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TR-92-39 ENNIS SIGN GROUP 7EL :789-2678 Jun 11 .92 9:20 NR .OU1 P.01 � TK-92- 39 .5. � RssoLu�rrox SupPo�trt=s Tm pAss�uag of s.'a 71 A10 8.3.5 4 3tssarr" IV la""T emma DETSCTIom A Wnuumme Sponsors Councillors Thomas Ennis a i;aney Gravel WSIRSAS, the health andd -geascal welfare of Agawam residents is of paxamannt importance to th® Town- of Agawami and WKSMS, breast cancer has been declared an epidemic within the Commonwealth of Massachusetts; and WHEREAS, S.471, An Act to Establish a Breast Cancer Detection Program and S.1545, An Act Establishing Mammography Standards and Providing for the Lice66i'ng - of Manimograiphy Pacilities are both currently before conm,ittegta:af- the Legislature; and WHEREAS, the passage-, .of said bills will mandate miuioura standards for Mammography.,;-.Md - establish breast cancer screening programs and help lower the occurence of breast cancer in the commonwealth of Massachusetts. NOW THEREFORE, the Agawam Town Council hereby resolves to strongly support both S.471 and S.1545 and will n6tify its State legislators of its decision. DATED THIS SIXTE M DAY- OF JULY . 1992. Per Order of the � Agawam Town ouncil -7/1 9 CU. Joanne-. Willis CC - . Ol 1, .President Apptoved as to Fors and Legality. ThOaal CIC e • �•] _ Torn Sq1 i ci for _:- MAYORAL ACTION Received this NIA day of 1992 from Town Council Clerk. APPROVAL OF LEGISLATION By the powers vested in me pursuant . to Article 3 , Section 3- 6 of the Agawam Charter, as amended, I hereby approve the Ipassage of the above legislation on this Sixteenth day of JUIV 1992 . Ch stopher . John A. Mayor DI PPROVAL OF LEGISLATION By the powers vested in me pursuant to Article 3, Section 3-- 6 of the Agawam Charter, as amended, I hereby veto the passage of the above legislation on this day of 1992 for the following reason( s ) : Christopher C. Johnson, Mayor RETURN OF LEGISLATION TO COUNCIL CLERK Returned to Council Clerk this Seventeenth� � day of July 1992. Im TOWN OF AGAWAM _ 36 MAIN STREET AGAWAM, MASSACHUSETTS 01001 y Tel. 413-786-0400 ■ 0 July 7, 1992 Senator Linda Melconian State House Boston, MA 02133 Dear Senator Melconian; Please be informed that the Agawam Town Council during their regular meeting on Monday, July 6, 1992 voice vote unanimously approved the enclosed resolution TR-92-39. Sincerely, Ursula Retzler Clerk of the Council Enclosure cc; Mayor, with enclosure Town Clerk, with enclosure Council Members, with enclosure ��4F qGR TOWN OF AGAWAM a, Z' 36 MAIN STREET AGAWAM, MASSACHUSETTS 01001 1 y 1 Tel. 413-1 86-0400 ATED spy 1 July 7, 1992 Michael P. Walsh State Representative of the 3rd Hampden District State house Boston, MA 02133 Dear Mr. Walsh: Please be informed that the Agawam Town Council during their regular meeting on Monday, July 6, 1992 voice vote unanimously approved the enclosed resolution TR-92-39. 1 Sincerely, Ursula Retzler Clerk of the Council Enclosure cc: Mayor, with enclosure Town Clerk, with enclosure Council members, with enclosure i 1 1 1 i � FA A o TOWN OF AGAWAM •,� �i` 36 MAIN STREET AGAWAM, MASSACHUSETTS 01001 i y Tel. 413-7 86-0400 1 ' July 7, 1992 Senator Lois Pines 40 Hel ene Road Waban, MA 02165 Dear Senator Pines; Please be informed that the Agawam Town Council during their regular meeting on Monday, July 6, 1992 voice vote unanimously approved the enclosed resolution TR-92-39. Sincerely, Ursula Retzler Clerk of the Council r Enclosure cc: Mayor, with enclosure Town Clerk, with enclosure Council Members, with enclosure r r r r r ENNIS SIGN GROUP TEL:789-2678 Jun 11 .92 9:20 No •001 R.01 TR-92- 39 A REBOWTION SQPFP2IEC TIM PASSUM OF 8_471 MW S.IS45 ' 1 RELIITIVH TO BRVAST CAS DZ2XC3TItIO AND XAMBIOG&AIST SIB�7, Sponsors : Councillors Thomas Eun,ia a Nancy Gravel WHEREAS, the health and -general welfare of Agawam residents is of paramount importance to the Tonm. of Agawam t and WHERREABr breast cancer has been declared an epidemic within the 1 Commonwealth of Massachusetts; and fi4MEMS, S.471, An Act to Establish a Breast Cancer Detection Program and S.1545, An Act Establishing Mammography Standards and Providing for the Licensing - of Mammography Facilities arse - both currently before commit3-s"...of- the Legislature; and WHEREAS, the passage,.- . of said bills will mandate mf.nim= standards for mammography:;.add • establish breast cancer screening programs and help lower the occurence of breast cancer in the Commonwealth of Massachusetts. NOW THEREFORE, the ]gamma Tore Council hereby resolves tc% strongly support both S.47I and 8.1545 and will no+Eify Its State legislators of its decisj=. DATED THIS DAY' OF 1992. Per Order of the Agawam Town Council 1 ' Joanne: W311is Tres id eat Approved as to Form and Legality. iThoma cke Town Solicitor ' :+K.:sr=a0k,enik[�irRwA`.�s�' `*• ... - '. ... .'1�; SENATOR LOTS G. PINES MIDDLESEX AND NORFOLK DISTRICT RM..427,STATE HOUSE,BOSTON,MA D2133 (617)722-1639[Office) S 1535 �} Chapter �G i T H E C O M M O N W E A L T H O F M A 5 S A C H U S E T T S In the Year one Thousand Nine Hundred and Ninety-two C7� 'F AN ACT ESTABLISHING MAMMOGRAPHY STANDARDS AND PROVIDING FOR THE LICENSING ' OF MAMMOGRAPHY FACILITIES. Be it enacted by the Senate and House of Representatives in General Court _ ' assembled, and by the authority of the same, as follows: G SECTION 1. Section 5L of chapter ill of the General Laws, as appearing in the 1990 Official Edition, is hereby amended by striking out, in lines 27, 34. 50, 53 and 58, the word "commission" and inserting in place thereof, in each instance, the following word:- department. SECTION 2. The first paragraph of section 5N of said chapter 111, as so appearing, is hereby amended by striking out the fifth sentence and inserting , in place thereof the following three sentences:- The department shall promul- gate rules and regulations that will ensure optimum exposure ranges for saft i and effective diagnostic radiographic examinations. Such rules and regula- tions shall be no less stringent than the most current standards and guide- lines developed by the National Council on Radiation Protection and Measure- ments, the American College of Radiology, the Conference of Radiation Control Program Directors and other pertinent national and international organiza- tions. Such rules and regulations shall not limit the intentional exposure of patients to radiation for the purpose of lawful therapy or research conducted by licensed health professionals. SECTION 3. Said section 5N of said chapter ill, as so appearing, is here- by further amended by striking out, in lines 46 and 47, the words "five N to . five P" and inserting in place thereof the following words:- five N to ' five Q. SECTION 4. Section 5 0 of said chapter 111, as so appearing, is hereby G amended by striking out, in lines 2 and 3, 7, 12 and 13, 39 and 40 and 47, Vhe words "five N to five P" and inserting in place thereof, in each instance, the : t following words:- five N to five 0. ' i SECTION 5. Said section 5 0 of said chapter 111, as so appearing, is hereby further amended by striking out, in Line 22, the words "section five N i i 5 1535 or section five P' and inserting in place thereof the following words:- sec-. tion five N, five P or five Q. SECTION 6. Said chapter 111 is hereby further amended by inserting after I section SP the following section;- Section 50. (a) The department shall promulgate rules and regulations for the licensing of mammography facilities. Said rules and regulations shall iestablish mandatory requirements for facilities that offer diagnostic mammography services within the commonwealth, and shall be no less stringent ' than the most current standards of the American College of Radiology. Such rules and regulations shall require that a physician be designated by the fa- , cility to be responsible for the overall quality assurance of said facility. ' Such rules and regulations shall also include, but not be limited to, the fol- lowing provisions: optimum exposure ranges; equipment standards and require- ments; mandated quality assurance programs; phantom image quality require- ments; operator training and experience requirements; annual evaluation and calibration of the mammography unit by a qualified radiation physicist; regis- tration of the mammography facility and specific inspection procedures by de- partment inspectors; reporting and recordkeeping requirements, as well as oth- ers so determined to be appropriate. The department may accept, in lieu of i I the above, certification by the American College of Radiology or other recog- nized organization as deemed status for licensing; provided, however, that the standards of said organization shall be no less stringent than the most cur- E rent standards of the American College of Radiology. For purposes of this section, a mammography facility shall be defined as any facility, whether sta- tionary or mobile, that offers diagnostic mammography services to any person in the commonwealth, including but not limited to, any facility owned or oper- ated by any health care provider as defined in section one, a health mainte- nance organization licensed pursuant to chapter one hundred and seventy-six G or any other entity that offers such services as defined by rules and regula- tions of the department. (h) All mammograms shall be read and interpreted by a physician practic- ing in accordance with the requirements of section five L of chapter one hyn- r dred and twelve. (c) The radiologic technologist performing the mammography procedure ishall be responsible for ensuring that the resulting radiographs meet the I technical and diagnostic requirements of the physician reading the mammogram. 2 - S 1545 (d) The department may establish a separate registration fee for diagnos- tic radiographic machines used for mammography under section five N; provided, . however, that registration fees established pursuant to this section shall be sufficient in the aggregate to support the net state cost, subject to appro- priaticn, for meeting the purposes of this section, after consideration of any r amounts available from the federal government for said purposes. i ' (e) The department shall require the use of radiographic systems specifi- cally designed for, and exclusively used for, mammography. (f) The department may issue temporary licenses as an interim measure un- til all requirements for full licensure are met, and may revoke said license i I if the facility is found to be in noncompliance with the department's rules 1 and regulations. I ' (g) The department shall establish appropriate procedures for application and licensing for facilities seeking a license to operate as a mammography fa- cility. r � (h) The department shall inspect mammography facilities annually, and � j shall notify the board of registration in medicine of any physician practicing . rin violation of the requirements of section five L of chapter one hundred and twelve regarding the reading and interpretation of mammography. I (i) The department shall issue a certificate of inspection after each in- ' spection, which the facility shall post near the mammography unit in full pub- 1 I lit view. I (j) The department may suspend or revoke a license to conduct mammography r } should a facility not meet any of the requirements set forth in this section. SECTION 7. Chapter 112 of the General Laws is hereby amended by inserting rafter section 5K the following section:- Section 5L. The board shall by regulation establish qualifications, stan- dards and criteria no less stringent than the most current standards of the American College of Radiology, which shall apply to all physicians who read r ' and interpret mammography. r SECTION S. The regulations required by section five L of chapter one hun- dred and twelve of the General Laws, inserted by section seven of this pct shall be promulgated no later than six months after the effective date of this act. llf I 1 i S 1545 House of Representatives. July 0, 1992. Passers to be enacted, , Speaker. I h In Senate, July 1992. Passed to be enacted, y !`s� , President. ' 1992. t Approved, 11: 2g 07" I Governor. i i i , i I i , i f + I i ! ! rr r � �r r� � r r r� r� r � , ■w r � � r 1 4r 4 21, ■ Also ImIde M ro R etComics 242,E egion . TV and Radio 27 -Me#WRegion news;,,:•,', 20-23,26,28,W THE BOSTON GLOBE • TUESDAY, JULY 14, 1992Weld to OK .Inanunogrciphy b . II By Teresa M.Hans&n Health,which will handle much of the inspeceeb rf �a 11 i�� ': 'I; GLOBE STAFF a S he Ill retain and licensing duties, has the option•of developin*.,.s'I'.� $3m for outreach more stringent standards. Gov.Weld said yesterday he will sign a breast "This is wonderful news for the women of �•' cancer bill sent to his desk by the Legislature Fri- Massachusetts who will finally have quality stag day that will establish statewide standards for mate there will be SAM new cases detected this Bards for mammograms," said �M Maguire; '''..) mammography machines. He also said he will ,year. president,of the Mamachusetta Breast Cane}.?, ro, leave intact$3 mMon in the fiscal 1993 budget for Pines said the mammography bill will reduce Coalition,who attended the presp eopferenee. breast cancer education and outreach programs. the incidence of undetected breast cancer due to The b0l also mandates' that mammography..... t At a press conference on the front steps of the malfunctioning equipment or poorly trained radi. equipment be maintained in top woAdng order, ,,,,I State House attended by both Democratic and ology technologisU and doctors by requiring all and inspected annually by the state,and`requires j:' Republican lawmakers, one of the We authors, Massachusetts facilities that perform mamma doctors who read breast X-rays to'receive specials state Sem Lois G. Pines (D-Newton), said both grams to meet standards set by the American !zed training in mammography- measures will guarantee women access to safe College of Radiology. The licensing program will be'funded by fee$,' "• and reliable mammography teats, only 35 percent of the states 270 mammo- impose'on mammography facilities.In a supple; Nearly 45,000 women in the United Staters graphy facilities are now accredited by the col- mental,budget pending in the Legislature,.lawl' died of breast cancer last year.One in nine wom- lege, and another third are undergoing the ac- makers have aIlocated$175,000 to run the livens+ en is diagnosed with breast cancer at some point creditation proces& ing,program until the fees'start coming in. in her lit ; in Massachusetts, health oftals esti- Under the bill,the state Department of Public �'.; CANCER, Page 0 I t _ f Weld to sign bill unifying mammogram standards CANCER Continued from Page 21 The mammography bill is based `Ms is wonderhil 1,on a Michigan law passed in 1989 news for the that established mammography ' standards. About nine states have women of r'implemented some sort of tougher Massachusetts who "'.regulations in the past few years to will �� have 'meet the voluntary standards set by the American College of Radiology quality standards _in last;.Th ' e for I amm million in the main budget ��• will be used to pay for mammograms ANN MAGUIRE for poor women with no health incur- Mamachusetts ante, to educate women on the im- Breast Causer Coalition portance of early detection, and for research on brew it cancer ir& Mass- acheld.W praised the mammoMphy bill, say- ing that "every woi* who has a measures be.eause..they are "in.line , mammogram should be',sasured,they . with our thinking,,on preventioK' are having thy'best "ble + spending�a®oppos .tp maintenar mogram" ' spending. We think that's going,to r save money t,-to mention=lives, over the lorirun." v He also�it4istd� ;.� '; three-year.Au •programs Among th et'a�.�dF sga,; in S'ringFeela,. :e'*4 dtbrd and In Pines at the ' ' nferencev$re"' ynn aria� o e{►courage poor Rep. Carmen lr.(D-Greenfi �' . . etfn.tS ve mammogram.,—1d cochaiwman Health 0 -the tree care insurance ppol— Committee, August h them the importance of Hornblower (ftwhoq 3,,who has 1vr. gn; pushed for the aspect o :,*i` �; bill. .- ,,r "'a`h01, , ditional $3 mllhon willPublic Healhelp further those efforts," he said. vid•Mulligan, nded, "It's vitally important." i 3✓ f