
Legislation introduced to address young-onset CRC

In recent years, there has been a dramatic increase in colorectal cancer among younger adults. Colorectal cancer is now the leading cause of cancer deaths in men under 50 and ranks second among women. This trend is expected to continue, with a projected 90% increase in adults aged 20-39 by 2030. Multiple theories exist regarding the cause of this increase, but no clear consensus has been reached.
Last month, Congress introduced legislation aimed at addressing young-onset colorectal cancer through a multi-pronged approach that includes screening, public education, professional education, and surveillance to help identify the causes.
The Colorectal Cancer Early Detection Act (HR 7714) was introduced by Rep. Caraveo, D-Colo., with Reps. Payne, D-N.J.; Stevens, D-Mich.; and Sewell, D-Ala., as co-sponsors. Fifteen other members of the House have already signed on as co-sponsors. This legislation would provide grants to states on a competitive basis in seven areas:
- Conduct screening for individuals under age 45 who are at increased or high risk.
- Conduct awareness campaigns to educate the public about the risk factors for young-onset colorectal cancer.
- Improve the education and training of health providers in detecting and managing young-onset colorectal cancer.
- Establish mechanisms through which states can monitor the quality of screening procedures.
- Develop strategies to assess family history and genetic predispositions for young-onset colorectal cancer.
- Design patient and clinician decision support tools.
- Conduct surveillance to determine other risk factors for young-onset colorectal cancer.
The Colorectal Cancer Alliance provided recommendations to Rep. Caraveo, which have been included in the Colorectal Cancer Early Detection Act, and we strongly support the passage of this vital legislation. “Our existing programs do not adequately address the unique aspects of young-onset colorectal cancer, and this legislation would help empower states to develop new and innovative approaches,” said Michael Sapienza, CEO of the Alliance.
The Colorectal Cancer Alliance will be supporting this legislation as a key part of our advocacy efforts, but it will require Congressional members to hear from their constituents for action to be taken on the bill. Please join us in expressing concern about the rise in young-onset colorectal cancer and the need for immediate action. Take a moment to send an email to your representative asking them to co-sponsor the Colorectal Cancer Early Detection Act (HR 7714). Visit your representative’s website, or find their contact information here.
Top resources

Alliance Honors Survivors, Encourages Screening and Advocates for Research During National Cancer Survivors Month
In recognition of National Cancer Survivors Month this June, the Colorectal Cancer Alliance (Alliance) is shining a light on the more than 1.5 million colorectal cancer survivors in the United States, celebrating their strength while calling attention to increasing rates of colorectal cancer and the urgent need for more screening and research to end the disease.

Alliance Announces New Leadership Roles
The additions to the Colorectal Cancer Alliance's all bring deep expertise and a shared passion for the mission to end colorectal cancer in our lifetime.

Proposed budget cuts could strip health insurance from millions
A proposed federal budget could cut $715 billion from Medicaid, leaving 8.6 million Americans without insurance. Learn how this impacts cancer prevention, early detection, and survival—and what you can do to help protect care access.