,i #aag? ,,congress #b;d ,session ,h4 ,r4 #ggej ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,may #ab1 #bjbb,mr4 ,murphy ( ,nor? ,c>ol9a 7= himself & ,mr4 ,ru%7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to e/abli% a ,pro/ate ,canc] ,coord9at+ ,committee1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,pro/ate ,canc] ,community ,assi/ance1 ,rese>* & ,education ,act ( #bjbb or ! ,,pc-,,c>e ,act4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,pro/ate canc] is ! mo/ commonly diagnos$ non-sk9 canc] & ! second lead+ cause ( canc]-relat$ dea?s among m5 9 ! ,unit$ ,/ates4 7#b7 ,ov] #c1ajj1jjj m5 9 ! ,unit$ ,/ates live ) a pro/ate canc] diagnosis & x is e/imat$ t 9 #bjba1 #bdh1ecj m5 w be diagnos$ )1 & m ?an #cd1acj m5 w die (1 pro/ate canc]4 7#c7 ,m5 ) at lea/ "o close relative :o has be5 diagnos$ ) pro/ate canc] h twice ! risk ( hav+ pro/ate canc] comp>$ to ! g5]al population4 7#d7 ,at lea/ #ab p]c5t ( m5 ) meta/atic pro/ate canc] h inh]it$ pr$ispositions to ! disease & pot5tially actionable g5omic alt]ations h be5 id5tifi$ 9 ov] #ij p]c5t ( m5 ) meta/atic ca/ration-resi/ant pro/ate canc]4 7#e7 ,advances 9 sci5ce to id5tify1 te/1 & treat ^! m5 at increas$ g5etic risk ( disease are ne$$4 7#f7 ,african-,am]ican m5 suff] f a pro/ate canc] incid5ce rate t is significantly high] ?an t ( ,:ite m5 & h m ?an d\ble ! pro/ate canc] mortality rate ?an t ( ,:ite m54 7#g7 ,rese>* has %[n t vet]ans expos$ to h]bicides1 su* z ,ag5t ,orange1 are at high] risk = & m likely to be diagnos$ ) aggressive =ms ( pro/ate canc]4 7#h7 ,scre5+ by a digital rectal exam9ation & a pro/ate-specific antig5 blood te/ c detect ! disease at ! e>li]1 m treatable /ages4 7#i7 ,m5 diagnos$ ) e>ly /age disease h a ne>ly #ajj p]c5t #e-ye> survival rate b only #cj p]c5t ( m5 survive m ?an #e ye>s if diagnos$ ) pro/ate canc] aft] ! canc] has meta/asiz$4 7#aj7 ,e>ly-/ag$ pro/ate canc] has no symptoms1 rais+ ! importance ( e>ly detection & scre5+4 7#aa7 ,! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,dep>tm5t ( ,def5se1 & ! ,dep>tm5t ( ,vet]ans ,affairs all h a role 9 provid+ c>e = & conduct+ rese>* on pro/ate canc]4 7#ab7 ,multiple in/itutes at ! ,national ,in/itutes ( ,heal? are engag$ 9 pro/ate canc] c>e & rese>*1 includ+ ! ,national ,canc] ,in/itute1 ,national ,in/itute ( ,biom$ical ,imag+ & ,bio5g9e]+1 ! ,national ,in/itute on ,m9ority ,heal? & ,heal? ,disp>ities1 & ! ,cl9ical ,c5t]4 7#ac7 ,additional ag5cies & (fices )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices conduct activities relat$ to pro/ate canc]1 includ+ ! ,c5t]s = ,m$ic>e & ,m$icaid ,s]vices1 ! ,c5t]s = ,disease ,control & ,prev5tion1 ! ,food & ,drug ,adm9i/ration1 ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 ! ,(fice ( ,m9ority ,heal?1 & ! ,ag5cy = ,heal?c>e ,rese>* & ,quality4 7#ad7 ,! ,dep>tm5t ( ,def5se creat$ ! ,pro/ate ,canc] ,rese>* ,program 9 #aiig & has fund$ m ?an #b1jjj1jjj1jjj 9 pro/ate canc] rese>* s9ce t "t4 7#ae7 ,private f\ndations h provid$ sub/antial fund+ to ! pro/ate canc] rese>* community = almo/ ?ree decades1 includ+ support = ov] #bjj canc] c5t]s & univ]sities4 7#af7 ,! ,director ( ! ,national ,in/itutes ( ,heal? has p>tn]$ ) private pro/ate canc] rese>* gr\ps to /udy to /udy biological & nonbiological factors associat$ aggressive pro/ate canc] 9 ,african-,am]ican m54 7#ag7 ,! ,secret>y ( ,vet]ans ,affairs has p>tn]$ ) private f\ndations to e/abli% precision oncology program hubs = pro/ate canc]4 7#ah7 ,! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion has p>tn]$ ) multiple private /akehold] gr\ps to increase aw>5ess & education ar\nd pro/ate canc] 9 ! g5]al population & among high-risk gr\ps4 7#ai7 ,increas$ coord9ation ( gov]nm5tal & nongov]nm5tal activities c r$uce co/s & increase effectiv5ess ( ongo+ "w4 7#bj7 ,jo9t plann+ & goal sett+ across ! ,gov]nm5t & private sector c create a pa?way t[>d elim9at+ pro/ate canc] dea?s & improv+ c>e = millions ( m54 #c4 ,pro/ate ,canc] ,coord9at+ ,committee ,"p ,a ( title ,,iv ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bha et seq47 is am5d$ by add+ at ! end ! foll[+3 #djd;,f4 ,pro/ate ,canc] ,coord9at+ ,committee 7a7 ,e/abli%m5t ,! ,secret>y %all e/abli% a committee to be kn[n z ! ,pro/ate ,canc] ,coord9at+ ,committee 7ref]r$ to 9 ?is section z ! ,coord9at+ ,committee74 7b7 ,duties ,! ,coord9at+ ,committee %all-- 7#a7 monitor1 coord9ate1 & evaluate activities ) respect to pro/ate canc] rese>* programs c>ri$ out by ,f$]al ag5cies2 & 7#b7 develop & implem5t ! plan "u subsection 7g74 7c7 ,composition 7#a7 ,9 g5]al ,! ,coord9at+ ,committee %all be compos$ ( n m ?an #bd memb]s1 to be appo9t$ by ! ,secret>y1 ( :om-- 7,a7 "o-half %all repres5t ,f$]al ag5cies t c>ry out rese>* or treatm5t activities ) respect to pro/ate canc]1 includ+-- 7i7 ! ,director ( ! ,national ,in/itutes ( ,heal? 7or designee72 7ii7 ! directors ( ! appropriate ag5cies ( ! ,national ,in/itutes ( ,heal? 7or designees71 includ+ ! ,national ,canc] ,in/itute2 7iii7 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion 7or designee72 7iv7 ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration 7or designee72 7v7 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices 7or designee72 7vi7 ! ,commission] ( ,food & ,drugs 7or designee72 7vii7 ! ,secret>y ( ,def5se 7or designee72 & 7viii7 ! ,secret>y ( ,vet]ans ,affairs 7or designee72 & 7,b7 "o-half %all be individuals :o h exp]i5ce ) pro/ate canc]1 includ+-- 7i7 n less ?an #c individuals :o are liv+ ) pro/ate canc] 7or a c>egiv] ( su* individual72 7ii7 n less ?an #c rese>*]s2 7iii7 n less ?an #c cl9icians2 7iv7 n less ?an #c repres5tatives f pati5t gr\ps2 & 7v7 n less ?an #c repres5tatives f pr(essional m$ical societies4 7#b7 ,physician requirem5t ,( ! memb]s appo9t$ "u p>agraph 7#a71 n less ?an "o-half %all be physicians4 7d7 ,t]m2 vacancies 7#a7 ,9 g5]al ,a memb] %all be appo9t$ = a t]m ( #c ye>s4 7#b7 ,vacancies ,a vacancy on ! ,coord9at+ ,committee %all be fill$ 9 ! same mann] z ! orig9al appo9tm5t 0 made4 7e7 ,reappo9tm5t ,! ,secret>y may reappo9t a memb] ( ! ,coord9at+ ,committee to an unlimit$ numb] ( t]ms4 7f7 ,*air ,! ,secret>y %all appo9t ! *air ( ! ,coord9at+ ,committee4 7g7 ,plan ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is section1 ! ,coord9at+ ,committee %all develop & implem5t a plan 7& update su* plan e #c ye>s !reaft]71 9 consultation ) a broad range ( sci5ti/s1 pati5ts1 cl9icians1 & advocacy gr\ps1 on pro/ate canc] rese>* programs & activities c>ri$ out by ,f$]al ag5cies4 ,su* plan %all include ! foll[+3 7#a7 ,! id5tification ( exi/+ pro/ate canc] programs & activities ( !-- 7,a7 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 includ+ ! ,national ,in/itutes ( ,heal?2 7,b7 ! ,dep>tm5t ( ,def5se2 & 7,c7 ! ,dep>tm5t ( ,vet]ans ,affairs4 7#b7 ,an evaluation on rese>* ) respect to ! und]ly+ causes1 preval5ce1 treatm5t1 & mortality ( pro/ate canc]1 includ+ any disp>ity among ,african-,am]ican & o!r high-risk m5 7def9$ z m5 :o h a family hi/ory ( pro/ate canc]1 a g5etic pr$isposition = pro/ate canc]1 or develop$ canc] due to exposure to c]ta9 *emical & radiological ag5ts74 7#c7 ,) respect to pro/ate canc]-- 7,a7 an evaluation on ! effectiv5ess ( curr5t scre5+ & diagno/ic te*niques2 & 7,b7 recomm5dations = improv+ su* te*niques4 7#d7 ,an evaluation on ! effectiv5ess ( treatm5ts = pro/ate canc] & ! developm5t ( recomm5dations = new treatm5ts1 includ+ new biological ag5ts4 7#e7 ,) respect to pro/ate canc]1 an evaluation on ! effectiv5ess ( cl9ical practice guidel9es & ! developm5t ( recomm5dations to improve su* guidel9es4 7#f7 ,! developm5t ( recomm5dations to improve cl9ical pa?ways 9 private & gov]nm5t-op]at$ m$ical sy/ems1 includ+ scre5+ & diagnosis & in=mation on in=m$ & %>$ decision mak+4 7#g7 ,! developm5t ( recomm5dations = rese>* inve/igation me?ods = improv+ ! quality ( life ( individuals :o h surviv$ ) pro/ate canc]4 7#h7 ,) respect to pro/ate canc]1 an evaluation on ! effectiv5ess ( in=mation & education programs = heal? c>e pr(essionals & ! public4 7#i7 ,) respect to scre5+ & cl9ical trial enrollm5t = pro/ate canc]1 recomm5dations to improve outrea* & education1 includ+ be/ practices = outrea* to ,african-,am]ican m5 & o!r high-risk m54 7h7 ,meet+s ,! ,coord9at+ ,committee %all meet at ! reque/ ( ! ,secret>y n less #c times ea* ye>4 7i7 ,,faca ,except z provid$ 9 ?is section1 ! ,f$]al ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app47 %all n apply to ! ,coord9at+ ,committee4 7j7 ,report 7#a7 ,initial report ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is section1 ! ,coord9at+ ,committee %all submit recomm5dations us+ ! plan "u subsection 7g7 to ! foll[+3 7,a7 ,! ,secret>y ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7,b7 ,! ,secret>y ( ,def5se4 7,c7 ,! ,secret>y ( ,vet]ans ,affairs4 7,d7 ,! ,committees on ,en]gy & ,comm]ce & ,appropriations ( ! ,h\se ( ,repres5tatives4 7,e7 ,! ,committees on ,heal?1 ,education1 ,labor1 & ,p5sions & ,appropriations ( ! ,s5ate4 7#b7 ,updat$ reports ,n lat] ?an #c ye>s aft] ! date ( ! enactm5t ( ?is section1 & e #c ye>s !reaft]1 ! ,coord9at+ ,committee %all submit to ! secret>ies & committees li/$ 9 p>agraph 7#a7-- 7,a7 updat$ recomm5dations us+ ! plan "u subsection 7g72 & 7,b7 a summ>y ( progress made ) respect to recomm5dations submitt$ pursuant to ?is section4 7k7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section su* sums z may be necess>y = ea* ( fiscal ye>s #bjbc ?r\gh #bjbi4 4