HR 4541 United States House · 119th Congress

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

HR 4541, the EARLY Act Reauthorization of 2025, extends the funding period for the Young Women’s Breast Health Education and Awareness program. It amends the Public Health Service Act to update the program’s expiration date from 2026 to 2031. The bill directly affects young women aged 15-25 by ensuring continued access to breast health education and awareness resources. The key provision is a simple extension of the existing program’s authorization period, without altering its scope or requirements. This is a procedural reauthorization to maintain current services through 2031.
Sub-Topics: Public Health
Bill status passed 3 of 5 stages cleared
Introduction
Jul 2025
Committee Review
Jul 2026
House Passage
Jul 2026
Senate Passage
President
Introduced Jul 17, 2025 Last action Jul 27, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Introduced in House Engrossed in House · 6 edits · Jul 20, 2026
MODERATE
The engrossed version of HR 4541 adds an entirely new Title II (the SCREENS for Cancer Act) alongside the original EARLY Act reauthorization. The new title substantially amends the National Breast and Cervical Cancer Early Detection Program by adding prevention to its purposes, expanding support activities, reducing disparities, and appropriating $235.5 million per year for fiscal years 2026 through 2030. It also requires a GAO study by September 2027 and shifts reporting from annual to every five years.
Scope change
The bill expands from a single-purpose reauthorization of the EARLY Act (extending its sunset from 2026 to 2031) to a broader package that also overhauls and funds the National Breast and Cervical Cancer Early Detection Program with new purposes, expanded support activities, and multi-year appropriations.
SCOPE

A new Title II (SCREENS for Cancer Act) is added, amending the National Breast and Cervical Cancer Early Detection Program under Title XV of the Public Health Service Act. This significantly expands the bill beyond its original single-purpose reauthorization.

FISCAL

Appropriates $235,500,000 for each of fiscal years 2026 through 2030 for the National Breast and Cervical Cancer Early Detection Program (a total of $1.1775 billion over five years).

REQUIREMENT

Program purposes are expanded to include 'prevention' alongside detection and control, and new purposes are added: enhancing support activities such as navigation and evidence-based screening strategies, reducing disparities in cancer incidence/morbidity/mortality, and improving access while reducing barriers.

A GAO study is required by September 30, 2027, to estimate the number of eligible individuals, summarize trends in those served, and assess factors driving those trends including barriers to screening access.

ENFORCEMENT

Reporting frequency is changed from annual to every five years (with the first report covering two fiscal years). The responsible Senate committee is updated from 'Labor and Human Resources' to 'Health, Education, Labor, and Pensions.'

TECHNICAL

Language changes include replacing 'monitor' with 'ensure' for follow-up services, removing references to 'support services such as case management,' and simplifying eligibility language in section 1503(a) by removing two paragraphs.

Floor votes · House Jul 20, 2026

How they voted

3946
Passed · 31 other
Total votes 431
Jul 20, 2026
D Democratic212
200 Yea 12
94% Yea
I Independent1
1 Yea
100% Yea
R Republican218
193 Yea 6 Nay 19
88% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
19
Key actions
5
Committee
7
Amendments
3
Jul 27, 2026
Committee
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
upper
Jul 20, 2026
Introduced
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)
lower
Jul 20, 2026
Lower · Passed
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)
lower
Jul 20, 2026
Introduced
Mr. Guthrie moved to suspend the rules and pass the bill, as amended.
lower
Jul 13, 2026
Lower · Passed
Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 119-746.
lower
May 21, 2026
Introduced
Ordered to be Reported (Amended) by the Yeas and Nays: 48 - 0.
lower
May 21, 2026
Lower · Passed
Committee Consideration and Mark-up Session Held
lower
May 13, 2026
Lower · Passed
Forwarded by Subcommittee to Full Committee by Voice Vote.
lower
May 13, 2026
Lower · Passed
Subcommittee Consideration and Mark-up Session Held
lower
Jul 17, 2025
Committee
Referred to the Subcommittee on Health.
lower
Jul 17, 2025
Committee
Referred to the House Committee on Energy and Commerce.
lower
Jul 17, 2025
Introduced
Introduced in House
lower
1 primary · 20 co-sponsors

Sponsors