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The 2011 Texas Legislature excluded affiliates of abortion providers, includ- ing Planned Parenthood, from WHP. The Centers for Medicare & Medicaid Services (CMS) then said it would cease funding the program because federal law gives women the right to choose from whom they receive health care. Attorney General Greg Abbott sued the federal government to restore funding. Physicians and their staff members need to be aware of the following chang- es in the new program:


• The new application is similar to the previous WHP application but doesn’t contain references to Medicaid. The new application is available for down- load at www.texaswomenshealth.org.


• Women who enroll in the program will receive new “Your Texas Benefits” cards featuring TWHP in bold letters on the top right of the card.


According to HHSC, the claims sub- mission and reimbursement process will remain the same for physicians. The agency says women who had been get- ting WHP services through Planned Par- enthood can continue getting services at no cost from a TWHP participating physician. Women can search for a par- ticipating physician online at www.tex aswomenshealth.org or by calling (800) 335-8957.


The report’s findings highlight the importance of educating women about the preventive benefits and coverage provided by the Patient Protection and Affordable Care Act (PPACA), includ- ing coverage of mammograms without copays in many health plans. Beginning in 2014, the law will expand access to health insurance coverage for 30 million previously uninsured Americans. Approx- imately 5.1 million black women will re- ceive women’s preventive health services without cost-sharing under PPACA. The researchers reviewed data on new cases of invasive breast cancer reported during 2005 through 2009 from CDC’s National Program of Cancer Registries and the National Cancer Institute’s Sur- veillance, Epidemiology and End Results Program. The number of breast cancer deaths was based on death certificates submitted to the National Vital Statistics System.


Major findings include the following:


• About 40,000 women die of breast cancer each year in the United States.


• Black women have nine more deaths per 100 breast cancers diagnosed compared with white women.


• Black women have higher numbers of advanced stage breast cancer (45 percent) compared with white women (35 percent).


The report says better treatment


U.S. breast cancer disparities continue


Black women have higher death rates from breast cancer than any other ra- cial or ethnic group. They are 40 per- cent more likely to die from breast can- cer than white women, according to a November Vital Signs report from the Centers for Disease Control and Preven- tion (CDC). Despite the decline in breast cancer death rates in the past 20 years, black women had higher death rates even though they had fewer new cases of breast cancer, CDC says.


and early detection of breast cancer are likely responsible for half of the recent drop in breast cancer deaths. However, black women do not get the same qual- ity treatment for breast cancer as white women, it says. Breast cancer is the most common cancer and the second leading cause of cancer death among U.S. women. CDC’s National Breast and Cervical Cancer Early Detection Program provides low- income, uninsured, and underinsured women access to timely breast and cervi- cal cancer screening and diagnostic ser- vices nationwide. For more information, visit www.cdc.gov/cancer/breast. n


Crystal Conde is associate editor of Texas Medicine. You can reach her by telephone at (800) 880-1300, ext. 1385, or (512) 370-1385; by fax at (512) 370-1629; or by email at crystal.conde@texmed.org.


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March 2013 TEXAS MEDICINE 51


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