I 
111TH CONGRESS 
1ST SESSION H. R. 4383 
To amend the Public Health Service Act and title XIX of the Social Security 
Act to provide for a screening and treatment program for prostate 
cancer in the same manner as is provided for breast and cervical cancer. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 16, 2009 
Mr. MARSHALL (for himself, Mr. ACKERMAN, Mr. ARCURI, Mr. BISHOP of 
New York, Ms. CLARKE, Mr. CROWLEY, Mr. ENGEL, Mr. HALL of New 
York, Mr. HIGGINS, Mr. HINCHEY, Mr. ISRAEL, Mr. KING of New York, 
Mr. LEE of New York, Mrs. LOWEY, Mr. MAFFEI, Mr. MASSA, Mrs. 
MCCARTHY of New York, Mr. MCMAHON, Mrs. MALONEY, Mr. MEEKS 
of New York, Mr. MURPHY of New York, Mr. NADLER of New York, Mr. 
OWENS, Mr. RANGEL, Mr. SERRANO, Ms. SLAUGHTER, Mr. TONKO, Mr. 
TOWNS, Ms. VELA´ZQUEZ, and Mr. WEINER) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act and title XIX 
of the Social Security Act to provide for a screening 
and treatment program for prostate cancer in the same 
manner as is provided for breast and cervical cancer. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Thomas J. Manton 
Prostate Cancer Early Detection and Treatment Act of 
2009’’. 
SEC. 2. PROSTATE CANCER SCREENING PROGRAM. 
(a) IN GENERAL.—Title XV of the Public Health 
Service Act (42 U.S.C. 300k et seq.) is amended by adding 
at the end the following: 
‘‘Subtitle 2—Prostate Cancer 
‘‘SEC. 1521. PROSTATE CANCER. 
‘‘(a) GRANTS TO STATES FOR PROGRAMS TO SCREEN 
FOR PROSTATE CANCER.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention, may make grants to States to carry out programs 
with respect to prostate cancer. The provisions of sections 
1501 through 1508 (regarding breast and cervical cancer) 
shall apply to grants under this subsection to the same 
extent and in the same manner as such provisions apply 
to grants under section 1501. 
‘‘(b) SUPPLEMENTAL
GRANTS
FOR
ADDITIONAL 
PREVENTIVE HEALTH SERVICES.—In the case of States 
receiving grants under subsection (a), the Secretary, act-
ing through the Director of the Centers for Disease Con-
trol and Prevention, may make grants to not more than 
3 such States to carry out demonstration projects with 
respect to prostate cancer. The provisions of section 1509 
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(regarding breast and cervical cancer), other than section 
1509(d), shall apply to grants under this subsection to the 
same extent and in the same manner as such provisions 
apply to grants under section 1509. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated such sums as may be 
necessary in each fiscal year to carry out this section.’’. 
(b) TECHNICAL AMENDMENTS.—Title XV of the 
Public Health Service Act (42 U.S.C. 300k et seq.) is 
amended— 
(1) in the heading of the title, by striking 
‘‘BREAST AND CERVICAL CANCERS’’ and 
inserting 
‘‘BREAST, 
CERVICAL, 
AND 
PROSTATE CANCERS’’; 
(2) by inserting before section 1501 the fol-
lowing: 
‘‘Subtitle 1—Breast and Cervical 
Cancers’’; 
(3) in sections 1504(c)(3)(A) and 1509(c), by 
striking the term ‘‘This title’’ each place such term 
appears and inserting ‘‘This subtitle’’; 
(4) in sections 1504(c)(3)(A) and 1509(c), by 
striking the term ‘‘such title’’ each place such term 
appears and inserting ‘‘such subtitle’’; and 
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(5) in sections 1506, 1508(b), and 1510(a), by 
striking the term ‘‘this title’’ each place such term 
appears and inserting ‘‘this subtitle’’. 
SEC. 3. OPTIONAL MEDICAID COVERAGE OF CERTAIN 
PROSTATE CANCER PATIENTS. 
(a) 
COVERAGE
AS
OPTIONAL
CATEGORICALLY 
NEEDY GROUP AND LIMITATION ON BENEFITS.—Section 
1902 of the Social Security Act (42 U.S.C. 1396a) is 
amended— 
(1) in subsection (a)(10)(A)(ii)(XVIII), by 
striking ‘‘or cervical’’ and inserting ‘‘, cervical, or 
prostate’’; 
(2) in subsection (a)(10), in the clause (XIV) 
following subparagraph (G), by striking ‘‘or cer-
vical’’ and inserting ‘‘, cervical, or prostate’’; and 
(3) in subsection (aa)(3)— 
(A) by inserting ‘‘(A)’’ after ‘‘(3)’’; 
(B) by striking ‘‘and’’ at the end and in-
serting ‘‘or’’; and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(B) at the option of the State, have been 
screened for prostate cancer under the Centers for 
Disease Control and Prevention prostate cancer 
early detection program established under section 
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1521(a) of the Public Health Service Act and need 
treatment for prostate cancer; and’’. 
(b) APPLICATION OF PRESUMPTIVE ELIGIBILITY.— 
Section 1920B of such Act (42 U.S.C. 1396r–1b) is 
amended— 
(1) in the heading by striking ‘‘OR CERVICAL’’ 
and inserting ‘‘, CERVICAL, OR PROSTATE’’; and 
(2) in subsection (a), by striking ‘‘or cervical’’ 
and inserting ‘‘, cervical, or prostate’’. 
(c) APPLICATION OF ENHANCED MATCH.—For appli-
cation of enhanced Federal matching rate, see section 
1905(b)(4) of the Social Security Act (42 U.S.C. 
1396d(b)(4)). 
(d) APPLICATION
OF SPECIAL RULES
ON COST- 
SHARING.—Section 1937(a)(2)(B)(x) of such Act (42 
U.S.C. 1396u–7(a)(2)(B)(x)) is amended— 
(1) in the heading by inserting ‘‘AND MEN IN 
THE PROSTATE CANCER PROGRAM’’ after ‘‘BREAST 
OR CERVICAL CANCER PROGRAM’’; and 
(2) by striking ‘‘is a woman who’’. 
(e) EFFECTIVE DATE.—The amendments made by 
this section shall apply to items and services furnished on 
or after the date of the enactment of this Act. 
Æ 
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