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H.R. 4541
U.S. House•In Senate Committee
Summary
H.R. 4541, the To reauthorize the Young Women’s Breast Health Education and Awareness Requires Learning Young Act of 2009, was introduced in the House on Jul 17, 2025 by Rep. Debbie Wasserman Schultz (D) with 20 co-sponsors. It was referred to Health, Education, Labor, And Pensions, and last saw action on Jul 27, 2026: Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Record
Text
H.R. 4541 has 20 co-sponsors and 1 roll call.
hb4541/engrossed-in-house.txt119 HR 4541 EH: EARLY Act Reauthorization of 2025U.S. House of Representativestext/xmlENPursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.IB119th CONGRESS 2d SessionH. R. 4541IN THE HOUSE OF REPRESENTATIVESAN ACTTo reauthorize the Young Women’s Breast Health Education and Awareness Requires Learning Young Act of 2009.IEARLY Act Reauthorization101.Short titleThis 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 2009Section 399NN(h) of the Public Health Service Act ( 42 U.S.C. 280m(h) ) is amended by striking 2026 and inserting 2031 .IISCREENS for Cancer Act201.Short titleThis 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 ProgramTitle 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 studyNot 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.
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-07-17
- Passed House2026-07-20
- Passed Senate
- Conference
- To President
- Became Law
CRS Summary
The summaries are the Congressional Research Service’s, one per stage. Read them in full.
Reported to House Jul 13, 2026
hb4541/reported-to-house.mdShown Here:
Reported to House (07/13/2026)
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.
Sponsors
Rep. Debbie Wasserman Schultz (D) sponsors H.R. 4541, and 20 members have co-sponsored it, 5 of them from the day it was introduced.

Rep. · D–FL-25 · Sponsor
Introduced Jul 17, 2025

Rep. · D–FL-14 · Co-sponsor
Joined Jul 17, 2025 · Original

Rep. · D–MI-6 · Co-sponsor
Joined Jul 17, 2025 · Original

Rep. · R–PA-1 · Co-sponsor
Joined Jul 17, 2025 · Original

Rep. · R–TN-1 · Co-sponsor
Joined Jul 17, 2025 · Original

Rep. · R–IA-1 · Co-sponsor
Joined Jul 17, 2025 · Original

Rep. · D–DC-0 · Co-sponsor
Joined Aug 15, 2025

Rep. · D–NJ-5 · Co-sponsor
Joined Oct 10, 2025

Rep. · D–MD-3 · Co-sponsor
Joined Oct 24, 2025

Rep. · D–NY-10 · Co-sponsor
Joined Nov 7, 2025
Committees
H.R. 4541 went before 3 committees: Health, Education, Labor, and Pensions, Energy and Commerce and Health Subcommittee.

Reports
1 committee report has been filed on H.R. 4541, the latest H. Rept. 119-746.
- H. Rept. 119-746 — TO REAUTHORIZE THE YOUNG WOMEN'S BREAST HEALTH EDUCATION AND AWARENESS REQUIRES LEARNING YOUNG ACT OF 2009
Actions
H.R. 4541 has taken 19 actions since Jul 17, 2025, the latest on Jul 27, 2026.
| Chamber | Action | |||
|---|---|---|---|---|
Jul 27, 2026 | Senate | Read twice and referred to the Committee on Health, Education, Labor, and Pensions.Health, Education, Labor, and Pensions Committee | ||
Jul 21, 2026 | Senate | Received in the Senate. | ||
Jul 20, 202615:46 | House | Mr. Guthrie moved to suspend the rules and pass the bill, as amended. | ||
Jul 20, 202615:46 | House | Considered under suspension of the rules. (consideration: CR H4648-4649) | ||
Jul 20, 202615:46 | House | DEBATE - The House proceeded with forty minutes of debate on H.R. 4541. |
Votes
H.R. 4541 went to 1 roll call in the House, the latest on Jul 20, 2026 at 394–6.
| Chamber | Question | Yea | Nay | |||
|---|---|---|---|---|---|---|
Jul 20, 2026 | House | On Motion to Suspend the Rules and Pass, as Amended | 394 | 6 |
Related bills
3 bills are related to H.R. 4541.
HR 1768Lower Costs for Everyday Americans ActMar 3, 2025 · Referred to the Committee on Energy and Commerce, and in addition to the Commit… · Related bill
S 2339EARLY Act Reauthorization of 2025Jul 16, 2026 · Placed on Senate Legislative Calendar under General Orders. Calendar No. 460. · Related bill
S 891Bipartisan Health Care ActMar 6, 2025 · Read twice and referred to the Committee on Finance. · Related billTitles
H.R. 4541 goes by 10 titles, 7 of them short titles.
- To reauthorize the Young Women’s Breast Health Education and Awareness Requires Learning Young Act of 2009. — Display Title
- SCREENS for Cancer Act of 2025 — Short Title(s) as Passed House for portions of this bill
- Screening for Communities to Receive Early and Equitable Needed Services for Cancer Act of 2025 — Short Title(s) as Passed House for portions of this bill
- EARLY Act Reauthorization of 2025 — Short Title(s) as Passed House for portions of this bill
- To reauthorize the Young Women’s Breast Health Education and Awareness Requires Learning Young Act of 2009. — Official Titles from EH (Engrossed in House) bill text
- SCREENS for Cancer Act of 2025 — Short Title(s) as Reported to House for portions of this bill
- Screening for Communities to Receive Early and Equitable Needed Services for Cancer Act of 2025 — Short Title(s) as Reported to House for portions of this bill
- EARLY Act Reauthorization of 2025 — Short Title(s) as Reported to House for portions of this bill
- EARLY Act Reauthorization of 2025 — Short Title(s) as Introduced
- To reauthorize the Young Women's Breast Health Education and Awareness Requires Learning Young Act of 2009. — Official Title as Introduced
Lobbying
7 clients hired 7 firms and 47 registered lobbyists who named H.R. 4541 in 18 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Health Issues, Budget/Appropriations, Medicare/Medicaid, Medical/Disease Research/Clinical Labs, Insurance, Education, Indian/Native American Affairs, Taxation/Internal Revenue Code.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY CANCER ACTION NETWORK INC | — | District of Columbia | 1 | 4 | — |
| THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. DBA SUSAN G. KOMEN | — | Texas | 1 | 4 | — |
| HADASSAH, THE WOMEN'S ZIONIST ORGANIZATION OF AMERICA, INC. | — | New York | 1 | 3 | — |
| SUSAN G. KOMEN | organization addressing breast cancer through research, community health, public policy | Texas | 1 | 2 | $80K |
| AMERICAN MEDICAL ASSOCIATION | — | District of Columbia | 1 | 2 | — |
| GE HEALTHCARE TECHNOLOGIES INC. | Global medical technology, pharmaceutical diagnostics and digital solutions company. | Illinois | 1 | 2 | — |
| BIG BROTHERS BIG SISTERS OF AMERICA | Youth mentorship | Florida | 1 | 1 | $50K |
Firms
Registrants who filed on the bill, by filings.
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 47.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| ALEXANDER SUTTON | 1 | 1 | 4 |
| ELIZABETH DARNALL | 1 | 1 | 4 |
| ERIKA NINOYU | 1 | 1 | 4 |
| JAMES WILLIAMS | 1 | 1 | 4 |
| JULIE NICKSON | 1 | 1 | 4 |
| MARC GOTTSCHALK | 1 | 1 | 4 |
| MOLLY GUTHRIE | 1 | 1 | 4 |
| NISHITH PANDYA | 1 | 1 | 4 |
| VALERIE NAUMAN NELSON | 1 | 1 | 4 |
| ELIZABETH CULLEN | 1 | 1 | 3 |
| LAUREN KATZ | 1 | 1 | 3 |
| SAMANTHA GURSKY | 1 | 1 | 3 |
| ADAM FROMM | 1 | 1 | 2 |
| ALEXIS PIERCE | 1 | 1 | 2 |
| ANDREW WANKUM | 1 | 1 | 2 |
| ANGELA FRANKLIN | 1 | 1 | 2 |
| ANGELA SAILOR | 1 | 1 | 2 |
| ASHLEY DELOSH | 1 | 1 | 2 |
| BETSY TOWER | 1 | 1 | 2 |
| BRYAN HULL | 1 | 1 | 2 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 second_quarter | $5.1M | 2nd Quarter - Amendme… |
| AMERICAN CANCER SOCIETY CANCER ACTION NETWORK INC | AMERICAN CANCER SOCIETY CANCER ACTION NETWORK, INC. | 2025 fourth_quarter | $2.4M | 4th Quarter - Report |
| AMERICAN CANCER SOCIETY CANCER ACTION NETWORK INC | AMERICAN CANCER SOCIETY CANCER ACTION NETWORK, INC. | 2026 first_quarter | $2.3M | 1st Quarter - Report |
| AMERICAN CANCER SOCIETY CANCER ACTION NETWORK INC | AMERICAN CANCER SOCIETY CANCER ACTION NETWORK, INC. | 2025 third_quarter | $2.1M | 3rd Quarter - Report |
| AMERICAN CANCER SOCIETY CANCER ACTION NETWORK INC | AMERICAN CANCER SOCIETY CANCER ACTION NETWORK, INC. | 2026 second_quarter | $1.2M | 2nd Quarter - Report |
| GE HEALTHCARE TECHNOLOGIES INC. | GE HEALTHCARE TECHNOLOGIES INC. | 2026 first_quarter | $700K | 1st Quarter - Report |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 second_quarter | $513K | 2nd Quarter - Report |
| GE HEALTHCARE TECHNOLOGIES INC. | GE HEALTHCARE TECHNOLOGIES INC. | 2026 second_quarter | $350K | 2nd Quarter - Report |
| THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. DBA SUSAN G. KOMEN | THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. DBA SUSAN G. KOMEN | 2026 second_quarter | $130K | 2nd Quarter - Report |
| THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. DBA SUSAN G. KOMEN | THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. DBA SUSAN G. KOMEN | 2026 first_quarter | $80K | 1st Quarter - Report |
| THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. DBA SUSAN G. KOMEN | THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. DBA SUSAN G. KOMEN | 2025 fourth_quarter | $70K | 4th Quarter - Report |
| THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. DBA SUSAN G. KOMEN | THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. DBA SUSAN G. KOMEN | 2025 third_quarter | $70K | 3rd Quarter - Report |
| HADASSAH, THE WOMEN'S ZIONIST ORGANIZATION OF AMERICA, INC. | HADASSAH, THE WOMEN'S ZIONIST ORGANIZATION OF AMERICA, INC. | 2026 second_quarter | $60K | 2nd Quarter - Report |
| HADASSAH, THE WOMEN'S ZIONIST ORGANIZATION OF AMERICA, INC. | HADASSAH, THE WOMEN'S ZIONIST ORGANIZATION OF AMERICA, INC. | 2026 first_quarter | $60K | 1st Quarter - Report |
| HADASSAH, THE WOMEN'S ZIONIST ORGANIZATION OF AMERICA, INC. | HADASSAH, THE WOMEN'S ZIONIST ORGANIZATION OF AMERICA, INC. | 2025 fourth_quarter | $60K | 4th Quarter - Report |
| BIG BROTHERS BIG SISTERS OF AMERICA | CORNERSTONE GOVERNMENT AFFAIRS, INC. | 2025 first_quarter | $50K | 1st Quarter - Report |
| SUSAN G. KOMEN | ARTEMIS POLICY GROUP LLC | 2026 second_quarter | $40K | 2nd Quarter - Report |
| SUSAN G. KOMEN | ARTEMIS POLICY GROUP LLC | 2026 first_quarter | $40K | 1st Quarter - Report |
Classification
The Congressional Research Service files H.R. 4541 under Health, one of its 31 policy areas, and gives it 6 legislative subjects.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 4541’s is Health.
hr4541/policy-areas.txtLegislative Subjects
H.R. 4541 carries 6 of CRS’s legislative subjects, from Cancer to Women's health.
hr4541/subjects.txtConstitutional authority
The clause the sponsor cites as Congress’s power to enact H.R. 4541, as entered in the Congressional Record.
[Congressional Record Volume 171, Number 123 (Thursday, July 17, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Ms. WASSERMAN SCHULTZ:H.R. 4541.Congress has the power to enact this legislation pursuantto the following:US Constitution, Article 1, Section 8[Page H3477]
Source: congress.gov · legiscan.com