1999 Legislation
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HOUSE BILL NO. 198 – Cancer, definition

HOUSE BILL NO. 198

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Daily Data Tracking History



H0198.................................................by HEALTH AND WELFARE
CANCER - Amends existing law to further define cancer to exclude in-situ
neoplasms of the cervix for the purposes of the State Cancer Registry.

02/09    House intro - 1st rdg - to printing
02/10    Rpt prt - to Health/Wel
02/17    Rpt out - rec d/p - to 2nd rdg
02/18    2nd rdg - to 3rd rdg
02/19    3rd rdg - PASSED - 60-0-10
      AYES -- Barraclough, Barrett, Bell, Bieter, Black, Bruneel,
      Callister, Campbell, Chase, Clark, Crow, Cuddy, Deal, Denney,
      Ellsworth, Field(13), Field(20), Gagner, Gould, Hadley, Hammond,
      Hansen(23), Henbest, Hornbeck, Jaquet, Judd, Kellogg, Kempton,
      Kendell, Kunz, Lake, Limbaugh, Mader, Marley, McKague, Meyer,
      Montgomery, Mortensen, Moyle, Pomeroy, Reynolds, Ridinger, Ringo,
      Robison, Sali, Schaefer, Sellman, Smylie, Stevenson, Stoicheff,
      Stone, Taylor(Taylor), Tilman, Tippets, Watson, Wheeler, Williams,
      Wood, Zimmermann, Mr Speaker
      NAYS -- None
      Absent and excused -- Alltus, Boe, Geddes, Hansen(29), Jones,
      Linford, Loertscher, Pischner, Smith, Trail
    Floor Sponsor - Moyle
    Title apvd - to Senate
02/22    Senate intro - 1st rdg - to Health/Wel
02/25    Rpt out - rec d/p - to 2nd rdg
02/26    2nd rdg - to 3rd rdg
03/09    3rd rdg - PASSED - 33-0-2
      AYES--Andreason, Boatright, Branch, Bunderson, Burtenshaw, Cameron,
      Crow, Danielson, Darrington, Davis, Deide, Dunklin, Frasure, Geddes,
      Hawkins, Ingram, Keough, King, Lee, McLaughlin, Noh, Richardson,
      Riggs, Risch, Sandy, Schroeder, Sorensen, Stegner, Stennett, Thorne,
      Twiggs, Wheeler, Whitworth
      NAYS--None
      Absent and excused--Ipsen, Parry
    Floor Sponsor - King
    Title apvd - to House
03/10    To enrol
03/11    Rpt enrol - Sp signed
03/12    Pres signed
03/15    To Governor
03/17    Governor signed
         Session Law Chapter 76
         Effective: 07/01/99

Bill Text


H0198


                                                                        
 ||||              LEGISLATURE OF THE STATE OF IDAHO             ||||
Fifty-fifth Legislature                 First Regular Session - 1999
                                                                        

                             IN THE HOUSE OF REPRESENTATIVES

                                    HOUSE BILL NO. 198

                             BY HEALTH AND WELFARE COMMITTEE

 1                                        AN ACT
 2    RELATING TO THE CANCER REGISTRY; AMENDING SECTION 57-1703, IDAHO CODE, TO FUR-
 3        THER DEFINE CANCER TO EXCLUDE IN SITU NEOPLASMS OF THE CERVIX.

 4    Be It Enacted by the Legislature of the State of Idaho:

 5        SECTION 1.  That Section 57-1703, Idaho Code, be, and the same  is  hereby
 6    amended to read as follows:

 7        57-1703.  CANCER  REGISTRY  -- DEFINITIONS. (1) "Cancer" means all in situ
 8    or malignant neoplasms diagnosed by histology, radiology, laboratory  testing,
 9    clinical  observation, autopsy or suggestible by cytology, but excluding basal
10    cell and squamous cell carcinoma of the skin unless occurring on a mucous mem-
11    brane  and excluding in situ neoplasms of the cervix .
12        (2)  "Reportable benign tumors" means noncancerous neoplasms occurring  in
13    the brain, meninges, pineal gland or pituitary gland.
14        (3)  "Confidential information" refers to information which may identify a
15    cancer patient, health care facility or health care provider.
16        (4)  "Contractor" means that individual, partnership, corporation or other
17    entity  performing cancer registry services under a contractual agreement with
18    the department.
19        (5)  "Department" means the Idaho department of health and welfare.
20        (6)  "Population-based" refers to all cancers and reportable benign tumors
21    diagnosed and/or treated within the state  of  Idaho  by  hospitals  or  other
22    facilities providing screening, diagnostic or therapeutic services to patients
23    with  respect  to  cancer, and from physicians, surgeons, and all other health
24    care providers diagnosing or providing treatment for cancer patients.

Statement of Purpose / Fiscal Impact


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                       STATEMENT OF PURPOSE

                             RS08805

This legislation would discontinue the reporting and routine
collection of cervix in situ (noninvasive) cases. National
standard setting bodies cite long-standing problems of data
comparability in pre-invasive cancer of the cervix; these
problems will worsen over time as analysis systems evolve.
Solutions require either dropping the collection of these data,
as this legislation would do, or expanding the collection of
data to include all high grade lesions and their equivalents,
resulting in significant increases in data collection cost. The
fact that some high grade lesions are not encompassed in the
definition of cancer also raises concern as to the legality of
access to records in these cases.


The collection of data on all invasive cervical cancers will
not be disrupted. In addition, the collection of data on in
situ lesions of other anatomical sites also will continue.

                                 
                          FISCAL IMPACT

 None.



 CONTACT
 Name:                      Steve Millard
                            Bonnie Haines
                            Idaho Hospital Association
 Phone:                     338-5100

                                        Statement of Purpose/Fiscal Impact    Bill No. 198