AACU News & Notes

Congress Tackles Prostate Cancer

posted: January 28, 2020

HR5200 Co-Sponsors.

PSA Screening for HIM Act, H.R. 5200

Representatives Bobby Rush (D-IL) and Larry Bucshon, M.D. (R-IN) introduced legislation at the end of last year to remove financial barriers that prevent men who are most at risk — African-Americans and those with a family history of prostate cancer — from getting screened for prostate cancer. The Prostate-Specific Antigen (PSA) Screening for High-risk Insured Men (HIM) Act (H.R. 5200) would require group health plans and health insurance issuers to provide coverage for prostate cancer screenings without cost-sharing requirements. This bill is necessitated by the current “C” rating that the U.S. Preventive Services Task Force (USPSTF) has recommended for PSA screening for prostate cancer, despite the rise in prostate cancer deaths since the task force discouraged PSA screening in 2012. The bill now has 24 cosponsors and is pending action in the House Energy and Commerce Committee.

If your Representative hasn’t signed onto the bill yet, please ask them to do so!

Call or Write Congress About H.R.5200


Prostate Cancer Misdiagnosis Elimination Act Update

Toward the end of 2019, Congress tried to include key provisions of another bill addressing prostate cancer in an end-of-year “health extenders” package.

The Prostate Cancer Misdiagnosis Elimination Act, introduced in previous sessions of Congress, would require Medicare cover the cost of DNA Specimen Provenance Assay (DSPA) testing, which confirms the results of needle biopsies and essentially eliminates prostate cancer misdiagnoses.

While the measure failed to advance at the end of 2019, the AACU is working with legislators to find a way to get the bill passed in the current session of Congress.

H.R.2371
HEARTS Act of 2019
Rep. Thompson, Mike [D-CA-5] To provide for coverage of certain DNA specimen provenance assay tests under the Medicare program.

H.R.3416 / H.R.3429
HEARTS and Rural Relief Act
Rep. Sewell, Terri A. [D-AL-7] To provide for coverage of certain DNA specimen provenance assay tests under the Medicare program.

H.R.2557
Prostate Cancer Misdiagnosis Elimination Act (115th Congress, 2017)

Other Bills in Congress Addressing Prostate Cancer

H.R.5020
To direct the Secretary of Veterans Affairs to enter into an agreement to conduct a study on radiation exposure relating to prostate cancer
Rep. Panetta, Jimmy [D-CA-20]

H.R.2200, Keeping Our Promises Act
To ensure that certain diseases, including prostate cancer, are covered by the presumption of service connection relating to Vietnam veterans’ exposure to herbicides.
Rep. Westerman, Bruce [R-AR-4]

Advocacy Priorities
  • Prostate Cancer Screening and Awareness

    Eliminating Misdiagnosis and Reducing Wasteful Medicare SpendingEvery 20 minutes an American man dies from prostate cancer. The American Cancer Society estimates that 161,360 men were told they have prostate cancer in 2017. Early detection is critical because research shows the five-year survival...

  • IPAB Repeal

    IPAB permanently repealed in a major victory for the AACU and urology communityThe AACU is pleased to report that the Bipartisan Budget Act of 2018 (H.R. 1892) included provisions to repeal the Independent Physicians Advisory Board (IPAB), a 15-member panel of unelected officials that had the...

  • Graduate Medical Education and Physician Workforce Shortage

    Ensuring a Well-Trained Physician Workforce Increase Federally Funded Physician Training ProgramsRequestUrologists urge Congress to acknowledge the importance of specialty medicine and address urological workforce shortages that jeopardize patient access to care. We urge lawmakers to support...

  • The Impact of Pharmacy Benefit Managers on Access to Affordable Treatment

    Pharmacy benefit managers (PBMs) have a significant impact on prescription drug costs and the ability of patients to obtain the medications they need in a timely and affordable manner, and yet very little is known about their role. The AACU is dedicated to working with policymakers at both the...

  • Improve Preventive Task Force Recommendations, Preserve Access to Prostate Cancer Screening

    The United States Preventive Services Task Force (USPSTF) plays a critical role in preventive care because its recommendations dictate what preventive services many health plans must provide without cost sharing. Currently, however, the USPSTF has little accountability. Task Force members are...

  • Medical Liability Reform: Protect Physician Volunteers During National Disasters

    Protection for Physician Disaster VolunteersClinical urologists urge support for the Good Samaritan Health Professionals Act of 2017, introduced in the House by Rep. Marsha Blackburn (R-TN-7) and in the Senate by Sen. Bill Cassidy, MD (R-LA). This crucial legislation seeks to shield medical...

  • Modernize Law Restricting Coordinated Care (“Stark Law”)

    When Congress enacted the Medicare Access and CHIP Reauthorization Act, it replaced a fundamentally flawed reimbursement framework with a program promoting value-based care delivery. Value-based care, as measured by the new Merit-Based Incentive Payment System (MIPS) and alternative payment...

  • Patients Over Paperwork: Reducing the Burden of Medicare Red Tape

    Urologists across the country treat a high volume of Medicare patients and therefore deal with the program’s numerous requirements and complex payment structures on a near daily basis. The AACU is dedicated to working with legislators and policymakers to identify ways to simplify and...

State Advocacy
  • Fair Contracting and Medical Practice Freedom

    Where We Stand Ensure openness and fairness in health care provider contacts. Prevent third-party payors from changing the terms of their provider contract without notice to the provider and without the consent of the provider. Ensure that physician licensure is based upon a physician's...

  • Medical Liability Reform — Expert Witness Qualifications

    Strengthen expert witness standards Ensure that expert witness is from the same specialty as the defendant physician Prevent frivolous lawsuits Improve the practice environment for physicians in your stateWhenever a physician’s conduct is being called into question, it is only fair...

  • Prostate Cancer Awareness & Assessment

    Where We Stand Continue the progress that has been made in the reduction of prostate cancer morbidity and mortality with the appropriate use of prostate cancer testing. Ensure that third-party payors provide for the reimbursement of prostate cancer testing when the patient and his physician...

  • Uniform Prior Authorization for Prescriptions and Health Services

    Where We Stand Prior authorizations cost the health system $728 million in 2012. Prior authorization requests must use a single form, no more than two pages in length. Forms must available for both access and submission electronically. Requests are deemed approved if no response is...

  • Work Force — Scope of Practice

    Where We Stand Allow the maximum patient-to-physician ratio to increase based on the number of physician assistants in a practice. Expand the ability of nurse practitioners and physician assistants to supervise medical assistants when doctors aren’t on the premises.Proactive Physician...

Home Search Profile Privacy Policy Sign InJoin AACU Contact Facebook Twitter UROPAC Action Center