NBCCEDP Through the Years–1990 to Today

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    1990

    Congress passes the Breast and Cervical Cancer Mortality Prevention Act of 1990 to establish the NBCCEDP.

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    National Breast and Cervical Cancer Early Detection Program, 1991
    1991

    The NBCCEDP received $30 million in federal funds and made its first awards to 8 states to screen women, then 4 additional states.

    Served (breast cancer): 2,856
    Served (cervical cancer) 7,932

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    1992

    NBCCEDP’s expansion leads to the establishment of the Division of Cancer Prevention and Control in CDC’s new National Center for Chronic Disease Prevention and Health Promotion.

    Served (breast cancer): 43,750
    Served (cervical cancer): 57,552

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    1993

    Congress amends the Breast and Cervical Cancer Mortality Prevention Act to authorize funding for Native American tribal organizations.

    The National Action Plan on Breast Cancer is launched, which guides efforts to increase research, prevention, and treatment.

    Served (breast cancer): 99,789
    Served (cervical cancer): 117,040

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    SouthCentral Foundation transports women for follow-up.
    1994

    Nine Native American tribal organizations are funded.

    Served (breast cancer): 144,363
    Served (cervical cancer): 142,150

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    1995

    Served (breast cancer): 216,191
    Served (cervical cancer): 181,587

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    1996

    The NBCCEDP expands funding to all 50 states.

    The program sets a goal that 75% of mammograms be provided to women who are 50 years old or older.

    Served (breast cancer): 278,326
    Served (cervical cancer): 220,865

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    Wisconsin Well Woman Program
    1997

    The NBCCEDP achieves nationwide coverage, reaching women in all 50 states, the District of Columbia, five territories, and 13 tribal organizations.

    Served (breast cancer): 318,951
    Served (cervical cancer): 234,219

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    1998

    The Women’s Health Research and Prevention Amendments of 1998 adds case management to the program components for the NBCCEDP and allow cooperative agreement recipients to contract with for-profit entities.

    Served (breast cancer): 307,431
    Served (cervical cancer): 228,819

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    1999

    Served (breast cancer): 334,884
    Served (cervical cancer): 249,935

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    NBCCDEP celebrates ten years of program partnership and progress.
    2000

    Congress passes the Breast and Cervical Cancer Prevention and Treatment Act of 2000 to allow states to offer women in the NBCCEDP access to treatment through a special Medicaid program.

    Awardees are encouraged to focus cervical cancer screening efforts on women who have never had a Pap test or who have not had a Pap test for at least five years.

    Served (breast cancer): 360,580
    Served (cervical cancer): 267,989

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    2001

    Congress passes the Native American Breast and Cervical Cancer Treatment Technical Amendment Act to expand the access to treatment through Medicaid to Native Americans eligible for health services provided by the Indian Health Service or a tribal organization.

    Served (breast cancer): 376,455
    Served (cervical cancer): 281,860

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    2002

    NBCCEDP, National Program of Cancer Registry, and National Comprehensive Cancer Control funded programs are combined into the first consolidated grant in the Division of Cancer Prevention and Control.

    Served (breast cancer): 439,723
    Served (cervical cancer): 298,073

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    2003

    The first meeting of the Breast and Cervical Cancer Early Detection and Control Advisory Committee is held.

    CDC approves reimbursement for HPV DNA testing for follow-up to abnormal Pap test results.

    The NBCCEDP awards new funding to all 50 states, the District of Columbia, four territories, and 13 tribal organizations.

    Demographic and clinical data are collected on every woman served to facilitate program evaluation.

    Served (breast cancer): 542,593
    Served (cervical cancer): 304,824

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    NBCCEDP Conceptual Framework: Program management, partnerships, professional development, recruitment, public education, outreach, inreach, data management, quality assurance, screening and diagnostic services, case management, tracking, follow-up, quality improvement, evaluation. Results: Healthy women.
    2004

    CDC establishes 11 priority-performance measures with benchmarks for program monitoring.

    Served (breast cancer): 574,329
    Served (cervical cancer): 332,899

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    2005

    CDC initiates a performance-based funding process for awardees.

    CDC approves reimbursement for liquid-based Pap testing.

    Served (breast cancer): 582,808
    Served (cervical cancer): 336,865

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    2006

    Served (breast cancer): 524,753
    Served (cervical cancer): 245,148

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    Five women
    2007

    The NBCCEDP awards new funding to all 50 states, the District of Columbia, 5 territories, and 12 tribal organizations.

    Served (breast cancer): 496,353
    Served (cervical cancer): 326,997

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    2008

    Served (breast cancer): 505,835
    Served (cervical cancer): 338,199

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    2009

    CDC approves reimbursement for digital mammography.

    Served (breast cancer): 537,236
    Served (cervical cancer): 333,541

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    NBCCEDP Program Directors and Data Managers Meetings
    2010

    The Affordable Care Act is enacted.

    The program requires awardees to assess participants’ smoking status and refer smokers to quit lines.

    Served (breast cancer): 524,424
    Served (cervical cancer): 302,794

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    2011

    Served (breast cancer): 524,264
    Served (cervical cancer): 294,877

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    2012

    The NBCCEDP awards new funding to all 50 states, the District of Columbia, five territories, and 11 tribal organizations. Awardees are encouraged to implement evidence-based interventions in health systems and organizations while continuing to provide breast and cervical cancer screening.

    The program adds HPV co-testing as a screening option, increases starting age for screening from 18 to 21, and lengthens screening intervals.

    Served (breast cancer): 515,673
    Served (cervical cancer): 264,579

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    2013

    Screening services are expanded to include transgender women.

    CDC approves reimbursement for breast MRI tests to screen women at high risk for breast cancer.

    Served (breast cancer): 490,746
    Served (cervical cancer): 221,142

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    Action Guide to Facilitate Evidence-based Strategies
    2014

    The NBCCEDP encourages awardees to implement population-based activities, including health systems change.

    A special supplement to the journal Cancer titled “National Breast and Cervical Cancer Early Detection Program: Two Decades of Service to Underserved Women”external icon describes aspects of NBCCEDP and its continued value.

    Served (breast cancer): 360,067
    Served (cervical cancer): 155,536

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    2015

    A special supplementexternal icon to the journal Cancer Causes & Control reports on the NBCCEDP’s reach and health impact and details challenges and opportunities in improving access to cancer screening for all women.

    Congress eliminates the requirement that awardees spend 60% of NBCCEDP funds on screening, allowing more program flexibility.

    Served (breast cancer): 308,135
    Served (cervical cancer): 147,157

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    Muslim Americans Reaching for Health and Building Alliances
    2016

    The Muslim Americans Reaching for Health and Building Alliances project is launched to inform policies, practices, outreach, and materials development to get Muslim women screened.

    CDC approves reimbursement for 3D mammography.

    Served (breast cancer): 288,340
    Served (cervical cancer): 139,701

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    2017

    The NBCCEDP awards new funding to 70 awardees and requires them to implement evidence-based interventions in health systems and work with community organizations while continuing to provide direct breast and cervical cancer screening.

    Program eligibility is expanded to include mammograms for young women at high risk of getting breast cancer.

    Awardees are grouped into teams to enhance technical assistance and provide opportunities for peer learning to improve program implementation.

    Served (breast cancer): 292,832
    Served (cervical cancer): 140,760

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    Screen Out Cancer: Advancing Cancer Prevention Nationwide
    2018

    The ScreenOutCancer initiative is launched to help funded awardees address CDC’s new focus on working with health systems to improve and increase cancer screening at the population level.

    Cervical cancer screening with primary HPV testing is approved.

    Served (breast cancer): 276,595
    Served (cervical cancer): 131,303

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    2019

    Peer learning opportunities were expanded to include a series of webinars to improve implementation of program priorities.

    The first Tribal and Territorial Cancer Screening Capacity Building Workshop is held. It focuses on how to implement the program strategies to serve their communities’ unique needs.

    The services of The Breast and Cervical Cancer Early Detection and Control Advisory Committee ended.

    Served (breast cancer): 257,451
    Served (cervical cancer): 127,553

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    Betty Ford Breast Care Services
    2020–2021

    The program provides guidance to help awardees continue screening services during the COVID-19 pandemic.

Page last reviewed: November 10, 2021