[Congressional Record Volume 161, Number 19 (Wednesday, February 4, 2015)]
[Senate]
[Page S775]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

      By Mrs. FEINSTEIN (for herself, Ms. Ayotte, Mrs. Gillibrand, Mrs. 
        Boxer, Ms. Heitkamp, Ms. Baldwin, Mr. Brown, Ms. Mikulski, Ms. 
        Stabenow, Mrs. Capito, Mrs. Shaheen, Mr. Casey, Ms. Hirono, 
        Mrs. McCaskill, Ms. Warren, and Ms. Cantwell):
  S. 370. A bill to require breast density reporting to physicians and 
patients by facilities that perform mammograms, and for other purposes; 
to the Committee on Health, Education, Labor, and Pensions.
  Mrs. FEINSTEIN. Mr. President, even though we have made great strides 
in the treatment and diagnosis of breast cancer, this disease continues 
to be the second leading cause of death for women in the United States.
  When women receive their mammography report and it comes out normal, 
they usually move on with their day thinking everything is just fine. 
This may be the case, but for women with dense breast tissue this 
``normal'' report doesn't capture the whole picture. This is because 
cancer may still be present and missed on their mammogram because it is 
obscured by dense breast tissue.
  It is vital for women to be told this simple, yet potentially life-
saving, information about their own health so they can discuss with 
their doctor if additional screening makes sense for them. That could 
be the difference between catching breast cancer early and surviving, 
or waiting until its too late because you were never told your full 
medical information.
  Even though there is a risk for cancer being missed, when women 
receive their mammogram report there is currently no federal 
requirement to include notice that they have dense breast tissue. This 
is the case even though the radiologist makes that determination upon 
reading the mammogram
  This bill is a simple solution. It requires that women be informed on 
the mammogram report, that they already receive, if they have dense 
breast tissue, and that they may want to talk with their doctor if they 
have questions and if they might benefit from additional screening. 
Withholding this kind of medical information from women just doesn't 
make any sense.
  This bill doesn't change any state laws. It sets a minimum Federal 
standard, so any state that wants to have additional reporting 
requirements may do so. The bill also requires the Department of Health 
and Human Services to focus on research and improved screening for 
patients with dense breast tissue. Early detection is the key to 
beating cancer. Every patient deserves access to their own information, 
especially when it may be what saves their life.
  I want to thank Senator Ayotte for working with me on this bill. I 
urge my colleagues to join us, and Senators Gillibrand, Boxer, 
Heitkamp, Baldwin, Brown, Mikulski, Stabenow, Capito, Shaheen, Casey, 
Hirono, McCaskill, and Warren in cosponsoring the Breast Density and 
Mammography Reporting Act. This bill is supported by organizations 
including the American Cancer Society Cancer Action Network, Are You 
Dense Advocacy, Breast Cancer Fund, and Susan G. Komen.
  I look forward to working with my colleagues on this important issue.
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