,,ii  #aac? ,,congress  #a/ ,session    
,s4 #eaf  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,m>* #aa1 #bjac ,mr4   
,te/] 7= himself & ,mr4 ,blunt7         
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to r$uce disp>ities &       
improve access to effective & co/       
effici5t diagnosis & treatm5t ( pro/ate 
canc] ?r\gh advances 9 te/+1 rese>*1 &  
education1 includ+ ?r\gh teleheal?1     
comp>ative effectiv5ess rese>*1 &       
id5tification ( be/ practices 9 pati5t  
education & outrea* p>ticul>ly ) respect
 to und]s]v$ racial1 e?nic & rural      
populations & m5 ) a family hi/ory (    
pro/ate canc]1 to e/abli% a directive on
 :at con/itutes cl9ically appropriate   
pro/ate canc] imag+1 & to create a      
pro/ate canc] sci5tific advisory bo>d = 
! ,(fice ( ! ,*ief ,sci5ti/ at ! ,food &
 ,drug ,adm9i/ration to accel]ate       
real-"t %>+ ( ! late/ rese>* & accel]ate
 movem5t ( new m$ic9es to pati5ts4  #a4 

,%ort ,title ,?is ,act may be cit$ z !  
,pro/ate ,rese>*1 ,outrea*1 ,scre5+1    
,te/+1 ,access1 & ,treatm5t             
,effectiv5ess ,act ( #bjac or !         
,,pro/ate ,act4  #b4 ,f9d+s ,congress   
makes ! foll[+ f9d+s3  7#a7 ,pro/ate    
canc] is ! second lead+ cause ( canc]   
dea? among m54  7#b7 ,9 #bjaj1 m ?an    
#bag1gcj new pati5ts 7 diagnos$ )       
pro/ate canc] & m ?an #cb1jjj m5 di$ f  
?is disease4  7#c7 ,r\ghly #b1jjj1jjj   
,am]icans are liv+ ) a diagnosis (      
pro/ate canc] & its consequ5ces4  7#d7  
,:ile pro/ate canc] g5]ally affects old]
 individuals1 y\ng] m5 are also at risk 
= ! disease1 & :5 pro/ate canc] appe>s 9
 e>ly middle age x frequ5tly takes on a 
m aggressive =m4  7#e7 ,!re are         
significant racial & e?nic disp>ities t 
dem& att5tion1 namely ,african-,am]icans
 h pro/ate canc] mortality rates t are m
 ?an d\ble ^? 9 ! ,:ite population4     
7#f7 ,und]s]v$ rural populations h high]
 rates ( mortality comp>$ to _! urban   
c\nt]p>ts1 & innovative & co/-effici5t  

me?ods to improve rural access to high  
quality c>e %\ld take advantage (       
advances 9 teleheal? to diagnose & treat
 pro/ate canc] :5 appropriate4  7#g7    
,c]ta9 vet]ans populations may h ne>ly  
twice ! incid5ce ( pro/ate canc] z !    
g5]al population ( ! ,unit$ ,/ates4     
7#h7 ,urologi/s may con/itute !         
speciali/s :o diagnose & treat ! va/    
majority ( pro/ate canc] pati5ts4  7#i7 
,al?\gh mu* basic & translational rese>*
 has be5 complet$ & mu* is curr5tly     
kn[n1 !re are /ill _m unansw]$ que/ions4
 ,= example1 x is n fully und]/ood h[   
mu* ( kn[n disp>ities are attributable  
to disease etiology1 access to c>e1 or  
education & aw>5ess 9 ! community4      
7#aj7 ,causes ( pro/ate canc] are n     
kn[n4 ,!re is n good in=mation reg>d+ h[
 to diff]5tiate accurately1 e>ly on1    
betwe5 aggressive & indol5t =ms ( !     
disease4 ,z a result1 !re is significant
 ov]treatm5t 9 pro/ate canc]4 ,!re are  
no treatm5ts t c durably arre/ gr[? or  
cure pro/ate canc] once x has           

meta/asiz$4  7#aa7 ,a significant       
proportion 7r\ghly #bc to #ed p]c5t7 (  
cases may be cl9ically indol5t &        
ov]diagnos$1 result+ 9 significant      
ov]treatm5t4 ,m accurate te/s w all[ m5 
& _! families to face less physical1    
psy*ological1 f9ancial1 & emotional     
trauma & billions ( doll>s c\ld be sav$ 
9 private & public heal? c>e sy/ems 9 an
 area t has be5 id5tifi$ by ! ,m$ic>e   
program z "o ( eight high volume1 high  
co/ areas 9 ! ,res\rce ,utilization     
,report program au?oriz$ by ,congress "u
 ! ,m$ic>e ,improvem5ts = ,pati5ts &    
,provid]s ,act ( #bjjh4  7#ab7 ,pro/ate 
canc] rese>* & heal? c>e programs across
 ,f$]al ag5cies %\ld be coord9at$ to    
improve acc\ntability & actively        
enc\rage ! translation ( rese>* into    
practice1 to id5tify & implem5t be/     
practices1 9 ord] to fo/] an integrat$ &
 consi/5t focus on effective prev5tion1 
diagnosis1 & treatm5t ( ?is disease4    
#c4 ,pro/ate canc] coord9ation &        
education  7a7 ,int]ag5cy pro/ate canc] 

coord9ation & education task =ce ,n lat]
 ?an #ahj days aft] ! date ( ! enactm5t 
( ?is section1 ! ,secret>y ( ,vet]ans   
,affairs1 9 coop]ation ) ! ,secret>y (  
,def5se & ! ,secret>y ( ,heal? & ,human 
,s]vices1 %all e/abli% an ,int]ag5cy    
,pro/ate ,canc] ,coord9ation &          
,education ,task ,=ce 79 ?is section    
ref]r$ to z ! ,pro/ate ,canc] ,task     
,=ce74  7b7 ,duties ,! ,pro/ate ,canc]  
,task ,=ce %all--  7#a7 develop a summ>y
 ( advances 9 pro/ate canc] rese>*      
support$ or conduct$ by ,f$]al ag5cies  
relevant to ! diagnosis1 prev5tion1 &   
treatm5t ( pro/ate canc]1 includ+       
psy*osocial impairm5ts relat$ to pro/ate
 canc] treatm5t1 & compile a li/ ( be/  
practices t w>rant broad] adoption 9    
heal? c>e programs2  7#b7 consid]       
e/abli%+1 & advocat+ =1 a guidance to   
enable physicians to all[ scre5+ ( m5 :o
 are ov] age #gd1 on a case-by-case     
basis1 tak+ into acc\nt quality ( life &
 family hi/ory ( pro/ate canc]2  7#c7   
%>e & coord9ate in=mation on ,f$]al     

rese>* & heal? c>e program activities1  
includ+ activities relat$ to--  7,a7    
det]m9+ h[ to improve rese>* & heal? c>e
 programs1 includ+ psy*osocial          
impairm5ts relat$ to pro/ate canc]      
treatm5t2  7,b7 id5tify+ any gaps 9 !   
ov]all rese>* inv5tory & 9 heal? c>e    
programs2  7,c7 id5tify+ opportunities  
to promote translation ( rese>* into    
practice2 &  7,d7 maximiz+ ! effects (  
,f$]al ef=ts by id5tify+ opportunities =
 collaboration & lev]ag+ ( res\rces 9   
rese>* & heal? c>e programs t s]ve ^?   
susceptible to or diagnos$ ) pro/ate    
canc]2  7#d7 develop a compreh5sive     
int]ag5cy /rategy & advise relevant     
,f$]al ag5cies 9 ! solicitation (       
proposals = collaborative1              
multidiscipl9>y rese>* & heal? c>e      
programs1 includ+ proposals to evaluate 
factors t may be relat$ to ! etiology ( 
pro/ate canc]1 t w\ld--  7,a7 result 9  
innovative approa*es to /udy em]g+      
sci5tific opportunities or elim9ate k   
gaps 9 rese>* to improve ! pro/ate canc]

 rese>* portfolio ( ! ,f$]al ,gov]nm5t2 
7,b7 outl9e key rese>* que/ions1        
me?odologies1 & k gaps2 &  7,c7 ensure  
consi/5t action1 z outl9$ by section    
#djb7;b7 ( ! ,public ,heal? ,s]vice     
,act2  7#e7 develop a coord9at$ message 
relat$ to scre5+ & treatm5t = pro/ate   
canc] to be reflect$ 9 educational &    
b5efici>y mat]ials = ,f$]al heal?       
programs z su* docum5ts are updat$2 &   
7#f7 n lat] ?an two ye>s aft] ! date ( !
 e/abli%m5t ( ! ,pro/ate ,canc] ,task   
,=ce1 submit to ! ,exp]t ,advisory      
,panel to be review$ & return$ )9 #cj   
days1 & !n )9 #ij days submitt$ to      
,congress recomm5dations--  7,a7 reg>d+ 
any appropriate *anges to rese>* & heal?
 c>e programs1 includ+ recomm5dations to
 improve ! rese>* portfolio ( !         
,dep>tm5t ( ,vet]ans ,affairs1 ,dep>tm5t
 ( ,def5se1 ,national ,in/itutes (      
,heal?1 & o!r ,f$]al ag5cies to ensure t
 sci5tifically bas$ /rategic plann+ is  
implem5t$ 9 support ( rese>* & heal? c>e
 program priorities2  7,b7 design$ to   

ensure t ! rese>* & heal? c>e programs &
 activities ( ! ,dep>tm5t ( ,vet]ans    
,affairs1 ! ,dep>tm5t ( ,def5se1 !      
,dep>tm5t ( ,heal? & ,human ,s]vices1 & 
o!r ,f$]al ag5cies are free ( unnecess>y
 duplication2  7,c7 reg>d+ public       
p>ticipation 9 decisions relat+ to      
pro/ate canc] rese>* & heal? c>e        
programs to increase ! involvem5t (     
pati5t advocates1 community             
organizations1 & m$ical associations    
repres5t+ a broad geographical area2    
7,d7 on h[ to be/ dissem9ate in=mation  
on pro/ate canc] rese>* & progress      
a*iev$ by heal? c>e programs2  7,e7 ab\t
 h[ to exp& p>tn]%ips betwe5 public     
entities1 includ+ ,f$]al ag5cies1 &     
private entities to enc\rage            
collaborative1 cross-cutt+ rese>* &     
heal? c>e deliv]y2  7,f7 assess+ any co/
 sav+s & effici5cies realiz$ ?r\gh !    
ef=ts id5tifi$ & support$ 9 ?is ,act &  
recomm5d+ expansion ( ^? ef=ts t h prov$
 mo/ promis+ :ile also ensur+ aga9/ any 
conflicts 9 directives f o!r            

congressional or /atutory m&ates or     
enabl+ /atutes2  7,g7 id5tify+ key      
priority action items f among !         
recomm5dations2 &  7,h7 ) respect to !  
level ( fund+ ne$$ by ea* ag5cy to      
implem5t ! recomm5dations conta9$ 9 !   
report4  7c7 ,memb]s ( ! ,pro/ate ,canc]
 ,task ,=ce ,! ,pro/ate ,canc] ,task    
,=ce describ$ 9 subsection 7a7 %all be  
compos$ ( repres5tatives f su* ,f$]al   
ag5cies1 z ea* ,secret>y det]m9es       
necess>y1 to coord9ate a uni=m message  
relat+ to pro/ate canc] scre5+ &        
treatm5t :]e appropriate1 includ+       
repres5tatives ( ! foll[+3  7#a7 ,!     
,dep>tm5t ( ,vet]ans ,affairs1 includ+  
repres5tatives ( ea* relevant program   
areas ( ! ,dep>tm5t ( ,vet]ans ,affairs4
  7#b7 ,! ,pro/ate ,canc] ,rese>*       
,program ( ! ,congressionally ,direct$  
,m$ical ,rese>* ,program ( ! ,dep>tm5t (
 ,def5se4  7#c7 ,! ,dep>tm5t ( ,heal? & 
,human ,s]vices1 includ+ at a m9imum    
repres5tatives ( ! foll[+3  7,a7 ,!     
,national ,in/itutes ( ,heal?4  7,b7    

,national rese>* in/itutes & c5t]s1     
includ+ ! ,national ,canc] ,in/itute1 ! 
,national ,in/itute ( ,all]gy &         
,infecti\s ,diseases1 & ! ,(fice (      
,m9ority ,heal?4  7,c7 ,! ,c5t]s =      
,m$ic>e  ,m$icaid ,s]vices4  7,d7 ,!    
,food & ,drug ,adm9i/ration4  7,e7 ,!   
,c5t]s = ,disease ,control & ,prev5tion4
  7,f7 ,! ,ag5cy = ,heal?c>e ,rese>* &  
,quality4  7,g7 ,! ,heal? ,res\rces &   
,s]vices ,adm9i/ration4  7d7 ,appo9t+   
exp]t advisory panels ,! ,pro/ate ,canc]
 ,task ,=ce %all appo9t exp]t advisory  
panels1 z det]m9$ appropriate1 to       
provide input & concurr5ce f individuals
 & organizations f ! m$ical1 pro/ate    
canc] pati5t & advocate1 rese>*1 &      
deliv]y communities ) exp]tise 9 pro/ate
 canc] diagnosis1 treatm5t1 & rese>*1   
includ+ practic+ urologi/s1 prim>y c>e  
provid]s1 & o!rs & individuals )        
exp]tise 9 education & outrea* to       
und]s]v$ populations affect$ by pro/ate 
canc]4  7e7 ,meet+s ,! ,pro/ate ,canc]  
,task ,=ce %all conv5e n less ?an twice 

a ye>1 or m frequ5tly z ! ,secret>y     
det]m9es to be appropriate4  7f7        
,submittal ( recomm5dations to ,congress
 ,! ,secret>y ( ,vet]ans ,affairs %all  
submit to ,congress any recomm5dations  
submitt$ to ! ,secret>y "u subsection   
7b77#e74  7g7 ,f$]al ,advisory          
,committee ,act  7#a7 ,9 g5]al ,except z
 provid$ 9 p>agraph 7#b71 ! ,f$]al      
,advisory ,committee ,act 7#e ,u4,s4,c4 
,app47 %all apply to ! ,pro/ate ,canc]  
,task ,=ce4  7#b7 ,exception ,section   
#ad7;a77#b77;,b7 ( su* ,act 7relat+ to !
 t]m9ation ( advisory committees7 %all n
 apply to ! ,pro/ate ,canc] ,task ,=ce4 
7h7 ,sunset ,date ,! ,pro/ate ,canc]    
,task ,=ce %all t]m9ate at ! end (      
fiscal ye> #bjaf4  #d4 ,pro/ate canc]   
rese>*  7a7 ,rese>* coord9ation ,!      
,secret>y ( ,vet]ans ,affairs1 9        
coord9ation ) ! ,secret>ies ( ,def5se & 
( ,heal? & ,human ,s]vices1 %all e/abli%
 & c>ry out a program to coord9ate &    
int5sify pro/ate canc] rese>* z ne$$4   
,specifically1 su* rese>* program %all--

  7#a7 develop advances 9 diagno/ic &   
progno/ic me?ods & te/s1 includ+        
biom>k]s & an improv$ pro/ate canc]     
scre5+ blood te/1 includ+ improvem5ts or
 alt]natives to ! pro/ate specific      
antig5 te/ & additional te/s to di/+ui% 
indol5t f aggressive disease2  7#b7     
bett] und]/& ! etiology ( ! disease     
7includ+ an analysis ( life /yle factors
 prov5 to be involv$ 9 high] rates (    
pro/ate canc]1 su* z obesity & diet1 & 9
 diff]5t e?nic1 racial1 & socioeconomic 
gr\ps1 su* z ! ,african-,am]ican1 ,lat9 
,am]ican1 & ,am]ican ,indian populations
 & m5 ) a family hi/ory ( pro/ate canc]7
 to improve prev5tion ef=ts2  7#c7 exp& 
basic rese>* into pro/ate canc]1 includ+
 /udies ( fundam5tal molecul> & cellul> 
me*anisms2  7#d7 id5tify & provide      
cl9ical te/+ ( novel ag5ts = ! prev5tion
 & treatm5t ( pro/ate canc]2  7#e7      
e/abli% cl9ical regi/ries = pro/ate     
canc]2  7#f7 use ! ,national ,in/itute (
 ,biom$ical ,imag+ & ,bio5g9e]+ & !     
,national ,canc] ,in/itute = assessm5t (

 appropriate imag+ modalities2 &  7#g7  
address su* o!r matt]s relat+ to pro/ate
 canc] rese>* z may be id5tifi$ by !    
,f$]al ag5cies p>ticipat+ 9 ! program "u
 ?is section4  7b7 ,pro/ate ,canc]      
,advisory ,bo>d ,!re is e/abli%$ 9 !    
,(fice ( ! ,*ief ,sci5ti/ ( ! ,food &   
,drug ,adm9i/ration a ,pro/ate ,canc]   
,sci5tific ,advisory ,bo>d4 ,su* bo>d   
%all be responsible = accel]at+ real-"t 
%>+ ( ! late/ rese>* data & accel]at+   
movem5t ( new m$ic9es to pati5ts4  7c7  
,und]s]v$ m9ority grant program ,9 c>ry+
 out su* program1 ! ,secret>y %all--    
7#a7 aw>d grants to eligible entities to
 c>ry out compon5ts ( ! rese>* outl9$ 9 
subsection 7a72  7#b7 integrate & build 
^u exi/+ k ga9$ f comp>ative            
effectiv5ess rese>*2 &  7#c7 recognize &
 address--  7,a7 ! racial & e?nic       
disp>ities 9 ! incid5ce & mortality     
rates ( pro/ate canc] & m5 ) a family   
hi/ory ( pro/ate canc]2  7,b7 any b>ri]s
 9 access to c>e & p>ticipation 9       
cl9ical trials t are specific to racial1

 e?nic1 & o!r und]s]v$ m9orities & m5 ) 
a family hi/ory ( pro/ate canc]2  7,c7  
ne$$ outrea* & educational ef=ts to     
raise aw>5ess 9 ^! communities2 &  7,d7 
appropriate access & utilization ( imag+
 modalities4  #e4 ,teleheal? & rural    
access pilot project  7a7 ,9 g5]al ,!   
,secret>y ( ,vet]ans ,affairs1 !        
,secret>y ( ,def5se1 & ! ,secret>y (    
,heal? & ,human ,s]vices 79 ?is section 
ref]r$ to z ! ,secret>ies7 %all e/abli% 
#d-ye> teleheal? pilot projects = !     
purpose ( analyz+ ! cl9ical outcomes &  
co/ effectiv5ess associat$ ) teleheal?  
s]vices 9 a v>iety ( geographic areas t 
conta9 high proportions ( m$ically      
und]s]v$ populations1 includ+           
,african-,am]icans1 ,lat9 ,am]icans1    
,am]ican ,indians1 & ^? 9 rural areas4  
,su* projects %all promote effici5t use 
( speciali/ c>e ?r\gh bett] coord9ation 
( prim>y c>e & physician ext5d] teams 9 
und]s]v$ areas & m effectively employ   
tumor bo>ds to bett] c\nsel pati5ts4    
7b7 ,eligible entities  7#a7 ,9 g5]al ,!

 ,secret>ies %all select eligible       
entities to p>ticipate 9 ! pilot        
projects "u ?is section4  7#b7 ,priority
 ,9 select+ eligible entities to        
p>ticipate 9 ! pilot projects "u ?is    
section1 ! ,secret>ies %all give        
priority to su* entities locat$ 9       
m$ically und]s]v$ areas1 p>ticul>ly ^? t
 include ,african-,am]icans1 ,lat9      
,am]icans1 & facilities ( ! ,indian     
,heal? ,s]vice1 & ^? 9 rural areas4  7c7
 ,evaluation ,! ,secret>ies %all1 ?r\gh 
! pilot projects1 evaluate--  7#a7 !    
effective & economic deliv]y ( c>e 9    
diagnos+ & treat+ pro/ate canc] ) ! use 
( teleheal? s]vices 9 m$ically und]s]v$ 
& tribal areas includ+ collaborative    
uses ( heal? pr(essionals & integration 
( ! range ( teleheal? & o!r te*nologies2
  7#b7 ! effectiv5ess ( improv+ !       
capacity ( nonm$ical provid]s &         
nonspecializ$ m$ical provid]s to provide
 heal? s]vices = pro/ate canc] 9        
m$ically und]s]v$ & tribal areas1       
includ+ ! exploration ( innovative      

m$ical home models ) collaboration      
betwe5 urologi/s1 o!r relevant m$ical   
speciali/s1 includ+ oncologi/s1         
radiologi/s1 & prim>y c>e teams &       
coord9ation ( c>e ?r\gh ! effici5t use (
 prim>y c>e teams & physician ext5d]s2 &
  7#c7 ! effectiv5ess ( us+ teleheal?   
s]vices to provide pro/ate canc]        
treatm5t 9 m$ically und]s]v$ areas1     
includ+ ! use ( tumor bo>ds to          
facilitate bett] pati5t c\nsel+4  7d7   
,report ,n lat] ?an #ab mon?s aft] !    
completion ( ! pilot projects "u ?is    
subsection1 ! ,secret>ies %all submit to
 ,congress a report describ+ ! outcomes 
( su* pilot projects1 includ+ any co/   
sav+s & effici5cies realiz$1 & provid+  
recomm5dations1 if any1 = exp&+ ! use ( 
teleheal? s]vices4  #f4 ,education &    
aw>5ess  7a7 ,9 g5]al ,! ,secret>y (    
,vet]ans ,affairs %all develop a        
national education campaign = pro/ate   
canc]4 ,su* campaign %all involve ! use 
( writt5 educational mat]ials & public  
s]vice ann\ncem5ts consi/5t ) ! f9d+s ( 

! ,pro/ate ,canc] ,task ,=ce "u section 
#c1 t are int5d$ to enc\rage m5 to seek 
pro/ate canc] scre5+ :5 appropriate4    
7b7 ,racial disp>ities & ! population ( 
m5 ) a family hi/ory ( pro/ate canc] ,9 
develop+ ! national campaign "u         
subsection 7a71 ! ,secret>y %all ensure 
t su* educational mat]ials & public     
s]vice ann\ncem5ts are m readily        
available 9 communities exp]i5c+ racial 
disp>ities 9 ! incid5ce & mortality     
rates ( pro/ate canc] & by m5 ( any race
 classification ) a family hi/ory (     
pro/ate canc]4  7c7 ,grants ,9 c>ry+ out
 ! national campaign "u ?is section1 !  
,secret>y %all aw>d grants to nonpr(it  
private entities to enable su* entities 
to te/ alt]native outrea* & education   
/rategies4  #g4 ,au?orization (         
appropriations  7a7 ,9 g5]al ,!re is    
au?oriz$ to be appropriat$ to c>ry out  
?is ,act = ! p]iod ( fiscal ye>s #bjad  
?r\gh #bjah an am\nt equal to ! sav+s   
describ$ 9 subsection 7b74  7b7         
,correspond+ r$uction ,! am\nt au?oriz$ 

to be appropriat$ by provisions ( law   
o!r ?an ?is ,act = ! p]iod ( fiscal ye>s
 #bjad ?r\gh #bjah = ,f$]al rese>* &    
heal? c>e program activities relat$ to  
pro/ate canc] is r$uc$ by ! am\nt (     
,f$]al sav+s project$ to be a*iev$ ov]  
su* p]iod by implem5tation ( section    
#c7;b77#c7 ( ?is ,act4