An Act
ENROLLED HOUSE
BILL NO. 4152 By: Schreiber, Hefner, and
Swope of the House
and
Stanley of the Senate
An Act relating to public health and safety; amending
63 O.S. 2021, Section 1 -553.1, which relates to
summary of mammography report for patient; changing
the breast density notice; and providing an effective
date.
SUBJECT: Public health and safety
BE IT ENACTED BY THE PEOPLE OF T HE STATE OF OKLAHOMA:
SECTION 1. AMENDATORY 63 O.S. 2021, Sectio n 1-553.1, is
amended to read as follows:
Section 1-553.1 A. All health care facilities that perform
mammography examinations shall include in the summary of the
mammography report, required by federal law to be provided to a
patient, information that identifies the patient's individual breast
density classification based on the Breast Imaging Reporting and
Data System established by the American College of Radiology as
dense or not dense. If the patient elects to receive the summary of
the mammography report by electronic mail and provides an electronic
mail address, the summary shall be sent by electronic mail. If the
facility determines th at a patient has heterogeneously or extremely
dense breast tissue, the summary of the mammography report shall
include the following notice:
"Your mammogram indicates that you have dense breast tissue.
Dense breast tissue is common a nd is found in more th an fifty
percent (50%) of women and is not abnormal. However, dense breast ENR. H. B. NO. 4152 Page 2
tissue may make it more difficult to d etect breast cancer and may be
associated with an increased risk of breast cancer. This
information is being provided t o raise your awareness and to
encourage you and your health care provider to discuss this and
other breast cancer risk factors. Togethe r, you and your health
care provider can decide if additional screening options may be
right for you. A report of your results was sent to yo ur health
care provider."
"Breast tissue can be either dense or not dense. Dense tissue
makes it harder to find b reast cancer on a mammogram and also ra ises
the risk of developing breast cancer. Your breast tiss ue is dense.
In some people with dense tis sue, other imaging tests in addition to
a mammogram may help find cancers. Talk to your health care
provider about breast density, risks for breast canc er, and your
individual situation."
B. Patients who receive diagnostic or screen ing mammograms may
be directed to informative material about breast density. This
informative material may include the American College of Radiology's
most current brochure o n the subject of breast density available on
the American College of Radiology 's website. Patients and health
care providers can be further informed by material from the American
Cancer Society or Mammography Saves L ives organizations.
C. Nothing in this section shall be deemed to create a duty of
care or other legal obligation beyon d the duty to provide notice as
set forth in subsection A of this section. Nothing in this section
shall be deemed to require a notice that is inconsistent with the
provisions of the federal Mammography Quality Standards Act or any
regulations promulgated pursuant thereto.
SECTION 2. This act shall become effective November 1, 2024.
ENR. H. B. NO. 4152 Page 3
Passed the House of Representatives t he 7th day of March, 2024.
Presiding Officer of the House
of Representatives
Passed the Senate the 16th day of April, 2024.
Presiding Officer of the Senate
OFFICE OF THE GOVERNOR
Received by the Office of the Governor this _______________ _____
day of ___________________, 20_______, at _______ o'clock _______ M.
By: _________________________________
Approved by the Governor of the State of Oklahoma this _____ ____
day of ___________________, 20_______, at _______ o'clock _______ M.
_________________________________
Governor of the State of Oklahoma
OFFICE OF THE SECRETARY OF STATE
Received by the Office of the Secretary of State this __________
day of ___________________, 20_______, at _______ o'clock _______ M.
By: _________________________________