| 1 | Representative Green offered the following: |
| 2 |
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| 3 | Amendment (with title amendment) |
| 4 | Remove everything after the enacting clause and insert: |
| 5 | Section 1. The Legislature finds that it is of the utmost |
| 6 | public importance that quality mammography services and other |
| 7 | diagnostic tools remain available to detect and treat breast |
| 8 | cancer. The Office of Program Policy Analysis and Government |
| 9 | Accountability and the Department of Health shall study issues |
| 10 | relating to the availability utilization, quality, and cost of |
| 11 | mammography services in all facilities performing mammography. |
| 12 | The study shall include, but need not be limited to, examining |
| 13 | the following factors that impact availability utilization, |
| 14 | quality, and cost: reimbursement fees, copayment fees paid by |
| 15 | patients, incidence of lawsuits filed, equipment and liability |
| 16 | insurance costs and insurance availability, equipment |
| 17 | maintenance and calibration, staffing requirements and training, |
| 18 | type and number of facilities performing mammography, facilities |
| 19 | surveyed by the Bureau of Radiation Control of the Department of |
| 20 | Health, population density of females aged 40 and older in each |
| 21 | county, and other factors that relate to the demand and |
| 22 | availability of mammography service. The Office of Program |
| 23 | Policy Analysis and Government Accountability shall complete its |
| 24 | study and submit its report to the Legislature by December 15, |
| 25 | 2004. |
| 26 | (1) There is also created the Workgroup on Mammography |
| 27 | Accessibility within the Department of Health. The workgroup |
| 28 | shall study: |
| 29 | (a) The availability, quality of care, and accessibility |
| 30 | of mammography in this state. |
| 31 | (b) The need for research and educational facilities, |
| 32 | including facilities with institutional training programs and |
| 33 | community training programs for doctors of radiological medicine |
| 34 | at the student, internship, and residency levels. |
| 35 | (c) The availability of resources, including health |
| 36 | personnel and management personnel for mammography programs. |
| 37 | (d) The patient wait times for screening and diagnostic |
| 38 | mammography. |
| 39 | (2) The workgroup shall consist of 13 members and be |
| 40 | staffed by the Department of Health. It shall be chaired by the |
| 41 | Secretary of Health or his or her designee. The remaining 12 |
| 42 | members shall be appointed as follows: the Governor shall |
| 43 | appoint four members, the President of the Senate shall appoint |
| 44 | four members, one of whom shall be a member of the Senate, and |
| 45 | the Speaker of the House of Representatives shall appoint four |
| 46 | members, one of whom shall be a member of the House of |
| 47 | Representatives. The Governor's appointees and the Legislature's |
| 48 | appointees who are not members of the Legislature must have a |
| 49 | background in mammography by either practicing or teaching or |
| 50 | both as a physician in the field of mammography, insuring |
| 51 | mammography health care providers, or trying or defending |
| 52 | medical malpractice cases as an attorney. |
| 53 | (3) By December 15, 2004, the department shall submit a |
| 54 | report to the Governor, the President of the Senate, the Speaker |
| 55 | of the House of Representatives, and the substantive legislative |
| 56 | committees which provides the findings of the workgroup and |
| 57 | recommendations for legislative action. |
| 58 | Section 2. This act shall take effect upon becoming a law. |
| 59 |
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| 60 | ================= T I T L E A M E N D M E N T ================= |
| 61 | Remove the entire title and insert: |
| 62 | A bill to be entitled |
| 63 | An act relating to radiologists performing mammograms; |
| 64 | providing legislative findings; providing for studies; |
| 65 | providing for membership of a workgroup; providing for |
| 66 | reports; providing an effective date. |
| 67 |
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| 68 | WHEREAS, breast cancer is the second leading cause of |
| 69 | cancer deaths in women, and |
| 70 | WHEREAS, mammography is an imperfect screening test but the |
| 71 | best tool available to detect breast cancer, and |
| 72 | WHEREAS, early detection of breast cancer decreases |
| 73 | mortality by 30 percent, and |
| 74 | WHEREAS, the population of women who will need screening is |
| 75 | increasing, NOW, THEREFORE, |