Breast Cancer Advocacy Update from VBCF

February 13, 2018

At Here for the Girls, we are not an advocacy group -- however, we absolutely encourage our supporters and our survivors to equip themselves with knowledge about laws that affect them and to become strong advocates for their own health. In order to help our blog readers do these things, we invited our friends at the Virginia Breast Cancer Foundation (VBCF) to share their knowledge and information about their advocacy efforts so far this year with the Virginia General Assembly.

In February 1991, five women met in an MCV support group. Stunned by a lack of research and progress in breast cancer treatment, they planned a Mother’s Day Rally at the Virginia State Capitol to bring attention to this devastating disease. The activist seeds of the Virginia Breast Cancer Foundation (VBCF) were sown that day, and VBCF was incorporated as a 501c3 non-profit in October 1992. VBCF seeks to educate Virginians about breast cancer to encourage screenings to improve early diagnosis and treatment outcomes and to advocate for improved public policy to enable Virginians affected by breast cancer to receive the best quality of healthcare while on their treatment journey. We work to provide Virginians with knowledge and a voice when affected by breast cancer.

Each year, VBCF hosts a breast cancer advocacy day at the Virginia General Assembly in Richmond with training for volunteer advocates so that state legislators hear directly from their constituents impacted by breast cancer. At our January 30, 2018 Advocacy Day, our breast cancer advocates met with over 20 state legislators to make their voices heard on the following legislation:

VBCF Priority Legislation 2018:

Increase Access to Healthcare for ALL Virginians - Support for HB 348

Expanding access to health insurance through Medicaid expansion will mean that more women will be able to secure breast cancer screenings and treatment. Every month Virginia loses an average of $142 million in federal funding. Since 2014, the Commonwealth has forfeited over $10 billion in federal funds, which could have been used to help uninsured adults, hospitals, and businesses. Most states have expanded their Medicaid programs. While Virginians suffer without coverage, 31 states and the District of Columbia are providing health insurance to uninsured adults. Those states are seeing significant health and financial benefits.

The Latest: Current debate centers around adding a work requirement for those receiving Medicaid.

Use of Medical Cannabis for Cancer Patients - Support for HB 1251, SB 726.  Based on The National Institute of Health's National Cancer Institute information, "the potential benefits of medicinal cannabis for people living with cancer include antiemetic effects, appetite stimulation, pain relief, and improved sleep."  HB 1251 and SB 726 provide for a practitioner to issue a written certification for the use of cannabidiol (CBD) oil or THC-A for the treatment or to alleviate the symptoms of any diagnosed condition or disease.  These bills in one form or another provide an affirmative defense to prosecution for possession if a person has a valid written certification issued by a practitioner for CBD oil or THC-A oil. Under current law, only the treatment of intractable epilepsy is covered by this defense.

The Latest: As of 2/5/18, both bills were passed by their respective chambers. Since the bills are identical, the steps forward are largely procedural: the bills will “crossover” to the opposite house for a vote, before heading to Governor Northam’s desk for signature. Governor Northam, also a doctor, is already on record in support of “Let Doctors Decide” medical marijuana laws in the Commonwealth. Passage of this historic legislation would make Virginia the first state with a hyper-restrictive program to adopt such a broad expansion.

Improve Protocols for Step Therapy - Support for HB 386, SB 574 to make step therapy better and safer for Virginians - Step therapy occurs when a doctor prescribes a medicine, but the insurance company requires the patient to try alternate, cheaper drugs first, with no clinical justification. Step therapy can delay patient access to medication, causing adverse reactions and allowing their health to deteriorate. HB 386 and SB 574 put an online process in place for health care providers to request overrides for step therapy protocols for patients for whom the insurer- mandated drug is clinically determined to cause adverse health events or be ineffective, as well as those who have already met step therapy requirements and ensures that providers are notified in writing if their request is denied.

The Latest: On 2/1/18, the House Commerce and Labor subcommittee voted to recommend to the full committee that HB 386 should be “passed by indefinitely” meaning the bill is dead for this session. On 2/6/18, the House Finance Committee voted to recommend that SB 574 be “continued until 2019 in Finance” meaning it will be considered during the next General Assembly session.

If you would like to actively support breast cancer legislation at the state and national levels, SIGN UP FOR VBCF’S ADVOCACY ALERTS. These brief email alerts are sent periodically – when your advocacy is needed the most. The Alerts will keep you up to date with the latest breast cancer legislation and provide the tools and information you need to take action.

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