As of September 2013, 13 states had laws on the books requiring mandatory breast density notification or inclusion of awareness provisions in lay letters to patients. The states are Alabama, California, Connecticut, Hawaii, Indiana, Maryland, New York, North Carolina, Nevada, Oregon, Tennessee, Texas and Virginia.
Federal Mammography Quality Standards Act (MQSA) includes a requirement for patient notification through summary letters. Many of the new state laws on breast density notification take this process a step further by requiring the mammography facilities to include statutorily mandated language within patient lay letters.
The ACR recommends several resources dedicated to the subject of breast density to its members and referring physicians. The Breast Imaging Resources page of the ACR website and the Mammography Saves Lives website feature an informational brochure designed for patient education that facilities have the option of including with letters for every patient getting a mammogram irrespective of individual breast density finding. The tri-fold brochure was developed by the ACR and the Society of Breast Imaging. The information in the patient brochure is factual, with advice based on peer-reviewed clinical research.