text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Men and Families Health Care Act of 
  2009''.
  
  SEC. 2. FINDINGS.
  
      The Congress finds the following:
              (1) Risks to the health and well-being of the Nation's men 
          (and our families) are on the rise due to a lack of education, 
          awareness, and pursuit of preventative screening and care--
                      (A) men are leading in 9 out of the top 10 causes 
                  of death;
                      (B) 1 in 2 men versus 1 in 3 women in their 
                  lifetime will be diagnosed with cancer;
                      (C) the life expectancy gap between men and women 
                  has increased from one year in 1920 to 5.2 years in 
                  2005; and
                      (D) studies show that women are 100 percent more 
                  likely than men to visit a doctor, have regular 
                  physician check-ups, and obtain preventive screening 
                  tests for serious diseases.
              (2) While this health crisis is of particular concern to 
          men, it is also a concern for women regarding their fathers, 
          husbands, sons, and brothers.
              (3) According to the Census Bureau, by the time men and 
          women reach age 65, the ratio of men to women reduces to 85 to 
          100. The growing disparity in this statistic suggests that 
          among other factors, the declining health of men increases the 
          risk of women entering retirement age as widows.
              (4) According to the Administration on Aging, more than 
          half of elderly widows now living in poverty were not poor 
          before the death of their husbands.
              (5) Men's health is a concern to Federal and State 
          governments which absorb the enormous costs of premature death 
          and disability, including the costs of caring for dependents 
          left behind.
              (6) Educating men, their families, and health care 
          providers about the importance of early detection of male 
          health issues (i.e. cardiovascular, mental, prostate health, 
          cancer (lung, prostate, skin, colorectal, testicular, and 
          more), HIV/AIDS, osteoporosis, and other pertinent health 
          issues) can result in reducing rates of mortality for male-
          specific diseases, as well as improve the health of the 
          Nation's men and its overall economic well-being.
              (7) Of concern is the physical, mental, and emotional well-
          being of our military men (and women) returning from war zones 
          and our veterans. We must pay attention to their needs and the 
          needs of their families.
              (8) Recent scientific studies have shown that regular 
          medical exams, preventive screenings, regular exercise, and 
          healthy eating habits can help save lives.
              (9) Appropriate use of tests such as prostate-specific 
          antigen (PSA) exams and blood pressure, blood sugar, lipid 
          panel, and colorectal screenings in conjunction with clinical 
          exams or self-testing, can result in the early detection of 
          many problems and in increased survival rates.
              (10) Men's health is a concern for employers who pay the 
          costs of medical care and lose productive employees.
              (11) Prostate cancer is the most frequently diagnosed 
          cancer in the United States among men, accounting for 25 
          percent of all cancer cases--
                      (A) over 185,000 men will be newly diagnosed with 
                  prostate cancer this year alone, and almost 29,000 will 
                  die;
                      (B) costs associated with prostate cancer detection 
                  and treatments exceed $8 billion annually and represent 
                  8 percent of cancer and 0.4 percent of all health-
                  related expenditures in the United States;
                      (C) prostate cancer rates increase sharply with 
                  age, and more than \2/3\ of such cases are diagnosed in 
                  men age 65 and older;
                      (D) \2/3\ of annual prostate cancer expenditures in 
                  the United States are paid for by Medicare; and
                      (E) the incidence of prostate cancer and the 
                  resulting mortality rate in African-American men is 
                  twice that of all other men.
              (12) It is estimated that in 2008, approximately 115,000 
          men were diagnosed with lung cancer, and almost 91,000 of the 
          Nation's men died from lung cancer.
              (13) It is estimated that in 2008, approximately 54,000 men 
          were diagnosed with colorectal cancer, and over 24,000 of the 
          Nation's men died from colorectal cancer.
              (14) Men make up over half of the diabetes patients aged 20 
          and over in the United States (10.9 million men total) and 
          nearly \1/3\ of them do not know it--
                      (A) whereas approximately 21,000,000 Americans are 
                  living with diabetes, men are 30 percent more likely to 
                  die from the disease;
                      (B) 54 million American people have pre-diabetes 
                  and 1.5 million new cases of diabetes were diagnosed in 
                  2005; and
                      (C) people with diagnosed diabetes have medical 
                  expenditures that are 2 to 3 times higher than patients 
                  without diabetes and the estimated cost of diabetes in 
                  2007 was $174,000,000, including $116,000,000 in excess 
                  medical expenditures and $58,000,000 in reduced 
                  national productivity.
              (15) Over 8,000 men, ages 15 to 40, will be diagnosed this 
          year with testicular cancer, and 380 of these men will die of 
          this disease in 2008. A common reason for delay in treatment of 
          this disease is a delay in seeking medical attention after 
          discovering a testicular mass.
              (16) Men over the past decade have shown poorer health 
          outcomes than women across all racial and ethnic groups as well 
          as socioeconomic status.
              (17) Establishing an Office of Men's Health is needed to 
          investigate these findings and take further actions to promote 
          awareness of men's health needs.
  
  SEC. 3. ESTABLISHMENT OF OFFICE OF MEN'S HEALTH.
  
      Title XVII of the Public Health Service Act (42 U.S.C. 300u et 
  seq.) is amended by adding at the end the following:
  
  ``SEC. 1711. OFFICE OF MEN'S HEALTH.
  
      ``(a) In General.--The Secretary shall establish within the 
  Department of Health and Human Services an office to be known as the 
  Office of Men's Health. The Secretary shall appoint a director as head 
  of the office.
      ``(b) Activities.--The Secretary, acting through the Director of 
  the Office of Men's Health, shall--
              ``(1) conduct, support, coordinate, and promote programs 
          and activities to improve the state of men's health in the 
          United States, including by working with the Department of 
          Veterans Affairs, the Department of Defense, and the Federal 
          Employee Health Benefits Plan; and
              ``(2) provide for consultation among offices and agencies 
          of the Department of Health and Human Services for the purposes 
          of--
                      ``(A) coordinating public awareness, education, and 
                  screening programs and activities relating to men's 
                  health;
                      ``(B) coordinating programs and activities under 
                  title XVIII of the Social Security Act relating to 
                  men's health, including prostate cancer, diabetes, 
                  colorectal cancer, cholesterol, and mental health 
                  screening programs;
                      ``(C) coordinating public awareness programs and 
                  activities, including prostate cancer, diabetes, 
                  colorectal cancer, cholesterol, and mental health 
                  screening programs, for men identified at being at 
                  increased risk of these diseases;
                      ``(D) coordinating prostate-specific antigen (PSA), 
                  diabetes, cholesterol, and colorectal cancer screening 
                  programs and activities relating to men's prostate 
                  health, cardiovascular health, and mental health in 
                  order to conduct a comparative effectiveness review; 
                  and
                      ``(E) establishing a clinical registries database 
                  to assess and measure quality improvement of programs 
                  and activities relating to men's health.
      ``(c) Report.--Not later than 2 years after the date of the 
  enactment of this section, the Secretary, acting through the Director 
  of the Office of Men's Health, shall submit to the Congress a report 
  describing the activities of such Office, including findings by the 
  Director regarding men's health.''.
target: Men and Families Health Care Act of 2009 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to establish within the Department of Health and Human Services (HHS) the Office of Men's Health. Requires the Secretary, acting through the Director of the Office, to: (1) conduct, support, coordinate, and promote programs and activities to improve the state of men's health in the United States; and (2) provide for consultation among HHS agencies and offices to coordinate men's health programs and activities and establish a clinical registries database to assess and measure quality improvement of programs and activities relating to men's health.
feat_title: To amend the Public Health Service Act to establish an Office of Men's Health.