Claim: New breast cancer screening guidelines at odds with Congress
Verdict: SUPPORTS

Retrieved passages:
title: Cancer prevention
text: - Reagan signs Medicare Catastrophic Coverage Act (mammography screenings) 1989 - MB-CCOP (minority-based community clinical oncology program) In the 1990s, many chemopreventative clinical trials began recruiting. Often, these studies lasted for more than a decade, so their results would be released in the early 2000s. 1991 - Chemoprevention (synthetic and natural) studies, DCPC + Produce for Better Health Foundation begins 5-A-Day message (fruit and veggie daily servings), ASSIST (smoking) initiative 1992 - Breast Cancer Prevention Trial (BCPT) 1993 - NCI mammography guidelines are dropped (controversy?), prostate lung colorectal, and ovarian cancer screening trial begins (PLCO), FOBT test for CRC mortality,

title: United States Preventive Services Task Force
text: The Task Force made no recommendation about routine mammography to screen asymptomatic women aged 40 to 49 years for breast cancer. Patients in this age group should be educated about the risks and benefits of screening, and the decision whether to screen or not should be based on the individual situation and preferences. The old advice was based on "weak" evidence for this age group. The new advice is based on improved scientific evidence about the benefits and harms associated with mammography and is consistent with recommendations by the World Health Organization and other major medical bodies. Their recommendation against

title: American Cancer Society Cancer Action Network
text: has served over 3.9 million women, the program serves less than one in five eligible women at the current funding levels. Some states have been forced to reject people who would be eligible for free mammograms and Pap smears due to state budget cuts. In 2009, 14 states cut budgets for free cancer screenings: Colorado, Minnesota, Connecticut, South Carolina, Utah, Missouri, Washington, Ohio, Massachusetts, Arkansas, Montana, Illinois, Pennsylvania, and Alabama. In 2006, Senators Barbara Mikulski and Kay Bailey Hutchison introduced a bill, supported by ACS CAN, to allow for greater program flexibility and a funding increase of $45 million allowing

title: United States Preventive Services Task Force
text: as Donna Sweet, the former chair of the American College of Physicians, who currently serves on its Clinical Efficacy Assessment Subcommittee. The USPSTF recommendation, which focuses solely on clinical effectiveness without regard to cost, formally reduces the grade given for evidence quality from "B" to "C" (limited evidence prevents a one-size-fits-all recommendation) for routine mammograms in women under the age of 50. With a grade C recommendation, physicians are required to consider additional factors, such as the individual woman's personal risk of breast cancer. Pending health care legislation would require insurance companies to cover any and all preventive services that

title: United States Preventive Services Task Force
text: routine, suspicion-less mammograms for younger women does not change the advice for screening women at above-average risk for developing breast cancer or for testing women who have a suspicious lump or any other symptoms that might be related to breast cancer. The change in the recommendation for younger women has been criticized by some physicians and cancer advocacy groups, such as Otis Brawley, the chief medical officer for the American Cancer Society,<ref."Task force opposes routine mammograms for women age 40-49" - Danielle Dellorto, CNN Medical Producer</ref> and praised by physicians and medical organizations that support individualized and evidence-based medicine, such

title: Alejandra Campoverdi
text: that she plans to have a preventive double mastectomy. Campoverdi lost both her great-grandmother and grandmother to breast cancer, and her mother and aunt have also battled the disease. Campoverdi made the protection of access to affordable healthcare and the Affordable Care Act a focus of her congressional campaign. Two days after she went public with her diagnosis, she released a television ad in which she stated “If Donald Trump wants to have a conversation about women’s bodies, let’s start with mine.” Campoverdi chose to speak publicly about her personal health in an effort to bring attention to the stakes

title: United States Preventive Services Task Force
text: receive an "A" or "B" grade, but permit them to use discretion on preventive services that receive a worse grade. The Vitter amendment to the Mikulski amendment to pending legislation in the U.S. Senate instructs insurers to disregard the task force's recommendation against frequent routine mammograms in asymptomatic younger women, and requires them to provide free annual mammograms, even for low-risk women, based on the outdated 2002 report. This proposal is not yet law and may change. The efforts by politicians to reject the committee's scientific findings have been condemned as an example of unwarranted political interference in scientific research.

title: United States Preventive Services Task Force
text: regarding net benefit. Levels of certainty vary from high to low according to the evidence. The USPSTF has evaluated many interventions for prevention and found several have an expected net benefit in the general population. In 2009, the USPSTF updated its advice for screening mammograms. Screening mammograms, or routine mammograms, are X-rays given to apparently healthy women with no symptoms or evidence of breast cancer in the hope of detecting the disease in an early, easily treatable stage. The advice about using mammography in the presence of symptoms (such as a lump in the breast that can be felt) is

title: Breast cancer screening
text: controversial as it may not reduce all-cause mortality and for causing harms through unnecessary treatments and medical procedures. Many national organizations recommend it for most older women. In the United States screening mammography women at normal risk for breast cancer, is only recommended every two years in women between the ages of 50 and 74. Several tools are available to help target breast cancer screening to older women with longer life expectancies. Similar imaging studies can be performed with magnetic resonance imaging but evidence is lacking. Earlier, more aggressive, and more frequent screening is recommended for women at particularly high

title: National Breast Cancer Coalition
text: legislative priorities. Medicare coverage of routine care costs associated with clinical trials helps to encourage consumer participation in clinical trials, which are the best means of finding the cause, cure and prevention of breast cancer. On February 8, 2000, President Clinton signed an Executive Order banning genetic discrimination in the federal workplace. NBCC worked tirelessly towards enactment of comprehensible, enforceable genetic non-discrimination protections in health insurance and employment. NBCC successfully worked with the Administration to cover individuals in the federal workplace through the Executive Order. Since 1998, NBCC has released a Congressional Record of Support. This guide tracks every current

title: Women's Health and Cancer Rights Act
text: a number of politicians, and Senator Alphonse D'Amato became an outspoken supporter of legislation to change this. D'Amato led a nation wide bipartisan lobbying effort that culminated in a legislation that he sponsored with Senator Dianne Feinstein, and 21 other senators. Speaking on the floor of the Congress, Senator D'Amato said when he had heard that the insurance carrier had denied Ms Franquet coverage for her surgery: "Mr. President, I decided that I would give Mrs. Franquet's insurance company a call. When I spoke with the Medical Director, he told me that 'replacement of a breast is not medically necessary.

title: Breast cancer research stamp
text: 1997, Congress has reauthorized the Breast Cancer Research Stamp several times. The original sponsors for the bill were United States Senators Feinstein (D-CA), Alfonse D’Amato (R-NY), and Lauch Faircloth (R-NC), and United States Representatives Vic Fazio (D-CA) and Susan Molinari (R-NY). Breast cancer surgeon, Ernie Bodai, breast cancer survivor and advocate, Betsy Mullen, and breast cancer advocate David Goodman who lost his first wife to breast cancer, spearheaded the grassroots advocacy efforts in partnership with Senator Feinstein and her colleagues that led to the creation and issuance of this historic stamp designed to save lives. The hugely successful Breast Cancer

title: Lung cancer screening
text: United States. Their consensus guidelines, which are updated annually, support screening as a process, not a single test, and discuss risks and benefits of screening in high risk individuals within a comprehensive multidisciplinary program. Screening is only recommended for individuals defined as high risk meeting specific criteria. More details can be found in their patient guidelines. While lung cancer screening programs have been supported by the NCCN, International Association for the Study of Lung Cancer (IASLC), American Cancer Society, The American Society of Clinical Oncology (ASCO), and other organizations, the costs of screening may not be covered by medical insurance

title: Breast cancer screening
text: more first-degree relatives (mother, sister, daughter) with premenopausal breast cancer often begin screening at an earlier age, perhaps at an age 10 years younger than the age when the relative was diagnosed with breast cancer. As of 2009 the United States Preventive Services Task Force recommends that women over the age of 50 receive mammography once every two years. The Cochrane Collaboration (2013) states that the best quality evidence neither demonstrates a reduction in either cancer specific, nor a reduction in all-cause mortality from screening mammography. When less rigorous trials are added to the analysis there is a reduction in

title: National Breast Cancer Coalition
text: principles and priorities which NBCC adopted in the Framework and includes important language, which NBCC's advocates worked hard to have included, requiring educated consumers have representation on any committees, boards, panels or commissions formed under the law. After four years of an intense and aggressive grassroots lobbying campaign by NBCC's nationwide network, on October 24, 2000, the Breast and Cervical Cancer Treatment Act (P.L. 106-354) was signed into law. This landmark legislation guarantees treatment to low-income, uninsured women screened and diagnosed with breast and cervical cancer through the Centers for Disease Control and Prevention's (CDC) National Breast and Cervical Cancer

title: Breast cancer screening
text: women stems from breast density. Radiographically, a dense breast has a preponderance of glandular tissue, and younger age or estrogen hormone replacement therapy contribute to mammographic breast density. After menopause, the breast glandular tissue gradually is replaced by fatty tissue, making mammographic interpretation much more accurate. Recommendations to attend to mammography screening vary across countries and organizations, with the most common difference being the age at which screening should begin, and how frequently or if it should be performed, among women at typical risk for developing breast cancer. In November 2016 the European Commission published recommendations suggesting asymptomatic women with

title: National Breast Cancer Coalition
text: On January 15, 2002, S. 1741, the Native American Breast and Cervical Cancer Treatment Technical Amendment Act was enacted. This law helps ensure that American Indian and Native Alaskan women get coverage for breast and cervical cancer treatment. NBCC's advocates urged Congress to pass this legislation to help correct the unintended exclusion of these women from the Breast and Cervical Cancer Treatment Act. In June 2000, President Clinton issued an Executive Memorandum to require Medicare to cover the cost of routine patient care associated with participation in clinical trials. This Executive Memorandum implemented the policy goals of one of NBCC's

title: Breast cancer screening
text: Screening targeted towards women with above-average risk produces more benefit than screening of women at average or low risk for breast cancer. A 2013 Cochrane review estimated that mammography in women between 50 and 75 years old results in a relative decreased risk of death from breast cancer of 15% and an absolute risk reduction of 0.05%. However, when the analysis included only the least biased trials, women who had regular screening mammograms were just as likely to die from all causes, and just as likely to die specifically from breast cancer, as women who did not. The size of

title: Next Generation Choices Foundation
text: and advocating legislative action to "promote and support legislation focusing on issues such as diet and exercise, protective vaccinations, education about the risks of tobacco and alcohol, and many others." The Huffington Post editorial was written "in recognition of National Cancer Prevention Day (Feb. 4), and in conjunction with lesscancer.org's event on Capitol Hill in Washington, D.C., that day." According to Congresswoman Dingell's website, "The Congressional Cancer Prevention Caucus is designed to help stop [the ongoing impact of cancer on American families] by providing a bipartisan forum to engage Members of Congress, their staff, the medical community, advocacy groups, academia

title: Lung cancer screening
text: policies, unless the eligibility criteria specified by the Centers for Medicare and Medicaid Services (CMS) are met. As of 2017 usage of lung cancer screening in the U.S. after Medicare agreed to pay for screening and after guidelines were published was low, with the most uptake in the Midwest. In 2017 a task force published a review of evidence and recommendations for advancing implementation. Lung cancer screening Lung cancer screening refers to cancer screening strategies used to identify early lung cancers before they cause symptoms, at a point where they are more likely to be curable. More than 224,000 new