,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #eihf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #af1         
#bjba,mr4 ,payne 7= himself1 ,mr4       
,mc,govern1 ,mr4 ,?ompson (             
,mississippi1 ,ms4 ,norton1 ,mr4 ,sires1
 ,mr4 ,johnson ( ,georgia1 ,mr4 ,b[man1 
,mr4 ,mfume1 ,mr4 ,veasey1 ,mr4 ,bi%op (
 ,georgia1 ,mrs4 ,watson ,coleman1 &    
,ms4 ,jackson ,lee7 introduc$ ! foll[+  
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce  ,a ,,bill  ,to       
improve m5's heal? initiatives1 & = o!r 
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,m5's ,heal? ,aw>5ess &    
,improvem5t ,act4  #b4 ,f9d+s ,congress 
f9ds ! foll[+3 7#a7 ,risks to ! heal? & 
well-be+ ( ! ,nation's m5 7& our        
families7 are on ! rise due to a lack ( 
education on1 aw>5ess (1 & pursuit (    
prev5tive scre5+ & c>e4 ,= in/ance--    
7,a7 m5 are lead+ 9 #i out ( ! top #aj  
causes ( dea?2  7,b7 ! life expectancy  
gap p]si/s ) ! av]age age ( dea? = m5   
be+ #gf4b ye>s v]sus #ha4b ye>s = wom52 

&  7,c7 9 ! ,unit$ ,/ates1 m5 die at an 
ov]all rate #a4d times high] ?an wom54  
7#b7 ,:ile ?is heal? crisis is (        
p>ticul> conc]n to m51 x is also a      
conc]n = wom5 reg>d+ _! fa!rs1 husb&s1  
sons1 & bro!rs4  7#c7 ,m5's heal? is a  
conc]n to ! ,f$]al ,gov]nm5t & ,/ate    
gov]nm5ts1 :i* absorb ! enorm\s co/s (  
premature dea? & disability1 includ+ !  
co/s ( c>+ = dep5d5ts :o are left beh9d4
  7#d7 ,accord+ to ! ,social ,security  
,adm9i/ration1 #af4c p]c5t ( wid[s age  
#fe & ov] are impov]i%$1 comp>$ to #d4i 
p]c5t ( m>ri$ wom5 age #fe & ov]4  7#e7 
,educat+ m51 _! families1 & heal? c>e   
provid]s ab\t ! importance ( e>ly       
detection ( heal? issues t c impact m51 
su* z c>diovascul> disease1 m5tal heal?1
 ,,hiv_/,,aids1 o/eoporosis1 canc]      
7lung1 pro/ate1 sk91 colorectal1        
te/icul>1 & m71 & o!r p]t95t heal?      
issues1 c result 9 r$uc+ rates (        
mortality ( diseases impact+ males1 z   
well z improve ! heal? ( ! ,nation's    
males & its ov]all economic well-be+4   

7#f7 ,( conc]n is ! physical1 m5tal1 &  
emotional well-be+ ( our milit>y m5 7&  
wom57 return+ f w> zones & our vet]ans4 
7#g7 ,rec5t sci5tific /udies h %[n t    
regul> m$ical exams1 prev5tive scre5+s1 
regul> ex]cise1 & heal?y eat+ habits c  
save lives4  7#h7 ,accord+ to ! ,am]ican
 ,f\ndation = ,suicide ,prev5tion1 m5   
are ne>ly f\r times z likely to commit  
suicide4  7#i7 ,appropriate use ( te/s  
su* z pro/ate canc] scre5+ exams1 blood 
pressure te/s1 blood glucose te/+1 lipid
 panel te/+1 & colorectal scre5+s1 9    
conjunction ) cl9ical exams or          
self-te/+1 c result 9 ! e>ly detection (
 _m problems & increas$ survival rates4 
7#aj7 ,m5's heal? is a conc]n = employ]s
 :o pay ! co/s ( m$ical c>e & lose      
productive employees4  7#aa7 ,accord+ to
 ! ,national ,canc] ,in/itute1 canc]    
mortality is high] among m5 ?an wom5    
7#ahe4e p] #ajj1jjj m5 & #acc4e p]      
#ajj1jjj wom574  7#ab7 ,9 #bjah1        
national exp5ditures = canc] c>e 9 !    
,unit$ ,/ates 7 #aej4h billion4  7#ac7  

,pro/ate canc] is ! mo/ frequ5tly       
diagnos$ canc] 9 ! ,unit$ ,/ates among  
m54 ,"o 9 #i m5 w be diagnos$ ) pro/ate 
canc] 9 _! lifetime4 ,?is ye> alone1 ov]
 #bdh1ecj m5 w be newly diagnos$ )      
pro/ate canc] & #cd1acj m5 ) pro/ate    
canc] w die4 ,co/s associat$ ) pro/ate  
canc] detection & treatm5ts 7 #ae4c     
billion 9 #bjah 9 ! ,unit$ ,/ates & su* 
co/s are e/imat$ to increase4 ,pro/ate  
canc] rates increase %>ply ) age1 & m   
?an #ij p]c5t ( su* cases are diagnos$ 9
 m5 age #ee & old]4 ,! incid5ce (       
pro/ate canc] is #ej p]c5t high] 9      
,african-,am]ican m51 :o are twice z    
likely to die f su* canc]4 ,!re are ov] 
#c1ajj1jjj m5 9 ! ,unit$ ,/ates liv+ )  
pro/ate canc]4  7#ad7 ,x is e/imat$ t1 9
 #bjba1 approximately #aai1ajj m5 9 !   
,unit$ ,/ates w be diagnos$ ) lung      
canc]1 & an e/imat$ #fi1daj m5 w die f  
lung canc]4  7#ae7 ,x is e/imat$ t1 9   
#bjba1 approximately #gi1ebj m5 9 !     
,unit$ ,/ates w be diagnos$ ) colorectal
 canc]1 & #bh1ebj m5 w die f colorectal 

canc]4  7#af7 ,m5 make up ov] half !    
diabetes pati5ts ag$ #ah & ov] 9 !      
,unit$ ,/ates 7#ag4i million m5 total7 &
 ov] #a_/c ( !m don't "k x4             
,approximately #cd4b million p 9 !      
,unit$ ,/ates are liv+ ) diabetes1 & m5 
are m likely to die f ! disease4 ,9 !   
,unit$ ,/ates1 #hh million p ag$ #ah &  
old]1 #dj4i million m51 & #dg4a million 
wom5 h pr$iabetes4 ,p ) diagnos$        
diabetes h m$ical exp5ditures t are #b4c
 times high] ?an pati5ts )\t diabetes1 &
 ! e/imat$ co/ ( diabetes 9 #bjag 0 #cbg
 million4  7#ag7 ,a rese>* /udy f\nd t  
premature dea? & morbidity 9 m5 co/s    
,f$]al1 ,/ate1 & local gov]nm5ts 9      
excess ( #adb billion annually4 ,x also 
co/s ,unit$ ,/ates employ]s1 & society z
 a :ole1 9 excess ( #aef billion        
annually & an additional #aha billion   
annually 9 decreas$ quality ( life4     
7#ah7 ,ov] #i1dgj m5 w be diagnos$ 9    
#bjba ) te/icul> canc]1 & #ddj ( ^! m5 w
 die f ?is disease4 ,a common reason =  
delay 9 treatm5t ( ?is disease is a     

delay 9 seek+ m$ical att5tion aft]      
discov]+ a te/icul> mass4  7#ai7 ,m5 ov]
 ! pa/ decade h %[n poor] heal? outcomes
 ?an wom5 across all racial & e?nic     
gr\ps z well z socioeconomic /atus4     
7#bj7 ,heal?y fa!rs c be role models =  
_! *ildr51 lead+ by example1 & enc\rag+ 
!m to lead heal?y life/yles4  7#ba7     
,e/abli%+ an ,(fice ( ,m5's ,heal? is   
ne$$ to inve/igate ^! f9d+s & take fur!r
 action to promote aw>5ess ( m5's heal? 
ne$s4  #c4 ,e/abli%m5t ( ,(fice ( ,m5's 
,heal? ,title ,,xvii ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4 #cjju et    
seq47 is am5d$ by add+ at ! end !       
foll[+3  #agaa4 ,(fice ( ,m5's ,heal?   
7a7 ,9 g5]al ,! ,secret>y %all e/abli%  
)9 ! ,dep>tm5t ( ,heal? & ,human        
,s]vices an (fice to be kn[n z ! ,(fice 
( ,m5's ,heal?1 :i* %all be head$ by a  
director to be appo9t$ by ! ,secret>y4  
7b7 ,activities ,! ,director ( ! ,(fice 
( ,m5's ,heal? %all-- 7#a7 conduct1     
support1 coord9ate1 & promote programs &
 activities to improve ! /ate ( m5's    

heal? 9 ! ,unit$ ,/ates1 includ+ by     
work+ ) ! ,dep>tm5t ( ,vet]ans ,affairs1
 ! ,dep>tm5t ( ,def5se1 & ! ,(fice (    
,p]sonnel ,managem5t2 &  7#b7 consult ) 
! (fices & ag5cies ( ! ,dep>tm5t (      
,heal? & ,human ,s]vices = ! purposes   
(-- 7,a7 coord9at+ public aw>5ess1      
education1 & scre5+ programs &          
activities relat+ to m5's heal?1 ) an   
emphasis on colorectal canc]1 pro/ate   
canc]1 diabetes1 *ole/]ol1 & m5tal heal?
 scre5+ programs = m5 id5tifi$ z be+ at 
increas$ risk ( develop+ su* conditions 
& diseases2  7,b7 coord9at+ programs &  
activities "u title ,,xviii ( ! ,social 
,security ,act relat+ to m5's heal?1    
includ+ colorectal canc]1 pro/ate canc]1
 diabetes1 *ole/]ol1 & m5tal heal?      
scre5+ programs2 &  7,c7 e/abli%+ &     
ma9ta9+ a database ( be/ practices1     
cl9ical guidel9es1 curr5t cl9ical rese>*
 publi%$1 & fund$ & active reque/s =    
grant proposals 9 ord] to promote       
quality assurance & improv$ und]/&+ (   
cl9ical issues affect+ m54  7c7 ,report 

,n lat] ?an two ye>s aft] ! date ( !    
enactm5t ( ?is section1 ! ,director %all
 submit to ! ,congress a report describ+
 ! activities ( su* ,(fice1 includ+     
f9d+s by ! ,director reg>d+ m5's heal?4 
4  #d4 ,guidance ,n lat] ?an #ahj days  
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y ( ,heal? & ,human ,s]vices    
%all issue guidance reg>d+ ! improvem5t 
( m5's heal? outcomes "u section #agaa (
 ! ,public ,heal? ,s]vice ,act1 z add$  
by section #c1 t includes-- 7#a7 !      
developm5t ( %ort-range & long-range    
goals & objectives )9 ! ,dep>tm5t (     
,heal? & ,human ,s]vices1 9 coord9ation 
) o!r appropriate (fices ( ! ,dep>tm5t1 
t relate to disease prev5tion1 heal?    
promotion1 s]vice deliv]y1 rese>*1 &    
public & heal? c>e pr(essional education
 = issues ( p>ticul> conc]n to m5       
?r\gh\t _! lifespan2 &  7#b7            
recomm5dations = enhanc+ ! ,dep>tm5t's  
outrea* ) respect to m5's heal?4  #e4   
,/udy & reports  7a7 ,,oa% /udy ,n lat] 
?an "o ye> aft] ! date ( ! enactm5t (   

?is ,act1 ! ,assi/ant ,secret>y = ,heal?
 ( ! ,dep>tm5t ( ,heal? & ,human        
,s]vices 7ref]r$ to 9 ?is section z !   
,assi/ant ,secret>y71 9 collaboration ) 
! ,director ( ! ,national ,canc]        
,in/itute & ! ,director ( ! ,national   
,in/itute ( ,m5tal ,heal?1 %all conduct 
a /udy on ! foll[+3 7#a7 ,:e!r          
und]scre5+ or und]diagnosis ( m5's heal?
 issues exi/1 ) emphasis on colorectal  
canc]1 pro/ate canc]1 m5tal heal?1 & o!r
 heal? conc]ns = :i* m5 are at a great  
risk4  7#b7 ,causes ( any su* und]scre5+
 or und]diagnosis4  7#c7 ,:e!r m5       
und]utilize heal? s]vices4  7#d7 ,causes
 ( any su* und]utilization4  7b7 ,,oa%  
report ,n lat] ?an #ah mon?s aft] ! date
 ( ! enactm5t ( ?is ,act1 ! ,assi/ant   
,secret>y %all submit to ! appropriate  
committees ( ,congress a report on !    
f9d+s ( ! /udy conduct$ "u subsection   
7a7 & include any recomm5dations result+
 f su* f9d+s4  7c7 ,,gao report ,n lat] 
?an #ahj days aft] ! date ( ! enactm5t (
 ?is ,act1 ! ,comptroll] ,g5]al ( !     

,unit$ ,/ates %all submit to !          
appropriate committees ( ,congress a    
report detail+ ! effectiv5ess ( ,f$]al  
ag5cy outrea* ) respect to m5's heal?   
initiatives4