[Congressional Bills 111th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6404 Introduced in House (IH)]
111th CONGRESS
2d Session
H. R. 6404
To require that every mammography report delivered to a patient after a
mammography examination, as required by section 354 of the Public
Health Service Act (commonly referred to as the ``Mammography Quality
Standards Act of 1992''), contain a summary of the patient's breast
density and a statement concerning the benefit of supplementary
screening tests for patients with dense breast tissue, where such
additional evaluations are recommended by a patient's interpreting
physician.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
November 15, 2010
Mr. Meek of Florida (for himself, Ms. DeLauro, Mr. Israel, and Ms.
Wasserman Schultz) introduced the following bill; which was referred to
the Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To require that every mammography report delivered to a patient after a
mammography examination, as required by section 354 of the Public
Health Service Act (commonly referred to as the ``Mammography Quality
Standards Act of 1992''), contain a summary of the patient's breast
density and a statement concerning the benefit of supplementary
screening tests for patients with dense breast tissue, where such
additional evaluations are recommended by a patient's interpreting
physician.
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 ``Breast Density and Mammography
Reporting Act of 2010''.
SEC. 2. FINDINGS.
The Congress finds as follows:
(1) Individuals receiving mammograms are not currently
required to receive medical summaries or reports from their
mammogram providers which address breast density or its
correlation to breast cancer.
(2) The American Cancer Society reports that an individual
with dense breast tissue faces a risk of developing breast
cancer 4 or more times higher than an individual without dense
breast tissue.
(3) The National Cancer Institute estimates that 1 in 8
women in the United States will develop a cancer of the breast
in their lifetime.
(4) The Centers for Disease Control and Prevention reports
that breast cancer is the number one cause of cancer death
among Hispanic women, and the number two cause of cancer death
among White, Black, Asian/Pacific Islander, and American
Indian/Alaska Native women.
(5) The Breast Imaging Reporting and Data System (BI-RADS)
is a standardized interpretation tool for mammogram evaluation
developed by the American College of Radiology. BI-RADS is
widely used in the industry to indicate the absence or
likelihood of breast cancer. The BI-RADS scoring system
evaluates likelihood based in part on measure of breast
density.
SEC. 3. BREAST DENSITY REPORTING BY FACILITIES THAT PERFORM MAMMOGRAMS
TO PHYSICIANS AND PATIENTS.
(a) In General.--Clause (ii) of section 354(f)(1)(G) of the Public
Health Service Act (42 U.S.C. 263b(f)(1)(G)) is amended--
(1) in each of subclauses (III) and (IV), by striking
``and'' at the end; and
(2) by adding at the end the following:
``(V) the summary under subclause (IV)
shall include information regarding the
patient's individual measure of breast
density--
``(aa) based on the Breast Imaging
Reporting and Data System (BI-RADS)
established by the American College of
Radiology and used by the National
Cancer Institute; or
``(bb) as specified by the
Secretary based upon new scientific
knowledge, technological advances, or
other updated medical procedures where
the use of such screening developments
is consistent with the practice of
medical experts in the field;
``(VI) the summary under subclause (IV)
shall convey to the patient his or her
increased risk of developing breast cancer
based on his or her individual measure of
breast density as measured under subclause (V)
and analyzed by the patient's interpreting
physician; and
``(VII) a written report under this clause
shall include the following notice: `If your
mammogram demonstrates that you have dense
breast tissue, which could hide small
abnormalities, you might benefit from
supplementary screening tests for expanded
detection, depending upon your individual risk
factors and the recommendation of your
interpreting physician. A report of your
mammography results, which contains information
about your breast density, has been sent to
your treating physician's office, and you
should contact your treating physician if you
have any questions or concerns about your
report.'; and''.
(b) Rule of Construction.--This section and the amendments made by
this section shall not be construed to alter in any way Federal
requirements relating to financial obligations of any person in
connection with health insurance.
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