Need A Pap? See You In October.

Michigan has run out of state and federal funding under CDC's National Breast and Cervical Cancer Early Detection Program, which offers screening services to low-income women without insurance, and the program next year is expected to serve fewer women because of funding cuts, the Detroit Free Press reports. The program provides Pap tests and other screenings for qualified women ages 18 to 64 and mammograms for qualified women ages 40 to 64. To qualify, the women must be uninsured and have annual incomes lower than 250% of the federal poverty level.

Under the Breast and Cervical Cancer Prevention and Treatment Act, enacted in 2000, states can request an expansion of their Medicaid programs to include uninsured women younger than age 65 diagnosed with breast or cervical cancer. Women who qualify receive medical coverage throughout their cancer treatment, with the federal government covering up to 85% of the cost of treatment. In 2005, 404,736 women received mammograms, and 357,519 received Pap tests nationwide through the program, which is intended to provide services for about 13% of the 3.3 million women who qualify for it, according to Lisa Mariani, acting CDC branch chief for program services.

Under the current funding structure, the Michigan Department of Community Health has lowered its estimate for the number of women it will serve through the program from 25,000 this year to 22,310 next year. Eleven Michigan counties currently are telling thousands of women they will have to wait until October to receive services because of a lack of funding, according to the Free Press. Michigan this year received $9 million in federal funding and provided $1 million in state funding for the program. A bill (S 1687), co-sponsored by Sen. Debbie Stabenow (D-Mich.), currently pending in the Senate Health, Education, Labor and Pensions Committee would reauthorize the program and increase by $50 million its funding to $250 million annually beginning in 2007. According to the Free Press, the funding increase would allow 147,000 more U.S. women to receive services under the program.