| 1 | A bill to be entitled |
| 2 | An act relating to breast cancer detection and screening; |
| 3 | creating s. 381.932, F.S.; providing definitions; |
| 4 | establishing a breast cancer early detection and treatment |
| 5 | program within the Department of Health; providing |
| 6 | purposes of the program; requiring the department to |
| 7 | provide certain screening services to specified |
| 8 | populations; requiring the State Surgeon General to submit |
| 9 | a report to the Legislature; requiring organizations |
| 10 | providing services to underserved women to submit a report |
| 11 | to the department; providing an effective date. |
| 12 |
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| 13 | Be It Enacted by the Legislature of the State of Florida: |
| 14 |
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| 15 | Section 1. Section 381.932, Florida Statutes, is created |
| 16 | to read: |
| 17 | 381.932 Breast cancer early detection and treatment |
| 18 | referral program.-- |
| 19 | (1) For purposes of this section, the term: |
| 20 | (a) "Breast cancer screening and referral services" means |
| 21 | necessary breast cancer screening and referral services for a |
| 22 | procedure intended to treat cancer of the human breast, |
| 23 | including, but not limited to, surgery, radiation therapy, |
| 24 | chemotherapy, hormonal therapy, and related medical followup |
| 25 | services. |
| 26 | (b) "Unserved or underserved populations" means women who |
| 27 | are: |
| 28 | 1. At or below 200 percent of the federal poverty level |
| 29 | for individuals; |
| 30 | 2. Without health insurance that covers breast cancer |
| 31 | screenings; and |
| 32 | 3. Nineteen to 64 years of age, inclusive. |
| 33 | (2) There is established, within existing appropriations, |
| 34 | a breast cancer early detection and treatment referral program |
| 35 | within the Department of Health. The purposes of the program are |
| 36 | to: |
| 37 | (a) Promote the screening, detection, and treatment of |
| 38 | breast cancer among unserved or underserved populations. |
| 39 | (b) Educate the public regarding breast cancer and the |
| 40 | benefits of early detection. |
| 41 | (c) Provide counseling and referral services for persons |
| 42 | seeking treatment. |
| 43 | (3) The program shall include, but not be limited to, the: |
| 44 | (a) Establishment of a public education and outreach |
| 45 | initiative to publicize breast cancer early detection services |
| 46 | and the extent of coverage for such services by health |
| 47 | insurance, the benefits of early detection of breast cancer, and |
| 48 | the recommended frequency for receiving screening services, |
| 49 | including clinical breast examinations and mammography. |
| 50 | (b) Development of professional education programs that |
| 51 | include information regarding the benefits of the early |
| 52 | detection of breast cancer and the recommended frequency for |
| 53 | receiving a mammogram. |
| 54 | (c) Establishment of a system to track and followup on all |
| 55 | women screened for breast cancer in the program. The system |
| 56 | shall include, but not be limited to, the followup of abnormal |
| 57 | screening tests and referral to treatment when needed and |
| 58 | tracking women to be screened at recommended screening |
| 59 | intervals. |
| 60 | (d) Establishment of a system to monitor participating |
| 61 | providers of breast cancer screening for compliance with |
| 62 | national and state quality assurance standards. |
| 63 | (4) The Department of Health shall provide unserved or |
| 64 | underserved populations, within existing appropriations and |
| 65 | through contracts with health care providers, clinical breast |
| 66 | examinations and screening mammograms, as recommended in the |
| 67 | most current breast cancer screening guidelines established by |
| 68 | the United States Preventive Services Task Force. |
| 69 | (5) The State Surgeon General shall submit an annual |
| 70 | report to the appropriate substantive committees of the |
| 71 | Legislature. The report shall include, but not be limited to, a |
| 72 | description of the rate of breast cancer morbidity and mortality |
| 73 | in this state and the extent to which women are participating in |
| 74 | breast cancer screening. |
| 75 | (6) The organizations providing the testing and treatment |
| 76 | services under this section shall report to the Department of |
| 77 | Health the names of the insurer of each underinsured woman being |
| 78 | tested to facilitate recoupment of expenditures. |
| 79 | Section 2. This act shall take effect July 1, 2009. |