closely resem-
ble a skin inflammation (dermatitis) or infection. 
This can lead to unfortunate delays in detection and 
care. 
(6) By the time the cancer is diagnosed, many 
patients have a palpable mass. The underlying can-
cer may be invasive or in situ. 
(7) Standard treatment is identical to that for 
other forms of breast cancer, and the prognosis de-
pends on the invasiveness and size of the tumor and 
the presence or absence of lymph node involvement. 
SEC. 3. PROGRAMS REGARDING PAGET’S CANCER. 
(a) AWARENESS
PROGRAM.—The Secretary of 
Health and Human Services (in this section referred to 
as the ‘‘Secretary’’) shall carry out a program to provide 
VerDate Nov 24 2008 
01:29 Feb 05, 2009
Jkt 079200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H822.IH
H822
rfrederick on PROD1PC67 with BILLS
information and education to health professionals and the 
general public on the symptoms of and treatment for 
Paget’s disease of the breast. 
(b) STUDY.— 
(1) IN GENERAL.—The Secretary shall conduct 
a study for the purpose of carrying out the following 
with respect to Paget’s disease of the breast: 
(A) Collecting data to identify the full 
range of symptoms associated with the disease, 
and to identify the average time elapsing be-
tween the onset of symptoms and the diagnosis 
and treatment of the disease. 
(B) Collecting demographic data regarding 
the disease, including data specific to the preva-
lence of the disease in demographic populations 
according to race, ethnicity, gender, age, and 
geographic region of residence. 
(2) REPORT.—Not later than 24 months after 
the date of the enactment of this Act, the Secretary 
shall complete the study under paragraph (1) and 
submit to the Congress a report describing the find-
ings made in the study. 
(c) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
VerDate Nov 24 2008 
01:29 Feb 05, 2009
Jkt 079200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H822.IH
H822
rfrederick on PROD1PC67 with BILLS
to be appropriated such sums as may be necessary for 
each of the fiscal years 2010 through 2012. 
Æ 
VerDate Nov 24 2008 
01:29 Feb 05, 2009
Jkt 079200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6301
E:\BILLS\H822.IH
H822
rfrederick on PROD1PC67 with BILLS