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Vol. 11, No. 5 · September 2007 · Editor: Martha L. Golar, Esq.
· NYC GOVERNOR SIGNS BILL THAT PROVIDES NEW RIGHTS TO CONSUMERS AND PHYSICIANS IN MANAGED CARE PLANS · OCTOBER COURTHOUSE ALERT ANNOUNCEMENT · JALBCA COCKTAIL RECEPTION IN SEPTEMBER · PESTICIDE PRODUCTS -- ACTIVE AND INERT INGREDIENTS · BCERF REGIONAL CANCER AND ENVIRONMENTAL FORUM · BREAST CANCER NEWS · CALENDAR / CONTACTS SAVE THE DATE -- The Twelfth Annual Ellen P. Hermanson Memorial Symposium
NYC GOVERNOR SIGNS BILL THAT PROVIDES NEW RIGHTS TO CONSUMERS AND PHYSICIANS IN MANAGED CARE PLANS On August 1, 2007, Governor Eliot Spitzer signed legislation to broaden the rights of health care consumers, physicians and hospitals associated with managed care health plans. The new law provides key legal protections to address long-standing problems of patients who become caught in the middle between hospital and insurer disputes, as where a health plan denies care that it previously pre-authorized. The law also helps untangle the complicated maze of rules that have been developed by hospitals and insurers so that clear and timely health care decisions can be made. The package of legal protections contained in the new law advances consumer and provider rights in several crucial areas: Organizations that participated in this process include the Medical Society of the State of New York, the HealthcareAssociation of New York State, NewYork Health Plan Association, Empire Blue Cross Blue Shield, Excellus Blue Cross Blue Shield, the Suburban Health Care Alliance and the Greater New York Hospital Association. Senator Kemp Hannon sponsored the bill in the Senate, and Assembly Health Committee Chair Richard N. Gottfried sponsored the bill in the Assembly. OCTOBER COURTHOUSE ALERT ANNOUNCEMENT The Harlem Mammography Van will be located in front of the Harlem Community Justice Center, 170 East 121st St., on October 22, 2007, beginning at 8 am. Appointments can be made by calling 1-800-564-6868. JALBCA COCKTAIL RECEPTION IN SEPTEMBER JALBCA has scheduled its annual cocktail reception to kick-off theAnnual CourthouseAlert. The reception is scheduled for Wednesday, September 19, 2007 from 5 PM to 7 PM at the Appellate Division, Second Department Courthouse, 45 Monroe Place, Brooklyn Heights, NY. The Honorary Event Chair is Hon. Gail A. Prudenti, Presiding Justice, Appellate Division, Second Department. The Event Co-Chairs, as in prior years, are Hon. Ellen Spodek and Hon. William C. Thompson of JALBCA’s Judge’s Division. All persons interested in attending are asked to R.S.V.P. by contacting JALBCA at 212-289-9720. PESTICIDE PRODUCTS -- ACTIVE AND INERT INGREDIENTS Pesticide products contain both active ingredients (that control the pest) and inert ingredients (added ingredients which do not have pesticide activity but can be biologically active). Inert ingredients may comprise most of the weight of the pesticide product and include, for example, water, solvents, emulsifiers, surfactants, clay or propellants. Many inert ingredients used in these products are listed as hazardous chemicals under the Clean Air Act, the Clean Water Act, and the Safe Drinking Water Act. Environmental organizations, consumers and policy makers have expressed concern about potential health effects of many of these substances. Under current labeling requirements, there is no need to identify the inert ingredients by name, or state the toxicity of inert ingredients on the pesticide product label. To learn more about this subject and applicable reference material, you may want to refer to the Spring 2007 Newsletter of the Cornell University Program on Breast Cancer and Environmental Risk Factors (BCERF) at envirocancer.cornell.edu. BCERF REGIONAL CANCER AND ENVIRONMENTAL FORUM BCERF is sponsoring a forum on Thursday, September 27, 2007, 10 am – 3 pm, at Abby Aldrich Rockefeller Dining Room, Rockefeller University, 1230 York Ave, NYC. The subjects to be covered are: To RSVP or for further information, contact Carmi Orenstein at 607-255-1185 or cso1@cornell.edu. BREAST CANCER NEWS BSGI The Journal of Academic Radiology recently published results of a study concerning breast-specific gamma imaging (BSGI), which involves nuclear medicine imaging of the breast utilizing a high-resolution gamma camera. The results indicated that BSGI provides a higher sensitivity for the detection of Ductal Carcinoma In Situ (DCIS) than mammography or MRI and can reliably detect small, sub-centimeter lesions. This would support the value of BSGI as a complementary diagnostic procedure to mammography to detect breast cancer when post-mammogram evaluation is indicated. Standard film and digital mammography are the accepted imaging procedures for breast cancer screening, and mammograms (and ultrasound) can detect the location, size and shape of a mass. BSGI, however, involves a test to determine if a suspicious mass is benign or malignant. Therefore, results can be of assistance in a decision as to whether a breast biopsy is appropriate. The test involves the injection of a small amount of a radioactive tracer that is absorbed by all the cells in the body. Because cancerous cells in the breast have an increased rate of metabolic activity, they absorb a greater amount of the tracing agent than normal, healthy cells. Breast compression is not required for the procedure. It appears that BSGI is particularly helpful for patients with mammograms that are difficult to interpret because of a variety of factors: dense breast tissue, suspicious areas on a mammogram, lumps that can be felt but not seen with mammography or ultrasound, implants and breast augmentation, scarring from previous surgeries and women with a strong positive family history of breast cancer. Evista Recommended for Approval to FDA for Breast Cancer in Post-menopausal Women An expert panel that advises the US Food and Drug Administration (FDA) voted in July 2007 to recommend that the osteoporosis drug Evista, manufactured by Eli Lilly, be approved for use in preventing invasive breast cancer in post-menopausal women. Evista (chemical name raloxifene hydrochloride) is a prescription drug that prevents and treats osteoporosis in post-menopausal women. It is a selective estrogen receptor modulator (SERM) which the FDA has recently classified as an estrogen agonist/antagonist. Three studies filed by Eli Lilly all showed that women who took Evista for up to five years developed fewer invasive breast cancers than women who took a placebo. But women who took the drug also had a higher risk of serious blood clots and fatal stroke. Evista is not recommended for women who are pregnant or breast feeding, or who have liver or kidney problems or are under treatment for blood clots or have a history of them. Being immobile for long periods would add to the risk of blood clots developing in the veins. An FDA analysis of the three studies was reportedly inconclusive as to whether Evista’s potential benefits outweighed its risks. It is recommended that women with a history of stroke or associated risk factors, smoking, or irregular heart beat (atrial fibrillation) should discuss both the risks and the benefits of taking Evista with their medical provider before taking the drug. CALENDAR / CONTACTS ADELPHI NY STATEWIDE BREAST CANCER Hotline & Support Program Adelphi University School of Social Work Garden City, NY 11530 www.adelphi.edu/nysbreastcancer/index.html CancerCare 275 Seventh Avenue NY NY 10001 1-800-813-HOPE (4673) www.cancercare.org Telephone Education Workshop:
MEMORIAL SLOAN-KETTERING CANCER CENTER Memorial Sloan-Kettering Cancer Center Post-Treatment Resource Program Educational Forums 1275 York Avenue - Room M107 New York, NY 10021 212-717-3527 www.mskcc.org/mskcc/html/59513.cfm Bendheim Integrative Medicine Center 1429 First Avenue (at 74th Street New York, NY
SHARE (Self-Help for Women with Breast or Ovarian Cancer) 1501 Broadway, 704A New York, NY 11530 www.sharecancersupport.org 212-719-0364 JALBCA does not endorse the content or efficacy of any workshops or programs listed in the Calendar of Events; listings are for informational purposes only, so that our readership is aware of current offerings. |
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