II

106TH CONGRESS

1ST SESSION S. 1243

To amend the Public Health Service Act to revise and extend the prostate

cancer preventive health program.

IN THE SENATE OF THE UNITED STATES

JUNE 18, 1999

Mr. FRIST introduced the following bill; which was read twice and referred

to the Committee on Health, Education, Labor, and Pensions

A BILL

To amend the Public Health Service Act to revise and extend

the prostate cancer preventive health program.

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled,

3 SECTION 1. SHORT TITLE.

4 This Act may be cited as the ‘‘Prostate Cancer Re5 search and Prevention Act’’.

6 SEC. 2. AMENDMENTS TO THE PUBLIC HEALTH SERVICE

7 ACT.

8 (a) PREVENTIVE HEALTH MEASURES.—Section

9 317D of the Public Health Service Act (42 U.S.C. 247b–

10 5) is amended—
2

•S 1243 IS

1 (1) by striking subsection (a) and inserting the

2 following:

3 ‘‘(a) IN GENERAL.—The Secretary, acting through

4 the Director of the Centers for Disease Control and Pre5 vention, may make grants to States and local health de6 partments for the purpose of enabling such States and de7 partments to carry out programs that may include the fol8 lowing:

9 ‘‘(1) To identify factors that influence the atti10 tudes or levels of awareness of men and health care

11 practitioners regarding screening for prostate can12 cer.

13 ‘‘(2) To evaluate, in consultation with the Agen14 cy for Health Care Policy and Research and the Na15 tional Institutes of Health, the effectiveness of

16 screening strategies for prostate cancer.

17 ‘‘(3) To identify, in consultation with the Agen18 cy for Health Care Policy and Research, issues re19 lated to the quality of life for men after prostrate

20 cancer screening and followup.

21 ‘‘(4) To develop and disseminate public infor22 mation and education programs for prostate cancer,

23 including appropriate messages about the risks and

24 benefits of prostate cancer screening for the general
3

•S 1243 IS

1 public, health care providers, policy makers and

2 other appropriate individuals.

3 ‘‘(5) To improve surveillance for prostate can4 cer.

5 ‘‘(6) To address the needs of underserved and

6 minority populations regarding prostate cancer.

7 ‘‘(7) Upon a determination by the Secretary,

8 who shall take into consideration recommendations

9 by the United States Preventive Services Task Force

10 and shall seek input, where appropriate, from pro11 fessional societies and other private and public enti12 ties, that there is sufficient consensus on the effec13 tiveness of prostate cancer screening—

14 ‘‘(A) to screen men for prostate cancer as

15 a preventive health measure;

16 ‘‘(B) to provide appropriate referrals for

17 the medical treatment of men who have been

18 screened under subparagraph (A) and to en19 sure, to the extent practicable, the provision of

20 appropriate followup services and support serv21 ices such as case management;

22 ‘‘(C) to establish mechanisms through

23 which State and local health departments can

24 monitor the quality of screening procedures for
4

•S 1243 IS

1 prostate cancer, including the interpretation of

2 such procedures; and

3 ‘‘(D) to improve, in consultation with the

4 Health Resources and Services Administration,

5 the education, training, and skills of health

6 practitioners (including appropriate allied

7 health professionals) in the detection and con8 trol of prostate cancer.

9 ‘‘(8) To evaluate activities conducted under

10 paragraphs (1) through (7) through appropriate sur11 veillance or program monitoring activities.’’; and

12 (2) in subsection (l)(1), by striking ‘‘1998’’ and

13 inserting ‘‘2004’’.

14 (b) NATIONAL INSTITUTES OF HEALTH.—Section

15 417B(c) of the Public Health Service Act (42 U.S.C.

16 286a–8(c)) is amended by striking ‘‘and 1996’’ and insert17 ing ‘‘through 2004’’.

Æ