[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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