Statements On Introduced Bills And Joint Resolutions
Mr. President, I ask unanimous consent that the text of the bill be printed in the Record. Mr. President, I am pleased to introduce legislation today that will reduce barriers to health care for millions of patients across the country,…
Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.
Mr. President, I am pleased to introduce legislation today that will reduce barriers to health care for millions of patients across the country, particularly those from medically underserved and minority communities. The Patient Navigator, Outreach, and Chronic Disease Prevention Act will create programs which direct individuals to affordable and accessible prevention, detection and treatment services for cancer and other chronic diseases. The bill will also establish patient navigator programs to assist patients make their way through the often complex health care system.
This year alone, more than 80,000 Texans will be diagnosed with cancer and nearly 35,000 Texans will die of the disease. Cancer is the most expensive illness in the United States. It cost Texas $13.9 billion in one year due to medical costs and loss of productivity in 1998.
Despite the tremendous progress that has been made in cancer and chronic disease prevention, detection, and treatment, not all Americans are benefitting. Cancer survival rates of those living in poverty are ten to fifteen percent lower than other Americans, and African American men have the lowest rate of cancer survival. Cancer and chronic disease continue to disproportionately impact minorities and medically underserved communities. The consequences of inadequate access to these services mean that diseases like cancer are often diagnosed at later stages when the illness is more advanced and options for treatment are decreased.
In my home State of Texas, ensuring access to health care is a profound challenge, particularly along the Texas-Mexico border. The problem is in part due to lack of insurance coverage, as forty-nine percent of the Texas Hispanic population does not have health insurance, but it is also attributable to an uneven distribution of health professionals and hospitals, inadequate transportation, and a shortage of bilingual health information and providers.
The legislation I am introducing today will eliminate barriers by cutting through red tape and increasing access to affordable prevention and care for people from all walks of life.
The bill accomplishes its goals by reaching patients in the communities in which they live--through community health centers, rural health clinics, community hospitals, cancer centers, tribal and urban Indian organizations, among others, and by ensuring that there is a doctor or nurse, who, while speaking in a language people can understand, will provide patients with prevention screenings and follow-up treatment.
Patients will be provided with a trained patient navigator from their own community, who can help with scheduling and keeping appointments and referrals for prevention and treatment. They can also ensure doctor's instructions are followed and funds to pay for treatment or arranging transportation to a specialist are obtained. They may also provide a service as simple as helping out with the paperwork.
This legislation is modeled after successful programs such as the Harlem Navigator Program at Harlem Hospital in New York City operated by Dr. Harold Freeman, and the local Washington, D.C. Hospital Cancer Preventorium directed by Dr. Elmer Huerta. Through implementation of the Harlem patient navigator program, diagnosis of breast cancer at an early stage has improved. In 1989, only 1 out of 20 breast cancer diagnoses were made at an early stage. Now, through the navigator program, 4 out of every 10 diagnoses are identified early. Furthermore, the program has reduced the time between diagnosis and treatment to ten days.
I look forward to working with my colleagues to pass the critically important Patient Navigator, Outreach and Chronic Disease Prevention Act.
I ask unanimous consent that the text of the bill be printed in the Record.