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119th Congress Health

H.R. 4541: EARLY Act Reauthorization of 2025

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

Passed HouseJul 20, 2026

  1. Introduced (completed)Jul 17, 2025
  2. Passed House (completed)Jul 20, 2026, 394–6
  3. Passed Senate (not reached)
  4. To the President (not reached)
  5. Became law (not reached)

Summary

Reported to House, Jul 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.

Read the full summary

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.

Written by the Congressional Research Service, Library of Congress.

Key votes

House final vote, Jul 20, 2026

On Motion to Suspend the Rules and Pass, as Amended

Passed 394–6

Yea 394two-thirds 267Nay 6

  • Democrats200 yea, 0 nay
  • Republicans193 yea, 6 nay
  • Independents1 yea, 0 nay

Broke with their party: Keith Self (R-TX), Chip Roy (R-TX), Pat Harrigan (R-NC), Eli Crane (R-AZ), Josh Brecheen (R-OK) and Eric Burlison (R-MO) voted Nay

See how all 400 members voted

Showing 431 of 431 members

Yea 394

Republicans (193)

Democrats (200)

Independents (1)

Nay 6

Republicans (6) broke with their party

Not voting 31

Senate

Not yet voted

Passed the House Jul 20, 2026. Awaiting Senate action.

Roll calls

1 vote on this bill

Showing 1 of 1 roll calls

  • Jul 20, 2026HouseOn Motion to Suspend the Rules and Pass, as AmendedFinal passagePassed, yea-nay 394–6
    Roll call 250 tally by party
    PartyYeaNayPresentNot voting
    Democrats2000012
    Republicans1936019
    Independents1000
    Total3946031

    House roll call 250: On Motion to Suspend the Rules and Pass, as Amended. Passed.

    6 crossed party lines: 6 Republicans

    How each member voted (431)

Amendments

0 offered

No amendments were offered to this bill.

Cosponsors

20

Bipartisan support.

Who scored on this bill

184 points earned
  1. 1Debbie Wasserman Schultz D-FL SponsorDrew cross-party cosponsors, introduced, marked up, reported, passed House5 events+68
  2. 2Josh Brecheen R-OK1 maverick vote1 event+6
  3. 2Eric Burlison R-MO1 maverick vote1 event+6
  4. 2Eli Crane R-AZ1 maverick vote1 event+6
  5. 2Pat Harrigan R-NC1 maverick vote1 event+6
See all scorers and every scoring event

Introductions and cosponsorships count toward weekly caps and show no points.

Other bills by Debbie Wasserman Schultz

History

  1. Jul 20, 2026Passed the House, 394–6.
  2. Jul 17, 2025Introduced in the House by Debbie Wasserman Schultz.
Show the full action history (23 actions)
  1. Jul 27, 2026Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
  2. Jul 21, 2026Received in the Senate.
  3. Jul 20, 2026Passed/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)
  4. Jul 20, 2026Considered under suspension of the rules. (consideration: CR H4648-4649)
  5. Jul 20, 2026Considered as unfinished business. (consideration: CR H4670-4671)
  6. Jul 20, 2026On 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)
  7. Jul 20, 2026Mr. Guthrie moved to suspend the rules and pass the bill, as amended.
  8. Jul 20, 2026Considered under suspension of the rules.
  9. Jul 20, 2026DEBATE - The House proceeded with forty minutes of debate on H.R. 4541.
  10. Jul 20, 2026At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.
  11. Jul 20, 2026Considered as unfinished business.
  12. Jul 20, 2026Passed/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).
  13. Jul 20, 2026On 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).
  14. Jul 20, 2026Motion to reconsider laid on the table Agreed to without objection.
  15. Jul 13, 2026Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 119-746.
  16. Jul 13, 2026Placed on the Union Calendar, Calendar No. 650.
  17. May 21, 2026Committee Consideration and Mark-up Session Held
  18. May 21, 2026Ordered to be Reported (Amended) by the Yeas and Nays: 48 - 0.
  19. May 13, 2026Subcommittee Consideration and Mark-up Session Held
  20. May 13, 2026Forwarded by Subcommittee to Full Committee by Voice Vote.
  21. Jul 17, 2025Introduced in House
  22. Jul 17, 2025Referred to the House Committee on Energy and Commerce.
  23. Jul 17, 2025Referred to the Subcommittee on Health.