I 
113TH CONGRESS 
1ST SESSION H. R. 3404 
To require that every mammography summary delivered to a patient after 
a mammography examination, as required by section 354 of the Public 
Health Service Act (commonly referred to as the ‘‘Mammography Quality 
Standards Act of 1992’’), contain information regarding the patient’s 
breast density and language communicating that individuals with more 
dense breasts may benefit from supplemental screening tests, and for 
other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 30, 2013 
Ms. DELAURO (for herself, Mr. ISRAEL, Ms. BROWN of Florida, Ms. CASTOR 
of Florida, Mr. COHEN, Mr. CONNOLLY, Mr. CONYERS, Mr. DEFAZIO, 
Mr. FITZPATRICK, Mr. GRIJALVA, Mr. GUTIE´RREZ, Mr. HASTINGS of 
Florida, Mr. LARSON of Connecticut, Mrs. LOWEY, Ms. MOORE, Mr. 
MORAN, Ms. NORTON, Mr. RUSH, Mr. SCHIFF, Ms. TSONGAS, and Mr. 
WOLF) introduced the following bill; which was referred to the Committee 
on Energy and Commerce 
A BILL 
To require that every mammography summary delivered to 
a patient after a mammography examination, as required 
by section 354 of the Public Health Service Act (com-
monly referred to as the ‘‘Mammography Quality Stand-
ards Act of 1992’’), contain information regarding the 
patient’s breast density and language communicating 
that individuals with more dense breasts may benefit 
from supplemental screening tests, and for other pur-
poses. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Breast Density and 
Mammography Reporting Act of 2013’’. 
SEC. 2. FINDINGS. 
The Congress finds as follows: 
(1) The American Cancer Society reports that 
an individual with dense breast tissue faces a rel-
ative risk of developing breast cancer 4 or more 
times higher than an individual without dense breast 
tissue. 
(2) The National Cancer Institute estimates 
that 1 in 8 women in the United States will develop 
a cancer of the breast in their lifetime. 
(3) The Centers for Disease Control and Pre-
vention reports that breast cancer is the number one 
cause of cancer death among Hispanic women, and 
the number two cause of cancer death among White, 
Black, Asian/Pacific Islander, and American Indian/ 
Alaska Native women. 
(4) Individuals receiving mammograms are not 
currently required to receive medical summaries or 
reports from their mammogram providers which ad-
dress breast density or its correlation to breast can-
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cer, despite the fact that the radiologist interpreting 
the mammogram makes an assessment of the pa-
tient’s breast density. 
SEC. 3. BREAST DENSITY REPORTING BY FACILITIES THAT 
PERFORM MAMMOGRAMS TO PHYSICIANS 
AND PATIENTS. 
(a) IN GENERAL.—Clause (ii) of section 354(f)(1)(G) 
of 
the 
Public 
Health 
Service 
Act 
(42 
U.S.C. 
263b(f)(1)(G)) is amended— 
(1) in each of subclauses (III) and (IV), by 
striking ‘‘and’’ at the end; and 
(2) by adding at the end the following: 
‘‘(V) the report under subclause (I) 
and the summary under subclause (IV) 
shall include information regarding the pa-
tient’s individual measure of breast den-
sity, as specified by the Secretary based 
upon— 
‘‘(aa) current scientific knowl-
edge; 
‘‘(bb) technological advances; or 
‘‘(cc) other updated medical pro-
cedures where the use of such screen-
ing developments is consistent with 
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the practice of medical experts in the 
field; 
‘‘(VI) the summary under subclause 
(IV) shall convey to the patient his or her 
risk of developing breast cancer associated 
with below, above, and average levels of 
breast density as measured under sub-
clause (V) and analyzed by the patient’s 
interpreting physician; and 
‘‘(VII) the summary under subclause 
(IV) shall include language, developed by 
the Secretary in consultation with leading 
experts, communicating that individuals 
with more dense breasts— 
‘‘(aa) may benefit from supple-
mental screening tests; and 
‘‘(bb) should talk with their phy-
sicians about any questions or con-
cerns regarding the summary; and’’. 
(b) RULE OF CONSTRUCTION.—This section and the 
amendments made by this section shall not be construed 
to alter in any way Federal requirements relating to finan-
cial obligations of any person in connection with health 
insurance. 
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(c) NO PREEMPTION.—This section and the amend-
ments made by this section shall not be construed to pre-
empt any State requirements relating to reporting on a 
patient’s individual measure of breast density. 
Æ 
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