,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #ebjj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #bj1         
#bjai,mr4 ,ru% 7= himself1 ,mr4 ,buc%on1
 ,mr4 ,bab91 ,mrs4 ,brooks ( ,indiana1  
,mr4 ,c>son ( ,indiana1 ,ms4 ,judy ,*u (
 ,cali=nia1 ,mr4 ,coh51 ,mr4 ,dunn1 ,mr4
 ,k+ ( ,new ,york1 ,mr4 ,meeks1 ,mr4    
,murphy ( ,nor? ,c>ol9a1 ,mr4 ,payne1   
,mr4 ,david ,p4 ,roe ( ,t5nessee1 ,mr4  
,david ,scott ( ,georgia1 ,ms4 ,sewell (
 ,alabama1 & ,mr4 ,williams7 introduc$ !
 foll[+ bill2 :i* 0 ref]r$ to !         
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to am5d title ,,xxvii ( !      
,public ,heal? ,s]vice ,act to require  
gr\p heal? plans & heal? insurance      
issu]s (f]+ gr\p or individual heal?    
insurance cov]age to provide cov]age =  
pro/ate canc] scre5+s )\t ! imposition (
 co/-%>+ requirem5ts1 & = o!r purposes4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,pro/ate-,specific ,antig5 ,scre5+ =  
,high-risk ,insur$ ,m5 ,act or ! ,,psa  
,scre5+ = ,,him ,act4  #b4 ,f9d+s       

,congress f9ds ! foll[+3  7#a7 ,pro/ate 
canc] is ! second lead+ cause ( canc]   
dea? 9 m5 9 ! ,unit$ ,/ates ) #a 9 #da  
m5 dy+ f pro/ate canc] & m ?an #ca1fjj  
m5 e/imat$ to die f pro/ate canc] 9     
#bjai4  7#b7 ,pro/ate canc] is ! second 
mo/ commonly diagnos$ canc] 9 ! ,nation 
) #a 9 #i m5 be+ diagnos$ 9 _!          
lifetimes1 #c4a million m5 9 ! ,unit$   
,/ates liv+ ) a diagnosis1 & ov]        
#agd1jjj m5 e/imat$ to be diagnos$ 9    
#bjai4  7#c7 ,! survival rate = pro/ate 
canc] diagnos$ 9 e>ly /age is ne> #ajj  
p]c5t b pro/ate canc] diagnos$ 9 late   
/age has only a #cj-p]c5t survival rate4
  7#d7 ,!re are few1 if any1 symptoms ( 
pro/ate canc] be=e x rea*es late /age4  
7#e7 ,african-,am]ican m5 h a           
disproportionately high] rate ( pro/ate 
canc] & are #gj p]c5t m likely to be    
diagnos$ ) pro/ate canc] ?an ,:ite m51 )
 #a 9 #f ,african-,am]ican m5 develop+  
pro/ate canc] 9 _! lifetimes4  7#f7     
,african-,am]ican m5 are #b4c times m   
likely to die f pro/ate canc] ?an ,:ite 

m54  7#g7 ,m5 ) a fa!r or bro!r )       
pro/ate canc] are m ?an twice z likely  
to be diagnos$ ) pro/ate canc] ?an m5   
)\t a family hi/ory4  7#h7 ,! common    
cl9ical def9ition = m5 at high-risk (   
pro/ate canc] includes ,african-,am]ican
 m5 & m5 ) a family hi/ory4  7#i7 ,mo/ (
 ! major canc] & urological societies   
recomm5d beg9n+ scre5+ discussions e>li]
 = ,african-,am]ican m5 & ^? ) a family 
hi/ory ( pro/ate canc]4  7#aj7 ,! ,unit$
 ,/ates ,prev5tive ,s]vices ,task ,=ce  
has enc\rag$ rese>* on scre5+           
,african-,am]ican m51 includ+ :e!r to   
scre5 ,african-,am]ican m5 at y\ng]     
ages1 & has id5tifi$ ?is rese>* z a     
high-priority canc] rese>* gap4  7#aa7  
,b>ri]s to scre5+ %\ld be m9imiz$ =     
high-risk m5 9 ord] to cat* asymptomatic
 pro/ate canc] be=e x meta/asizes & !   
survival rate is dramatically r$uc$4    
7#ab7 ,! co/ ( treat+ meta/atic pro/ate 
canc] 9 ! ,unit$ ,/ates heal? c>e sy/em 
is hundr$s ( millions ( doll>s m        
annually ?an ! co/ ( treat+ localiz$1   

e>ly-/age canc]4  #c4 ,requirem5t = gr\p
 heal? plans & heal? insurance issu]s   
(f]+ gr\p or individual heal? insurance 
cov]age to provide cov]age = pro/ate    
canc] scre5+s )\t imposition ( co/-%>+  
requirem5ts  7a7 ,9 g5]al ,subsection   
7a7 ( section #bgac ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#ac7
 is am5d$ to read z foll[s3  7a7        
,cov]age ( prev5tive heal? s]vices  7#a7
 ,9 g5]al ,a gr\p heal? plan & a heal?  
insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age %all1 at a      
m9imum1 provide cov]age = & %all n      
impose any co/-%>+ requirem5ts =--  7,a7
 evid5ce-bas$ items or s]vices t h 9    
effect a rat+ ( ,a or ,b 9 ! curr5t     
recomm5dations ( ! ,unit$ ,/ates        
,prev5tive ,s]vices ,task ,=ce2  7,b7   
immunizations t h 9 effect a            
recomm5dation f ! ,advisory ,committee  
on ,immunization ,practices ( ! ,c5t]s =
 ,disease ,control & ,prev5tion )       
respect to ! individual involv$2  7,c7 )
 respect to infants1 *ildr51 &          

adolesc5ts1 evid5ce-in=m$ prev5tive c>e 
& scre5+s provid$ = 9 ! compreh5sive    
guidel9es support$ by ! ,heal? ,res\rces
 & ,s]vices ,adm9i/ration2  7,d7 )      
respect to wom51 su* additional         
prev5tive c>e & scre5+s n describ$ 9    
subp>agraph 7,a7 z provid$ = 9          
compreh5sive guidel9es support$ by !    
,heal? ,res\rces & ,s]vices             
,adm9i/ration = purposes ( ?is          
subp>agraph2 &  7,e7 ) respect to m5 :o 
are at high risk ( develop+ pro/ate     
canc] 7includ+ ,african-,am]ican m5 & m5
 ) a family hi/ory ( pro/ate canc] 7z   
def9$ 9 p>agraph 7#b7771 su* additional 
prev5tive c>e & scre5+s n describ$ 9    
subp>agraph 7,a7 = pro/ate canc]4  7#b7 
,m5 ) a family hi/ory ( pro/ate canc]   
def9$ ,= purposes ( p>agraph 7#a77;,e71 
! t]m m5 ) a family hi/ory ( pro/ate    
canc] means m5 :o h a fir/-degree       
relative-- 7,a7 :o 0 diagnos$ )         
meta/atic pro/ate canc]2  7,b7 :o       
develop$ meta/atic pro/ate canc]2 or    
7,c7 ^: dea? 0 a result ( pro/ate canc]4

  7#c7 ,cl>ification reg>d+ brea/ canc] 
scre5+1 mammography1 & prev5tion        
recomm5dations ,= ! purposes ( ?is ,act1
 & = ! purposes ( any o!r provision (   
law1 ! curr5t recomm5dations ( ! ,unit$ 
,/ates ,prev5tive ,s]vice ,task ,=ce    
reg>d+ brea/ canc] scre5+1 mammography1 
& prev5tion %all be consid]$ ! mo/      
curr5t o!r ?an ^? issu$ 9 or ar\nd      
,novemb] #bjji4  7#d7 ,rule (           
con/ruction ,no?+ 9 ?is subsection %all 
be con/ru$ to prohibit a plan or issu] f
 provid+ cov]age = s]vices 9 addition to
 ^? recomm5d$ by ! ,unit$ ,/ates        
,prev5tive ,s]vices ,task ,=ce or to d5y
 cov]age = s]vices t are n recomm5d$ by 
su* ,task ,=ce4  4  7b7 ,effective date 
,! am5dm5t made by subsection 7a7 %all  
apply ) respect to plan ye>s beg9n+ on  
or aft] ,janu>y #a1 #bjba4