3616                                                       VETOES

AUTHORIZE DR. ________ TO PERFORM ANY OPERATIONS OR PROCEDURES,

INCLUDING BREAST REMOVAL, THAT ARE DEEMED NECESSARY.
PROCEDURE:

PATIENT'S OR OTHER AUTHORIZED PERSON'S SIGNATURE."

(B) (C) A PHYSICIAN WHO VIOLATES ANY PROVISION OF

SUBSECTION (A) OF THIS SECTION IS SUBJECT TO THE PROVISIONS OF §
14-504(27) OF THE HEALTH OCCUPATIONS ARTICLE.

(B) THE DEPARTMENT SHALL:

(1) PROVIDE A STANDARDIZED WRITTEN SUMMARY IN
LAYMAN'S LANGUAGE THAT:

(I) LISTS ALL EFFECTIVE METHODS OF TREATMENT
FOR BREAST CANCER THAT MAY BE MEDICALLY PRACTICABLE, INCLUDING
SURGICAL, RADIOLOGICAL, CHEMOTHERAPEUTIC, AND COMBINATIONS OF
THOSE TREATMENTS: AND

(II) DESCRIBES THE ADVANTAGES, DISADVANTAGES,
RISKS, AND PROCEDURES ASSOCIATED WITH EACH METHOD OF TREATMENT
LISTED;

(2) UPDATE THE STANDARDIZED WRITTEN SUMMARY ANNUALLY;
AND

(3) DISTRIBUTE THE STANDARDIZED WRITTEN SUMMARY TO
EACH HOSPITAL, CLINIC, AND PHYSICIAN'S OFFICE AND OTHER FACILITY
THAT PERFORMS TREATMENTS OF BREAST CANCER.

(C) A PHYSICIAN SATISFIES THE REQUIREMENTS OF SUBSECTION
(A) OF THIS SECTION IF:

(1) THE PHYSICIAN PROVIDES A BREAST CANCER PATIENT
WITH THE STANDARDIZED WRITTEN SUMMARY DESCRIBED IN SUBSECTION (B)
OF THIS SECTION IN LANGUAGE THAT THE PATIENT UNDERSTANDS;

(2) THE PATIENT RECEIVES THE STANDARDIZED WRITTEN
SUMMARY WITHIN 5 DAYS OF THE START OF THE TREATMENT FOR BREAST
CANCER; AND

(3) THE PATIENT SIGNS A STATEMENT PROVIDED BY THE
DEPARTMENT ACKNOWLEDGING THE RECEIPT OF THE STANDARDIZED WRITTEN
SUMMARY.

(D) THIS SECTION DOES NOT APPLY IF THE ATTENDING PHYSICIAN
CERTIFIES THAT:

(1) TREATMENT FOR BREAST CANCER OCCURRED WITHIN 5
DAYS OF THE PHYSICIAN INFORMING THE PATIENT OF THE DIAGNOSIS; AND