,,ii #aaith ,,congress #b;d ,session ,s4 #eaac ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,july #bc1 #bjbf,mr4 ,gallego 7for himself and ,mr4 ,marshall7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to direct the ,secretary of ,health and ,human ,services to study and report on the state of men's health in the ,united ,states and to establish an ,office of ,men's ,health within the ,department of ,health and ,human ,services4 #a4 ,short title ,this ,act may be cited as the ,state of ,men's ,health ,act4 #b4 ,findings ,congress finds the following3 7#a7 ,risks to the health and well-being of the ,nation's men 7and their families7 are on the rise due to a lack of education on1 awareness of1 and pursuit of preventive screening and care4 ,these risks include-- 7,a7 men are more at risk for premature death from #i out of the top #aj causes of death2 7,b7 after a steady decline from #aigi to #bjaf1 the lifespan gender gap has expanded since #bjaf from #d4d years to a crisis level of #e4i years with the current average age of death for men being #gc4b years versus #gi4a years for women2 and 7,c7 in the ,united ,states1 men die at an overall rate #a4d times higher than women on an age-adjusted basis4 7#b7 ,while this health crisis is of particular concern to men1 it is also a concern for women who prematurely lose their fathers1 husbands1 sons1 and brothers4 7#c7 ,men's health is a concern to the ,federal ,government and ,state governments1 which absorb the enormous costs of premature death and disability among men1 including the costs of caring for dependents who are left behind4 7#d7 ,according to the ,social ,security ,administration1 #af4h percent of widows #fe years of age or older are impoverished1 compared to #d4i percent of married women #fe years of age or older4 7#e7 ,educating men1 their families1 and health care providers about the importance of early detection of health issues that can impact men1 such as cardiovascular disease1 mental health1 ,,hiv_/,,aids1 osteoporosis1 cancer 7lung1 prostate1 skin1 colorectal1 testicular1 and more71 and other pertinent health issues1 can result in reducing rates of mortality of diseases impacting males1 as well as improve the health of the ,nation's males and the ,nation's overall economic well-being4 7#f7 ,of concern are the physical1 mental1 and emotional well-being of our military men 7and women7 returning from war zones and our veterans1 particularly with respect to mental health and suicide prevention4 7#g7 ,recent scientific studies have shown that regular medical exams1 preventive screenings1 regular exercise1 and healthy eating habits can save lives4 7#h7 ,men die of suicide at four times the rate of women4 ,according to the ,centers for ,disease ,control and ,prevention1 men make up #ej percent of the population but nearly #hj percent of suicides4 7#i7 ,according to the ,national ,cancer ,institute1 cancer mortality is higher among men than women 7#aga4e per #ajj1jjj men and #abf4c per #ajj1jjj women74 7#aj7 ,prostate cancer is the most frequently diagnosed cancer in the ,united ,states among men4 ,one in #i men will be diagnosed with prostate cancer in their lifetime4 ,in #bjbf1 over #ccc1hcj men will be newly diagnosed with prostate cancer and #cf1cbj men with prostate cancer will die4 ,the incidence of prostate cancer is #ej percent higher in ,african-,american men1 who are twice as likely to die from such cancer4 ,there are over #c1ajj1jjj men in the ,united ,states living with prostate cancer4 7#aa7 ,it is estimated that1 in #bjbf1 approximately #aaj1iaj men in the ,united ,states will be diagnosed with lung cancer1 and an estimated #fc1jdj men will die from lung cancer4 7#ab7 ,it is estimated that1 in #bjbf1 approximately #ee1daj men in the ,united ,states will be diagnosed with colon cancer and #bh1gej men will be diagnosed with rectal cancer4 ,in the ,united ,states1 colorectal cancer is the third-leading cause of cancer-related deaths in men4 7#ac7 ,men make up over half the diabetes patients aged #ah and over in the ,united ,states 7#ah4i million men total71 and over one-third of them don't know it4 ,approximately #cg4c million people in the ,united ,states are living with diabetes1 and men are more likely to die from the disease4 ,in the ,united ,states1 #if million people aged #ah and older have prediabetes4 ,people with diagnosed diabetes have medical expenditures that are #b4c times higher than patients without diabetes4 7#ad7 ,a research study found that premature death and morbidity in men costs ,federal1 ,state1 and local governments in excess of #adb billion annually4 ,it also costs ,united ,states employers1 and society as a whole1 in excess of #aef billion annually and an additional #aha billion annually in decreased quality of life4 7#ae7 ,about #i1haj men will be diagnosed in #bjbf with testicular cancer1 and many of these men will die from this disease or suffer serious adverse outcomes due to lack of early diagnosis and treatment4 ,a common reason for delay in treatment of this disease is a delay in seeking medical attention after discovering a testicular mass4 7#af7 ,men over the past decade have shown poorer health outcomes than women across all racial and ethnic groups as well as across socioeconomic status conditions4 7#ag7 ,healthy fathers can be role models for their children1 leading by example1 and encouraging them to lead healthy lifestyles4 ,the premature death and disability of fathers is an issue of central importance to children4 7#ah7 ,establishing an ,office of ,men's ,health is needed to investigate these findings and take further action to promote awareness of men's health needs4 #c4 ,,gao study and report on the state of men's health 7a7 ,in general ,not later than #a year after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall-- 7#a7 complete a study on the state of men's health in the ,united ,states1 including the territories of the ,united ,states2 and 7#b7 submit a report to the ,congress on the results of such study4 7b7 ,report contents ,the report required by subsection 7a7 shall-- 7#a7 identify health disparities in men's health2 7#b7 describe the programs and activities of the ,federal ,government that are currently authorized and can be optimized to improve men's health to eliminate or reduce such health disparities2 7#c7 recommend any additional programs or activities that should be undertaken by the ,federal ,government to eliminate or reduce such health disparities2 7#d7 identify and describe efforts to coordinate and support men's health throughout the ,federal ,government and identify ways in which such coordination and support can be improved2 7#e7 identify the number of offices within the ,federal ,government focusing on health services and recommend offices that-- 7,a7 could be combined or transitioned into an office on men's health2 or 7,b7 could assume a leadership role on men's health2 7#f7 review and assess programs and activities to improve male engagement in the health care system2 7#g7 assess the ,federal research landscape to identify opportunities for additional investments that could catalyze significant progress in addressing men's health needs2 and 7#h7 identify ways to increase public awareness of the need for greater investment in and attention to men's health research1 as well as men's health outcomes4 7c7 ,funding ,no additional funds are authorized to be appropriated to carry out this section4 ,any funds used to carry out this section shall be derived from amounts authorized to be appropriated by other provisions of law4 #d4 ,office of ,men's ,health ,part ,a of title ,,ii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bjb et seq47 is amended by adding at the end the following3 #bbi;,a4 ,health and ,human ,services ,office of ,men's ,health 7a7 ,establishment ,not later than #ah months after the date of enactment of this section1 the ,secretary shall establish within the ,department of ,health and ,human ,services an ,office of ,men's ,health4 7b7 ,considerations ,in establishing such ,office1 the ,secretary shall take into consideration the results of the study under section #c of the ,state of ,men's ,health ,act4 7c7 ,activities ,the activities of the ,office of ,men's ,health shall include-- 7#a7 conducting1 supporting1 coordinating1 and promoting programs and activities to improve the state of men's health in the ,united ,states2 7#b7 assisting in the coordination of programs and activities of the ,department of ,health and ,human ,services relating to men's health1 including coordination of public awareness1 education1 and screening programs and activities related to men's health1 with an emphasis on colorectal cancer1 prostate cancer1 diabetes1 high cholesterol1 and mental health screening programs for men identified as being at increased risk of developing such diseases and conditions2 and 7#c7 establishing and maintaining a database of best practices1 clinical guidelines1 clinical research1 and funding opportunities relating to men's health4 7d7 ,report ,not later than two years after the establishment of the ,office of ,men's ,health1 the ,secretary shall submit to ,congress a report describing the activities of such ,office1 including-- 7#a7 findings regarding men's health2 and 7#b7 recommendations to improve men's health outcomes as a result of the findings4 7e7 ,funding ,no additional funds are authorized to be appropriated to carry out this section4 ,any funds used to carry out this section shall be derived from amounts authorized to be appropriated by other provisions of law1 excluding any amounts authorized to be appropriated to the ,office on ,women's ,health under section #bbi or any other office of women's health in the ,department of ,health and ,human ,services4 4