HOUSE BILL REPORT

HB 2077

BYRepresentatives Brooks, Dellwo, Ballard, Rust, Rector, Grant, Anderson, Wolfe, Miller, Winsley, D. Sommers, Ferguson, Crane and Jacobsen

Establishing a network for the reporting of cancer cases.

House Committe on Health Care

Majority Report:  The substitute bill be substituted therefor and the substitute bill do pass.  (11)

      Signed by Representatives Braddock, Chair; Day, Vice Chair; Brooks, Ranking Republican Member; Cantwell, Chandler, Morris, Prentice, Sommers, Sprenkle, Vekich and Wolfe.

House Staff:Bill Hagens (786-7131)

Rereferred House Committee on Appropriations

Majority Report:  The second substitute bill be substituted therefor and the second substitute bill do pass.  (24)

      Signed by Representatives Locke, Chair; Grant, Vice Chair; Silver, Ranking Republican Member; Youngsman, Assistant Ranking Republican Member; Appelwick, Belcher, Bowman, Brekke, Doty, Ebersole, Hine, Inslee, May, McLean, Nealey, Padden, Peery, Rust, Sayan, Spanel, Sprenkle, Valle, Wang and Wineberry.

House Staff:      Michelle Hauth (786-7384)

AS REPORTED BY COMMITTEE ON APPROPRIATIONS FEBRUARY 3, 1990

BACKGROUND:

Presently, there is no statewide tumor registry system in Washington State. Most tumor surveillance activity is undertaken by either the Fred Hutchinson Cancer Research Center (FHCRC) in Seattle or the Blue Mountain Oncology Program (BMOP) in Walla Walla. There are also 25 community hospitals that have limited programs.

SUMMARY:

SUBSTITUTE BILL:  The substitute bill sets forth the legislative intent to establish a system to monitor the incidence of cancer in the state.

A governing board, composed of between seven and eleven members appointed by the governor, is created to contract with a recognized cancer entity to establish a statewide tumor registry.  The governing board shall oversee the operation of the registry and make periodic reports to the Legislature and the governor.

The State Board of Health is required to determine, by rule, the tumor data reporting process.

Standards are established for the confidential use of registry data.

A blank appropriation clause is included.

SUBSTITUTE BILL COMPARED TO ORIGINAL:  The governing board replaces the Department of Social and Health Services as the authorization and oversight body for the registry.

CHANGES PROPOSED BY COMMITTEE ON APPROPRIATIONS (SECOND SUBSTITUTE BILL):  The second substitute bill eliminates the governing board; authorizes the Department of Health to contract for a statewide cancer registry program; authorizes the Department of Health to adopt rules as to the types of cancer reported, who shall report and the form and timing of the reports; eliminates two information collection data fields to reduce the cost of reporting; adds date of diagnosis to insure comprehensive cancer registry reporting; and removes the appropriation clause.

Appropriation:    (Health Care Committee)  An unspecified appropriation from the general fund to the Department of Social and Health Services.

(Appropriations Committee)  None.

Fiscal Note:      Available.

House Committee ‑ Testified For:    (Health Care)  Mike Ryherd, Fred Hutchinson Cancer Research and Kay Hicks, Blue Mountain Oncology Program.

(Appropriations)  Representative Brooks, Prime Sponsor; and Mike Ryherd, Fred Hutchinson Cancer Research Center.

House Committee - Testified Against:      (Health Care)  No one.

(Appropriations)  No one.

House Committee - Testimony For:    (Health Care)  By creating a statewide cancer registry, research institutions will be better able to study the prevalence and problems surrounding the incidence of cancer in our state.

(Appropriations)  This legislation is necessary for both Fred Hutchinson Cancer Research Center and Blue Mountain Tumor Registry to compile statewide data on cancer tumors.

House Committee - Testimony Against:      (Health Care)  None.

(Appropriations)  None.