Senate File 80 - Introduced SENATE FILE 80 BY JOCHUM , SCHOENJAHN , McCOY , QUIRMBACH , SODDERS , MATHIS , DVORSKY , DOTZLER , BOLKCOM , BISIGNANO , PETERSEN , WILHELM , TAYLOR , HORN , DEARDEN , COURTNEY , RAGAN , SEGEBART , JOHNSON , ZAUN , and ALLEN (COMPANION TO LSB 1703HH BY H. MILLER) A BILL FOR An Act establishing a notification requirement for mammogram 1 reports to patients. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 1703XS (4) 86 pf/nh

S.F. 80 Section 1. Section 136C.3, subsection 10, Code 2015, is 1 amended to read as follows: 2 10. a. Adopt rules specifying the minimum training and 3 performance standards for an individual using a radiation 4 machine for mammography, and other rules necessary to 5 implement section 136C.15 . The rules shall complement federal 6 requirements applicable to similar radiation machinery and 7 shall not be less stringent than those federal requirements. 8 b. (1) Adopt rules to require that, by January 1, 2016, 9 a facility at which mammography services are performed shall 10 include information on breast density in mammogram reports 11 sent to patients pursuant to regulations implementing the 12 federal Mammography Quality Standards Act of 1992, Pub. L. 13 No. 102-539, as amended. If a patient is categorized by the 14 facility as having heterogeneously dense breasts or extremely 15 dense breasts based on standards as defined in nationally 16 recognized guidelines or systems for breast imaging reporting 17 of mammography screening, including the breast imaging 18 reporting and data system of the American college of radiology, 19 the report to the patient shall include notice that the patient 20 has dense breast tissue, that this may make it more difficult 21 to detect cancer on a mammogram, and that it may increase the 22 patient’s risk of breast cancer. The notice may contain the 23 following language: 24 “Your mammogram indicates that you have dense breast tissue. 25 Dense breast tissue is relatively common. However, dense 26 breast tissue may make it more difficult to evaluate the 27 results of your mammogram and may also be associated with an 28 increased risk of breast cancer. This information is provided 29 to you to raise your own awareness and to help inform your 30 conversations with your referring physician who has received 31 a report of your mammogram results. Contact your referring 32 physician if you have questions or concerns about this report. 33 Together you can decide which additional screening options are 34 right for you based on your mammogram results, individual risk 35 -1- LSB 1703XS (4) 86 pf/nh 1/ 2

S.F. 80 factors, or physical examination.” 1 (2) Nothing in this paragraph “b” shall be construed to 2 create or impose liability on a facility where mammography 3 services are performed beyond the duty to provide the 4 information set forth in this paragraph “b” . 5 (3) Nothing in this paragraph “b” shall be deemed to require 6 a notice or the provision of information that is inconsistent 7 with the provisions of the federal Mammography Quality 8 Standards Act of 1992, Pub. L. No. 102-539, as amended, or any 9 regulations promulgated pursuant to that Act. 10 EXPLANATION 11 The inclusion of this explanation does not constitute agreement with 12 the explanation’s substance by the members of the general assembly. 13 This bill establishes a notification requirement for 14 mammogram reports to patients. The bill directs the department 15 of public health to adopt rules that require a facility 16 performing mammography services to include information on 17 breast density in reports sent to patients pursuant to federal 18 law and rules. If a patient is categorized by the facility 19 as having heterogeneously dense breasts or extremely dense 20 breasts based on national standards the report to the patient 21 must include notice that the patient has dense breast tissue, 22 that this may make it more difficult to detect cancer on a 23 mammogram, and that it may increase the patient’s risk of 24 breast cancer. The bill provides language that such notice may 25 contain. 26 The bill’s provisions are not to be construed to impose 27 liability on the facility performing mammography services 28 beyond the duty to provide the breast density information. 29 Facilities providing mammography services must comply with 30 the bill’s requirements by January 1, 2016. 31 -2- LSB 1703XS (4) 86 pf/nh 2/ 2