(2) by adding ‘‘and’’ at the end of subpara-
graph (Q); and
(3) by adding at the end the following new sub-
paragraph:
‘‘(R) an oral drug prescribed for the treatment
of prostate cancer, if the use of the drug for such
purpose is a medically accepted indication under
subsection (t)(2);’’.
(c) EFFECTIVE DATE.—The amendments made by
this section shall apply to services provided on or after
January 1, 1998, without regard to whether or not the
Secretary has established fee schedules under section
1834(d)(3) of the Social Security Act (as added by sub-
section (a)(3)) or promulgated other regulations to carry
out such amendments by that date.
SEC. 3. EARLY DETECTION AND TREATMENT OF PROSTATE
CANCER IN VETERANS.
(a) 
PREVENTIVE
HEALTH
SERVICES.—Section
1701(9) of title 38, United States Code is amended—
(1) by redesignating subparagraphs (J) and (K)
as subparagraphs (K) and (L), respectively; and
(2) by inserting after subparagraph (I) the fol-
lowing new subparagraph (J):
‘‘(J) tests for the early detection and diagnosis
of prostate cancer;’’.
(b) COVERAGE OF SERVICES FOR EARLY DETECTION
AND TREATMENT OF PROSTATE CANCER.—
(1) IN GENERAL.—Chapter 17 of such title is
amended by inserting after section 1724 the follow-
ing new section:
‘‘§ 1725. Prostate cancer detection and treatment
‘‘(a) The Secretary shall include in the medical serv-
ices furnished to veterans under this chapter—
‘‘(1) services for the early detection and treat-
ment of prostate cancer;
‘‘(2) information on the early detection and
treatment of prostate cancer; and
‘‘(3) counseling regarding prostate cancer.
‘‘(b) Based on the best available medical evidence, the
Secretary shall implement a schedule for early detection
of prostate cancer for veterans confined to hospitals or
other institutions.
‘‘(c) For the purposes of this section—
‘‘(1) services for the early detection of prostate
cancer are procedures provided to a male for the
purpose of the early detection of prostate cancer, in-
cluding digital rectal examinations, prostate-specific
antigen blood tests, and transrectal ultrasonography;
and
‘‘(2) services for treatment of prostate cancer
may include the furnishing of drugs approved by the
Food and Drug Administration for the treatment of
prostate cancer.
‘‘(d) The Secretary may carry out research and re-
search training in the diagnosis and treatment of prostate
cancer based upon the prostate cancer services provided
under this section and may develop guidelines outlining
effective treatment regimens for prostate cancer.’’.
(2) CLERICAL AMENDMENT.—The table of sec-
tions at the beginning of such chapter is amended
by inserting after the item relating to section 1724
the following new item:
‘‘1725. Prostate cancer detection and treatment.’’.
SEC. 4. RESEARCH AND EDUCATION REGARDING PROS-
TATE CANCER; CERTAIN PROGRAMS OF PUB-
LIC HEALTH SERVICE.
(a) NATIONAL INSTITUTES
OF HEALTH.—Section
417B(c) of the Public Health Service Act (42 U.S.C.
286a–8(c)) is amended in the first sentence by striking
‘‘$72,000,000’’ and all that follows and inserting the fol-
lowing: ‘‘$86,000,000 for fiscal year 1998, $100,000,000
for fiscal year 1999, $115,000,000 for fiscal year 2000,
and $130,000,000 for fiscal year 2001.’’.
(b) AGENCY FOR HEALTH CARE POLICY AND RE-
SEARCH.—Section 902 of the Public Health Service Act
(42 U.S.C. 299a) is amended by adding at the end the
following subsection:
‘‘(f) ACTIVITIES REGARDING PROSTATE CANCER.—
The Administrator shall, with respect to prostate cancer—
‘‘(1) conduct and support research on the out-
comes, effectiveness, and appropriateness of health
services and procedures; and
‘‘(2) in carrying out section 912(a), provide for
the development, periodic review, and updating of
clinically relevant guidelines, standards of quality,
performance measures, and medical review criteria.’’.
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