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1
HOUSE RESOLUTION

 
2    WHEREAS, One in eight women will be diagnosed with breast
3cancer during their lifetime; and
 
4    WHEREAS, Women whose breast cancer is diagnosed early
5before it has spread have an almost 100% chance of being alive
6five years later; and
 
7    WHEREAS, Early detection of breast cancer and timely follow
8up, coupled with guideline concordant treatment is critical to
9survival from breast cancer; and
 
10    WHEREAS, A University of Illinois at Chicago study found
11that poor women, minority women, and women without any private
12health insurance were far more likely to have their breast
13cancers missed on a screening mammogram; and
 
14    WHEREAS, Both University of Illinois at Chicago and
15Metropolitan Chicago Breast Cancer Task Force studies have
16found significant variation in the quality of mammography, with
17minority women, poor women, and women with less education more
18likely to receive poorer quality mammography resulting in later
19stage diagnosis; and
 
20    WHEREAS, Both University of Illinois at Chicago and the

 

 

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1Metropolitan Chicago Breast Cancer Task Force studies find
2significant fragmentation of care experienced by poor women
3entering the healthcare system at lower resourced facilities,
4with delays experienced in follow up and loss to follow up
5resulting in poorer breast cancer outcomes for poor women,
6minority women, and women with less education; and
 
7    WHEREAS, To address the challenges with mammography
8quality, two pieces of prior legislation (Public Act 95-1045
9and Public Act 97-638) were signed into law and the Department
10of Healthcare and Family Services established a statewide
11mammography quality program with two rounds of data
12successfully collected; and
 
13    WHEREAS, The Department of Healthcare and Family Services
14has not administered this women's healthcare quality
15improvement program required by law for two years and has no
16internal capacity to administer such a program; and
 
17    WHEREAS, To address the challenges with respect to quality
18of breast cancer treatment and fragmentation of care and the
19barriers to receiving guideline concordant breast cancer
20treatment, Governor Rauner signed the Breast Cancer Excellence
21in Survival and Treatment act into law (Public Law 99-433) on
22August 21, 2015; and
 

 

 

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1    WHEREAS, The Department of Healthcare and Family Services
2has failed to implement the BEST Act including implementation
3of a breast cancer treatment quality program as required by the
4BEST Act, provisions in the BEST Act that require that all
5networks of care have patient navigation for cancer patients
6and that the Medicaid breast cancer patient navigation programs
7be expanded; nor has the Department ensured that every women in
8Medicaid is being offered and encouraged to utilize the
9mammography coverage proscribed in the Public Aid code that
10requires baseline coverage of mammography at age 35-39 and
11annual mammography at age 40 onward; therefore, be it
 
12    RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE ONE
13HUNDREDTH GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, that we
14urge the Governor and the Department of Healthcare and Family
15Services by July 1, 2018 to contract with an external expert
16entity that has prior experience collecting statewide
17mammography quality data to perform the Department's quality
18improvement program and to provide each participating facility
19with a mammography quality report annually; such entity should
20be reimbursed at an annual rate of $230,000; and be it further
 
21    RESOLVED, That by July 1, 2018, the Department of
22Healthcare and Family Services is urged to contract with an
23external expert entity that has prior experience collecting
24breast cancer treatment data from safety net providers in

 

 

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1Illinois and is a federally designated Patient Safety and
2Quality Improvement Organization as of January 1, 2018; this
3entity should be responsible for developing a breast cancer
4treatment quality program and will collaborate with the State's
5cancer registry in so doing; such entity should be reimbursed
6at an annual rate of $350,000; and be it further
 
7    RESOLVED, That that the Department of Healthcare and Family
8Services is urged to immediately implement all other components
9of the BEST Act and to work with breast cancer advocates and
10breast cancer clinical experts to ensure that the Illinois
11Medicaid program provides the highest quality breast cancer
12screening and treatment to women served by Illinois Medicaid;
13and be it further
 
14    RESOLVED, That suitable copies of this resolution be
15delivered to the Governor and to the Director of Healthcare and
16Family Services.