S.Amdt. 3078

SA 3078. Ms. KLOBUCHAR (for herself and Ms. Snowe) submitted an
amendment intended to be proposed to amendment SA 2786 proposed by Mr.
Reid (for himself, Mr. Baucus, Mr. Dodd, and Mr. Harkin) to the bill
H.R. 3590, to amend the Internal Revenue Code of 1986 to modify the
first-time homebuyers credit in the case of members of the Armed Forces
and certain other Federal employees, and for other purposes; which was
ordered to lie on the table; as follows:

At the appropriate place in title IV, insert the following:

SEC. __. YOUNG WOMEN'S BREAST HEALTH AWARENESS AND SUPPORT OF
YOUNG WOMEN DIAGNOSED WITH BREAST CANCER.

(a) Short Title.--This section may be cited as the ``Young
Women's Breast Health Education and Awareness Requires
Learning Young Act of 2009'' or ``EARLY Act''.
(b) Amendment.--Title III of the Public Health Service Act
(42 U.S.C. 241 et seq.) is amended by adding at the end the
following:

``PART S--PROGRAMS RELATING TO BREAST HEALTH AND CANCER

``SEC. 399HH. YOUNG WOMEN'S BREAST HEALTH AWARENESS AND
SUPPORT OF YOUNG WOMEN DIAGNOSED WITH BREAST
CANCER.

``(a) Public Education Campaign.--
``(1) In general.--The Secretary, acting through the
Director of the Centers for Disease Control and Prevention,
shall conduct a national evidence-based education campaign to
increase awareness of young women's knowledge regarding--
``(A) breast health in young women of all racial, ethnic,
and cultural backgrounds;
``(B) breast awareness and good breast health habits;
``(C) the occurrence of breast cancer and the general and
specific risk factors in women who may be at high risk for
breast cancer based on familial, racial, ethnic, and cultural
backgrounds such as Ashkenazi Jewish populations;
``(D) evidence-based information that would encourage young
women and their health care professional to increase early
detection of breast cancers; and
``(E) the availability of health information and other
resources for young women diagnosed with breast cancer on--
``(i) fertility preservation;
``(ii) support, including social, emotional, psychosocial,
financial, lifestyle, and caregiver support;
``(iii) familial risk factors; and
``(iv) prevention and early detection strategies to reduce
recurrence or metastasis;
``(2) Evidence-based, age appropriate messages.--The
campaign shall provide evidence-based, age-appropriate
messages and materials as developed by the Centers for
Disease Control and Prevention and the Advisory Committee
established under paragraph (4).
``(3) Media campaign.--In conducting the education campaign
under paragraph (1), the Secretary shall award grants to
entities to establish national multimedia campaigns oriented
to young women that may include advertising through
television, radio, print media, billboards, posters, all
forms of existing and especially emerging social networking
media, other Internet media, and any other medium determined
appropriate by the Secretary.
``(4) Advisory committee.--
``(A) Establishment.--Not later than 60 days after the date
of the enactment of this section, the Secretary, acting
through the Director of the Centers for Disease Control and
Prevention, shall establish an advisory committee to assist
in creating and conducting the education campaigns under
paragraph (1) and subsection (b)(1).
``(B) Membership.--The Secretary, acting through the
Director of the Centers for Disease Control and Prevention,
shall appoint to the advisory committee under subparagraph
(A) such members as deemed necessary to properly advise the
Secretary, and shall include organizations and individuals
with expertise in breast cancer, disease prevention, early
detection, diagnosis, public health, social marketing,
genetic screening and counseling, treatment, rehabilitation,
palliative care, and survivorship in young women.
``(b) Health Care Professional Education Campaign.--
``(1) In general.--The Secretary, acting through the
Director of the Centers for Disease Control and Prevention,
and in consultation with the Administrator of the Health
Resources and Services Administration, shall conduct an
education campaign among physicians and other health care
professionals to increase awareness--
``(A) of breast health, symptoms, and early diagnosis and
treatment of breast cancer in young women, including specific
risk factors such as family history of cancer and women that
may be at high risk for breast cancer, such as Ashkenazi
Jewish population;
``(B) on how to provide counseling to young women about
their breast health, including knowledge of their family
cancer history and importance of providing regular clinical
breast examinations;
``(C) concerning the importance of discussing healthy
behaviors, and increasing awareness of services and programs
available to address overall health and wellness, and making
patient referrals to address tobacco cessation, good
nutrition, and physical activity;
``(D) on when to refer patients to a health care provider
with genetics expertise;
``(E) on how to provide counseling that addresses long-term
survivorship and health concerns of young women diagnosed
with breast cancer; and
``(F) on when to provide referrals to organizations and
institutions that provide credible health information and
substantive assistance and support to young women diagnosed
with breast cancer, including--
``(i) re-entry into the workforce or school;
``(ii) infertility as a result of treatment;
``(iii) neuro-cognitive effects;
``(iv) important effects of cardiac, vascular, muscle, and
skeletal complications; and
``(v) secondary malignancies.
``(2) Materials.--The education campaign under paragraph
(1) may include the distribution of print, video, and Web-
based materials on assisting physicians and other health care
professionals in achieving the goals of this section.
``(c) Prevention Research Activities.--The Secretary,
acting through--
``(1) the Director of the Centers for Disease Control and
Prevention, shall conduct prevention research on breast
cancer in younger women, including--
``(A) behavioral, survivorship studies, and other research
on the impact of breast cancer diagnosis on young women;
``(B) formative research to assist with the development of
educational messages and information for the public, targeted
populations, and their families about breast health, breast
cancer, and healthy lifestyles;
``(C) testing and evaluating existing and new social
marketing strategies targeted at young women; and
``(D) surveys of health care providers and the public
regarding knowledge, attitudes, and practices related to
breast health and breast cancer prevention and control in
high-risk populations; and
``(2) the Director of the National Institutes of Health,
shall conduct research to develop and validate new screening
tests and methods for prevention and early detection of
breast cancer in young women.
``(d) Support for Young Women Diagnosed With Breast
Cancer.--
``(1) In general.--The Secretary shall award grants to
organizations and institutions to provide health information
from credible sources and substantive assistance directed to
young women diagnosed with breast cancer and pre-neoplastic
breast diseases on issues such as--
``(A) education and counseling regarding fertility
preservation;
``(B) support, including social, emotional, psychosocial,
financial, lifestyle, and caregiver support;
``(C) familial risk factors; and
``(D) prevention and early education strategies to reduce
recurrence or metastasis.

[[Page S12742]]

``(2) Priority.--In making grants under paragraph (1), the
Secretary shall give priority to applicants that deal
specifically with young women diagnosed with breast cancer
and pre-neoplastic breast disease.
``(e) No Duplication of Effort.--In conducting an education
campaign or other program under subsections (a), (b), (c), or
(d), the Secretary shall avoid duplicating other existing
Federal breast cancer education efforts.
``(f) Measurement; Reporting.--The Secretary, acting
through the Director of the Centers for Disease Control and
Prevention, shall--
``(1) measure--
``(A) young women's awareness regarding breast health,
including knowledge of family cancer history, specific risk
factors and early warning signs, and young women's proactive
efforts at early detection;
``(B) the number or percentage of young women utilizing
information regarding lifestyle interventions that foster
healthy behaviors such as tobacco cessation, nutrition, and
physical activity;
``(C) the number or percentage of young women receiving
regular clinical breast exams; and
``(D) the number or percentage of young women who perform
breast self exams, and the frequency of such exams, before
the implementation of this section;
``(2) establish quantitative benchmarks to measure the
impact of activities under this section;
``(3) not less than every 3 years, measure the impact of
such activities; and
``(4) submit reports to the Congress on the results of such
measurements.
``(g) Definitions.--In this section--
``(1) the term `State' means each of the several States,
the District of Columbia, the Commonwealth of Puerto Rico,
American Samoa, Guam, the Commonwealth of the Northern
Mariana Islands, the United States Virgin Islands, and the
Trust Territory of the Pacific Islands; and
``(2) the term `young women' means women 15 to 44 years of
age.
``(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 the fiscal years
2010 through 2014.''.

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