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                                                       PRINTER'S NO. 963

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 801 Session of 2005


        INTRODUCED BY HARHART, BALDWIN, BEBKO-JONES, BELARDI, BISHOP,
           CALTAGIRONE, CAPPELLI, CAWLEY, CRAHALLA, CREIGHTON, CURRY,
           DeWEESE, FRANKEL, GOOD, GOODMAN, GRUCELA, HARPER, HENNESSEY,
           HERMAN, JOSEPHS, KIRKLAND, LEDERER, MANN, McILHATTAN,
           McILHINNEY, MELIO, MYERS, O'NEILL, PHILLIPS, READSHAW,
           REICHLEY, SAINATO, SAYLOR, SCHRODER, STERN, E. Z. TAYLOR,
           TIGUE, WATSON, WHEATLEY, YOUNGBLOOD, GEIST, R. STEVENSON,
           PICKETT, S. MILLER, STABACK, FREEMAN, DENLINGER, LEACH,
           B. SMITH AND DeLUCA, MARCH 14, 2005

        REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES,
           MARCH 14, 2005

                                     AN ACT

     1  Authorizing and directing the Department of Health to establish
     2     a Cervical Cancer Task Force to evaluate and make
     3     recommendations for education, prevention and detection of
     4     cervical cancer.

     5     The General Assembly finds and declares as follows:
     6         (1)  According to Federal statistics, cervical cancer is
     7     the third most commonly diagnosed gynecological cancer among
     8     American women.
     9         (2)  In 2003, the Centers for Disease Control reported
    10     that an estimated 12,200 new cases of cervical cancer were
    11     diagnosed and an estimated 4,100 women would die of this
    12     disease.
    13         (3)  In Pennsylvania, the rate of cervical cancer is
    14     slightly lower than the national average.
    15         (4)  Cervical cancer disproportionately affects minority

     1     women and women with lower incomes because they are less
     2     likely to have access to routine screening.
     3         (5)  Human papillomavirus (HPV) is a primary cause of
     4     cervical cancer.
     5         (6)  Each year more than 5 million people acquire human
     6     papillomavirus, which is linked to cervical cancer in high-
     7     risk cases.
     8         (7)  With regular and accurate screening, cervical cancer
     9     is highly preventable.
    10         (8)  When found early, cervical cancer is highly curable,
    11     but testing is required for early detection.
    12         (9)  Approximately half of all cervical cancer cases are
    13     in women who have never been screened and 10% of cases are in
    14     women who have not been screened within five years.
    15         (10)  Cervical cancer cases in the United States are
    16     generally attributed to a lack of education, a reduction of
    17     access available to regular cervical cancer screening and a
    18     lack of screening accuracy.
    19         (11)  The public's widespread recognition of breast
    20     cancer can overshadow the significance of cervical cancer.
    21     The General Assembly of the Commonwealth of Pennsylvania
    22  hereby enacts as follows:
    23  Section 1.  Short title.
    24     This act shall be known and may be cited as the Cervical
    25  Cancer Education, Prevention and Detection Act.
    26  Section 2.  Legislative intent.
    27     The purpose of this act is to provide for education,
    28  detection and treatment of cervical cancer separate from breast
    29  cancer.
    30  Section 3.  Definitions.
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     1     The following words and phrases when used in this act shall
     2  have the meanings given to them in this section unless the
     3  context clearly indicates otherwise:
     4     "Department."  The Department of Health of the Commonwealth.
     5     "Plan."  The Cervical Cancer Education, Prevention and
     6  Detection Plan.
     7     "Task force."  The Cervical Cancer Task Force established
     8  under section 4 (relating to Cervical Cancer Task Force.
     9  Section 4.  Cervical Cancer Task Force.
    10     (a)  Establishment.--The Cervical Cancer Task Force is
    11  established in the department.
    12     (b)  Composition.--The task force shall be determined by the
    13  department and shall include individuals with expertise in
    14  women's health, including, but not limited to, gynecological
    15  oncology, epidemiology, social services and outreach to women
    16  and minorities, and shall also include a representative of the
    17  department's Healthy Women Project and a representative of the
    18  Department of Public Welfare's Breast and Cervical Cancer
    19  Treatment Project. The task force shall reflect the composition
    20  of the State population with regard to ethnicity, race and age.
    21  Section 5.  Meetings.
    22     The task force shall convene within 90 days after the
    23  appointments are made and published and meet at least quarterly.
    24  Section 6.  Compensation and expenses.
    25     The members of the task force shall receive no compensation
    26  for their services but shall be allowed their actual and
    27  necessary expenses incurred in performance of their duties. Such
    28  reimbursement shall be provided for through the department.
    29  Section 7.  Duties.
    30     The task force shall have the following duties:
    20050H0801B0963                  - 3 -     

     1         (1)  To obtain from the department statistical and
     2     qualitative data on the prevalence and incidence of cervical
     3     cancer.
     4         (2)  In collaboration with the department, to raise
     5     public awareness on the causes and nature of cervical cancer,
     6     personal risk factors, value of prevention, early detection,
     7     options for testing, treatment costs, new technology, medical
     8     care reimbursement and health provider.
     9         (3)  To identify priority strategies and new
    10     technologies, including newly introduced diagnostics and
    11     preventive therapies that are effective in preventing and
    12     controlling the risk of cervical cancer.
    13         (4)  To identify and examine the limitations of existing
    14     laws, regulations, programs and services with regard to
    15     coverage and awareness issues for cervical cancer.
    16         (5)  In consultation with the department and the
    17     Pennsylvania Cancer Control Consortium, to develop a
    18     Statewide comprehensive Cervical Cancer Education, Prevention
    19     and Detection Plan and develop strategies for implementing
    20     and promoting the plan to the general public, State and local
    21     elected officials and various public and private
    22     organizations, associations, businesses, industries and
    23     agencies.
    24         (6)  To identify strategies to facilitate specific
    25     commitments to help implement the plan from the entities
    26     listed in paragraph (8).
    27         (7)  To facilitate coordination of and communication
    28     among State and local agencies and organizations regarding
    29     current or future involvement in achieving the aims of the
    30     plan.
    20050H0801B0963                  - 4 -     

     1         (8)  To receive and consider reports and testimony from
     2     individuals, local health departments, community-based
     3     organizations, voluntary health organizations and other
     4     public and private organizations Statewide to learn more
     5     about their contributions to cervical cancer diagnosis,
     6     prevention and treatment and their ideas for improving
     7     cervical cancer prevention, diagnosis and treatment in this
     8     Commonwealth.
     9  Section 8.  Report.
    10     Beginning November 30, 2005, and on November 30 each year
    11  thereafter, the task force shall present a report to the
    12  chairman of the Public Health and Welfare Committee of the
    13  Senate and the chairman of the Health and Human Services
    14  Committee of the House of Representatives. The annual report
    15  shall present its findings and recommendations including:
    16         (1)  The anticipated time frame for completion of the
    17     plan.
    18         (2)  Recommendations on human and financial resources
    19     required to implement the plan.
    20         (3)  Recommended strategies or actions to reduce the
    21     occurrence of cervical cancer in women in this Commonwealth.
    22         (4)  Recommended strategies or actions to reduce the
    23     costs of cervical cancer.
    24         (5)  Progress being made in fulfilling the duties of the
    25     task force and in developing and implementing the plan.
    26  Section 9.  Expiration.
    27     The task force shall expire November 30, 2009, or upon
    28  submission of the task force's final report to the General
    29  Assembly.
    30  Section 10.  Effective date.
    20050H0801B0963                  - 5 -     

     1     This act shall take effect in 30 days.




















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