Both sides have signed this (Bill Ranking)
H.R. 4541 · 119th Congress (2025-2026)
21 members · Left 15 · Center 2 · Right 4 (Bill Ranking)
| Sponsor | Rep. Wasserman Schultz, Debbie (D-FL) (Introduced 07/17/2025) |
|---|---|
| Sponsor Voting Record | Lean left · DW-NOMINATE -0.41 · measured from every roll-call vote this member has cast (voteview.com) (Sponsor Ranking) |
| Support |
LLLCLRR support across the spectrum: 21 members signed on (Bill Ranking) this bill: sponsor + current cosponsors, each once |
| Committees | Senate - Health, Education, Labor, and Pensions Committee; House - Energy and Commerce Committee; House - Energy and Commerce Committee; House - Energy and Commerce Committee |
| Latest Action | 07/27/2026 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. |
| Roll Call Votes | 1 |
| Source | view on congress.gov → |
Reported to House (07/13/2026)
This bill reauthorizes and revises programs of the Centers for Disease Control and Prevention (CDC) that support services and education addressing breast and cervical cancer.
The bill reauthorizes through FY2030 and makes changes to the CDC’s National Breast and Cervical Cancer Early Detection Program. This program provides grants to states for breast and cervical cancer screening, diagnostic, and treatment services for individuals who have low incomes, are uninsured, or otherwise lack access to such services. The bill increases flexibility in how states may spend grant funds under the program.
The Government Accountability Office must report to Congress on the work of the National Breast and Cervical Cancer Early Detection Program, including the number of individuals served and barriers to accessing screenings.
Also, the bill reauthorizes through FY2031 CDC programs relating to young women’s awareness of breast health and breast cancer. These programs include campaigns to educate young women and health care professionals, research on preventing breast cancer in younger women, and grants for resources and services to young women diagnosed with breast cancer and precancerous conditions.
119 HR 4541 EH: EARLY Act Reauthorization of 2025 U.S. House of Representatives text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. IB 119th CONGRESS2d Session H. R. 4541
IN THE HOUSE OF REPRESENTATIVES AN ACT To reauthorize the Young Women’s Breast Health Education and Awareness Requires Learning Young Act of 2009. IEARLY Act Reauthorization
101.Short titleThis title may be cited as the EARLY Act Reauthorization of 2025.
102.Reauthorization of the Young Women’s Breast Health Education and Awareness Requires Learning Young Act of 2009Section 399NN(h) of the Public Health Service Act (42 U.S.C. 280m(h)) is amended by striking 2026 and inserting 2031. IISCREENS for Cancer Act
201.Short titleThis title may be cited as the Screening for Communities to Receive Early and Equitable Needed Services for Cancer Act of 2025 or the SCREENS for Cancer Act of 2025.
202.National Breast and Cervical Cancer Early Detection Program (a)National Breast and Cervical Cancer Early Detection ProgramTitle XV of the Public Health Service Act (42 U.S.C. 300k et seq.) is amended— (1)in section 1501 (42 U.S.C. 300k)— (A)in subsection (a)— (i)in paragraph (2), by striking the provision of appropriate follow-up services and support services such as case management and inserting that appropriate follow-up services are provided; (ii)in paragraph (3), by striking programs for the detection and control and inserting programs for the prevention, detection, and control; (iii)in paragraph (4), by striking the detection and control and inserting the prevention, detection, and control; (iv)in paragraph (5)— (I)by striking monitor and inserting ensure; and (II)by striking ; and and inserting a semicolon; (v)by redesignating paragraph (6) as paragraph (9); (vi)by inserting after paragraph (5) the following: (6)to enhance appropriate support activities to increase breast and cervical cancer screenings, such as navigation of health care services, implementation of evidence-based or evidence-informed strategies to increase breast and cervical cancer screening in health care settings, and facilitation of access to health care settings; (7)to reduce disparities in breast and cervical cancer incidence, morbidity, and mortality, including in populations with higher than average rates; (8)to improve access to breast and cervical cancer screening and diagnostic services and reduce related barriers, including factors that relate to negative health outcomes; and; and (vii)in paragraph (9), as so redesignated, by striking through (5) and inserting through (8); and (B)by striking subsection (d); (2)in section 1503 (42 U.S.C. 300m)— (A)in subsection (a)— (i)in paragraph (1), by striking that, initially and all that follows through the semicolon and inserting that appropriate breast and cervical cancer screening and diagnostic services are provided consistent with relevant evidence-based recommendations; and; (ii)by striking paragraphs (2) and (4); (iii)by redesignating paragraph (3) as paragraph (2); and (iv)in paragraph (2), as so redesignated, by striking ; and and inserting a period; and (B)by striking subsection (d); (3)in section 1508(b) (42 U.S.C. 300n–4(b))— (A)by striking 1 year after the date of the enactment of the National Breast and Cervical Cancer Early Detection Program Reauthorization of 2007, and annually thereafter, and inserting 2 years after the date of enactment of the SCREENS for Cancer Act of 2025, and every 5 years thereafter,; (B)by striking Labor and Human Resources and inserting Health, Education, Labor, and Pensions; and (C)by striking preceding fiscal year and inserting preceding 2 fiscal years in the case of the first report after the date of enactment of the SCREENS for Cancer Act of 2025, and preceding 5 fiscal years for each report thereafter,; and (4)in section 1510(a) (42 U.S.C. 300n–5(a))— (A)by striking 2011, and and inserting 2011,; and (B)by inserting , and $235,500,000 for each of fiscal years 2026 through 2030 before the period at the end. (b)GAO studyNot later than September 30, 2027, the Comptroller General of the United States shall report to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives on the work of the National Breast and Cervical Cancer Early Detection Program, including— (1)an estimate of the number of individuals eligible for services provided under such program; (2)a summary of trends in the number of individuals served through such program; and (3)an assessment of any factors that may be driving the trends identified under paragraph (2), including any barriers to accessing breast and cervical cancer screenings provided by such program. Passed the House of Representatives July 20, 2026.Kevin F. McCumber,Clerk.
119 HR 4541 IH: EARLY Act Reauthorization of 2025 U.S. House of Representatives 2025-07-17 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. I119th CONGRESS1st SessionH. R. 4541IN THE HOUSE OF REPRESENTATIVESJuly 17, 2025Ms. Wasserman Schultz (for herself, Mrs. Miller-Meeks, Ms. Castor of Florida, Mr. Fitzpatrick, Mrs. Dingell, and Mrs. Harshbarger) introduced the following bill; which was referred to the Committee on Energy and CommerceA BILLTo reauthorize the Young Women’s Breast Health Education and Awareness Requires Learning Young Act of 2009.
1.Short titleThis Act may be cited as the EARLY Act Reauthorization of 2025.
2.Reauthorization of the Young Women’s Breast Health Education and Awareness Requires Learning Young Act of 2009Section 399NN(h) of the Public Health Service Act (42 U.S.C. 280m(h)) is amended by striking 2026 and inserting 2031.
119 HR 4541 : EARLY Act Reauthorization of 2025 U.S. House of Representatives 2026-07-27 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. II119th CONGRESS2d SessionH. R. 4541IN THE SENATE OF THE UNITED STATESJuly 21, 2026ReceivedJuly 27, 2026Read twice and referred to the Committee on Health, Education, Labor, and PensionsAN ACTTo reauthorize the Young Women’s Breast Health Education and Awareness Requires Learning Young Act of 2009.IEARLY Act Reauthorization101.Short titleThis title may be cited as the EARLY Act Reauthorization of 2025.102.Reauthorization of the Young Women’s Breast Health Education and Awareness Requires Learning Young Act of 2009Section 399NN(h) of the Public Health Service Act (42 U.S.C. 280m(h)) is amended by striking 2026 and inserting 2031.IISCREENS for Cancer Act201.Short titleThis title may be cited as the Screening for Communities to Receive Early and Equitable Needed Services for Cancer Act of 2025 or the SCREENS for Cancer Act of 2025.202.National Breast and Cervical Cancer Early Detection Program(a)National Breast and Cervical Cancer Early Detection ProgramTitle XV of the Public Health Service Act (42 U.S.C. 300k et seq.) is amended—(1)in section 1501 (42 U.S.C. 300k)—(A)in subsection (a)—(i)in paragraph (2), by striking the provision of appropriate follow-up services and support services such as case management and inserting that appropriate follow-up services are provided;(ii)in paragraph (3), by striking programs for the detection and control and inserting programs for the prevention, detection, and control;(iii)in paragraph (4), by striking the detection and control and inserting the prevention, detection, and control;(iv)in paragraph (5)—(I)by striking monitor and inserting ensure; and(II)by striking ; and and inserting a semicolon;(v)by redesignating paragraph (6) as paragraph (9);(vi)by inserting after paragraph (5) the following:(6)to enhance appropriate support activities to increase breast and cervical cancer screenings, such as navigation of health care services, implementation of evidence-based or evidence-informed strategies to increase breast and cervical cancer screening in health care settings, and facilitation of access to health care settings;(7)to reduce disparities in breast and cervical cancer incidence, morbidity, and mortality, including in populations with higher than average rates;(8)to improve access to breast and cervical cancer screening and diagnostic services and reduce related barriers, including factors that relate to negative health outcomes; and; and(vii)in paragraph (9), as so redesignated, by striking through (5) and inserting through (8); and(B)by striking subsection (d); (2)in section 1503 (42 U.S.C. 300m)—(A)in subsection (a)—(i)in paragraph (1), by striking that, initially and all that follows through the semicolon and inserting that appropriate breast and cervical cancer screening and diagnostic services are provided consistent with relevant evidence-based recommendations; and;(ii)by striking paragraphs (2) and (4);(iii)by redesignating paragraph (3) as paragraph (2); and(iv)in paragraph (2), as so redesignated, by striking ; and and inserting a period; and(B)by striking subsection (d);(3)in section 1508(b) (42 U.S.C. 300n–4(b))—(A)by striking 1 year after the date of the enactment of the National Breast and Cervical Cancer Early Detection Program Reauthorization of 2007, and annually thereafter, and inserting 2 years after the date of enactment of the SCREENS for Cancer Act of 2025, and every 5 years thereafter,; (B)by striking Labor and Human Resources and inserting Health, Education, Labor, and Pensions; and (C)by striking preceding fiscal year and inserting preceding 2 fiscal years in the case of the first report after the date of enactment of the SCREENS for Cancer Act of 2025, and preceding 5 fiscal years for each report thereafter,; and(4)in section 1510(a) (42 U.S.C. 300n–5(a))—(A)by striking 2011, and and inserting 2011,; and(B)by inserting , and $235,500,000 for each of fiscal years 2026 through 2030 before the period at the end.(b)GAO studyNot later than September 30, 2027, the Comptroller General of the United States shall report to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives on the work of the National Breast and Cervical Cancer Early Detection Program, including— (1)an estimate of the number of individuals eligible for services provided under such program; (2)a summary of trends in the number of individuals served through such program; and(3)an assessment of any factors that may be driving the trends identified under paragraph (2), including any barriers to accessing breast and cervical cancer screenings provided by such program.Passed the House of Representatives July 20, 2026.Kevin F. McCumber,Clerk.
119 HR 4541 RH: EARLY Act Reauthorization of 2025 U.S. House of Representatives 2026-07-13 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. IBUnion Calendar No. 650119th CONGRESS2d SessionH. R. 4541[Report No. 119–746]IN THE HOUSE OF REPRESENTATIVESJuly 17, 2025Ms. Wasserman Schultz (for herself, Mrs. Miller-Meeks, Ms. Castor of Florida, Mr. Fitzpatrick, Mrs. Dingell, and Mrs. Harshbarger) introduced the following bill; which was referred to the Committee on Energy and CommerceJuly 13, 2026Additional sponsors: Ms. Norton, Mr. Gottheimer, Ms. Elfreth, Mr. Goldman of New York, Ms. Ross, Ms. Barragán, Ms. Lois Frankel of Florida, Ms. Dean of Pennsylvania, Mr. Nadler, Ms. Craig, Ms. Velázquez, Mr. Langworthy, Mr. Lieu, Mr. Wilson of South Carolina, and Mr. Kennedy of New YorkJuly 13, 2026Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printedStrike out all after the enacting clause and insert the part printed in italicFor text of introduced bill, see copy of bill as introduced on July 17, 2025A BILLTo reauthorize the Young Women’s Breast Health Education and Awareness Requires Learning Young Act of 2009.IEARLY Act Reauthorization101.Short titleThis title may be cited as the EARLY Act Reauthorization of 2025.102.Reauthorization of the Young Women’s Breast Health Education and Awareness Requires Learning Young Act of 2009Section 399NN(h) of the Public Health Service Act (42 U.S.C. 280m(h)) is amended by striking 2026 and inserting 2031.IISCREENS for Cancer Act201.Short titleThis title may be cited as the Screening for Communities to Receive Early and Equitable Needed Services for Cancer Act of 2025 or the SCREENS for Cancer Act of 2025.202.National Breast and Cervical Cancer Early Detection Program(a)National Breast and Cervical Cancer Early Detection ProgramTitle XV of the Public Health Service Act (42 U.S.C. 300k et seq.) is amended—(1)in section 1501 (42 U.S.C. 300k)—(A)in subsection (a)—(i)in paragraph (2), by striking the provision of appropriate follow-up services and support services such as case management and inserting that appropriate follow-up services are provided;(ii)in paragraph (3), by striking programs for the detection and control and inserting programs for the prevention, detection, and control;(iii)in paragraph (4), by striking the detection and control and inserting the prevention, detection, and control;(iv)in paragraph (5)—(I)by striking monitor and inserting ensure; and(II)by striking ; and and inserting a semicolon;(v)by redesignating paragraph (6) as paragraph (9);(vi)by inserting after paragraph (5) the following:(6)to enhance appropriate support activities to increase breast and cervical cancer screenings, such as navigation of health care services, implementation of evidence-based or evidence-informed strategies to increase breast and cervical cancer screening in health care settings, and facilitation of access to health care settings;(7)to reduce disparities in breast and cervical cancer incidence, morbidity, and mortality, including in populations with higher than average rates;(8)to improve access to breast and cervical cancer screening and diagnostic services and reduce related barriers, including factors that relate to negative health outcomes; and; and(vii)in paragraph (9), as so redesignated, by striking through (5) and inserting through (8); and(B)by striking subsection (d); (2)in section 1503 (42 U.S.C. 300m)—(A)in subsection (a)—(i)in paragraph (1), by striking that, initially and all that follows through the semicolon and inserting that appropriate breast and cervical cancer screening and diagnostic services are provided consistent with relevant evidence-based recommendations; and;(ii)by striking paragraphs (2) and (4);(iii)by redesignating paragraph (3) as paragraph (2); and(iv)in paragraph (2), as so redesignated, by striking ; and and inserting a period; and(B)by striking subsection (d);(3)in section 1508(b) (42 U.S.C. 300n–4(b))—(A)by striking 1 year after the date of the enactment of the National Breast and Cervical Cancer Early Detection Program Reauthorization of 2007, and annually thereafter, and inserting 2 years after the date of enactment of the SCREENS for Cancer Act of 2025, and every 5 years thereafter,; (B)by striking Labor and Human Resources and inserting Health, Education, Labor, and Pensions; and (C)by striking preceding fiscal year and inserting preceding 2 fiscal years in the case of the first report after the date of enactment of the SCREENS for Cancer Act of 2025, and preceding 5 fiscal years for each report thereafter,; and(4)in section 1510(a) (42 U.S.C. 300n–5(a))—(A)by striking 2011, and and inserting 2011,; and(B)by inserting , and $235,500,000 for each of fiscal years 2026 through 2030 before the period at the end.(b)GAO studyNot later than September 30, 2027, the Comptroller General of the United States shall report to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives on the work of the National Breast and Cervical Cancer Early Detection Program, including— (1)an estimate of the number of individuals eligible for services provided under such program; (2)a summary of trends in the number of individuals served through such program; and(3)an assessment of any factors that may be driving the trends identified under paragraph (2), including any barriers to accessing breast and cervical cancer screenings provided by such program.July 13, 2026Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed
The bill's own words, from our database (synced from the GPO BILLS XML); paragraph breaks added at the bill's section boundaries, nothing else changed.
| Date | Chamber | All Actions |
|---|---|---|
| 07/17/2025 | Library of Congress | Introduced in House |
| 07/17/2025 | Library of Congress | Introduced in House |
| 07/17/2025 | House floor actions | Referred to the House Committee on Energy and Commerce. |
| 07/17/2025 | House committee actions | Referred to the Subcommittee on Health. |
| 05/13/2026 | House committee actions | Subcommittee Consideration and Mark-up Session Held |
| 05/13/2026 | House committee actions | Forwarded by Subcommittee to Full Committee by Voice Vote. |
| 05/21/2026 | House committee actions | Committee Consideration and Mark-up Session Held |
| 05/21/2026 | House committee actions | Ordered to be Reported (Amended) by the Yeas and Nays: 48 - 0. |
| 07/13/2026 | Library of Congress | Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 119-746. |
| 07/13/2026 | House floor actions | Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 119-746. |
| 07/13/2026 | House floor actions | Placed on the Union Calendar, Calendar No. 650. |
| 07/20/2026 | House floor actions | Mr. Guthrie moved to suspend the rules and pass the bill, as amended. |
| 07/20/2026 | House floor actions | Considered under suspension of the rules. (consideration: CR H4648-4649) |
| 07/20/2026 | House floor actions | DEBATE - The House proceeded with forty minutes of debate on H.R. 4541. |
| 07/20/2026 | House floor actions | At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed. |
| 07/20/2026 | House floor actions | Considered as unfinished business. (consideration: CR H4670-4671) |
| 07/20/2026 | Library of Congress | Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 394 - 6 (Roll no. 250). (text: CR H4648) |
| 07/20/2026 | House floor actions | On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 394 - 6 (Roll no. 250). (text: CR H4648) |
| 07/20/2026 | House floor actions | Motion to reconsider laid on the table Agreed to without objection. |
| 07/21/2026 | Senate | Received in the Senate. |
| 07/27/2026 | Senate | Read twice and referred to the Committee on Health, Education, Labor, and Pensions. |
| Title Type | Title |
|---|---|
| Display Title | To reauthorize the Young Women’s Breast Health Education and Awareness Requires Learning Young Act of 2009. |
| Short Title(s) as Passed House for portions of this bill | SCREENS for Cancer Act of 2025 |
| Short Title(s) as Passed House for portions of this bill | Screening for Communities to Receive Early and Equitable Needed Services for Cancer Act of 2025 |
| Short Title(s) as Passed House for portions of this bill | EARLY Act Reauthorization of 2025 |
| Official Titles from EH (Engrossed in House) bill text | To reauthorize the Young Women’s Breast Health Education and Awareness Requires Learning Young Act of 2009. |
| Short Title(s) as Reported to House for portions of this bill | SCREENS for Cancer Act of 2025 |
| Short Title(s) as Reported to House for portions of this bill | Screening for Communities to Receive Early and Equitable Needed Services for Cancer Act of 2025 |
| Short Title(s) as Reported to House for portions of this bill | EARLY Act Reauthorization of 2025 |
| Short Title(s) as Introduced | EARLY Act Reauthorization of 2025 |
| Official Title as Introduced | To reauthorize the Young Women's Breast Health Education and Awareness Requires Learning Young Act of 2009. |
There are no amendments to this bill.
* = Original cosponsor
| Committee | Activity |
|---|---|
| Senate - Health, Education, Labor, and Pensions Committee | 07/27/2026 Referred To |
| House - Energy and Commerce Committee | 07/13/2026 Reported By |
| House - Energy and Commerce Committee | 05/21/2026 Markup By |
| House - Energy and Commerce Committee | 07/17/2025 Referred To |
Policy Area: Health
All data on this page comes from our own database (legislation.congress_* tables), synced daily from the GPO govinfo BILLSTATUS and BILLS collections. Formatted after congress.gov; nothing is generated. Member placement is their DW-NOMINATE score (voteview.com, Lewis et al.) - a measurement of roll-call voting behavior, not our judgement. Buckets: Left below −0.50 · Lean Left to −0.25 · Center to +0.25 · Lean Right to +0.50 · Right above +0.50. The bill's Support meter aggregates the people who signed the bill - sponsor and current cosponsors, each counted once - nothing else.