Breast cancer risk assessment requirement in grant programs

(a) Breast cancer risk assessment requirement (1) Grant requirements Section 1501(a) of the Public Health Service Act (42 U.S.C. 300k) is amended— (A) in paragraph (1), by inserting conduct evidence-based breast cancer risk assessments and to before screen women; (B) in paragraph (4), by inserting, including training on and clinical application of validated breast cancer risk assessment models before the semicolon at the end; (C) in paragraph (5), by striking; and and inserting a semicolon; (D) by redesignating paragraph (6) as paragraph (9); (E) by inserting after paragraph (5) the following: (6) to implement standardized, evidence-based breast cancer risk assessment tools in appropriate clinical settings, including through integration into electronic health record systems; (7) to develop and disseminate public information and education programs regarding breast cancer risk factors, individualized risk assessment, genetic predisposition, and available risk-reduction strategies; (8) to support research, validation, and improvement of existing breast cancer risk assessment models to improve accuracy across racial, ethnic, geographic, and age populations; and; and (F) in paragraph (9), as redesignated, by striking (5) and inserting (8). (2) Conforming amendments Section 1503 of the Public Health Service Act (42 U.S.C. 300mm) is amended— (A) in subsection (a)(4), by striking (6) and inserting (9); and (B) in subsection (d)(3)(B)(ii), by striking (6) and inserting (9). (b) Risk assessment reporting Section 1504(i) of the Public Health Service Act (42 U.S.C. 300n) is amended to read as follows: (i) Reports to Secretary (1) Required reports The Secretary may not make a grant under section 1501 unless the State involved agrees to submit to the Secretary the report required under paragraph (2) and such other reports as the Secretary may require with respect to the grant. (2) Risk assessment reporting A State receiving a grant under section 1501 shall submit to the Secretary, at such time and in such manner as the Secretary may require, information on— (A) the number of individuals receiving breast cancer risk assessments under the programs of the State funded through such grant; (B) the number and percentage of individuals receiving breast cancer risk assessments under such programs identified as being at elevated risk; (C) the number of referrals made for enhanced screening, genetic counseling, preventive therapy, or other breast cancer risk-reduction services through such programs; and (D) disparities in access to breast cancer risk assessments and follow-up services among geographic regions, medically underserved populations, and other populations, as determined relevant by the Secretary..