This legislation addresses the growing concern of esophageal cancer, identified as one of the fastest increasing and deadliest cancers in the United States. Congress finds that early detection, particularly of its precursor Barrett's esophagus, is crucial for improving survival rates, as current diagnoses often occur at advanced stages. To better understand and combat this disease, the bill mandates the Government Accountability Office (GAO) to produce a comprehensive report for Congress within one year of enactment. This report will specifically evaluate two key areas related to the Federal Employee Health Benefits Program (FEHBP) : the total financial impact of esophageal cancer-related healthcare spending for federal employees and retirees, and the frequency with which high-risk individuals undergo recommended screenings. This evaluation aims to highlight potential gaps in early detection efforts and inform future strategies to improve awareness and outcomes for this critical health issue.