Breast & Cervical Cancer Data
NCSL is updating its resources on breast and cervical cancer issues. We will be tracking related legislation on this state cancer laws page starting summer 2009 and continue through the 2010 legislative sessions.
NCSL Legislative Summit 2009 Session: Collaborating to Fight Cancer
Friday, 10:15 a.m. -11:45 a.m.
Philadelphia Convention Center
Learn about ways to increase breast and cervical cancer early detection and treatment by leveraging non-state funds. For example, the Pennsylvania Breast Cancer Coalition uses a state income tax check off and other strategies to promote the state's program for low income women and free care at hospitals and clinics.
Listen to this session from NCSL's 2009 Legislative Summit in Philadelphia.
Moderator: Senator Judy Lee, North Dakota
Pat Halpin-Murphy, Founder and President of Pennsylvania Breast Cancer Coalition (PDF Handout
Joanne Corte Grossi, Director, Office of Women's Services, PA Department of Public Welfare (PDF Slides
Gerald Cook, Division of Cancer Prevention and Control Program Services Branch (PDF Slides
Sen. Vincent Hughes, Minority Chair, PA Senate Public Health & Welfare Committee and Minority Caucus Chair
Former Representative George Kenney, Pennsylvania, Vice-President of Government Programs at Temple University Health System
State Support of National Breast & Cervical Cancer Early Detection Programs
In 1990, Congress authorized the Centers for Disease Control and Prevention to fund screening and diagnostic services for low-income, uninsured or underinsured women, who are less likely to receive preventive breast and cervical cancer screening. This led to the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). NBCCEDP funds all 50 states, the District of Columbia, five U.S. territories, and 12 American Indian/Alaska Native tribes or tribal organizations to provide access to breast and cervical cancer screening and diagnostic services, including: clinical breast examinations, Pap tests, mammograms, pelvic exams, diagnostic testing and referrals to treatment.
States are required to provide a 1:3 match to federal funds in actual or in-kind support to the their state's funded program. The map shows how much each state financially supported their program in 2007-2008 beyond the 1:3 match. In tough economic times, more women become eligible for screening, which increases the demand for additional resources. Though some are screened outside the program, only 15.9 percent and 7.1 percent of eligible women are screened for breast cancer and cervical cancer through the NBCCEDP, respectively, leaving many eligible women unscreened.
In 2000, Congress passed the Breast and Cervical Cancer Prevention and Treatment Act to allow states the option of offering women diagnosed through the NBCCEDP access to treatment through a special Medicaid option program. All 50 states, the District of Columbia and some territories approved this option. In 2001, American Indians and Alaska Natives were included to receive services provided by Indian Health Service clinics or tribal organizations.
NBCCEDP-funded program accomplishments include the following:
- In program year 2007, the NBCCEDP screened 295,338 women for breast cancer with mammography and found 3,962 breast cancers. That year, the NBCCEDP screened 318,220 women for cervical cancer with the Pap test and found 4,996 cervical cancers and high-grade precancerous lesions.
- Since 1991, NBCCEDP-funded programs have served more than 3.2 million women, provided more than 7.8 million breast and cervical cancer screening examinations, and diagnosed 35,090 breast cancers, 2,161 cervical cancers, and 114,390 precursor cervical lesions, of which 42 percent were high grade.
Data Sources: American Cancer Society Cancer Action Network, June 2009. Centers for Disease Control and Prevention: http://www.cdc.gov/cancer/nbccedp/about.htm
State Mandates for Breast & Cervical Cancer Screenings and Treatments
Forty-nine states and the District of Columbia mandate mammograms for breast cancer screening. Pap smears to check for irregular cervical cells are mandated in at least 29 states. For the latest laws on these issues, please visit the state cancer laws page.
Breast & Cervical Cancer News from CDC and CMS
New report from the GAO: Source of Screening Affects Women’s Eligibility for Coverage of Breast and Cervical Cancer Treatment in Some States.