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.
[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5472 Introduced in House (IH)]
109th CONGRESS
2d Session
H. R. 5472
To amend the Public Health Service Act to provide waivers relating to
grants for preventive health measures with respect to breast and
cervical cancers.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 24, 2006
Mrs. Myrick (for herself, Ms. Baldwin, Mr. Norwood, Mr. Murphy, Mrs.
Capps, Ms. Eshoo, Mr. Waxman, and Mr. Dingell) introduced the following
bill; which was referred to the Committee on Energy and Commerce
_______________________________________________________________________
A BILL
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 Representatives 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 2006''.
SEC. 2. WAIVERS RELATING TO GRANTS FOR PREVENTIVE HEALTH MEASURES WITH
RESPECT TO BREAST AND CERVICAL CANCERS.
(a) In General.--Section 1503 of the Public Health Service Act (42
U.S.C. 300m) is amended by adding at the end the following:
``(d) Waiver of Services Requirement on Division of Funds.--
``(1) In general.--The Secretary may waive the requirements
of paragraphs (1) and (4) of subsection (a) if the Secretary
finds that--
``(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 requirements would
result in a barrier to the participation of qualifying
women in the services or activities described in
paragraphs (1) and (2) of section 1501(a);
``(B) granting such a waiver to the State will not
reduce the number of women in the State who receive any
of the services or activities described in paragraphs
(1) and (2) of section 1501(a), including screening
procedures for both breast and cervical cancers; and
``(C) granting such a waiver to the State will not
adversely affect the quality of any 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 additional 2-year periods in
accordance with subparagraph (B).
``(B) Additional periods.--The Secretary, upon the
request of a State that has received a waiver under
paragraph (1), shall, at the end of each 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 finds
that--
``(i)(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) without an extension of the waiver,
the application of the requirements of
paragraphs (1) and (4) of subsection (a) will
result in a barrier to the participation of
qualifying women in the services or activities
described in paragraphs (1) and (2) of section
1501(a);
``(ii) the waiver has not reduced, and
granting the waiver extension will not reduce,
the number of women in the State who receive
any of the services or activities described in
paragraphs (1) and (2) of section 1501(a); and
``(iii) the waiver has not adversely
affected, and granting the waiver extension
will not adversely affect, the quality in the
State of any of the services or activities
described in paragraphs (1) and (2) of section
1501(a).
``(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 this subsection and how these
amounts were used.
``(B) With respect to States receiving a waiver
under this subsection, a description of the percentage
of the grant that is expended on providing each of the
services or activities described in paragraphs (1) and
(2) and paragraphs (3) through (6) of section 1501(a).
``(C) A description of the number of States
receiving waivers under this subsection annually.
``(D) With respect to States receiving a waiver
under this subsection, a description of 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.''.
(b) Authorization of Appropriations.--Section 1510(a) of the Public
Health Service Act (42 U.S.C. 300n-5(a)) is amended--
(1) by striking ``and'' after ``$150,000,000 for fiscal
year 1994,''; and
(2) by inserting ``, $250,000,000 for fiscal year 2007, and
such sums as may be necessary for each of fiscal years 2008
through 2012'' before the period at the end.
<all>
Introduced in House
Introduced in House
Referred to the House Committee on Energy and Commerce.
Referred to the Subcommittee on Health.
Committee Consideration and Mark-up Session Held.
Ordered to be Reported (Amended) by the Yeas and Nays: 45 - 0.
Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 109-705.
Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 109-705.
Placed on the Union Calendar, Calendar No. 424.
Mr. Barton (TX) asked unanimous consent to take from the Speaker's table and consider.
Considered by unanimous consent. (consideration: CR 12/8/2006 H9259-9260)
Passed/agreed to in House: On passage Passed without objection.(text: CR 12/8/2006 H9259-9260)
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On passage Passed without objection. (text: CR 12/8/2006 H9259-9260)
Motion to reconsider laid on the table Agreed to without objection.
Received in the Senate.