PolicyBrief
H.R. 5239
119th CongressSep 9th 2025
Endometrial Cancer Research and Education Act of 2025
IN COMMITTEE

This bill aims to expand research, coordinate efforts across federal agencies, and launch targeted public education campaigns to address rising endometrial cancer rates and racial disparities in outcomes.

David Scott
D

David Scott

Representative

GA-13

LEGISLATION

New Cancer Act Mandates $1 Million Annual NIH Boost for Endometrial Cancer Research, Targets Racial Disparities

This bill, the Endometrial Cancer Research and Education Act of 2025, is a targeted public health effort aiming to tackle rising rates of endometrial cancer and the significant racial disparities in diagnosis and mortality. The core of the bill is a dual mandate: boosting research funding at the National Institutes of Health (NIH) and launching a public education campaign through the Centers for Disease Control and Prevention (CDC). Specifically, it authorizes $1 million annually for the NIH from fiscal years 2026 through 2028 to intensify and better coordinate research on this disease, which starts in the lining of the uterus and is the fourth most common cancer among women.

Why the Focus on Endometrial Cancer?

If you’ve been paying attention to health trends, you know that cancer survival rates are generally improving. However, the findings section of this bill highlights a worrying exception: aggressive forms of endometrial cancer are actually increasing across the board, with a particularly sharp 2.5% annual rise among African-American and Asian women. Even more concerning is the outcome gap: while non-Hispanic White women are diagnosed more often overall, African-American women die from it at a much higher rate. This bill recognizes that the status quo isn't working and that factors like late diagnosis, delayed treatment, and poor access to new therapies are likely driving this unacceptable disparity. This isn't just a clinical problem; it’s a health equity issue that affects families and communities.

Rewriting the Clinical Trial Rulebook

The most significant change for the research community—and ultimately, for patients—is the mandate placed on the NIH. The bill requires the NIH to ensure that African-American women are included in endometrial cancer clinical trials at a rate that accurately reflects how often the cancer occurs in that population. Think of this as a direct response to the mortality disparity. Historically, underrepresentation in trials means that treatments developed might not work as effectively for everyone. By forcing higher inclusion rates, the NIH is aiming to generate data that can lead to treatments better suited for the women who are currently dying at the highest rates. The NIH is also directed to share information about this racial disparity with medical professionals, ensuring researchers and doctors are aware of the problem.

Targeted Public Health Education

On the education side, the CDC is tasked with creating and distributing public awareness materials about endometrial cancer, covering risk factors, causes, and treatment options. Crucially, the bill requires the CDC to specifically create materials targeted toward African-American women. This isn't just a blanket public service announcement; it’s a targeted effort to get information to the communities most impacted. If you have PCOS or uterine fibroids—two conditions the bill notes put women at higher risk—this campaign should provide clearer, more accessible information on symptoms and when to seek help. This education push is funded by “such sums as may be necessary” through 2028, meaning the funding isn't capped at a specific dollar amount, allowing the CDC flexibility to run a robust campaign.

What This Means for Everyday People

For the average person, this bill means better information and potentially better future treatments. If you or someone you know is in the high-risk 25-45 age group, especially if they have conditions like PCOS or fibroids, the upcoming CDC campaign should provide clearer guidance on symptoms and screening. For taxpayers, the bill authorizes a direct cost of $1 million annually for three years for NIH research, plus the as-yet-undetermined cost of the CDC's education campaign. While the funding is relatively modest for large federal agencies, the impact could be significant if the research successfully identifies why this cancer is becoming more aggressive and how to close the deadly racial gap in outcomes.