On Motion to Suspend the Rules and Pass, as Amended — H R 4541 — EARLY Act Reauthorization
To reauthorize the Young Women’s Breast Health Education and Awareness Requires Learning Young Act of 2009.
In plain language
- House bill in the 119th Congress.
- Reauthorizes and revises programs of the Centers for Disease Control and Prevention (CDC) that support services and education.
- House passed it on Jul 21, 2026 (substantive).
Official summary (Congressional Research Service)
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.
Roll-call breakdown
Democrat: 200 · Independent: 1 · Republican: 193
Republican: 6
—
Democrat: 12 · Republican: 19
How each member voted (431)
Yea (394)
- Aaron Bean (Republican–FL)
- Adam Gray (Democrat–CA)
- Adam Smith (Democrat–WA)
- Addison P. McDowell (Republican–NC)
- Adelita S. Grijalva (Democrat–AZ)
- Adrian Smith (Republican–NE)
- Adriano Espaillat (Democrat–NY)
- Al Green (Democrat–TX)
- Alexandria Ocasio-Cortez (Democrat–NY)
- Alma S. Adams (Democrat–NC)
- Ami Bera (Democrat–CA)
- Analilia Mejia (Democrat–NJ)
- André Carson (Democrat–IN)
- Andrea Salinas (Democrat–OR)
- Andrew Ogles (Republican–TN)
- Andrew R. Garbarino (Republican–NY)
- Andy Barr (Republican–KY)
- Andy Harris (Republican–MD)
- Angie Craig (Democrat–MN)
- Ann Wagner (Republican–MO)
- April McClain Delaney (Democrat–MD)
- Ashley Hinson (Republican–IA)
- August Pfluger (Republican–TX)
- Austin Scott (Republican–GA)
- Ayanna Pressley (Democrat–MA)
- Barry Loudermilk (Republican–GA)
- Barry Moore (Republican–AL)
- Becca Balint (Democrat–VT)
- Ben Cline (Republican–VA)
- Bennie G. Thompson (Democrat–MS)
- Beth Van Duyne (Republican–TX)
- Bill Foster (Democrat–IL)
- Bill Huizenga (Republican–MI)
- Blake D. Moore (Republican–UT)
- Bonnie Watson Coleman (Democrat–NJ)
- Brad Finstad (Republican–MN)
- Brad Sherman (Democrat–CA)
- Bradley Scott Schneider (Democrat–IL)
- Brandon Gill (Republican–TX)
- Brendan F. Boyle (Democrat–PA)
- Brett Guthrie (Republican–KY)
- Brian Babin (Republican–TX)
- Brian J. Mast (Republican–FL)
- Brian Jack (Republican–GA)
- Brian K. Fitzpatrick (Republican–PA)
- Brittany Pettersen (Democrat–CO)
- Bruce Westerman (Republican–AR)
- Bryan Steil (Republican–WI)
- Burgess Owens (Republican–UT)
- Carlos A. Gimenez (Republican–FL)
- Carol D. Miller (Republican–WV)
- Celeste Maloy (Republican–UT)
- Charles J. "Chuck" Fleischmann (Republican–TN)
- Chellie Pingree (Democrat–ME)
- Chris Pappas (Democrat–NH)
- Chrissy Houlahan (Democrat–PA)
- Christian D. Menefee (Democrat–TX)
- Christopher H. Smith (Republican–NJ)
- Christopher R. Deluzio (Democrat–PA)
- Chuck Edwards (Republican–NC)
- Claudia Tenney (Republican–NY)
- Clay Fuller (Republican–GA)
- Clay Higgins (Republican–LA)
- Cleo Fields (Democrat–LA)
- Cliff Bentz (Republican–OR)
- Cory Mills (Republican–FL)
- Craig A. Goldman (Republican–TX)
- Dale W. Strong (Republican–AL)
- Dan Crenshaw (Republican–TX)
- Dan Newhouse (Republican–WA)
- Daniel Meuser (Republican–PA)
- Daniel Webster (Republican–FL)
- Danny K. Davis (Democrat–IL)
- Darin LaHood (Republican–IL)
- Darrell Issa (Republican–CA)
- Darren Soto (Democrat–FL)
- Dave Min (Democrat–CA)
- David G. Valadao (Republican–CA)
- David J. Taylor (Republican–OH)
- David Kustoff (Republican–TN)
- David P. Joyce (Republican–OH)
- David Rouzer (Republican–NC)
- David Schweikert (Republican–AZ)
- Debbie Dingell (Democrat–MI)
- Debbie Wasserman Schultz (Democrat–FL)
- Deborah K. Ross (Democrat–NC)
- Delia C. Ramirez (Democrat–IL)
- Derek Schmidt (Republican–KS)
- Derek Tran (Democrat–CA)
- Derrick Van Orden (Republican–WI)
- Diana DeGette (Democrat–CO)
- Diana Harshbarger (Republican–TN)
- Dina Titus (Democrat–NV)
- Don Bacon (Republican–NE)
- Donald G. Davis (Democrat–NC)
- Donald Norcross (Democrat–NJ)
- Donald S. Beyer, Jr. (Democrat–VA)
- Doris O. Matsui (Democrat–CA)
- Dusty Johnson (Republican–SD)
- Dwight Evans (Democrat–PA)
- Earl L. "Buddy" Carter (Republican–GA)
- Ed Case (Democrat–HI)
- Elise M. Stefanik (Republican–NY)
- Emanuel Cleaver (Democrat–MO)
- Emilia Strong Sykes (Democrat–OH)
- Emily Randall (Democrat–WA)
- Eric A. "Rick" Crawford (Republican–AR)
- Eric Sorensen (Democrat–IL)
- Erin Houchin (Republican–IN)
- Eugene Simon Vindman (Democrat–VA)
- Frank D. Lucas (Republican–OK)
- Frank J. Mrvan (Democrat–IN)
- Frank Pallone, Jr. (Democrat–NJ)
- Gabe Amo (Democrat–RI)
- Gabe Evans (Republican–CO)
- Gabe Vasquez (Democrat–NM)
- Gary J. Palmer (Republican–AL)
- George Latimer (Democrat–NY)
- George Whitesides (Democrat–CA)
- Gilbert Ray Cisneros, Jr. (Democrat–CA)
- Glenn Grothman (Republican–WI)
- Glenn Ivey (Democrat–MD)
- Glenn Thompson (Republican–PA)
- Grace Meng (Democrat–NY)
- Greg Landsman (Democrat–OH)
- Greg Stanton (Democrat–AZ)
- Gregory F. Murphy (Republican–NC)
- Gregory W. Meeks (Democrat–NY)
- Gus M. Bilirakis (Republican–FL)
- Guy Reschenthaler (Republican–PA)
- Gwen Moore (Democrat–WI)
- H. Morgan Griffith (Republican–VA)
- Hakeem S. Jeffries (Democrat–NY)
- Haley M. Stevens (Democrat–MI)
- Harold Rogers (Republican–KY)
- Harriet M. Hageman (Republican–WY)
- Henry C. "Hank" Johnson, Jr. (Democrat–GA)
- Henry Cuellar (Democrat–TX)
- Herbert C. Conaway, Jr. (Democrat–NJ)
- Hillary J. Scholten (Democrat–MI)
- J. French Hill (Republican–AR)
- J. Luis Correa (Democrat–CA)
- Jack Bergman (Republican–MI)
- Jahana Hayes (Democrat–CT)
- Jake Auchincloss (Democrat–MA)
- Jake Ellzey (Republican–TX)
- James A. Himes (Democrat–CT)
- James Comer (Republican–KY)
- James Gallagher (Republican–CA)
- James P. McGovern (Democrat–MA)
- James R. Baird (Republican–IN)
- James R. Walkinshaw (Democrat–VA)
- Jamie Raskin (Democrat–MD)
- Janelle S. Bynum (Democrat–OR)
- Jared F. Golden (Democrat–ME)
- Jared Huffman (Democrat–CA)
- Jared Moskowitz (Democrat–FL)
- Jasmine Crockett (Democrat–TX)
- Jason Crow (Democrat–CO)
- Jason Smith (Republican–MO)
- Jay Obernolte (Republican–CA)
- Jeff Crank (Republican–CO)
- Jeff Hurd (Republican–CO)
- Jefferson Shreve (Republican–IN)
- Jefferson Van Drew (Republican–NJ)
- Jennifer A. Kiggans (Republican–VA)
- Jennifer L. McClellan (Democrat–VA)
- Jerrold Nadler (Democrat–NY)
- Jesús G. "Chuy" García (Democrat–IL)
- Jill N. Tokuda (Democrat–HI)
- Jim Costa (Democrat–CA)
- Jim Jordan (Republican–OH)
- Jimmy Gomez (Democrat–CA)
- Jimmy Panetta (Democrat–CA)
- Jimmy Patronis (Republican–FL)
- Joaquin Castro (Democrat–TX)
- Jodey C. Arrington (Republican–TX)
- Joe Courtney (Democrat–CT)
- Joe Neguse (Democrat–CO)
- John B. Larson (Democrat–CT)
- John Garamendi (Democrat–CA)
- John H. Rutherford (Republican–FL)
- John J. McGuire III (Republican–VA)
- John Joyce (Republican–PA)
- John R. Carter (Republican–TX)
- John R. Moolenaar (Republican–MI)
- John W. Mannion (Democrat–NY)
- Johnny Olszewski, Jr. (Democrat–MD)
- Jonathan L. Jackson (Democrat–IL)
- Joseph D. Morelle (Democrat–NY)
- Josh Gottheimer (Democrat–NJ)
- Josh Harder (Democrat–CA)
- Josh Riley (Democrat–NY)
- Juan Vargas (Democrat–CA)
- Judy Chu (Democrat–CA)
- Julia Brownley (Democrat–CA)
- Julia Letlow (Republican–LA)
- Julie Fedorchak (Republican–ND)
- Julie Johnson (Democrat–TX)
- Kat Cammack (Republican–FL)
- Katherine M. Clark (Democrat–MA)
- Kathy Castor (Democrat–FL)
- Kelly Morrison (Democrat–MN)
- Ken Calvert (Republican–CA)
- Kevin Hern (Republican–OK)
- Kevin Kiley (Independent–CA)
- Kevin Mullin (Democrat–CA)
- Kim Schrier (Democrat–WA)
- Kristen McDonald Rivet (Democrat–MI)
- Kweisi Mfume (Democrat–MD)
- LaMonica McIver (Democrat–NJ)
- Lance Gooden (Republican–TX)
- Lateefah Simon (Democrat–CA)
- Laura Friedman (Democrat–CA)
- Laura Gillen (Democrat–NY)
- Laurel M. Lee (Republican–FL)
- Lauren Boebert (Republican–CO)
- Lauren Underwood (Democrat–IL)
- Linda T. Sánchez (Democrat–CA)
- Lisa C. McClain (Republican–MI)
- Lizzie Fletcher (Democrat–TX)
- Lloyd Doggett (Democrat–TX)
- Lloyd Smucker (Republican–PA)
- Lois Frankel (Democrat–FL)
- Lucy McBath (Democrat–GA)
- Luz M. Rivas (Democrat–CA)
- Madeleine Dean (Democrat–PA)
- Maggie Goodlander (Democrat–NH)
- Marc A. Veasey (Democrat–TX)
- Marcy Kaptur (Democrat–OH)
- Maria Elvira Salazar (Republican–FL)
- Mariannette Miller-Meeks (Republican–IA)
- Marie Gluesenkamp Perez (Democrat–WA)
- Marilyn Strickland (Democrat–WA)
- Mario Diaz-Balart (Republican–FL)
- Mark Alford (Republican–MO)
- Mark B. Messmer (Republican–IN)
- Mark DeSaulnier (Democrat–CA)
- Mark E. Amodei (Republican–NV)
- Mark Harris (Republican–NC)
- Mark Pocan (Democrat–WI)
- Mark Takano (Democrat–CA)
- Marlin A. Stutzman (Republican–IN)
- Mary E. Miller (Republican–IL)
- Mary Gay Scanlon (Democrat–PA)
- Matt Van Epps (Republican–TN)
- Max L. Miller (Republican–OH)
- Maxine Dexter (Democrat–OR)
- Maxine Waters (Democrat–CA)
- Maxwell Frost (Democrat–FL)
- Melanie A. Stansbury (Democrat–NM)
- Michael A. Rulli (Republican–OH)
- Michael Baumgartner (Republican–WA)
- Michael Cloud (Republican–TX)
- Michael Guest (Republican–MS)
- Michael K. Simpson (Republican–ID)
- Michael Lawler (Republican–NY)
- Michael R. Turner (Republican–OH)
- Michael T. McCaul (Republican–TX)
- Michelle Fischbach (Republican–MN)
- Mike Bost (Republican–IL)
- Mike Carey (Republican–OH)
- Mike Collins (Republican–GA)
- Mike Ezell (Republican–MS)
- Mike Flood (Republican–NE)
- Mike Haridopolos (Republican–FL)
- Mike Johnson (Republican–LA)
- Mike Kelly (Republican–PA)
- Mike Kennedy (Republican–UT)
- Mike Levin (Democrat–CA)
- Mike Quigley (Democrat–IL)
- Mike Rogers (Republican–AL)
- Mike Thompson (Democrat–CA)
- Monica De La Cruz (Republican–TX)
- Morgan Luttrell (Republican–TX)
- Morgan McGarvey (Democrat–KY)
- Nancy Pelosi (Democrat–CA)
- Nanette Diaz Barragán (Democrat–CA)
- Nathaniel Moran (Republican–TX)
- Nellie Pou (Democrat–NJ)
- Nicholas A. Langworthy (Republican–NY)
- Nicholas J. Begich III (Republican–AK)
- Nick LaLota (Republican–NY)
- Nicole Malliotakis (Republican–NY)
- Nikema Williams (Democrat–GA)
- Nikki Budzinski (Democrat–IL)
- Norma J. Torres (Democrat–CA)
- Nydia M. Velázquez (Democrat–NY)
- Pat Fallon (Republican–TX)
- Patrick Ryan (Democrat–NY)
- Paul Tonko (Democrat–NY)
- Pete Aguilar (Democrat–CA)
- Pete Sessions (Republican–TX)
- Pete Stauber (Republican–MN)
- Pramila Jayapal (Democrat–WA)
- Raja Krishnamoorthi (Democrat–IL)
- Randy Feenstra (Republican–IA)
- Randy Fine (Republican–FL)
- Randy K. Weber, Sr. (Republican–TX)
- Rashida Tlaib (Democrat–MI)
- Raul Ruiz (Democrat–CA)
- Richard E. Neal (Democrat–MA)
- Richard Hudson (Republican–NC)
- Richard McCormick (Republican–GA)
- Rick Larsen (Democrat–WA)
- Rick W. Allen (Republican–GA)
- Riley M. Moore (Republican–WV)
- Ritchie Torres (Democrat–NY)
- Ro Khanna (Democrat–CA)
- Robert B. Aderholt (Republican–AL)
- Robert E. Latta (Republican–OH)
- Robert F. Onder, Jr. (Republican–MO)
- Robert J. Wittman (Republican–VA)
- Robert Menendez (Democrat–NJ)
- Robert P. Bresnahan, Jr. (Republican–PA)
- Robin L. Kelly (Democrat–IL)
- Roger Williams (Republican–TX)
- Ron Estes (Republican–KS)
- Ronny Jackson (Republican–TX)
- Rosa L. DeLauro (Democrat–CT)
- Rudy Yakym III (Republican–IN)
- Russ Fulcher (Republican–ID)
- Ryan K. Zinke (Republican–MT)
- Ryan Mackenzie (Republican–PA)
- Salud O. Carbajal (Democrat–CA)
- Sam T. Liccardo (Democrat–CA)
- Sanford D. Bishop, Jr. (Democrat–GA)
- Sara Jacobs (Democrat–CA)
- Sarah Elfreth (Democrat–MD)
- Sarah McBride (Democrat–DE)
- Scott DesJarlais (Republican–TN)
- Scott Fitzgerald (Republican–WI)
- Scott Franklin (Republican–FL)
- Scott H. Peters (Democrat–CA)
- Scott Perry (Republican–PA)
- Sean Casten (Democrat–IL)
- Seth Magaziner (Democrat–RI)
- Sharice Davids (Democrat–KS)
- Sheri Biggs (Republican–SC)
- Shomari Figures (Democrat–AL)
- Shontel M. Brown (Democrat–OH)
- Shri Thanedar (Democrat–MI)
- Steny H. Hoyer (Democrat–MD)
- Stephanie I. Bice (Republican–OK)
- Stephen F. Lynch (Democrat–MA)
- Steve Cohen (Democrat–TN)
- Steve Scalise (Republican–LA)
- Steve Womack (Republican–AR)
- Steven Horsford (Democrat–NV)
- Suhas Subramanyam (Democrat–VA)
- Summer L. Lee (Democrat–PA)
- Susie Lee (Democrat–NV)
- Suzan K. DelBene (Democrat–WA)
- Suzanne Bonamici (Democrat–OR)
- Sydney Kamlager-Dove (Democrat–CA)
- Sylvia R. Garcia (Democrat–TX)
- Ted Lieu (Democrat–CA)
- Teresa Leger Fernandez (Democrat–NM)
- Terri A. Sewell (Democrat–AL)
- Thomas H. Kean, Jr. (Republican–NJ)
- Thomas P. Tiffany (Republican–WI)
- Thomas R. Suozzi (Democrat–NY)
- Tim Burchett (Republican–TN)
- Tim Moore (Republican–NC)
- Tim Walberg (Republican–MI)
- Timothy M. Kennedy (Democrat–NY)
- Tom Barrett (Republican–MI)
- Tom Cole (Republican–OK)
- Tom Emmer (Republican–MN)
- Tom McClintock (Republican–CA)
- Tony Wied (Republican–WI)
- Tracey Mann (Republican–KS)
- Trent Kelly (Republican–MS)
- Troy A. Carter (Democrat–LA)
- Troy Balderson (Republican–OH)
- Troy E. Nehls (Republican–TX)
- Val T. Hoyle (Democrat–OR)
- Valerie P. Foushee (Democrat–NC)
- Veronica Escobar (Democrat–TX)
- Vicente Gonzalez (Democrat–TX)
- Victoria Spartz (Republican–IN)
- Vince Fong (Republican–CA)
- Virginia Foxx (Republican–NC)
- W. Gregory Steube (Republican–FL)
- Warren Davidson (Republican–OH)
- Wesley Bell (Democrat–MO)
- Wesley Hunt (Republican–TX)
- William R. Keating (Democrat–MA)
- William R. Timmons IV (Republican–SC)
- Yassamin Ansari (Democrat–AZ)
- Young Kim (Republican–CA)
- Yvette D. Clarke (Democrat–NY)
- Zachary Nunn (Republican–IA)
- Zoe Lofgren (Democrat–CA)
Nay (6)
- Chip Roy (Republican–TX)
- Elijah Crane (Republican–AZ)
- Eric Burlison (Republican–MO)
- Josh Brecheen (Republican–OK)
- Keith Self (Republican–TX)
- Pat Harrigan (Republican–NC)
Not Voting (31)
- Abraham J. Hamadeh (Republican–AZ)
- Andrew S. Clyde (Republican–GA)
- Andy Biggs (Republican–AZ)
- Anna Paulina Luna (Republican–FL)
- Betty McCollum (Democrat–MN)
- Brad Knott (Republican–NC)
- Byron Donalds (Republican–FL)
- Daniel S. Goldman (Democrat–NY)
- Frederica S. Wilson (Democrat–FL)
- Greg Casar (Democrat–TX)
- Ilhan Omar (Democrat–MN)
- James E. Clyburn (Democrat–SC)
- Janice D. Schakowsky (Democrat–IL)
- Joe Wilson (Republican–SC)
- John James (Republican–MI)
- John W. Rose (Republican–TN)
- Joyce Beatty (Democrat–OH)
- Juan Ciscomani (Republican–AZ)
- Lori Trahan (Democrat–MA)
- Nancy Mace (Republican–SC)
- Neal P. Dunn (Republican–FL)
- Paul A. Gosar (Republican–AZ)
- Ralph Norman (Republican–SC)
- Robert C. "Bobby" Scott (Democrat–VA)
- Robert Garcia (Democrat–CA)
- Russell Fry (Republican–SC)
- Sam Graves (Republican–MO)
- Seth Moulton (Democrat–MA)
- Thomas Massie (Republican–KY)
- Troy Downing (Republican–MT)
- Vern Buchanan (Republican–FL)
Party labels reflect each member’s most recent affiliation on record.