[Congressional Record (Bound Edition), Volume 145 (1999), Part 21]
[Senate]
[Page 31216]
[From the U.S. Government Publishing Office, www.gpo.gov]



                 AMENDING THE PUBLIC HEALTH SERVICE ACT

  Ms. COLLINS. Mr. President, I ask unanimous consent that the HELP 
Committee be discharged from further consideration of S. 1243, and that 
the Senate proceed to its immediate consideration.
  The PRESIDING OFFICER. Without objection it is so ordered. The clerk 
will report the bill by title.
  The legislative clerk read as follows:

       A bill (S. 1243) to amend the Public Health Service Act to 
     revise and extend the prostate cancer preventive health 
     program.

  There being no objection, the Senate proceeded to consider the bill.
  Ms. COLLINS. Mr. President, I ask unanimous consent that the bill be 
read a third time and passed, the motion to reconsider be laid upon the 
table, and that any statements relating to the bill be printed in the 
Record.
  The PRESIDING OFFICER. Without objection it is so ordered.
  The bill (S. 1243) was read the third time and passed, as follows:

                                S. 1243

       Be it enacted by the Senate and House of Representatives of 
     the United States of America in Congress assembled,

     SECTION 1. SHORT TITLE.

       This Act may be cited as the ``Prostate Cancer Research and 
     Prevention Act''.

     SEC. 2. AMENDMENTS TO THE PUBLIC HEALTH SERVICE ACT.

       (a) Preventive Health Measures.--Section 317D of the Public 
     Health Service Act (42 U.S.C. 247b-5) is amended--
       (1) by striking subsection (a) and inserting the following:
       ``(a) In General.--The Secretary, acting through the 
     Director of the Centers for Disease Control and Prevention, 
     may make grants to States and local health departments for 
     the purpose of enabling such States and departments to carry 
     out programs that may include the following:
       ``(1) To identify factors that influence the attitudes or 
     levels of awareness of men and health care practitioners 
     regarding screening for prostate cancer.
       ``(2) To evaluate, in consultation with the Agency for 
     Health Care Policy and Research and the National Institutes 
     of Health, the effectiveness of screening strategies for 
     prostate cancer.
       ``(3) To identify, in consultation with the Agency for 
     Health Care Policy and Research, issues related to the 
     quality of life for men after prostrate cancer screening and 
     followup.
       ``(4) To develop and disseminate public information and 
     education programs for prostate cancer, including appropriate 
     messages about the risks and benefits of prostate cancer 
     screening for the general public, health care providers, 
     policy makers and other appropriate individuals.
       ``(5) To improve surveillance for prostate cancer.
       ``(6) To address the needs of underserved and minority 
     populations regarding prostate cancer.
       ``(7) Upon a determination by the Secretary, who shall take 
     into consideration recommendations by the United States 
     Preventive Services Task Force and shall seek input, where 
     appropriate, from professional societies and other private 
     and public entities, that there is sufficient consensus on 
     the effectiveness of prostate cancer screening--
       ``(A) to screen men for prostate cancer as a preventive 
     health measure;
       ``(B) to provide appropriate referrals for the medical 
     treatment of men who have been screened under subparagraph 
     (A) and to ensure, to the extent practicable, the provision 
     of appropriate followup services and support services such as 
     case management;
       ``(C) to establish mechanisms through which State and local 
     health departments can monitor the quality of screening 
     procedures for prostate cancer, including the interpretation 
     of such procedures; and
       ``(D) to improve, in consultation with the Health Resources 
     and Services Administration, the education, training, and 
     skills of health practitioners (including appropriate allied 
     health professionals) in the detection and control of 
     prostate cancer.
       ``(8) To evaluate activities conducted under paragraphs (1) 
     through (7) through appropriate surveillance or program 
     monitoring activities.''; and
       (2) in subsection (l)(1), by striking ``1998'' and 
     inserting ``2004''.
       (b) National Institutes of Health.--Section 417B(c) of the 
     Public Health Service Act (42 U.S.C. 286a-8(c)) is amended by 
     striking ``and 1996'' and inserting ``through 2004''.

                          ____________________