S. 1866 (119th)Bill Overview

SCREENS for Cancer Act of 2025

Health|Health
Cosponsors
Support
Bipartisan
Introduced
May 22, 2025
Discussions
Bill Text
Current stageCommittee

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

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

This bill reauthorizes and amends the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) for fiscal years 2026–2030, updating program goals and activities to emphasize follow-up services, patient navigation, evidence‑based screening strategies, and equity. It authorizes $235,000,000 for each fiscal year 2026–2030, revises reporting cadence and content, removes certain statutory subsections, and requires a Government Accountability Office report by September 30, 2027 on eligibility, trends, and barriers to accessing services.

Why people may split

Disagreement over federal spending levels and new $235M annual authorization

Watch point

Relative to its intended legislative type, this bill reauthorizes and modifies an existing federal health program by amending the Public Health Service Act, specifying program purposes, changing reporting cadence, authorizing multi-year funding, and mandating a GAO study; it provides clear statutory authority and funding but limited operational and safeguard detail.

This bill reauthorizes and amends the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) for fiscal years 2026–2030, updating program goals and activities to emphasize follow-up services, patient navigation, evidence‑based screening strategies, and equity.

It authorizes $235,000,000 for each fiscal year 2026–2030, revises reporting cadence and content, removes certain statutory subsections, and requires a Government Accountability Office report by September 30, 2027 on eligibility, trends, and barriers to accessing services.

The bill explicitly adds language to reduce disparities, improve equitable access, and facilitate implementation of proven screening strategies.

Passage65/100

Narrow, non-ideological reauthorization with modest funding and GAO oversight raises probability, but final passage depends on appropriations and legislative calendar.

CredibilityPartially aligned

Relative to its intended legislative type, this bill reauthorizes and modifies an existing federal health program by amending the Public Health Service Act, specifying program purposes, changing reporting cadence, authorizing multi-year funding, and mandating a GAO study; it provides clear statutory authority and funding but limited operational and safeguard detail.

Contention55/100

Disagreement over federal spending levels and new $235M annual authorization

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Likely helpedFederal agencies

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Potential benefitProvides authorized funding continuity of $235,000,000 per year for fiscal years 2026 through 2030.
  • Potential benefitExpands patient navigation and support services to increase screening uptake and follow-up care.
  • Potential benefitPromotes evidence‑based strategies likely to improve program effectiveness and earlier cancer detection.
Likely burdened
  • Federal agenciesAuthorizes $235,000,000 annually, increasing federal discretionary spending and budgetary commitments.
  • Potential burdenNew evidence and reporting requirements may increase administrative costs and compliance burdens for grantees.
  • Potential burdenAuthorized funding may be insufficient to serve all eligible individuals, leaving unmet screening needs.
03 · Why people split

Why the argument around this bill splits.

Disagreement over federal spending levels and new $235M annual authorization
Progressive95%

Generally strongly supportive.

The bill expands and funds an established federal program that serves low‑income, uninsured, and underinsured women, adds patient navigation and equity goals, and directs a GAO study to assess access barriers.

Progressives will likely push for even broader funding and stronger links to treatment access, but will view this as a valuable federal public health investment.

Leans supportive
Centrist75%

Generally supportive but pragmatic.

The bill continues an established federal public health program, codifies evidence‑based strategies and equity aims, and sets a clear funding authorization and GAO oversight.

Moderates will welcome accountability but want clear performance metrics and fiscal clarity on appropriations versus authorizations.

Leans supportive
Conservative40%

Cautious to somewhat opposed.

While supportive of early detection in principle, mainstream conservatives will question increased federal authorization levels, potential federal overreach into healthcare delivery, and duplication with state programs.

They may accept the bill if spending is constrained, state flexibility preserved, and clear accountability provided.

Split reaction
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood65/100

Narrow, non-ideological reauthorization with modest funding and GAO oversight raises probability, but final passage depends on appropriations and legislative calendar.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • Whether appropriators will fund the authorized $235M/year
  • Absent CBO score or formal cost estimate
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Disagreement over federal spending levels and new $235M annual authorization

Narrow, non-ideological reauthorization with modest funding and GAO oversight raises probability, but final passage depends on appropriatio…

Unlocked analysis

Relative to its intended legislative type, this bill reauthorizes and modifies an existing federal health program by amending the Public Health Service Act, specifying program purposes, changing reporting cadence, autho…

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
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