News Room: SB 791: Comprehensive Breast Tissue Screening

In an oped article in the Contra Costa Times, breast cancer survivor Amy Colton writes:
In 2009, at age 47, I was shocked to be diagnosed with a later stage breast cancer. I was what you would describe as a “health nut.”. . . I followed my doctor’s instructions for regular checkups and screenings, including annual mammograms, starting when I was 40. Every year I received a form letter telling me that no cancer was found.

Mammography was unable to detect my cancer in an early stage because I have a condition called “dense breast tissue.”

The shock of my diagnosis and the ordeal of treatment I endured have made me determined to give other women a better chance of being diagnosed before their cancer has spread. That is why I am so heartened by the legislative approval of a resolution authored by Sen. Joe Simitian, D-Palo Alto, to declare Aug. 8 to be “Are You Dense? Day.”

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Are you dense? Ask your doctor. That’s the tagline State Senator Joe Simitian (D-Palo Alto) will be using this week to raise awareness among Californians about dense breast tissue, a common yet little-known condition that increases the risk for developing breast cancer and makes it more difficult to detect cancer on a mammogram. Simitian is the author of Senate Joint Resolution 27 declaring August 8 “Are You Dense? Day” in California. read more ...

A bill to improve breast cancer detection in women with dense breast tissue passed unanimously out of the State Senate today. Senate Bill 1538, authored by State Senator Joe Simitian (D-Palo Alto), would require that following a mammogram, women with dense breast tissue be informed that they have dense breast tissue, which can obscure abnormalities (i.e. cancer) on a mammogram; and that they may wish to discuss the potential value of additional screening(s) with their doctors. read more ...

In an editorial, the San Francisco Chronicle said: The message that mammograms save lives has resulted in an increase in early detection of breast cancer. But for 40 percent of women who get mammograms, the technology might not detect early-stage cancer because their dense breast tissue masks the cancer cells. Most women do not know whether they have dense breast tissue and that, if they do, they should seek alternatives to mammography, such as ultrasound or MRI screenings. That's why state Sen. Joe Simitian, D-Palo Alto, has reintroduced legislation to require physicians to inform their patients if they have highly dense breast tissue. Simitian's bill passed last year with broad bipartisan support, but Gov. Jerry Brown vetoed it. read more ...

On Wednesday at 10:30 a.m., State Senator Joe Simitian (D-Palo Alto) will hold a media call on a bill that he’s reintroducing to improve breast cancer detection in women with dense breast tissue. A prior version of the bill was vetoed last year by Governor Jerry Brown. read more ...

Gov. Jerry Brown probably made more good than bad decisions on various bills this fall. But it was infuriating to see him veto Sen. Joe Simitian’s bill requiring full disclosure to women whose mammograms may be ineffective.

It was so simple, so certain to save lives that we could not imagine a veto. But the medical establishment pulled out all the stops to kill it.

Amy Colton persuaded Simitian to carry the bill after she was diagnosed with advanced breast cancer despite years of supposedly clear mammograms. She learned, too late, that her dense breast tissue obscured the cancer. This condition is noted in reports to doctors but not in reports sent to patients, who develop a false sense of security.

In his veto statement, Brown said women should have the information, but he objected to the notification suggesting women talk to their physicians about further screening. Good grief. If women learn mammograms aren’t effective for them, they’d be crazy not to ask about alternatives.

When the Legislature reconvenes, Simitian should resubmit the bill minus the offending suggestion to consult doctors. The original bill got broad bipartisan support. In the meantime, Colton and Simitian may have saved lives just by airing the issue: All women should ask their doctors about dense breast tissue. And—sorry, governor—about alternative screening.

 

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Governor Jerry Brown has vetoed State Senator Joe Simitian’s (D-Palo Alto) bill to improve breast cancer detection, notwithstanding the bill’s broad bipartisan support (35-1 in the Senate, 66-6 in the Assembly). Senate Bill 791 required that following a mammogram, women with dense breast tissue be informed that: they have dense breast tissue; that dense breast tissue can obscure abnormalities (i.e., cancer) on a mammogram; and that they may wish to discuss the potential value of additional screening(s) with their doctors. read more ...

No, Sen. Joe Simitian isn't even thinking about trying to override Gov. Jerry Brown's veto of his bill that would have required doctors to inform women with high breast density that they have the condition -- which can mask tumors during mammograms. read more ...

State Senator Joe Simitian’s (D-Palo Alto) bill to improve breast cancer detection has passed the State Legislature and now goes to the Governor for consideration. Senate Bill 791 requires that following a mammogram, patients with dense breast tissue be informed that they have dense breast tissue, that dense breast tissue can obscure abnormalities (i.e., cancer) on a mammogram and that they may wish to discuss the potential value of additional screening(s) with their doctors. read more ...