[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3404 Introduced in House (IH)]

113th CONGRESS
  1st Session
                                H. R. 3404

To require that every mammography summary 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 information regarding the patient's 
 breast density and language communicating that individuals with more 
 dense breasts may benefit from supplemental screening tests, and for 
                            other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 30, 2013

Ms. DeLauro (for herself, Mr. Israel, Ms. Brown of Florida, Ms. Castor 
  of Florida, Mr. Cohen, Mr. Connolly, Mr. Conyers, Mr. DeFazio, Mr. 
Fitzpatrick, Mr. Grijalva, Mr. Gutierrez, Mr. Hastings of Florida, Mr. 
 Larson of Connecticut, Mrs. Lowey, Ms. Moore, Mr. Moran, Ms. Norton, 
    Mr. Rush, Mr. Schiff, Ms. Tsongas, and Mr. Wolf) introduced the 
   following bill; which was referred to the Committee on Energy and 
                                Commerce

_______________________________________________________________________

                                 A BILL


 
To require that every mammography summary 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 information regarding the patient's 
 breast density and language communicating that individuals with more 
 dense breasts may benefit from supplemental screening tests, and for 
                            other purposes.

    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 2013''.

SEC. 2. FINDINGS.

    The Congress finds as follows:
            (1) The American Cancer Society reports that an individual 
        with dense breast tissue faces a relative risk of developing 
        breast cancer 4 or more times higher than an individual without 
        dense breast tissue.
            (2) The National Cancer Institute estimates that 1 in 8 
        women in the United States will develop a cancer of the breast 
        in their lifetime.
            (3) 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.
            (4) 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, despite the fact that the 
        radiologist interpreting the mammogram makes an assessment of 
        the patient's 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 report under subclause (I) and 
                        the summary under subclause (IV) shall include 
                        information regarding the patient's individual 
                        measure of breast density, as specified by the 
                        Secretary based upon--
                                    ``(aa) current scientific 
                                knowledge;
                                    ``(bb) technological advances; or
                                    ``(cc) 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 risk of 
                        developing breast cancer associated with below, 
                        above, and average levels of breast density as 
                        measured under subclause (V) and analyzed by 
                        the patient's interpreting physician; and
                            ``(VII) the summary under subclause (IV) 
                        shall include language, developed by the 
                        Secretary in consultation with leading experts, 
                        communicating that individuals with more dense 
                        breasts--
                                    ``(aa) may benefit from 
                                supplemental screening tests; and
                                    ``(bb) should talk with their 
                                physicians about any questions or 
                                concerns regarding the summary; 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.
    (c) No Preemption.--This section and the amendments made by this 
section shall not be construed to preempt any State requirements 
relating to reporting on a patient's individual measure of breast 
density.
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