Date: 02/13/2014

Final
BILL SUMMARY for HB14-1126

HOUSE COMMITTEE ON HEALTH, INSURANCE, & ENVIRONMENT

Votes: View--> Action Taken:
Adopt amendment L.006 (Attachment B). The motion p
Refer House Bill 14-1126, as amended, to the Commi		Pass Without Objection
PASS



01:38 PM -- HB 14-1126

Representative Williams presented House Bill 14-1126. She distributed a handout and Amendment L.006 (Attachments A and B). The bill requires that each mammography report provided to a patient include information that identifies the patient's breast tissue classification based on breast imaging reporting and data system established by the American College of Radiology. If the health care facility that performed the mammography determines that a patient has dense breast tissue, the facility is required to notify the patient of the determination using specified language.

140213 AttachA.pdf140213 AttachA.pdf140213 AttachB.pdf140213 AttachB.pdf

01:42 PM

Representative Williams responded to questions about federal laws concerning notification of breast tissue classification, the bill's fiscal note, and whether the bill creates an unfunded mandate. Representative Williams discussed the notification required by the bill.

01:49 PM -- Dr. Johnny Johnson, representing the Colorado Medical Society, testified in support of the bill. He discussed the association between dense breast tissue and breast cancer, the mortality rate due to breast cancer among African-American women, and the current notification patients received after a mammograms. Dr. Johnson responded to questions about the current reporting of dense breast tissue. Representative Williams responded to a questions about who will pay for the additional testing. Dr. Johnson responded to questions about why the notification is not common practice. The committee continued to dialogue with Dr. Johnson about patient care; patient notification of dense breast tissue and other medical issues; and whether the notification could cause patient fear.

02:11 PM -- Dick Brown, representing the Colorado section of the American Congress of Obstetricians and Gynecologists, testified in support of the bill. He discussed the need for consistent language in the patient notification. Mr. Brown responded to questions about the physician's responsibilities under the bill, whether false positives could occur, and patient-physician communication. He responded to questions about how providers are notified about a change in the law by certain membership organizations, whether there are any penalties if the notification does not occur, and what the costs associated with the notifications will be to physicians.

02:30 PM -- Dr. Jerome Schroeder, representing himself, testified in support of the bill. He discussed his experience as a radiologist and Connecticut's breast tissue density notification law. Dr. Schroeder responded to questions about the standards for determining breast tissue density, whether the phrase "diagnostic options" should be included in the notification, and whether mammograms are sent out of the country for review. He responded to questions about whether there are objections within the radiology community to the notification required by the bill. Dr. Schroeder discussed current practices about notifying patients about breast tissue density.

02:40 PM -- Dr. Alison Sandberg, representing the Colorado Radiological Society, testified in support of the bill. She discussed the benefits of having standard notification language and potential federal legislation addressing breast tissue density notifications.

02:42 PM -- Dr. Debra Wade, representing herself, testified in support of the bill. She discussed additional issues concerning dense breast tissue that may arise in the future, including provider education, resources for additional testing, and access to high-quality imaging. She provided a handout (Attachment C).

140213 AttachC.pdf140213 AttachC.pdf

02:46 PM -- Cynthia Henke Sarmento, representing herself, testified in the support of the bill. She discussed her experience as radiology technologist, the advances in technology to detect cancer in dense breast tissue, and the benefits of notification. She stated that one in eight women develop breast cancer in their lifetimes. Ms. Sarmento responded to questions about whether the bill will provide patients with additional screening options.

02:54 PM -- Nicole White, representing herself, testified in support of the bill. She discussed her experience as a breast cancer survivor and the need for ultrasound testing for women who have dense breast tissue.

03:01 PM

Representative Buckner, co-prime sponsor, responded to questions about whether the bill will provide for additional testing. Representative Williams provided two letters of support (Attachments D and E).

140213 AttachD.pdf140213 AttachD.pdf140213 AttachE.pdf140213 AttachE.pdf
BILL:HB14-1126
TIME: 03:04:40 PM
MOVED:Ginal
MOTION:Adopt amendment L.006 (Attachment B). The motion passed without objection.
SECONDED:Schafer
VOTE
Fields
Ginal
Humphrey
Joshi
Landgraf
McNulty
Primavera
Singer
Swalm
Schafer
McCann
YES: 0 NO: 0 EXC: 0 ABS: 0 FINAL ACTION: Pass Without Objection


03:06 PM

 Representatives Williams and Buckner made concluding remarks about the bill. The committee discussed the bill.

BILL:HB14-1126
TIME: 03:11:13 PM
MOVED:Schafer
MOTION:Refer House Bill 14-1126, as amended, to the Committee of the Whole. The motion passed on a vote of 9-2.
SECONDED:Ginal
VOTE
Fields
Yes
Ginal
Yes
Humphrey
No
Joshi
No
Landgraf
Yes
McNulty
Yes
Primavera
Yes
Singer
Yes
Swalm
Yes
Schafer
Yes
McCann
Yes
Final YES: 9 NO: 2 EXC: 0 ABS: 0 FINAL ACTION: PASS