In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.

Input: Consider Input: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Empowering Parents and Teachers for
a Drug-Free Education Act of 2004''.

SEC. 2. FINDINGS.

The Congress finds as follows:
(1) Fifty-four percent of high school seniors in 2001 had
used an illicit drug in their lifetime.
(2) Forty-two percent of 12th graders, 37 percent of 10th
graders, and 20 percent of 8th graders in 2001 had used an
illicit drug in the past year.
(3) Eighty percent of 12th graders, 70 percent of 10th
graders, and 51 percent of 8th graders in 2001 had used alcohol
in their lifetime.
(4) Sixty-four percent of 12th graders, 48 percent of 10th
graders, and 23 percent of 8th graders in 2001 had been
intoxicated.
(5) Use of 3,4-methylenedioxy methamphetamine (commonly
referred to as ''MDMA'' or ''ecstasy'') by 12th graders
increased from 6 percent in 1998 to 11.7 percent in 2001.
(6) Schoolchildren who use and abuse addictive illicit
drugs or alcohol increase the risk to the health and safety of
all students and impact the learning environment of the school
because--
(A) use of illicit drugs or alcohol can lead to
serious health effects, the development of life-
threatening diseases, and even death;
(B) use of illicit drugs like marijuana or ecstasy
kills brain cells in the learning centers of the brain,
directly impacting a student's ability to learn in
school;
(C) chemicals left in the central nervous system
after using marijuana cause the brain to be irritated
and uncontrollable, resulting in disruptive behavior in
the classroom;
(D) students who smoke cigarettes or use other
illicit drugs have been shown to have less desire to
learn, resulting in lower grade point averages when
compared to other students; and
(E) students who use illicit drugs or alcohol have
a higher rate of breaking school rules.

SEC. 3. DRUG-FREE SCHOOL DEMONSTRATION PROGRAMS.

(a) Demonstration Programs.--Part A of title IV of the Elementary
and Secondary Education Act of 1965 (20 U.S.C. 7101 et seq.; also known
as the ''Safe and Drug-Free Schools and Communities Act'') is amended--
(1) by redesignating subpart 4 as subpart 5; and
(2) by inserting after subpart 3 the following:

''Subpart 4--Drug-Free School Demonstration Programs

''SEC. 4145. DRUG-FREE SCHOOL DEMONSTRATION PROGRAMS.

''(a) Grants.--The Secretary may make grants to local educational
agencies and private schools to establish drug-free school
demonstration programs described in subsection (b).
''(b) Requirements.--A grant may be made under subsection (a) only
if the local educational agency or private school involved agrees to
use the funds received under the grant to establish a drug-free school
demonstration program that--
''(1) includes, consistent with the fourth amendment to the
Constitution of the United States, random drug testing of
students;
''(2) requires that any such testing be conducted using
only drug tests approved by the Food and Drug Administration;
''(3) requires that any analysis of such testing be
conducted by a drug-testing laboratory certified by the
Substance Abuse and Mental Health Services Administration, or
approved by the College of American Pathologists, for forensic
drug testing;
''(4) requires a review of each positive test result by a
medical review officer;
''(5) prohibits any disclosure to law enforcement officials
of the results of the random drug testing;
''(6) requires that drug-testing records be kept strictly
confidential in accordance with subsection (c);
''(7) requires, upon the submission of a report by a
medical review officer under subsection (c)(3) relating to a
preliminary positive test result, the destruction of all
records relating to the result if the medical review officer
does not confirm the result;
''(8) requires the destruction of all records relating to
drug or alcohol testing of a student when the student graduates
or otherwise leaves the local educational agency or private
school involved;
''(9) ensures that the parents of the students to be tested
are informed in detail about the random drug-testing program;
''(10) provides parents the right to withdraw their child
from participation in the random drug-testing program, and
ensures that parents receive notification of such right at the
beginning of every school year;
''(11) includes a clear, written policy on school behavior
that--
''(A) prohibits students from attending school or
school activities under the influence of illegal drugs
or alcohol;
''(B) prohibits the use or possession of illegal
drugs in school; and
''(C) sets forth the consequences of violating the
prohibitions described in subparagraphs (A) and (B);
''(12) provides drug and alcohol abuse prevention training
for a total of not less than 2 hours for each student and staff
member of the local educational agency or private school
involved;
''(13) provides student access to a student assistance
program, including confidential assessment, referral, and
short-term problem resolution; and
''(14) provides continuing alcohol, tobacco, and drug abuse
prevention education.
''(c) Privacy Protection.--Each drug-free school demonstration
program established with assistance made available under this section
shall--
''(1) include, as reasonably necessary and appropriate,
practices and procedures to ensure the confidentiality of
student drug test results and of any participation by a student
in a treatment or rehabilitation program;
''(2) prohibit the mandatory disclosure of medical
information by a student unless the student tests positive for
drugs; and
''(3) require a medical review officer reviewing student
drug test results to report the final results of such tests in
writing and in a manner designed to ensure the confidentiality
of the results.
''(d) Technical Assistance.--To the extent or in the amounts
provided in advance in appropriations Acts, the Secretary may enter
into contracts with public and private entities to provide assistance
related to carrying out the drug-free school demonstration programs
established pursuant to this section.
''(e) Applications.--To seek a grant under this section, a local
educational agency or private school shall submit an application to the
Secretary at such time, in such manner, and containing such information
as the Secretary may require.
''(f) Definitions.--For purposes of this section:
''(1) The term 'medical review officer'--
''(A) means a licensed physician with knowledge of
substance abuse disorders; and
''(B) does not include any--
''(i) employee of the school involved; or
''(ii) employee or agent of, or any person
having a financial interest in, the laboratory
for which the drug test results are being
reviewed.
''(2) The term 'student' means any individual enrolled on
school records as eligible to attend, or actually attending,
school for educational purposes in any of grades 8 through
12.''.
(b) Report.--Not later than 18 months after the date of the
enactment of this Act, the Secretary of Education shall submit to the
Congress a report on the results of the drug-free school demonstration
programs established with assistance under this section.
(c) Authorization of Appropriations.--Section 4003 of the
Elementary and Secondary Education Act of 1965 (20 U.S.C. 7103) is
amended--
(1) in paragraph (1), by striking ''and'' at the end;
(2) in paragraph (2), by striking the period at the end and
inserting ''; and''; and
(3) by adding at the end the following:
''(3) $25,000,000 for fiscal year 2005, and for each of
fiscal years 2006 and 2007, for drug-free school demonstration
programs under subpart 4.''.
(d) Conforming Amendment.--The table of contents at section 2 of
the Elementary and Secondary Education Act of 1965 is amended--
(1) by redesignating the item relating to subpart 4 of part
A of title IV as the item relating to subpart 5 of part A of
title IV; and
(2) by inserting after the item relating to section 4141
the following:

''subpart 4--drug-free school demonstration programs
''4145. Drug-free school demonstration programs.''.

Output: Empowering Parents and Teachers for a Drug-Free Education Act of 2004 - Amends the Elementary and Secondary Education Act of 1965 (under provisions which are also known as the Safe and Drug-Free Schools and Communities Act) to authorize the Secretary of Education to make grants to local educational agencies and private schools to establish drug-free school demonstration programs that include random drug testing of students and meet other specified requirements.

Input: Consider Input: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Senator Paul Simon Water for the
World Act of 2009''.

SEC. 2. FINDINGS.

Congress finds the following:
(1) The Senator Paul Simon Water for the Poor Act of 2005
(Public Law 109-121)--
(A) makes access to safe water and sanitation for
developing countries a specific policy objective of
United States foreign assistance programs;
(B) requires the Secretary of State to--
(i) develop a strategy to elevate the role
of water and sanitation policy; and
(ii) improve the effectiveness of United
States assistance programs undertaken in
support of that strategy;
(C) codifies Target 10 of the United Nations
Millennium Development Goals; and
(D) seeks to reduce by half between 1990 (the
baseline year) and 2015--
(i) the proportion of people who are unable
to reach or afford safe drinking water; and
(ii) the proportion of people without
access to basic sanitation.
(2) On December 20, 2006, the United Nations General
Assembly, in GA Resolution 61/192, declared 2008 as the
International Year of Sanitation, in recognition of the impact
of sanitation on public health, poverty reduction, economic and
social development, and the environment.
(3) On August 1, 2008, Congress passed H. Con. Res. 318,
which--
(A) supports the goals and ideals of the
International Year of Sanitation; and
(B) recognizes the importance of sanitation on
public health, poverty reduction, economic and social
development, and the environment.
(4) While progress is being made on safe water and
sanitation efforts--
(A) more than 884,000,000 people throughout the
world lack access to safe drinking water; and
(B) 2 of every 5 people in the world do not have
access to basic sanitation services.
(5) The health consequences of unsafe drinking water and
poor sanitation are significant, accounting for--
(A) nearly 10 percent of the global burden of
disease; and
(B) more than 2,000,000 deaths each year.
(6) The effects of climate change are expected to produce
severe consequences for water availability and resource
management in the future, with 2,800,000,000 people in more
than 48 countries expected to face severe and chronic water
shortages by 2025.
(7) According to the November 2008 report entitled,
''Global Trends 2025: A Transformed World'', the National
Intelligence Council expects rapid urbanization and future
population growth to exacerbate already limited access to
water, particularly in agriculture-based economies.
(8) A 2009 report published in the Proceedings of the
National Academy of Sciences projects that the effects of
climate change will produce long-term droughts and raise sea
levels for the next 1,000 years, regardless of future efforts
to combat climate change.
(9) According to the 2005 Millennium Ecosystem Assessment,
commissioned by the United Nations, more than /5\ of the
world population relies on freshwater that is either polluted
or excessively withdrawn.
(10) The impact of water scarcity on conflict and
instability is evident in many parts of the world, including
the Darfur region of Sudan, where demand for water resources
has contributed to armed conflict between nomadic ethnic groups
and local farming communities.
(11) In order to further the United States contribution to
safe water and sanitation efforts, it is necessary to--
(A) expand foreign assistance capacity to address
the challenges described in this section; and
(B) represent issues related to water and
sanitation at the highest levels of United States
foreign assistance and diplomatic deliberations,
including those related to issues of global health,
food security, the environment, global warming, and
maternal and child mortality.

SEC. 3. SENSE OF CONGRESS.

It is the sense of Congress that the United States should lead a
global effort to bring sustainable access to clean water and sanitation
to poor people throughout the world.

SEC. 4. PURPOSE.

The purpose of this Act is--
(1) to provide first-time access to safe water and
sanitation, on a sustainable basis, for 100,000,000 people in
high priority countries (as designated under section 6(f) of
the Senator Paul Simon Water for the Poor Act of 2005 (22
U.S.C. 2152h note)) by 2015; and
(2) to enhance the capacity of the United States Government
to fully implement the Senator Paul Simon Water for the Poor
Act of 2005 (Public Law 109-121).

SEC. 5. DEVELOPING UNITED STATES GOVERNMENT CAPACITY.

Section 135 of the Foreign Assistance Act of 1961 (22 U.S.C. 2152h)
is amended by adding at the end the following:
''(e) Office of Water.--
''(1) Establishment.--To carry out the purposes of
subsection (a), the Administrator of the United States Agency
for International Development shall establish the Office of
Water within the Bureau for Economic Growth, Agriculture, and
Trade.
''(2) Leadership.--The Office of Water shall be headed by a
Director for Safe Water and Sanitation, who shall report
directly to the Assistant Administrator of the Bureau for
Economic Growth, Agriculture, and Trade.
''(3) Duties.--The Director shall--
''(A) implement this section and the Senator Paul
Simon Water for the Poor Act of 2005 (Public Law 109-
121);
''(B) develop and implement country-specific water
strategies and expertise, in collaboration with
appropriate United States Agency for International
Development Mission Directors, to meet the goal of
providing 100,000,000 additional people with
sustainable access to safe water and sanitation by
2015; and
''(C) place primary emphasis on providing safe,
affordable, and sustainable drinking water, sanitation,
and hygiene in a manner that--
''(i) is consistent with sound water
resource management principles; and
''(ii) utilizes such approaches as direct
service provision, capacity building,
institutional strengthening, regulatory reform,
and partnership collaboration.
''(4) Capacity.--The Director may utilize interagency
details or partnerships with universities, civil society, and
the private sector, as needed, to strengthen implementation
capacity.
''(f) Special Coordinator for International Water.--
''(1) Establishment.--To increase the capacity of the
Department of State to address international issues regarding
safe water, sanitation, integrated river basin management, and
other international water programs, the Secretary of State
shall establish a Special Coordinator for International Water
(referred to in this subsection as the 'Special Coordinator'),
who shall report to the Under Secretary for Democracy and
Global Affairs.
''(2) Duties.--The Special Coordinator shall--
''(A) oversee and coordinate the diplomatic policy
of the United States Government with respect to global
freshwater issues, including interagency coordination
related to--
''(i) sustainable access to safe drinking
water, sanitation, and hygiene;
''(ii) integrated river basin and watershed
management;
''(iii) transboundary conflict;
''(iv) agricultural and urban productivity
of water resources;
''(v) disaster recovery, response, and
rebuilding;
''(vi) pollution mitigation; and
''(vii) adaptation to hydrologic change due
to climate variability; and
''(B) ensure that international freshwater issues
are represented--
''(i) within the United States Government;
and
''(ii) in key diplomatic, development, and
scientific efforts with other nations and
multilateral organizations.
''(3) Staff.--The Special Coordinator is authorized to hire
a limited number of staff to carry out the duties described in
paragraph (2).''.

SEC. 6. SAFE WATER, SANITATION, AND HYGIENE STRATEGY.

Section 6 of the Senator Paul Simon Water for the Poor Act of 2005
(22 U.S.C. 2152h note) is amended--
(1) in subsection (c), by adding at the end the following:
''In developing the program activities needed to implement the
strategy, the Secretary shall consider the results of the
assessment described in subsection (e)(9).''; and
(2) in subsection (e)--
(A) in paragraph (5), by striking ''and'' at the
end;
(B) in paragraph (6), by striking the period at the
end and inserting a semicolon; and
(C) by adding at the end the following:
''(7) an assessment of all United States Government foreign
assistance allocated to the drinking water and sanitation
sector during the 3 previous fiscal years, across all United
States Government agencies and programs, including an
assessment of the extent to which the United States
Government's efforts are reaching the goal of providing first-
time access to safe water and sanitation on a sustainable basis
for 100,000,000 people in high priority countries;
''(8) recommendations on what the United States Government
would need to do to achieve the goals referred to in paragraph
(7), in support of the United Nation's Millennium Development
Goal on access to safe drinking water; and
''(9) an assessment of best practices for mobilizing and
leveraging the financial and technical capacity of business,
governments, nongovernmental organizations, and civil society
in forming public-private partnerships that measurably increase
access to safe drinking water and sanitation.''.

SEC. 7. DEVELOPING LOCAL CAPACITY.

The Senator Paul Simon Water for the Poor Act of 2005 (Public Law
109-121) is amended--
(1) by redesignating sections 9, 10, and 11 as sections 10,
11, and 12, respectively; and
(2) by inserting after section 8 the following:

''SEC. 9. WATER AND SANITATION INSTITUTIONAL CAPACITY-BUILDING PROGRAM.

''(a) Establishment.--
''(1) In general.--The Secretary of State and the
Administrator of the United States Agency for International
Development (referred to in this section as the 'Secretary' and
the 'Administrator', respectively), in consultation with host
country institutions, the Centers for Disease Control and
Prevention, the Department of Agriculture, and other agencies,
as appropriate, shall establish, in every high priority
country, a program to build the capacity of host country
institutions and officials responsible for water and sanitation
in countries that receive assistance under section 135 of the
Foreign Assistance Act of 1961, including training at
appropriate levels, to--
''(A) provide affordable, equitable, and
sustainable access to safe drinking water and
sanitation;
''(B) educate the populations of such countries
about the dangers of unsafe drinking water and lack of
proper sanitation; and
''(C) encourage behavior change to reduce
individuals' risk of disease from unsafe drinking water
and lack of proper sanitation and hygiene.
''(2) Coordination.--The programs established under
subsection (a) shall be coordinated in each country by the lead
country water manager designated in subsection (b)(2).
''(3) Expansion.--The Secretary and the Administrator may
establish the program described in this section in additional
countries if the receipt of such capacity building would be
beneficial for promoting access to safe drinking water and
sanitation, with due consideration given to good governance.
''(4) Capacity.--The Secretary and the Administrator--
''(A) shall designate staff with appropriate
expertise to carry out the strategy developed under
section 4; and
''(B) may utilize, as needed, interagency details
or partnerships with universities, civil society, and
the private sector to strengthen implementation
capacity.
''(b) Designation.--The United States Agency for International
Development Mission Director for each country receiving a 'high
priority' designation under section 6(f) and for each region containing
a country receiving such designation shall--
''(1) designate safe drinking water and sanitation as a
strategic objective;
''(2) appoint an employee of the United States Agency for
International Development as in-country water and sanitation
manager to coordinate the in-country implementation of this Act
and section 135 of the Foreign Assistance Act of 1961 (22
U.S.C. 2152h) with host country officials at various levels of
government responsible for water and sanitation, the Department
of State, and other relevant United States Government agencies;
and
''(3) coordinate with the Development Credit Authority and
the Global Development Alliance to further the purposes of this
Act.''.

SEC. 8. OTHER ACTIVITIES SUPPORTED.

Section 135(c) of the Foreign Assistance Act (22 U.S.C. 2152h(c))
is amended--
(1) in paragraph (3), by striking ''and'' at the end;
(2) in paragraph (4), by striking the period at the end;
and
(3) by adding at the end the following:
''(5) foster global cooperation on research and technology
development, including regional partnerships among water
experts to address safe drinking water, sanitation, water
resource management, and other water-related issues;
''(6) establish regional and cross-border cooperative
activities between scientists and specialists that work to
share technologies and best practices, mitigate shared water
challenges, foster international cooperation, and defuse cross-
border tensions;
''(7) provide grants through the United States Agency for
International Development to foster the development,
dissemination, and increased and consistent use of low cost and
sustainable technologies, such as household water treatment,
hand washing stations, and latrines, for providing safe
drinking water, sanitation, and hygiene that are suitable for
use in high priority countries, particularly in places with
limited resources and infrastructure;
''(8) in collaboration with the Centers for Disease Control
and Prevention, Department of Agriculture, the Environmental
Protection Agency, the National Oceanic and Atmospheric
Administration, and other agencies, as appropriate, conduct
formative and operational research and monitor and evaluate the
effectiveness of programs that provide safe drinking water and
sanitation; and
''(9) integrate efforts to promote safe drinking water,
sanitation and hygiene with existing foreign assistance
programs, as appropriate, including activities focused on HIV/
AIDS, malaria, tuberculosis, maternal and child health, food
security, and nutritional support.''.

SEC. 9. UPDATED REPORT REGARDING WATER FOR PEACE AND SECURITY.

Section 11(b) of the Senator Paul Simon Water for the Poor Act of
2005, as redesignated by section 7, is amended by adding at the end the
following: ''The report submitted under this subsection shall include
an assessment of current and likely future political tensions over
water sources and multidisciplinary assessment of the expected impacts
of global climate change on water supplies in 10, 25, and 50 years.''.

SEC. 10. AUTHORIZATION OF APPROPRIATIONS.

(a) In General.--There are authorized to be appropriated for fiscal
year 2009 and for each subsequent fiscal year such sums as may be
necessary to carry out this Act and the amendments made by this Act,
pursuant to the criteria set forth in the Senator Paul Simon Water for
the Poor Act of 2005 (Public Law 109-121).
(b) Use of Funds.--
(1) General water resource management activities.--Up to 20
percent of the amounts appropriated to implement this Act may
be used to support general water resource management activities
that improve countries' overall water sources.
(2) Other activities.--Any amounts appropriated to
implement this Act that are not used to carry out the
activities described in paragraph (1) shall be allocated for
activities related to safe drinking water, sanitation, and
hygiene.

Output: Senator Paul Simon Water for the World Act of 2009 - Amends the Foreign Assistance Act of 1961 to direct the Administrator of the United States Agency for International Development (USAID) to establish the Office of Water within the Bureau for Economic Growth, Agriculture, and Trade to: (1) give assistance to provide safe water and sanitation for people worldwide; and (2) be headed by a Director for Safe Water and Sanitation. Outlines the Director's duties.

Requires the Secretary of State, in order to increase the capacity of the Department of State to address international issues regarding safe water, sanitation, integrated river basin management, and other international water programs, to establish a Special Coordinator for International Water. Outlines the Special Coordinator's duties.

Amends the Senator Paul Simon Water for the Poor Act of 2005 to: (1) revise requirements concerning the safe water and sanitation strategy; (2) provide for the establishment of a program to build the capacity of host country institutions and officials responsible for water and sanitation in countries that receive assistance to provide safe water and sanitation under the Foreign Assistance Act of 1961; (3) expand the list of activities that may be supported by assistance furnished by the President for programs in developing countries to provide affordable and equitable access to safe water and sanitation; and (4) require the report regarding water for peace and security to include an assessment of political tensions over water sources and a multidisciplinary assessment of the expected impacts of global climate change on water supplies in 10, 25, and 50 years.

Input: Consider Input: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Lung Cancer Mortality Reduction Act
of 2011''.

SEC. 2. FINDINGS.

Congress makes the following findings:
(1) Lung cancer is the leading cause of cancer death for
both men and women, accounting for 28 percent of all cancer
deaths.
(2) The National Cancer Institute estimates that in 2010,
there were 222,520 new diagnoses of lung cancer and 157,300
deaths attributed to the disease.
(3) According to projections published in the Journal of
Clinical Oncology in 2009, between 2010 and 2030, the incidence
of lung cancer will increase by 46 percent for women and by 58
percent for men. The increase in the incidence of lung cancer
among minority communities during that time period will range
from 74 percent to 191 percent.
(4) Lung cancer causes more deaths annually than the next 4
leading causes of cancer deaths, colon cancer, breast cancer,
prostate cancer, and pancreatic cancer, combined.
(5) The 5-year survival rate for lung cancer is only 15
percent, while the 5-year survival rate for breast cancer is 89
percent, for prostate cancer 99 percent, and for colon cancer
65 percent. Yet in research dollars per death, lung cancer is
the least funded of the major cancers.
(6) In 2001, the Lung Cancer Progress Review Group of the
National Cancer Institute stated that funding for lung cancer
research was ''far below the levels characterized for other
common malignancies and far out of proportion to its massive
health impact'' and it gave the ''highest priority'' to the
creation of an integrated multidisciplinary, multi-
institutional research program. No comprehensive plan has been
developed.
(7) While smoking is the leading risk factor for lung
cancer, the President's National Cancer Advisory Board Report
of 2010 identified radon as the second leading cause of lung
cancer and listed 15 other environmental contaminants strongly
association with lung cancer, and there is accumulating
evidence that hormonal and genetic factors may influence the
onset.
(8) Lung cancer is the most stigmatized of all the cancers
and the only cancer blamed on patients, whether they smoked or
not.
(9) Nearly 20 percent of lung cancer patients have never
smoked. Sixty percent of individuals diagnosed with lung cancer
are former smokers who quit, often decades ago.
(10) Lung cancer in men and women who never smoked is the
sixth leading cause of cancer death. Of individuals diagnosed
with lung cancer who have never smoked, /3\ of are women.
(11) Lung cancer is the leading cause of cancer death in
the overall population and in every major ethnic grouping,
including White, African-American, Hispanic, Asian and Pacific
Islander, American Indian, and Alaskan Native, with an even
disproportionately higher impact on African-American males that
has not been addressed.
(12) Military personnel, veterans, and munitions workers
exposed to carcinogens such as Agent Orange, crystalline forms
of silica, arsenic, uranium, beryllium, and battlefield fuel
emissions have increased risk for lung cancer.
(13) Only 16 percent of lung cancer is being diagnosed at
an early stage and there were no targets for the early
detection or treatment of lung cancer included in the
Department of Health and Human Services's ''Healthy People
2010'' or ''Healthy People 2020''.
(14) An actuarial analysis carried out by Milliman Inc. and
published in Population Health Management Journal in 2009
indicated that early detection of lung cancer could save more
than 70,000 lives a year in the United States.
(15) A National Cancer Institute study in 2009 indicated
that while the value of life lost to lung cancer will exceed
$433,000,000,000 a year by 2020, a 4-percent annual decline in
lung cancer mortality would reduce that amount by more than
half.
(16) In 2010, the National Cancer Institute released
initial results from the National Lung Screening Trial, a
large-scale randomized national trial that compared the effect
of low-dose helical computed tomography (''CT'') and a standard
chest x-ray on lung cancer mortality. The study found 20
percent fewer lung cancer deaths among study participants
screened with the CT scan.

SEC. 3. SENSE OF THE CONGRESS CONCERNING INVESTMENT IN LUNG CANCER
RESEARCH.

It is the sense of the Congress that--
(1) lung cancer mortality reduction should be made a
national public health priority; and
(2) a comprehensive mortality reduction program coordinated
by the Secretary of Health and Human Services is justified and
necessary to adequately address all aspects of lung cancer and
reduce lung cancer mortality among current smokers, former
smokers, and non-smokers.

SEC. 4. LUNG CANCER MORTALITY REDUCTION PROGRAM.

Part P of title III of the Public Health Service Act (42 U.S.C.
280g et seq.) is amended by adding at the end the following:

''SEC. 399V-6. LUNG CANCER MORTALITY REDUCTION PROGRAM.

''(a) In General.--Not later than 180 days after the date of
enactment of the Lung Cancer Mortality Reduction Act of 2011, the
Secretary, in consultation with the Secretary of Defense, the Secretary
of Veterans Affairs, the Director of the National Institutes of Health,
the Director of the Centers for Disease Control and Prevention, the
Commissioner of Food and Drugs, the Administrator of the Centers for
Medicare & Medicaid Services, the Director of the National Center on
Minority Health and Health Disparities, and other members of the Lung
Cancer Advisory Board established under section 7 of the Lung Cancer
Mortality Reduction Act of 2011, shall implement a comprehensive
program to achieve a 50-percent reduction in the mortality rate of lung
cancer by 2020.
''(b) Requirements.--The program implemented under subsection (a)
shall include at least the following:
''(1) With respect to the National Institutes of Health--
''(A) a strategic review and prioritization by the
National Cancer Institute of research grants to achieve
the goal of the lung cancer mortality reduction program
in reducing lung cancer mortality;
''(B) the provision of funds to enable the Airway
Biology and Disease Branch of the National Heart, Lung,
and Blood Institute to expand its research programs to
include predispositions to lung cancer, the
interrelationship between lung cancer and other
pulmonary and cardiac disease, and the diagnosis and
treatment of these interrelationships;
''(C) the provision of funds to enable the National
Institute of Biomedical Imaging and Bioengineering to
expedite the development of screening, diagnostic,
surgical, treatment, and drug testing innovations to
facilitate the potential of imaging as a biomarker and
reduce lung cancer mortality, such as through expansion
of the Quantum Grant Program and Image-Guided
Interventions programs of the National Institute of
Biomedical Imaging and Bioengineering;
''(D) the provision of funds to enable the National
Institute of Environmental Health Sciences to implement
research programs relative to lung cancer incidence;
and
''(E) the provision of funds to enable the National
Institute on Minority Health and Health Disparities to
collaborate on prevention, early detection, and disease
management research, and to conduct outreach programs
in order to address the impact of lung cancer on
minority populations.
''(2) With respect to the Food and Drug Administration, the
provision of funds to enable the Center for Devices and
Radiologic Health to--
''(A) establish quality standards and guidelines
for hospitals, outpatient departments, clinics,
radiology practices, mobile units, physician offices,
or other facilities that conduct computed tomography
screening for lung cancer;
''(B) provide for the expedited revision of
standards and guidelines, as required to accommodate
technological advances in imaging; and
''(C) conduct an annual random sample survey to
review compliance and evaluate dose and accuracy
performance.
''(3) With respect to the Centers for Disease Control and
Prevention--
''(A) the provision of funds to establish a Lung
Cancer Early Detection Program that provides low-
income, uninsured, and underserved populations that are
at high risk for lung cancer access to early detection
services;
''(B) the provision of funds to enable the National
Institute for Occupational Safety and Health to conduct
research on environmental contaminants strongly
associated with lung cancer in the workplace and
implement measures to reduce lung cancer risk and
provide for an early detection program; and
''(C) a requirement that State, tribal, and
territorial plans developed under the National
Comprehensive Cancer Control Program include lung
cancer mortality reduction measures commensurate with
the public health impact of lung cancer.
''(4) With respect to the Agency for Healthcare Research
and Quality, the annual review of lung cancer early detection
methods, diagnostic and treatment protocols, and the issuance
of updated guidelines.
''(5) The cooperation and coordination of all programs for
women, minorities, and health disparities within the Department
of Health and Human Services to ensure that all aspects of the
Lung Cancer Mortality Reduction Program adequately address the
burden of lung cancer on women and minority, rural, and
underserved populations.
''(6) The cooperation and coordination of all tobacco
control and cessation programs within agencies of the
Department of Health and Human Services to achieve the goals of
the Lung Cancer Mortality Reduction Program with particular
emphasis on the coordination of drug and other cessation
treatments with early detection protocols.''.

SEC. 5. DEPARTMENT OF DEFENSE AND THE DEPARTMENT OF VETERANS AFFAIRS.

The Secretary of Defense and the Secretary of Veterans Affairs
shall coordinate with the Secretary of Health and Human Services--
(1) in developing the Lung Cancer Mortality Reduction
Program under section 399V-6 of the Public Health Service Act,
as added by section 4;
(2) in implementing the demonstration project under section
6 within the Department of Defense and the Department of
Veterans Affairs with respect to military personnel and
veterans whose smoking history and exposure to carcinogens
during active duty service has increased their risk for lung
cancer; and
(3) in implementing coordinated care programs for military
personnel and veterans diagnosed with lung cancer.

SEC. 6. LUNG CANCER SCREENING DEMONSTRATION PROJECT.

(a) Sense of the Congress.--It is the sense of the Congress that a
national computed tomography lung cancer screening demonstration
project should be carried out expeditiously in order to assess the
public health infrastructure needs and to develop the most effective,
safe, equitable, and efficient process that will maximize the public
health benefits of screening.
(b) Demonstration Project in General.--Not later than 1 year after
the date of enactment of this Act, the Secretary of Health and Human
Services (referred to in this Act as the ''Secretary''), in
consultation with the Secretary of Defense, the Secretary of Veterans
Affairs, the Director of the National Institutes of Health, the
Director of the Centers for Disease Control and Prevention, the
Commissioner of Food and Drugs, the Administrator of the Centers for
Medicare & Medicaid Services, and the other members of the Lung Cancer
Advisory Board established under section 7 of the Lung Cancer Mortality
Reduction Act of 2011, shall establish a demonstration project, to be
known as the Lung Cancer Computed Tomography Screening and Treatment
Demonstration Project (referred to in this section as the
''demonstration project'').
(c) Program Requirements.--The Secretary shall ensure that the
demonstration project--
(1) identifies the optimal risk populations that would
benefit from screening;
(2) develops the most effective, safe, equitable and cost-
efficient process for screening and early disease management;
(3) allows for continuous improvements in quality controls
for the process; and
(4) serves as a model for the integration of health
information technology and the concept of a rapid learning into
the health care system.
(d) Participation.--The Secretary shall select not less than 5
National Cancer Institute Centers, 5 Department of Defense Medical
Treatment Centers, 5 sites within the Veterans Affairs Healthcare
Network, 5 International Early Lung Cancer Action Program sites, 10
community health centers for minority and underserved populations, and
additional sites as the Secretary determines appropriate, as sites to
carry out the demonstration project described under this section.
(e) Quality Standards and Guidelines for Licensing of Tomography
Screening Facilities.--The Secretary shall establish quality standards
and guidelines for the licensing of hospitals, outpatient departments,
clinics, radiology practices, mobile units, physician offices, or other
facilities that conduct computed tomography screening for lung cancer
through the demonstration project, that will require the establishment
and maintenance of a quality assurance and quality control program at
each such facility that is adequate and appropriate to ensure the
reliability, clarity, and accuracy of the equipment and interpretation
of the screening scan and set appropriate standards to control the
levels of radiation dose.
(f) Timeframe.--The Secretary shall conduct the demonstration
project under this section for a 5-year period.
(g) Report.--Not later than 180 days after the date of enactment of
this Act, the Secretary shall submit a report to Congress on the
projected cost of the demonstration project, and shall submit annual
reports to Congress thereafter on the progress of the demonstration
project and preliminary findings.

SEC. 7. LUNG CANCER ADVISORY BOARD.

(a) In General.--The Secretary of Health and Human Services shall
establish a Lung Cancer Advisory Board (referred to in this section as
the ''Board'') to monitor the programs established under this Act (and
the amendments made by this Act), and provide annual reports to
Congress concerning benchmarks, expenditures, lung cancer statistics,
and the public health impact of such programs.
(b) Composition.--The Board shall be composed of--
(1) the Secretary of Health and Human Services;
(2) the Secretary of Defense;
(3) the Secretary of Veterans Affairs;
(4) the Director of the Occupational Safety and Health
Administration;
(5) the Director of the National Institute of Standards and
Technology; and
(6) one representative each from the fields of clinical
medicine focused on lung cancer, lung cancer research,
radiology, imaging research, drug development, minority health
advocacy, veterans service organizations, lung cancer advocacy,
and occupational medicine to be appointed by the Secretary of
Health and Human Services.

SEC. 8. AUTHORIZATION OF APPROPRIATIONS.

To carry out this Act (and the amendments made by this Act), there
are authorized to be appropriated such sums as may be necessary for
each of fiscal years 2012 through 2016.
Output: Lung Cancer Mortality Reduction Act of 2011- Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS) to implement a comprehensive program to achieve a 50% reduction in the mortality rate of lung cancer by 2020. Requires the program to include initiatives throughout HHS, including: (1) a strategic review and prioritization by the National Cancer Institute of research grants; (2) the establishment by the Food and Drug Administration (FDA) of quality standards and guidelines for facilities that conduct computed tomography screening for lung cancer; and (3) the provision of funds to the Centers for Disease Control and Prevention (CDC) to establish a Lung Cancer Early Detection Program that provides low-income, uninsured, and underserved populations that are at high risk for lung cancer access to early detection services.

Requires the Secretary of Defense (DOD) and the Secretary of Veterans Affairs (VA) to coordinate with the Secretary of HHS in implementing this Act and implementing coordinated care programs for military personnel and veterans diagnosed with lung cancer.

Requires the Secretary of HHS to establish: (1) the Lung Cancer Computed Tomography Screening and Treatment Demonstration Project; and (2) the Lung Cancer Advisory Board to monitor the programs established under this Act.