BILL ANALYSIS                                                                                                                                                                                                    






                                 SENATE HEALTH
                               COMMITTEE ANALYSIS
                        Senator Elaine K. Alquist, Chair


          BILL NO:       SB 148                                       
          S
          AUTHOR:        Oropeza                                      
          B
          AMENDED:       As Introduced                               
          HEARING DATE:  April 1, 2009                                
          1
          CONSULTANT:                                                 
          4
          Moreno/                                                     
          8
                                         
                                    SUBJECT

                Mammogram machines: inspection: posting of results
                                         
                                    SUMMARY  

          Requires facilities that operate mammogram machines to post  
          notices of "serious violations" in an area that is visible  
          to patients.  Requires the Department of Public Health  
          (DPH) to post on its web site the inspection results for  
          each facility that provides mammography services. 

                             CHANGES TO EXISTING LAW  

          Existing law:
          Under the Radiation Control Law, DPH administers provisions  
          that establish standards for, and regulates sources of,  
          ionizing radiation. Existing law requires DPH to license  
          persons who receive, possess, or transfer radioactive  
          materials, and devices or equipment utilizing these  
          materials.  

          Existing law gives DPH, or any state or local agency with  
          which an agreement has been made, the power to enter  
          property, within the jurisdiction of the agency, in order  
          to inspect and determine whether there is compliance with  
          the state's standards and requirements.
          
          This bill:
                                                         Continued---



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          Requires facilities that operate a mammogram machines to  
          post notices of "serious violations" (defined as a  
          violation that poses a significant threat to public health)  
          in an area that is visible to patients.

          Requires DPH, no later than January 1, 2012, to post the  
          inspection results on its web site, for each facility that  
          provides mammography services. 

                                         



                                 FISCAL IMPACT  

          Unknown.

                            BACKGROUND AND DISCUSSION  

          According to the author, a news story aired in February 2009 on  
          the Los Angeles CBS affiliate station which reported on an  
          examination of mammography facilities in the Los Angeles area.  
          It was reported that, despite being in violation of federal  
          safety standards, many facilities were still conducting exams on  
          women.   The author states that facilities conducting mammogram  
          examinations are inspected annually by the state, and if an  
          inspector finds anything awry, a Notice of Violation will be  
          issued, but no direction is given as to where these notices  
          should be posted. The author contends that the absence of such  
          postings puts a women's health at risk. The author states that,  
          any facility that is cited for a violation that could pose a  
          serious threat to the patient's health should make that  
          information readily available, and that patients should be given  
          sufficient information to make an informed and educated decision  
          about whether to use the facility or not.

          Background
          Under the federal Mammography Quality Standards Act (MQSA), a  
          mammography facility must be certified as providing quality  
          mammography services.  For a facility to be certified, it must  
          be accredited by a federally approved private nonprofit or state  
          accreditation body.  The Food and Drug Administration (FDA) has  
          approved the American College of Radiology (ACR) and the States  
          of Arkansas, Iowa, and Texas as accreditation bodies.  The  
          facility must also undergo an annual inspection conducted by  
          federally trained and certified federal or state personnel.




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          Before a facility performs any mammography examinations in  
          California, it must obtain: 1) accreditation by the ACR; 2)  
          certification from the FDA; and 3) certification by the DPH's  
          Radiologic Health Branch (RHB).  In the case that a notice of  
          violation is issued regarding radiological working conditions  
          (or any other order issued pursuant to the Radiation Control  
          Law), regulations require the facility to conspicuously post the  
          notice within two working days after receipt.  The facility's  
          response, if any, must be posted within two working days after  
          it is sent to RHB.  These documents must remain posted for a  
          minimum of five working days or until action correcting the  
          violation has been completed, whichever is later.  A conspicuous  
          posting is not defined under the Radiation Control Law or  
          regulations, and according to the author, it is common practice  
          to post notices in an area only visible to facility staff, so  
          that they are aware of necessary corrective action. 

          There are three possible "levels of observations" resulting from  
          an MQSA inspection, ranging from Level 1 (representing the most  
          serious noncompliance's with MQSA standards) to Level 3  
          (representing minor deviations from MQSA standards): 

          o A Level 1 observation indicates that the inspector found one  
            or more deviations from MQSA standards that may seriously  
            compromise the quality of mammography services offered by the  
            facility.

          o A Level 2 observation indicates that the facility's  
            performance is generally acceptable.  However, the inspector  
            did find one or more deviations from MQSA standards that may  
            compromise the quality of mammography services offered by the  
            facility.

          o A Level 3 observation indicates that the facility's  
            performance is generally satisfactory.  However, the  
            inspection did show one or more minor deviations from MQSA  
            standards. 


          Radiologic Health Branch
          The RHB is responsible for licensing of radioactive  
          materials, registration of X-ray producing machines,  
          certification of X-ray and radioactive material users,  
          inspection of facilities using radiation, investigation of  
          radiation incidents, and surveillance of radioactive  




          STAFF ANALYSIS OF SENATE BILL  SB 148 (Oropeza)Page 4


          

          contamination in the environment.  According to the RHB, it  
          certifies 62,000 physicians, technologists, and technicians  
          who use X-ray machines and radioactive materials on human  
          beings, accredits 500 mammography facilities for federal  
          certification under the MQSA, and issues certificates to  
          850 medical facilities to perform mammography.

          Prior legislation
          SB 1529 (Oropeza of 2008) contained substantially similar  
          provisions to those in this bill.   SB 1529 was held on  
          suspense in the Senate Appropriations Committee.
          
          SB 700 (Aanestad of 2005) would have provided for the  
          certification of radiologist assistants (RAs).  This bill  
          was scheduled to be heard in the Senate Business,  
          Professions and Economic Development Committee, but the  
          hearing was cancelled at the request of the author.
          
          AB 623 (Lieu of 2007) would have required the DPH to  
          provide for the certification of RAs.  This bill was held  
          in the Assembly Appropriations Committee under suspense.

          AB 929 (Oropeza), Chapter 427, Statutes of 2005, requires  
          the RHB to adopt regulations regarding quality assurance  
          standards for facilities using specified  
          radiation-producing equipment and provide the regulations  
          to the Health Committees of the Assembly and the Senate on  
          or before January 1, 2008.

          Arguments in support
          The California Nurses Association states that, when a  
          facility that has been issued a notice of violation  
          continues to perform exams, it places a woman's health at  
          risk if a misdiagnosis is made.  Breast Cancer Action, the  
          Breast Cancer Fund, the Disability Rights Legal Center, and  
          the Latino Health Alliance states women should be able to  
          make conscious and educated decisions about which facility  
          they use to conduct their breast examination and mammogram.  
           Supporters further state that breast cancer diagnosis and  
          treatment can be devastating for women, and it is unfair to  
          keep them in the dark about the results of a facility's  
          annual inspection.

          Concerns
          The California Radiological Society (CRS) writes with  
          concerns about this bill, stating that all facilities and  




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          personnel must meet rigorous standards under MQSA and must  
          be accredited by the state or under an accreditation  
          program operated by their parent organization, the American  
          College of Radiology.  CRS writes that MQSA and the FDA  
          already require posting of Level 1 violations, and MQSA is  
          perhaps the most complete and specific delineation of  
          equipment and personnel standards for the performance of  
          this valuable screening procedure.  CRS contends that some  
          of these elements, such as logging of technologist CE  
          credits, are important, but the temporary failure to do so  
          would not impair the quality of the screening mammogram.    
          CRS suggests that the definition of "serious violations" be  
          amended to coincide with the FDA Level 1 violations as  
          follows:

            On page 2, strike line 6 and insert:
             "deviations from MQSA standards that may seriously  
            compromise the quality of mammography services offered by  
            the facility."
             
                                     COMMENTS  

          On page 2, beginning on line 5, "serious violation" is  
          defined as "?a violation that poses a significant threat to  
          public health."  This phrase is not defined elsewhere in  
          statute or regulations, but according to DPH, violations  
          are classified as follows:  

          o A violation is a finding that clearly violates a  
            regulation and/or the Health and Safety Code, and must be  
            corrected within 30 days.  Violations typically do not  
            pose a significant public health impact.  They result in  
            the issuance of a Notice of Violation.  No penalties are  
            typically accessed if the violations are corrected within  
            the 30-day period.  Suitable for minor infractions. 

          o A serious violation is one that clearly violates a  
            regulation and/or the Health and Safety Code, AND is of  
            such a nature that its continuance  poses a significant  
            consequence to public health  .  These result in the  
            issuance of a Notice of Violation and Radiation User's  
            Declaration that allows the facility to voluntarily take  
            immediate corrective action.  Actions noted as a serious  
            violation require immediate suspension and correction of  
            the activity in violation. 





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                                    POSITIONS  

          Support:  American Cancer Society
                    American Federation of State, County and  
               Municipal Employees
                    Breast Cancer Action
                    Breast Cancer Fund
                    California Nurses Association
                    Disability Rights Legal Center
                    Latino Health Alliance

          Oppose:   None received


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