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Legislative Talking Points: PSA for HIM Act

The Problem

  • Prostate cancer is the most commonly diagnosed cancer in men.
  • Prostate cancer is the second leading cause of cancer-related death in men.
  • In 2024, an estimated 299,010 men will be diagnosed with prostate cancer and 35,250 men will die from it. 
  • After decades of decline, prostate cancer death rates are on the rise: it is estimated that in 2023 over 125,000 more men than in 2017 will be diagnosed with prostate cancer and over 8,000 more men will die from prostate cancer than in 2017. 
  • This represents a 78% increase in diagnoses and a 15% rise in the death rate. 
  • A man will be diagnosed with prostate cancer every 2 minutes in 2024, and die from it every 15 minutes.
  • African American men are at increased risk for the disease. 1 in 7 African American men will be diagnosed with prostate cancer.
  • African American men are more than 2 times more likely to die from the disease and 1.8 times more likely to be diagnosed with the disease.
  • Veterans who were exposed to herbicides like Agent Orange are at increased risk for developing prostate cancer and are more likely to have an aggressive form of the disease.
  • If caught early, prostate cancer has a five-year survival rate of nearly 100%. However, for late-stage prostate cancer the five-year survival rate is 29%.
  • The economic and social burden of prostate cancer is huge:
  • Prostate cancer is estimated to cost over $8 billion in direct medical expenditures.
  • Men who survive after treatment frequently suffer from side effects, including impotence and incontinence

Access to Early Screening and Diagnosis

  • Catching prostate cancer early is the key to long term survival.
  • The prostate specific antigen (PSA) test is the current, widely used screening tool for prostate cancer detection.
  • Cost-sharing of any amount can be a barrier to the receipt of needed health care services.
  • Black men and men with a family history of prostate cancer, including a family history of genetic alterations or other cancer associated with increased prostate cancer risk, have a much higher risk of prostate cancer than the general public, making regular screening even more important.
  • H.R. 1826 and S. S.2821 eliminates cost-sharing for PSA testing for men at high risk, ensuring that no one goes without this vital service because of cost.
  • This legislation would give prostate cancer screening parity with other high-value preventive services, like mammography.  

The Ask

  • Please cosponsor the PSA Screening for HIM Act (H.R.1826), which was introduced by Reps. Larry Bucshon, MD (R-IN) and Yvette Clarke (D-NY).  In the Senate, a version has
    been introduced as S.2821 by Senators Cory Booker (D-NJ) and John Boozman (R-AR). The bill would require that high-risk men (those with a close family history of disease or African American men) have access to prostate cancer screening without any out-of-pocket cost, eliminating unnecessary barriers to early diagnosis and treatment. 
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