WHAT THE LAW DOINCongress, in plain words

H.R. 4541 · 119th Congress

To reauthorize the Young Women’s Breast Health Education and Awareness Requires Learning Young Act of 2009.

Passed HouseHealth
IntroducedJul 17, 2025
Passed HouseJul 20, 2026
Passed SenateNot yet
To PresidentNot yet
Became lawNot yet

Where it stands

Passed House. Latest step, Jul 27, 2026: Read twice and referred to the Committee on Health, Education, Labor, and Pensions. The House passed it 394–6. From Iowa: Mariannette Miller-Meeks cosponsors it. All 4 of Iowa's representatives voted yes in the House. It would change 2 sections of existing law.

How this bill changes the law

Sourced

H.R. 4541 would change 2 sections of existing law. Read from the bill text as received in the Senate (Jul 27, 2026).

42 U.S.C. 280m Young women's breast health awareness and support of young women diagnosed with breast cancer

  • (h) Authorization of appropriations changed · Sec. 102 · see the words

42 U.S.C. 300k Establishment of program of grants to States

What the words would change: every change, in place (20)

Today's wording of each part of the law, with what would be struck out and added. Each change also gives the bill's own instruction, word for word.

  1. 42 U.S.C. 280m(h)changedby H.R. 4541 Sec. 102

    (h) Authorization of appropriations. To carry out subsections (a), (b), (c)(1), and (d), there are authorized to be appropriated $9,000,000 for each of fiscal years 2022 through 20262031.

    The bill says: Section 399NN(h) of the Public Health Service Act (42 U.S.C. 280m(h)) is amended by striking "2026" and inserting "2031".

  2. 42 U.S.C. 300k(a)(2)changedby H.R. 4541 Sec. 202(a)

    (2) to provide appropriate referrals for medical treatment of women screened pursuant to paragraph (1) and to ensure, to the extent practicable, the provision of appropriate follow-up services and support services such as case managementthat appropriate follow-up services are provided;

    The bill says: 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";

  3. 42 U.S.C. 300k(a)(3)changedby H.R. 4541 Sec. 202(a)

    (3) to develop and disseminate public information and education programs for the detection and controlprograms for the prevention, detection, and control of breast and cervical cancer;

    The bill says: in paragraph (3), by striking "programs for the detection and control" and inserting "programs for the prevention, detection, and control";

  4. 42 U.S.C. 300k(a)(4)changedby H.R. 4541 Sec. 202(a)

    (4) to improve the education, training, and skills of health professionals (including allied health professionals) in the detection and controlthe prevention, detection, and control of breast and cervical cancer;

    The bill says: in paragraph (4), by striking "the detection and control" and inserting "the prevention, detection, and control";

  5. 42 U.S.C. 300k(a)(5)changedby H.R. 4541 Sec. 202(a)

    (5) to establish mechanisms through which the States can monitorensure the quality of screening procedures for breast and cervical cancer, including the interpretation of such procedures; and

    The bill says: by striking "monitor" and inserting "ensure"; and

  6. 42 U.S.C. 300k(a)(5)changedby H.R. 4541 Sec. 202(a)

    (5) to establish mechanisms through which the States can monitor the quality of screening procedures for breast and cervical cancer, including the interpretation of such procedures; and

    The bill says: by striking "; and" and inserting a semicolon;

  7. 42 U.S.C. 300k(a)renumberedby H.R. 4541 Sec. 202(a)

    The bill says: by redesignating paragraph (6) as paragraph (9);

  8. 42 U.S.C. 300k(a)added (6)by H.R. 4541 Sec. 202(a)

    (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

    The bill says: by inserting after paragraph (5) the following:

  9. 42 U.S.C. 300k(a)(9)changedby H.R. 4541 Sec. 202(a)

    The bill says: in paragraph (9), as so redesignated, by striking "through (5)" and inserting "through (8)"; and

  10. 42 U.S.C. 300kremovedby H.R. 4541 Sec. 202(a)

    The bill says: by striking subsection (d);

  11. 42 U.S.C. 300k(a)(1)changedby H.R. 4541 Sec. 202(a)

    The bill says: 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";

  12. 42 U.S.C. 300k(a)removedby H.R. 4541 Sec. 202(a)

    The bill says: by striking paragraphs (2) and (4);

  13. 42 U.S.C. 300k(a)renumberedby H.R. 4541 Sec. 202(a)

    The bill says: by redesignating paragraph (3) as paragraph (2); and

  14. 42 U.S.C. 300k(a)(2)changedby H.R. 4541 Sec. 202(a)

    The bill says: in paragraph (2), as so redesignated, by striking "; and" and inserting a period; and

  15. 42 U.S.C. 300kremovedby H.R. 4541 Sec. 202(a)

    The bill says: by striking subsection (d);

  16. 42 U.S.C. 300kchangedby H.R. 4541 Sec. 202(a)

    The bill says: 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,";

  17. 42 U.S.C. 300kchangedby H.R. 4541 Sec. 202(a)

    The bill says: by striking "Labor and Human Resources" and inserting "Health, Education, Labor, and Pensions"; and

  18. 42 U.S.C. 300kchangedby H.R. 4541 Sec. 202(a)

    The bill says: 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

  19. 42 U.S.C. 300kchangedby H.R. 4541 Sec. 202(a)

    The bill says: by striking "2011, and" and inserting "2011,"; and

  20. 42 U.S.C. 300kchangedby H.R. 4541 Sec. 202(a)

    The bill says: by inserting ", and $235,500,000 for each of fiscal years 2026 through 2030" before the period at the end.

From the bill's official text on GovInfo and the U.S. Code, 2024 edition, which may not yet show changes made since.

What it does

Sourced

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.

Official summary by the Congressional Research Service (Reported to House, Jul 13, 2026).

Our plain-language breakdown, with what it means for you and the case for and against, is written once a bill starts to move.

What has happened

Sourced
  1. Jul 20, 2026Passed/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) Roll call recordLibrary of Congress
  2. Jul 13, 2026Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 119-746.Library of Congress
  3. Jul 17, 2025Introduced in HouseLibrary of Congress

Show all 21 recorded actions

Recorded votes

Sourced
  1. Jul 20, 2026 · HousePassed 394–6
    On Motion to Suspend the Rules and Pass, as Amended · needed two-thirds
    R 193 yes, 6 noI 1 yes, 0 noD 200 yes, 0 noEach member · Record

Cosponsors

From Iowa

Everyone else (19)

  • Nanette Diaz Barragán D-CA-44
  • Kathy Castor D-FL-14
  • Angie Craig D-MN-2
  • Madeleine Dean D-PA-4
  • Debbie Dingell D-MI-6
  • Sarah Elfreth D-MD-3
  • Brian K. Fitzpatrick R-PA-1
  • Lois Frankel D-FL-22
  • Daniel S. Goldman D-NY-10
  • Josh Gottheimer D-NJ-5
  • Diana Harshbarger R-TN-1
  • Timothy M. Kennedy D-NY-26
Show 7 more cosponsors
  • Nicholas A. Langworthy R-NY-23
  • Ted Lieu D-CA-36
  • Jerrold Nadler D-NY-12
  • Eleanor Holmes Norton D-DC-At Large
  • Deborah K. Ross D-NC-2
  • Nydia M. Velázquez D-NY-7
  • Joe Wilson R-SC-2