Senate File 205 - Reprinted




                                 SENATE FILE       
                                 BY  COMMITTEE ON HUMAN
                                     RESOURCES

                                 (SUCCESSOR TO SF 80)
       (As Amended and Passed by the Senate February 24, 2015)

                                      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:
    SF 205 (4) 86
    pf/nh/jh

PAG LIN



  1  1    Section 1.  Section 136C.3, subsection 10, Code 2015, 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, 2016,
  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.
       SF 205 (4) 86
       pf/nh/jh