Definition: 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: SECTION 1. SHORT TITLE.

This Act may be cited as the ''National Breast and Cervical Cancer
Early Detection Program Reauthorization Act of 2006''.

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 inserting
''by the year 2020'';
(2) in section 1503, by adding at the end the following:
''(d) Waiver of Services Requirement on Division of Funds.--
''(1) In general.--The Secretary shall establish a
demonstration project under which the Secretary, acting through
the Director of the Centers for Disease Control and Prevention,
may waive the requirements of paragraphs (1) and (4) of
subsection (a) for not more than 5 States, if--
''(A)(i) the State involved will use the waiver to
leverage private funds to supplement each of the
services or activities described in paragraphs (1) and
(2) of section 1501(a); or
''(ii) the application of such requirement would
result in a barrier to the enrollment of qualifying
women;
''(B) the State involved provides assurances that
the State will, on an annual basis, demonstrate to the
Secretary the manner in which the State will use such
waiver to maintain or expand the level of screening and
follow-up services provided immediately prior to the
waiver, and provide documentation of compliance with
such maintenance or expansion requirement;
''(C) the State involved submits to the Secretary a
plan for maintaining the level of activities carried
out under the waiver after the expiration of the
waiver;
''(D) the Secretary finds that granting such a
waiver to a State will not reduce the number of women
in the State that receive each of the services or
activities described in paragraphs (1) and (2) of
section 1501(a), including making available screening
procedures for both breast and cervical cancers; and
''(E) the Secretary finds that granting such a
waiver to a State will not adversely affect the quality
of each of the services or activities described in
paragraphs (1) and (2) of section 1501(a).
''(2) Duration of waiver.--
''(A) In general.--In granting waivers under
paragraph (1), the Secretary--
''(i) shall grant such waivers for a period
of 2 years; and
''(ii) upon request of a State, may extend
a waiver for an additional 2-year period in
accordance with subparagraph (B).
''(B) Additional period.--The Secretary, upon the
request of a State that has received a waiver under
paragraph (1), shall, at the end of the 2-year waiver
period described in subparagraph (A), review
performance under the waiver and may extend the waiver
for an additional 2-year period if the Secretary
determines that--
''(i)(I) without an extension of the
waiver, there will be a barrier to the
enrollment of qualifying women; or
''(II) the State requesting such extended
waiver will use the waiver to leverage private
funds to supplement the services or activities
described in paragraphs (1) and (2) of section
1501(a);
''(ii) the waiver has not, and will not,
reduce the number of women in the State that
receive the services or activities described in
paragraphs (1) and (2) of section 1501(a);
''(iii) the waiver has not, and will not,
result in lower quality in the State of the
services or activities described in paragraphs
(1) and (2) of section 1501(a); and
''(iv) the State has maintained the average
annual level of State fiscal expenditures for
the services and activities described in
paragraphs (1) and (2) of section 1501(a) for
the 2 years for which the waiver was granted at
a level that is not less than the level of the
State fiscal expenditures for such services and
activities for the year preceding the first
year for which the waiver is granted.
''(3) Reporting requirements.--The Secretary 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 described 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
activities 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 increase 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 Improvement 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 Commonwealth 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 ''evaluations of
the extent to which'' and all that follows through the
period and inserting: ''evaluations 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 contributions
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 section 1509(a), and annually
thereafter'' and inserting ''not later than 1 year
after the date of the enactment of the National Breast
and Cervical Cancer Early Detection Program
Reauthorization 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 (legislative
day, December 8), 2006.

Attest:

KAREN L. HAAS,

Clerk.
Output:
National Breast and Cervical Cancer Early Detection Program Reauthorization Act of 2006 - Amends the Public Health Service Act to change from 2000 to 2020 the target year for achieving the objectives established by the Secretary of Health and Human Services for reductions in the rate of mortality from breast and cervical cancer in the United States for the committee coordinating Public Health Service activities.

Directs the Secretary to establish a demonstration project which allows the Secretary, acting through the Director of the Centers for Disease Control and Prevention (CDC), to waive requirements for awarding breast and cervical cancer grants that require 60% of grant funds to be spent on screening and referrals for medical treatments and no more than 40% to be spent on other activities for not more than five states, if: (1) the state involved will use the waiver to leverage private funds to supplement screening and referral services or the application of such requirements would result in a barrier to the enrollment of women; (2) the state involved provides assurance that the state will annually demonstrate how it will use the waiver to maintain or expand the level of screening and follow-up services provided; (3) the state involved submits to the Secretary a plan for maintaining the level of activities carried out under the waiver after the expiration of the waiver; (4) the Secretary finds that granting such a waiver to a state will not reduce the number of women in the state who receive such services, including screening for both breast and cervical cancers; and (5) the Secretary finds that granting such a waiver to a state will not adversely affect the quality of such services. Requires the Secretary to grant such waivers for a period of two years. Allows the Secretary to extend a waiver, upon request of a state, for additional two-year periods if the Secretary reviews performance under the waiver and finds that the waiver requirements are and have been met.

Requires the Secretary to include as part of the evaluations of the activities carried out pursuant to breast and cervical cancer grants: (1) the total amount of dollars leveraged annually from private entities in states receiving a waiver and how these amounts were used; (2) for states receiving a waiver, the percentages of the grant expended on screening and referral services and on other services or activities; (3) the number of states receiving waivers annually; (4) the number of women receiving screening and referral services in programs before and after the granting of a waiver; (5) the average annual level of state fiscal expenditures for such services for the year preceding the grant of the waiver; and (6) the amount of non-federal contributions by the state according to source and the proportion of non-federal funds to federal funds. Prohibits the use of amounts to which a waiver applies to increase the number of salaried employees.

Authorizes appropriations for breast and cervical cancer grants from FY2007-FY2011.