through the process of screening, particularly those at increased risk or high risk for colorectal cancer. (9) To design clinician decision support tools based on clinical practice guidelines for early detection of colorectal cancer in young individuals. (10) To monitor and evaluate activities conducted under paragraphs (1) through (9) to determine the effectiveness of such activities to inform continuous improvement of such activities. (e) Grant period A grant under this section shall be for a period of 5 years, and may be renewed at the discretion of the Secretary. (f) Return of unspent grant funds Each State that receives a grant under this section shall return, not later than 6 months after the date on which the period of such grant ends, any grant funds that were not expended by such State during the grant period. (g) Report Not later than 5 years after receiving a grant under this section (including a renewal of a grant), a State shall submit to the Secretary a report describing how the State used such grant. (h) Authorization of appropriations There is authorized to be appropriated to carry out this section $200,000,000 for each of fiscal years 2025 through 2029.