To provide for the conduct of a study to identify underlying contributing factors for pediatric cancer that are unique to certain States and to provide assistance to support States with a high incidence of such cancer.

SA 3650. Mrs. SHAHEEN (for herself, Ms. Collins, Mr. Murphy, Mr.
Blumenthal, Mrs. Gillibrand, Mr. Menendez, Mr. Merkley, Mr. Booker, Ms.
Hassan, and Mr. King) submitted an amendment intended to be proposed to
amendment SA 3399 proposed by Mr. Shelby to the bill H.R. 6147, making
appropriations for the Department of the Interior, environment, and
related agencies for the fiscal year ending September 30, 2019, and for
other purposes; which was ordered to lie on the table; as follows:

At the appropriate place in Division A, insert the
following:

SEC. __. ADDRESSING PEDIATRIC CANCER RATES IN THE UNITED
STATES.

(a) Report Identifying Geographic Variation of Types of
Pediatric Cancer.--Using funds appropriated under the heading
``Toxic Substances and Environmental Health'' for the Agency
for Toxic Substances and Disease Registry, the Secretary of
Health and Human Services, not later than 180 days after the
date of enactment of this Act, shall submit to the Committee
on Health, Education, Labor, and Pensions of the Senate, the
Committee on Appropriations of the Senate, the Committee on
Energy and Commerce of the House of Representatives, and the
Committee on Appropriations of the House of Representatives,
a report that provides details on the geographic variation in
pediatric cancer incidence in the United States, including--
(1) the types of pediatric cancer within each of the 10
States with the highest age-adjusted incidence rate of cancer
among persons aged 20 years or younger;
(2) geographic concentrations of types and prevalence of
pediatric cancers within each such State, in accordance with
Centers for Disease Control and Prevention guidelines; and
(3) an update on current activities related to pediatric
cancer, including with respect to carrying out section 399V-6
of the Public Health Service Act (42 U.S.C. 280g-17).
(b) Support for States With High Incidence of Pediatric
Cancer.--Using funds appropriated under the heading ``Toxic
Substances and Environmental Public Health'' for the Agency
for Toxic Substances and Disease Registry, the Secretary of
Health and Human Services may conduct public outreach, in
collaboration with State departments of health, particularly
in the 10 States with the highest age-adjusted incidence rate
of cancer among persons aged 20 years or younger, to improve
awareness by residents, clinicians, and others, as
appropriate, of possible contributing factors to pediatric
cancer, including environmental exposures, in a manner that
is complementary of, and does not conflict with, ongoing
pediatric cancer-related activities supported by the
Department of Health and Human Services.
(c) Privacy.--The Secretary of Health and Human Services
shall ensure that all information with respect to patients
that is contained in the reports under this section is de-
identified and protects personal privacy of such patients in
accordance with applicable Federal and State privacy law.
______