I 
113TH CONGRESS 
2D SESSION 
H. R. 5145 
To require breast density reporting to physicians and patients by facilities 
that perform mammograms, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 17, 2014 
Ms. DELAURO (for herself and Mr. ISRAEL) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To require breast density reporting to physicians and pa-
tients by facilities that perform mammograms, and for 
other purposes. 
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 2014’’. 
SEC. 2. FINDINGS. 
The Congress finds as follows: 
(1) The National Cancer Institute estimates 
that 1 in 8 women in the United States will develop 
a cancer of the breast in their lifetime. 
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(2) 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. 
(3) 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 masking the 
presence of breast cancer on mammograms, despite 
the fact that the radiologist interpreting the mam-
mogram makes an assessment of the patient’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) 
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shall include information about 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 
the practice of medical experts in the 
field; 
‘‘(VI) the summary under subclause 
(IV) shall convey the effect of breast den-
sity in masking the presence of breast can-
cer on mammography, using the provider’s 
qualitative assessment of breast density; 
and 
‘‘(VII) the summary under subclause 
(IV) shall include language, developed by 
the Secretary in consultation with leading 
experts and leading cancer organizations, 
communicating that individuals with dense 
breasts should talk with their physicians 
about— 
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‘‘(aa) any questions or concerns 
regarding the summary; and 
‘‘(bb) whether the individuals 
would benefit from additional tests.’’. 
(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. 
SEC. 4. ENHANCING RESEARCH RELATING TO BREAST DEN-
SITY. 
Title III of the Public Health Service Act is amended 
by inserting after section 354 of such Act (42 U.S.C. 
263b) the following: 
‘‘SEC. 354A. ENHANCING RESEARCH RELATING TO BREAST 
DENSITY. 
‘‘The Secretary shall expand and intensify the pro-
grams and activities of the Department of Health and 
Human Services for conducting or supporting— 
‘‘(1) applied research on breast density; 
‘‘(2) research on the cost-effectiveness, effec-
tiveness, and feasibility of reimbursement models for 
supplemental imaging relating to breast density; and 
‘‘(3) research in support of clinical guidelines 
and best practices concerning use of mammograms 
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and supplemental screening for women with dense 
breasts.’’. 
Æ 
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