R020-9899


10         		A RESOLUTION CONCERNING
20 		INSURANCE REFORM TO PROVIDE COVERAGE FOR
30 			BREAST CANCER CONCERNS

40 	WHEREAS: 	One out of every eight women will develop breast cancer in their 
50 			lifetime; and,

60	WHEREAS:	Of the over 175,000 women diagnosed with breast cancer every 
70			year, 44,000 will die from the disease; and,

80	WHEREAS:	Breast cancer impacts not only the women who are diagnosed, but 
90			their husbands, families, and friends as well; and,

100	WHEREAS:	Men can develop breast cancer too; and,

110	WHEREAS:	Early detection is key for the successful treatment of breast cancer; 
120			and,

130	WHEREAS:	Modern detection methods have surpassed self-examination and 
140			simple mammography and now include genetic testing, high 
150			resolution ultrasound, magnetic resonance imaging, and positron 
160			emission tomography; and,

170	WHEREAS:	Insurance companies are not required by law to pay for these new 
180			diagnostic methods; and,

190	WHEREAS:	Persons at the highest risk of developing breast cancer are female, 
200			over the age of fifty, Caucasian, eat a high fat diet, smoke, drink 
210			alcohol, use oral contraceptives, began menstruating early, were 
220			over the age of thirty before having children or never had any 
230 			children, and who demonstrate a family history of breast or 
240			reproductive cancer; and,

250	WHEREAS:	There are preventative therapies that can be undertaken that may 
260			prevent persons that are at a risk for breast cancer from ever 
270			developing the disease; and,

280	WHEREAS:	These methods include health maintenance through diet and 
290			exercise, more frequent diagnostic testing, elective surgery, and 
300			drug therapy; and,

310	WHEREAS:	Insurance companies are not required to cover some of these 
320			preventative therapies; and,

330	WHEREAS:	A bone marrow transplant may be necessary for a patient that has 
340			developed breast cancer; and,

350	WHEREAS:	Some insurance companies classify bone marrow transplants as an 
360			experimental procedure in breast cancer treatment; and,

370	WHEREAS:	Insurance companies are not required by law to cover experimental 
380			medical procedures; and,

390	WHEREAS:	85,000 women undergo mastectomies each year as part of their 
400			treatment for breast cancer; and,

410	WHEREAS:	A mastectomy is a horribly disfiguring operation; and,

420	WHEREAS:	Fear of losing a breast is a leading reason why women do not 
430			participate in early breast cancer detection programs; and,

440	WHEREAS:	Reconstructive surgery is often an integral part of the mental and 
450			physical recovery who undergoes a traumatic amputation of her 
460			breast; and,

470	WHEREAS:	Reconstructive surgery can also include surgery upon an 
480 			unamputated breast for the purposes of enhancing shape and 
490 			symmetry; and,

500	WHEREAS:	Many insurance companies classify this important medical 
510			procedure as cosmetic; and,

520	WHEREAS:	Most insurance companies will not pay for procedures classified as 
530			cosmetic; and,

540	WHEREAS:	The mental health of the patient and their family during and after
550 			treatment for breast cancer can be distressed; and,

560	WHEREAS:	The full mental recovery of the patient from the trauma of breast 
570			cancer is as important as their physical recovery; and,

580	WHEREAS:	The mental recovery of the patient and their family might be 
590 			accelerated by professional counseling in a group or private 
600			setting; and,

610	WHEREAS:	Insurance companies are not required to cover psychological 
620			treatment of the patient and their family during and following their 
630			battle with breast cancer; and,

640	WHEREAS:	Chemotherapy and radiation are common treatments for breast 
650			cancer; and,

660	WHEREAS:	These treatments have many negative side effects including weight 
670			gain or loss, nausea, hair loss, fatigue, and mental distress; and,

680	WHEREAS:	Alternative therapies including holistic treatments, massage, diet, 
690			exercise, and meditation have been shown to be effective in 
700			hastening the healing process of breast cancer patients; and,

710	WHEREAS:	These therapies may also help to combat the side effects of the 
720			more aggressive chemical treatments; and,

730 	WHEREAS:	Many insurance companies will not defray the costs of alternative
740                     treatments and therapies; and,

750	WHEREAS:	Insurance companies have developed a system of limiting the 
760			number of days that a patient may stay after undergoing a medical 
770			procedure; and,

780	WHEREAS:	In cases of cancer treatments, mastectomies, and reconstructive 
790			surgeries the possibilities of infection and/or complications are 
800			present that could have very negative effects on the recovery of the 
810			patient; and,

820	WHEREAS:	These complications could be fatal if left untreated; and,

830	WHEREAS:	The cost of staying in the hospital is prohibitive if you do not have 
840			insurance coverage; and,

850	WHEREAS:	A patientās doctor is the only person who is medically qualified to 
860			determine the health of the patient and their ability to return to 
870			their home following these medical procedures.

880	THEREFORE BE IT RESOLVED:	That the Maryland Student Legislature 
890			hereby encourages our professional legislators to pass legislation
900			that requires insurance companies to provide coverage for:
910				(1.)	alternative methods of diagnosing breast cancer, 
920					and,
930				(2.)	aggressive preventative therapy for those women at 
940					high risk of developing breast cancer, and,
950				(3.)	bone marrow transplants as an acceptable treatment 
960					for breast cancer, and,
970				(4.)	reconstructive surgery on one or both breasts 
980					following a mastectomy to produce normal shape 
990					and symmetry, and,
1000				(5.)	the professional counseling of the patient and their 
1010					family both during and after treatment for breast 
1020					cancer, and,
1030				(6.)	alternative treatments and therapies to hasten 
1040					healing and combat the side effects of chemical 
1050					therapies; and,

1060	BE IT FURTHER RESOLVED:	That the Maryland Student Legislature 
1070			strongly encourages the repeal of all insurance limitations on the 
1080			length of a patientās hospital stay in cases where these limitations 
1090			are determined by the patientās doctor to be dangerous to the 
1100			overall health and recovery of the patient; and,

1110	BE IT FURTHER RESOLVED:	That the Maryland Student Legislature 
1120			identifies itself as a body that is sensitive to the need for reform on 
1130			key womenās issues, and is dedicated to identifying and 
1140			implementing these changes whenever it is in our power to do so.

1150	MANDATES:	Betsy Lang÷Cumberland Valley Y-Me Support Group
1160			Governor Parris N. Glendenning
1170			Lt. Governor Kathleen Kennedy Townsend
1180			Frances Hughes Glendening
1190			United States Senator Barbara A. Mikulski
1200			Maryland Senator Donald Munson
1210 			Maryland Delegate John Donoghue

Sponsor:
Jessica L. Aiken
Frostburg State University
19226 Jamestown Drive
Hagerstown, MD 21742
(301) 791-5104
j.aiken@excite.com