Bill Text: IA HF278 | 2017-2018 | 87th General Assembly | Introduced
Bill Title: A bill for an act establishing a notification requirement for mammogram reports to patients.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2017-04-04 - Withdrawn. H.J. 863. [HF278 Detail]
Download: Iowa-2017-HF278-Introduced.html
House File 278 - Introduced HOUSE FILE BY MILLER (COMPANION TO SF 77 BY SINCLAIR) A BILL FOR 1 An Act establishing a notification requirement for mammogram 2 reports to patients. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: TLSB 1703YH (2) 87 pf/nh PAG LIN 1 1 Section 1. Section 136C.3, subsection 10, Code 2017, is 1 2 amended to read as follows: 1 3 10. a. Adopt rules specifying the minimum training and 1 4 performance standards for an individual using a radiation 1 5 machine for mammography, and other rules necessary to 1 6 implement section 136C.15. The rules shall complement federal 1 7 requirements applicable to similar radiation machinery and 1 8 shall not be less stringent than those federal requirements. 1 9 b. (1) Adopt rules to require that, by January 1, 2018, 1 10 a facility at which mammography services are performed shall 1 11 include information on breast density in mammogram reports sent 1 12 to patients pursuant to regulations implementing the federal 1 13 Mammography Quality Standards Act of 1992, Pub. L. No. 102=539, 1 14 as amended. If a patient is categorized by an interpreting 1 15 physician at the facility as having heterogeneously dense 1 16 breasts or extremely dense breasts based on standards as 1 17 defined in nationally recognized guidelines or systems for 1 18 breast imaging reporting of mammography screening, including 1 19 the breast imaging reporting and data system of the American 1 20 college of radiology, the report to the patient shall include 1 21 notice that the patient has dense breast tissue, that this may 1 22 make it more difficult to detect cancer on a mammogram, and 1 23 that it may increase the patient's risk of breast cancer. The 1 24 notice may contain the following language: 1 25 "State law requires the following notification: 1 26 Your mammogram indicates that you have dense breast tissue. 1 27 Dense breast tissue may make it more difficult to evaluate the 1 28 results of your mammogram and may also be associated with an 1 29 increased risk of breast cancer. You are encouraged to consult 1 30 with your primary health care provider regarding the results of 1 31 your mammogram. Together you can best decide which additional 1 32 screening options may be right for you based on your mammogram 1 33 results, individual risk factors, or physical examination." 1 34 (2) Nothing in this paragraph "b" shall be construed to 1 35 modify the existing liability of a facility where mammography 2 1 services are performed beyond the duty to provide the 2 2 information set forth in this paragraph "b". 2 3 (3) Nothing in this paragraph "b" shall be deemed to require 2 4 a notice or the provision of information that is inconsistent 2 5 with the provisions of the federal Mammography Quality 2 6 Standards Act of 1992, Pub. L. No. 102=539, as amended, or any 2 7 regulations promulgated pursuant to that Act. 2 8 EXPLANATION 2 9 The inclusion of this explanation does not constitute agreement with 2 10 the explanation's substance by the members of the general assembly. 2 11 This bill establishes a notification requirement for 2 12 mammogram reports to patients. The bill directs the department 2 13 of public health to adopt rules that require a facility 2 14 performing mammography services to include information on 2 15 breast density in reports sent to patients pursuant to federal 2 16 law and rules. If a patient is categorized by an interpreting 2 17 physician at the facility as having heterogeneously dense 2 18 breasts or extremely dense breasts based on national standards 2 19 the report to the patient must include notice that the patient 2 20 has dense breast tissue, that this may make it more difficult 2 21 to detect cancer on a mammogram, and that it may increase the 2 22 patient's risk of breast cancer. The bill provides language 2 23 that such notice may contain. 2 24 The bill's provisions are not to be construed to modify 2 25 the existing liability of a facility performing mammography 2 26 services beyond the duty to provide the breast density 2 27 information. 2 28 Facilities providing mammography services must comply with 2 29 the bill's requirements by January 1, 2018. LSB 1703YH (2) 87 pf/nh