,,ii #aahth ,,congress #ast ,session ,s4 #bhba ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,september #ad1 #bjbc,mr4 ,booker 7for himself and ,mr4 ,boozman7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend title ,,xxvii of the ,public ,health ,service ,act to require group health plans and health insurance issuers offering group or individual health insurance coverage to provide coverage for prostate cancer screenings without the imposition of cost-sharing requirements1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,prostate-,specific ,antigen ,screening for ,high-risk ,insured ,men ,act or the ,,psa ,screening for ,,him ,act4 #b4 ,findings ,congress finds the following3 7#a7 ,prostate cancer is the second leading cause of cancer death in men in the ,united ,states with #a in #da men dying from prostate cancer and more than #cd1gjj men estimated to die from prostate cancer in #bjbc4 7#b7 ,prostate cancer is the second most commonly diagnosed cancer in the ,nation with #a in #h men being diagnosed in their lifetimes1 #c4a million men in the ,united ,states living with a diagnosis1 and over #bhh1jjj men estimated to be diagnosed in #bjbc4 7#c7 ,the survival rate for prostate cancer diagnosed in early stage is near #ajj percent but prostate cancer diagnosed in late stage has only a #cj-percent survival rate4 7#d7 ,there are few1 if any1 symptoms of prostate cancer before it reaches late stage4 7#e7 ,african-,american men have a disproportionately higher rate of prostate cancer and are #gj percent more likely to be diagnosed with prostate cancer than ,white men1 with #a in #f ,african-,american men developing prostate cancer in their lifetimes4 7#f7 ,african-,american men are #b4a times more likely to die from prostate cancer than ,white men4 7#g7 ,men with a father or brother with prostate cancer are more than twice as likely to be diagnosed with prostate cancer than men without a family history4 7#h7 ,the common clinical definition for men at high-risk of prostate cancer includes ,african-,american men and men with a family history4 7#i7 ,most of the major cancer and urological societies recommend beginning screening discussions earlier for ,african-,american men and those with a family history of prostate cancer4 7#aj7 ,the ,united ,states ,preventive ,services ,task ,force has encouraged research on screening ,african-,american men1 including whether to screen ,african-,american men at younger ages1 and has identified this research as a high-priority cancer research gap4 7#aa7 ,barriers to screening should be minimized for high-risk men in order to catch asymptomatic prostate cancer before it metastasizes and the survival rate is dramatically reduced4 7#ab7 ,the cost of treating metastatic prostate cancer in the ,united ,states health care system is hundreds of millions of dollars more annually than the cost of treating localized1 early-stage cancer4 #c4 ,requirement for group health plans and health insurance issuers offering group or individual health insurance coverage to provide coverage for prostate cancer screenings without imposition of cost-sharing requirements 7a7 ,in general ,section #bgac7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#ac7;a77 is amended-- 7#a7 by striking paragraph 7#e72 7#b7 by redesignating paragraphs 7#a7 through 7#d7 as subparagraphs 7,a7 through 7,d71 respectively1 and adjusting the margins accordingly2 7#c7 by striking 7a7 ,in general--,a group health and inserting the following3 7a7 ,coverage of preventive health services 7#a7 ,in general ,a group health 2 7#d7 in subparagraph 7,b71 as so redesignated1 by striking 2 and and inserting a semicolon2 7#e7 in subparagraph 7,c71 as so redesignated1 by striking the period and inserting a semicolon2 7#f7 in subparagraph 7,d71 as so redesignated-- 7,a7 by striking paragraph 7#a7 and inserting subparagraph 7,a72 and 7,b7 by striking the period and inserting 2 and2 7#g7 by inserting after subparagraph 7,d71 as so redesignated1 the following3 7,e7 with respect to men who are age #dj and over and are at high risk of developing prostate cancer 7including ,african-,american men and men with a family history of prostate cancer 7as defined in paragraph 7#b7771 such additional evidence-based preventive care and screenings not described in subparagraph 7,a7 for prostate cancer4 2 and 7#h7 by striking the flush text at the end and inserting the following3 7#b7 ,men with a family history of prostate cancer defined ,for purposes of paragraph 7#a77;,e71 the term men with a family history of prostate cancer means men who have a first-degree relative-- 7,a7 who was diagnosed with prostate cancer2 7,b7 who developed prostate cancer2 7,c7 whose death was a result of prostate cancer2 7,d7 who have been diagnosed with a cancer known to be associated with increased risk of prostate cancer2 or 7,e7 who has a genetic alteration known to be associated with increased risk of prostate cancer4 7#c7 ,clarification regarding breast cancer screening1 mammography1 and prevention recommendations ,for the purposes of this ,act1 and for the purposes of any other provision of law1 the current recommendations of the ,united ,states ,preventive ,service ,task ,force regarding breast cancer screening1 mammography1 and prevention shall be considered the most current other than those issued in or around ,november #bjji4 7#d7 ,rule of construction ,nothing in this subsection shall be construed to prohibit a plan or issuer from providing coverage for services in addition to those recommended by the ,united ,states ,preventive ,services ,task ,force or to deny coverage for services that are not recommended by such ,task ,force4 4 7b7 ,effective date ,the amendments made by subsection 7a7 shall apply with respect to plan years beginning on or after ,january #a1 #bjbd4