H.R. 4541House119th Congress (2025-2027)Passed House

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

Introduced July 17, 2025

AI-Generated Summary

Updated July 29, 2026 at 3:53 AM UTC

This bill reauthorizes the EARLY Act, which educates young women about breast health, extending its authority to 2031. It also revises the National Breast and Cervical Cancer Early Detection Program to strengthen follow‑up care, broaden prevention efforts, add activities that increase screening and reduce disparities, and update reporting, oversight, and funding. The changes affect federal health programs, health‑care providers, and anyone eligible for breast or cervical cancer screening services.

Key Provisions

  • Extends the authorization of the Young Women’s Breast Health Education and Awareness Requires Learning Young (EARLY) Act from 2026 to 2031.
  • Updates the National Breast and Cervical Cancer Early Detection Program to require that follow‑up services are provided, and expands the program’s focus to include prevention, detection, and control of breast and cervical cancer.
  • Adds new program goals to boost screening through navigation and evidence‑based strategies, reduce disparities in cancer outcomes, and improve access by removing barriers.
  • Changes reporting requirements so the program must submit a report two years after the SCREENS for Cancer Act of 2025 and then every five years, with data covering the prior two fiscal years (first report) or five fiscal years thereafter.
  • Shifts oversight of the program to the Senate Health, Education, Labor, and Pensions Committee and the House Energy and Commerce Committee.
  • Authorizes $235.5 million in funding for each fiscal year from 2026 through 2030.
  • Mandates a GAO study by September 30 2027 to assess eligibility, service trends, and barriers to breast and cervical cancer screening.

Legislative Activity

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18 earlier actions
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

July 27, 2026

View full timeline
HouseIntro Referral

Introduced in House

July 17, 2025

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

July 17, 2025

HouseCommittee

Referred to the Subcommittee on Health.

July 17, 2025

HouseCommittee

Subcommittee Consideration and Mark-up Session Held

May 13, 2026

HouseCommittee

Forwarded by Subcommittee to Full Committee by Voice Vote.

May 13, 2026

HouseCommittee

Committee Consideration and Mark-up Session Held

May 21, 2026

HouseCommittee

Ordered to be Reported (Amended) by the Yeas and Nays: 48 - 0.

May 21, 2026

HouseCommittee

Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 119-746.

July 13, 2026

HouseCalendars

Placed on the Union Calendar, Calendar No. 650.

July 13, 2026

HouseFloor

Mr. Guthrie moved to suspend the rules and pass the bill, as amended.

July 20, 2026 • 3:46 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H4648-4649)

July 20, 2026 • 3:46 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on H.R. 4541.

July 20, 2026 • 3:46 PM

HouseFloor

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.

July 20, 2026 • 3:56 PM

HouseFloor

Considered as unfinished business. (consideration: CR H4670-4671)

July 20, 2026 • 6:31 PM

HouseFloor

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)

July 20, 2026 • 7:03 PM

HouseFloor

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)

July 20, 2026 • 7:03 PM

HouseFloor

Motion to reconsider laid on the table Agreed to without objection.

July 20, 2026 • 7:03 PM

SenateIntro Referral

Received in the Senate.

July 21, 2026

SenateIntro Referral

Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

July 27, 2026

Floor Debate

7 members

What members said about H.R. 4541 on the floor

3 Republicans4 Democrats
Debbie Wasserman Schultz
Rep. Debbie Wasserman SchultzD-FL-25 · Jul 20, 2026

Mr. Speaker, I thank the gentlewoman for yielding. To my colleague from Pennsylvania (Mr. Fitzpatrick), I was proud to be elected in the same class as his late brother, Mike. He was a good and decent…

Brett Guthrie
Rep. Brett GuthrieR-KY-2 · Jul 20, 2026

Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 4541) to reauthorize the Young Women's Breast Health Education and Awareness Requires Learning Young Act of 2009, as amended. Mr.…

Brian K. Fitzpatrick
Rep. Brian K. FitzpatrickR-PA-1 · Jul 20, 2026

Mr. Speaker, I thank the chairman for his work in this regard. I am proud to co-lead this critical legislation, Mr. Speaker, to reauthorize the Breast Cancer Education and Awareness Requires Learning…

Diana DeGette
Rep. Diana DeGetteD-CO-1 · Jul 20, 2026

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I rise in strong support of H.R. 4541, the EARLY Act Reauthorization of 2025. Breast cancer remains the most common cancer among…

Betty McCollum
Rep. Betty McCollumD-MN-4 · Jul 21, 2026

Mr. Speaker, I was unable to be present for votes on the legislation being considered under suspension of the rules on July 20, 2026, due to a delayed flight. Had I been present, I would have voted…

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Brad Knott
Rep. Brad KnottR-NC-13 · Jul 21, 2026

Mr. Speaker, due to an unforseen conflict, I was unable to cast my vote for H.R. 8823 and H.R. 4541. Had I been present, I would have voted YEA on Roll Call No. 250 and YEA on Roll Call No. 251.

Lori Trahan
Rep. Lori TrahanD-MA-3 · Jul 22, 2026

Mr. Speaker, I was not able to be present for votes on July 20, 2026. Had I been present, I would have voted YEA on Roll Call No. 251, H.R. 8823, and YEA on Roll Call No. 250, H.R. 4541.

Bill Text

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Latest
Received in SenateIssued July 27, 2026

II

119th CONGRESS

2d Session

H. R. 4541

IN THE SENATE OF THE UNITED STATES

July 21, 2026

Received

July 27, 2026

Read twice and referred to the Committee on Health, Education, Labor, and Pensions

AN ACT

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

I

EARLY Act Reauthorization

101.

Short title

This 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 2009

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

II

SCREENS for Cancer Act

201.

Short title

This 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 Program

Title 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 study

Not 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.