BILL ANALYSIS                                                                                                                                                                                                    �



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          SENATE THIRD READING
          SB 1538 (Simitian)
          As Amended August 21, 2012
          Majority vote

           SENATE VOTE  :39-0  
          
           HEALTH              15-0        APPROPRIATIONS      16-1        
           
           ----------------------------------------------------------------- 
          |Ayes:|Monning, Logue, Ammiano,  |Ayes:|Gatto, Harkey,            |
          |     |Bonilla, Eng, Garrick,    |     |Blumenfield, Bradford,    |
          |     |Hayashi,                  |     |Charles Calderon, Campos, |
          |     |Roger Hern�ndez, Bonnie   |     |Davis, Fuentes, Hall,     |
          |     |Lowenthal, Mansoor,       |     |Hill, Cedillo, Mitchell,  |
          |     |Mitchell, Nestande,       |     |Nielsen, Norby, Solorio,  |
          |     |V. Manuel P�rez, Smyth,   |     |Wagner                    |
          |     |Williams                  |     |                          |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |     |                          |Nays:|Donnelly                  |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY :  Requires health facilities at which mammography 
          examinations are performed to include a specified notice in the 
          summary of the written report that is sent to the patient in 
          order to notify patients who have dense breast tissue that they 
          may benefit from supplementary screening tests.  Specifically, 
           this bill  :

          1)Requires a health facility at which a mammography examination 
            is performed to include a specified notice in the summary of 
            the written report sent to the patient, if the patient is 
            categorized by the facility as having heterogeneously dense 
            breasts or extremely dense breasts based on the Breast Imaging 
            Reporting and Data System established by the American College 
            of Radiology (ACR).

          2)Specifies that the notice required in 1) above must state, 
            "Your mammogram shows that your breast tissue is dense.  Dense 
            breast tissue is common and is not abnormal.  However, dense 
            breast tissue can make it harder to evaluate the results of 
            your mammogram and may also be associated with an increased 
            risk of breast cancer.  This information about the result of 








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            your mammogram is given to you to raise your awareness and to 
            inform your conversations with your doctor.  Together, you can 
            decide which screening options are right for you.  A report of 
            your results was sent to your physician."

          3)Requires the provisions of this bill to become operative on 
            April 1, 2013.

          4)Prohibits, prior to April 1, 2013, this bill from being 
            construed to create or impose liability on a health care 
            facility for failing to comply with its requirements.

          5)Prohibits this bill from being deemed to create a duty of care 
            or other legal obligation beyond the duty to provide the 
            notice referenced in 2) above.

          6)Prohibits this bill from being deemed to require a notice that 
            is inconsistent with the provisions of the federal Mammography 
            Quality Standards Act (MQSA).

          7)Repeals this section on January 1, 2019, unless a later 
            enacted statute deletes or extends that date. 
           EXISTING LAW:

           1)Requires, under federal regulations implementing the MQSA, 
            each facility that performs a mammography to send a report to 
            the referring physician that includes specified information.  
            A letter must also be sent to the patient informing her of the 
            results of the mammogram.

          2)Requires health plans, individual or group disability 
            insurance policies, and self-insured employee welfare benefit 
            plans to provide coverage for mammograms, upon the referral of 
            a physician, nurse practitioner, or certified nurse-midwife, 
            for breast cancer screening and diagnostic purposes.

          3)Requires individual or group disability insurance policies and 
            self-insured employee welfare benefit plans, upon referral, to 
            provide: a baseline mammogram for women ages 35 through 39, 
            inclusive; a mammogram for women ages 40 through 49, 
            inclusive, every two years or more, based on a physician's 
            recommendation; and, a mammogram every year for women age 50 
            and over.









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          4)Licenses and regulates physicians and surgeons under the 
            Medical Board of California.

           FISCAL EFFECT  :  According to the Assembly Appropriations 
          Committee, state health care costs may increase as a result of 
          this bill, if it leads more women to discuss breast density with 
          their doctor and they decide to opt for additional screening and 
          follow-up tests.  However, any impact will likely be mitigated 
          by other factors, including increasing awareness about breast 
          density among the medical community and the public, new 
          informational brochures produced by ACR that describe and 
          provide context about breast density, and changes in screening 
          recommendations based on a woman's breast cancer risk.  Given 
          these dynamics and the non-prescriptive nature of the notice, 
          the direct fiscal impact of this bill is expected to be minor.   


           COMMENTS  :  According to the author, the National Cancer 
          Institute estimates that one in eight women will develop breast 
          cancer in their lifetime.  The author maintains that women with 
          dense breast tissue are at four to six times greater risk of 
          developing breast cancer compared to women of the same age and 
          health.  The author cites a Mayo Clinic study from January 2011 
          which reports that because dense breast tissue is white on a 
          mammogram and cancer is white on a mammogram, 75% of cancer is 
          missed in women with dense breast tissue by mammography alone.  
          The author maintains while federal law requires that a 
          radiologist performing a mammogram send a letter regarding the 
          results to the patient and a report to the referring physician, 
          only the report to the referring physician must contain 
          information about the patient's breast density.  A national 
          survey, according to the author, found that 95% of women do not 
          know their breast density and that doctors have spoken to less 
          than 9% of patients about breast density.  The author argues 
          that the lack of information provided to the patient regarding 
          breast density leaves the patient with a gap in information that 
          can be misleading for women with dense breast tissue.  This 
          bill, the author asserts, will lead to more women surviving 
          breast cancer by helping to catch cancer early when it is most 
          treatable and curable.
           

          Analysis Prepared by  :    Tanya Robinson-Taylor / HEALTH / (916) 
          319-2097 








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