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I’m confused. If the comment period is open until 9/15, why is a decision being announced now? I’m all in favor of the decision, it just seems odd to make it before the comment period closes. Best regards, Doug Douglas Pfeiffer, MS, DABR FACR,</div>
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<meta http-equiv="content-type" content="text/html; charset=utf-8"></head><body style="overflow-wrap: break-word; -webkit-nbsp-mode: space; line-break: after-white-space;">I’m confused. If the comment period is open until 9/15, why is a decision being announced now? I’m all in favor of the decision, it just seems odd to make it before the comment period closes.<div><br id="lineBreakAtBeginningOfMessage"><div>
<div id="signature"><div style="color: rgb(0, 0, 0); letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; word-wrap: break-word; -webkit-nbsp-mode: space; line-break: after-white-space;"><div style="color: rgb(0, 0, 0); letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; word-wrap: break-word; -webkit-nbsp-mode: space; line-break: after-white-space;"><div><div style="orphans: 2; widows: 2;">Best regards,</div><div style="orphans: 2; widows: 2;">Doug</div><div style="orphans: 2; widows: 2;"><br></div><div style="orphans: 2; widows: 2;"><br></div><div style="orphans: 2; widows: 2;"><br></div><div style="orphans: 2; widows: 2;">Douglas Pfeiffer, MS, DABR FACR, FAAPM</div><div style="orphans: 2; widows: 2;">Medical Physicist, Radiation Safety Officer</div><div style="orphans: 2; widows: 2;">Boulder Community Health</div><span class="Apple-style-span" style="border-collapse: separate; border-spacing: 0px;"><span class="Apple-style-span" style="border-collapse: separate; border-spacing: 0px;"><span class="Apple-style-span" style="border-collapse: separate; border-spacing: 0px;"><div style="word-wrap: break-word; -webkit-nbsp-mode: space; line-break: after-white-space;"><div style="word-wrap: break-word; -webkit-nbsp-mode: space; line-break: after-white-space;"><div>xraydoug@me.com</div><div>303.415.7515</div><div><br class="webkit-block-placeholder"></div><div>+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-+-</div><div><br class="webkit-block-placeholder"></div><div>The opinions expressed in this message are the product of the gray and white matter loitering in my cranium. I speak for myself and no one else, unless I say otherwise.</div></div></div></span></span></span></div></div></div></div>
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<div><br><blockquote type="cite"><div>On Sep 12, 2025, at 9:25 AM, Matt Wait via Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list@lists.osu.edu> wrote:</div><br class="Apple-interchange-newline"><div><meta charset="UTF-8"><div class="WordSection1" style="page: WordSection1; caret-color: rgb(0, 0, 0); font-family: Helvetica; font-size: 12px; font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">Update: We won this round.<span class="Apple-converted-space"> </span><a href="https://urldefense.com/v3/__https://radiologybusiness.com/topics/healthcare-management/healthcare-quality/medicare-opts-not-make-ct-radiation-related-quality-measure-mandatory-2027__;!!KGKeukY!zbvcNBWICiqelbbDuVBifdMkK0izAe2_3PPi6zDgK3DTHfqD_uRMutA7O6deXrH6Q9SM0oaDRKXj6GcNmHi4J6aoxbzNj1OSfoeEOoA$" style="color: blue; text-decoration: underline;">https://radiologybusiness.com/topics/healthcare-management/healthcare-quality/medicare-opts-not-make-ct-radiation-related-quality-measure-mandatory-2027</a><o:p></o:p></span></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"><o:p> </o:p></span></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif; background: white;"><b><span style="font-size: 9pt; font-family: Arial, sans-serif; color: rgb(0, 120, 179);">Matt Wait, MS, DABR, DABSNM, MRSE</span></b><span style="font-size: 9pt; font-family: Arial, sans-serif;"><br>Senior Diagnostic Physicist</span><span style="font-size: 12pt;"><o:p></o:p></span></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif; background: white;"><span style="font-size: 9pt; font-family: Arial, sans-serif;">Assistant Radiation Safety Officer</span><span style="font-size: 12pt;"><o:p></o:p></span></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif; background: white;"><span style="font-size: 9pt; font-family: Arial, sans-serif;">Assistant Residency Director</span><span style="font-size: 12pt;"><o:p></o:p></span></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif; line-height: 12pt; background: white;"><b><span style="font-size: 9pt; font-family: Arial, sans-serif; color: rgb(0, 132, 185);">Kaiser Permanente</span></b><span style="font-size: 12pt;"><o:p></o:p></span></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif; line-height: 12pt; background: white;"><b><span style="font-size: 9pt; font-family: Arial, sans-serif; color: rgb(0, 132, 185);">Southern Permanente Medical Group<o:p></o:p></span></b></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif; line-height: 12pt; background: white;"><span style="font-size: 9pt; font-family: Arial, sans-serif;">Medical Imaging Technology and Informatics<br>4867 Sunset Blvd</span><span style="font-size: 12pt;"><o:p></o:p></span></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif; line-height: 12pt; background: white;"><span style="font-size: 9pt; font-family: Arial, sans-serif;">Los Angeles, CA 90027</span><span style="font-size: 12pt;"><o:p></o:p></span></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif; line-height: 12pt; background: white;"><span style="font-size: 9pt; font-family: Arial, sans-serif;">x5347 (office)</span><span style="font-size: 12pt;"><o:p></o:p></span></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif; line-height: 12pt; background: white;"><span style="font-size: 9pt; font-family: Arial, sans-serif;">(818) 232-2427 (mobile phone)</span><span style="font-size: 12pt;"><o:p></o:p></span></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"><o:p> </o:p></span></div><div style="border-width: 1pt medium medium; border-style: solid none none; border-color: rgb(225, 225, 225) currentcolor currentcolor; border-image: none; padding: 3pt 0in 0in;"><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><b><span style="font-size: 11pt; font-family: Calibri, sans-serif;">From:</span></b><span style="font-size: 11pt; font-family: Calibri, sans-serif;"><span class="Apple-converted-space"> </span>Intl_dxmedphys_wd_osu_list <<a href="mailto:intl_dxmedphys_wd_osu_list-bounces@lists.osu.edu" style="color: blue; text-decoration: underline;">intl_dxmedphys_wd_osu_list-bounces@lists.osu.edu</a>><span class="Apple-converted-space"> </span><b>On Behalf Of<span class="Apple-converted-space"> </span></b>Ryan Fisher via Intl_dxmedphys_wd_osu_list<br><b>Sent:</b><span class="Apple-converted-space"> </span>Friday, September 12, 2025 8:03 AM<br><b>To:</b><span class="Apple-converted-space"> </span>Medich, Tara <<a href="mailto:TMEDICH@mgh.harvard.edu" style="color: blue; text-decoration: underline;">TMEDICH@mgh.harvard.edu</a>>;<span class="Apple-converted-space"> </span><a href="mailto:intl_dxmedphys_wd_osu_list@lists.osu.edu" style="color: blue; text-decoration: underline;">intl_dxmedphys_wd_osu_list@lists.osu.edu</a><br><b>Subject:</b><span class="Apple-converted-space"> </span>Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals<o:p></o:p></span></div></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><o:p> </o:p></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 1pt; color: white;">Another nudge to please submit comments in favor of making this metric optional vs mandatory before 9/15. Adam’s email has sample language you can cut/paste. It sounds like CMS weighs all submissions equally, so one comment from an organization<o:p></o:p></span></div></div><p><strong><span style="font-size: 13.5pt; font-family: Aptos, sans-serif; color: red;">Caution:<span class="Apple-converted-space"> </span></span></strong><span style="font-size: 13.5pt; color: red;">This email came from outside Kaiser Permanente. Do not open attachments or click on links if you do not recognize the sender.</span><o:p></o:p></p><div class="MsoNormal" align="center" style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif; text-align: center;"><span style="font-size: 12pt;"><hr size="2" width="100%" align="center"></span></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;">Another nudge to please submit comments in favor of making this metric optional vs mandatory before 9/15. Adam’s email has sample language you can cut/paste.<o:p></o:p></span></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;"><o:p> </o:p></span></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;">It sounds like CMS weighs all submissions equally, so one comment from an organization like ACR or AAPM holds the same weight in their eyes as one comment from a UCSF co-worker responding to a Smith-Bindman email request.<o:p></o:p></span></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;"><o:p> </o:p></span></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;">Ryan<span class="Apple-converted-space"> </span><o:p></o:p></span></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;"><o:p> </o:p></span></div><div><div style="border-width: 1pt medium medium; border-style: solid none none; border-color: rgb(225, 225, 225) currentcolor currentcolor; border-image: none; padding: 3pt 0in 0in;"><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><b><span style="font-size: 11pt; font-family: Calibri, sans-serif;">From:</span></b><span style="font-size: 11pt; font-family: Calibri, sans-serif;"><span class="Apple-converted-space"> </span>Intl_dxmedphys_wd_osu_list <<a href="mailto:intl_dxmedphys_wd_osu_list-bounces+rfisher1=metrohealth.org@lists.osu.edu" style="color: blue; text-decoration: underline;">intl_dxmedphys_wd_osu_list-bounces+rfisher1=metrohealth.org@lists.osu.edu</a>><span class="Apple-converted-space"> </span><b>On Behalf Of<span class="Apple-converted-space"> </span></b>Medich, Tara via Intl_dxmedphys_wd_osu_list<br><b>Sent:</b><span class="Apple-converted-space"> </span>Friday, September 12, 2025 10:55 AM<br><b>To:</b><span class="Apple-converted-space"> </span><a href="mailto:intl_dxmedphys_wd_osu_list@lists.osu.edu" style="color: blue; text-decoration: underline;">intl_dxmedphys_wd_osu_list@lists.osu.edu</a><br><b>Subject:</b><span class="Apple-converted-space"> </span>Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals<o:p></o:p></span></div></div></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><o:p> </o:p></div><div><div align="center"><table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" style="max-width: 6.25in; background: rgb(238, 39, 56);"><tbody><tr><td width="20%" style="width: 117px; border-width: medium 2.25pt medium medium; border-style: none solid none none; border-color: currentcolor white currentcolor currentcolor; border-image: none; padding: 7.5pt 0in 0in;"><div align="center"><table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0"><tbody><tr><td style="padding: 0in;"><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif; text-align: center; line-height: 23.25pt;"><b><span style="font-size: 22.5pt; font-family: Arial, sans-serif; color: white;">STOP!<o:p></o:p></span></b></div></td></tr></tbody></table></div></td><td width="60%" valign="top" style="width: 360px; padding: 7.5pt 0in 0in;"><table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0"><tbody><tr><td valign="top" style="padding: 0in;"><table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0"><tbody><tr><td style="padding: 0in 0in 0in 11.25pt;"><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><b><span style="font-size: 11.5pt; font-family: Arial, sans-serif; color: white;">THIS IS AN EXTERNAL EMAIL</span></b><b><span style="font-family: Arial, sans-serif; color: white;"><br></span></b><b><span style="font-size: 8.5pt; font-family: Arial, sans-serif; color: white;">This email was originated outside of the MetroHealth System</span></b><b><span style="font-size: 12pt; font-family: Arial, sans-serif; color: white;"><o:p></o:p></span></b></div></td></tr></tbody></table></td></tr><tr><td valign="top" style="padding: 0in 0in 0in 11.25pt;"><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif; line-height: 12pt;"><strong><span style="font-size: 7.5pt; font-family: Arial, sans-serif; color: white;">Take a 3-second pause and ask yourself the following questions:</span></strong><span style="font-size: 7.5pt; font-family: Arial, sans-serif; color: white;"><o:p></o:p></span></div></td></tr><tr><td valign="top" style="padding: 0in 0in 0in 11.25pt;"><p class="MsoNormal" style="margin: 0in 0in 12pt; font-size: 10pt; font-family: Aptos, sans-serif; line-height: 9pt;"><b><span style="font-size: 7.5pt; font-family: Arial, sans-serif; color: white;">1. Who is sending me this email? Do I know who this is?</span></b><span style="font-size: 7.5pt; font-family: Arial, sans-serif; color: white;"><br><b>2. Am I expecting this email? Is this out of the ordinary?</b><br><b>3. Why is there a link in the email? Do I trust this link?</b><o:p></o:p></span></p></td></tr></tbody></table></td><td width="20%" style="width: 117px; border-width: medium medium medium 2.25pt; border-style: none none none solid; border-color: currentcolor currentcolor currentcolor white; border-image: none; padding: 7.5pt 0in 0in;"><div align="center"><table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0"><tbody><tr><td style="padding: 0in;"><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif; text-align: center; line-height: 15pt;"><b><span style="font-size: 14.5pt; font-family: Arial, sans-serif; color: white;">THINK<br>Before You<span class="Apple-converted-space"> </span><br>Click the Link<o:p></o:p></span></b></div></td></tr></tbody></table></div></td></tr></tbody></table></div></div><div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 1pt; color: white;">All – Jerry rightly pointed out that my email gave the appearance of my supporting the UCSF initiative to change the proposed rule and require mandatory reporting of CT dose and image quality. I absolutely do not condone the UCSF efforts at<o:p></o:p></span></div></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;">All – Jerry rightly pointed out that my email gave the appearance of my supporting the UCSF initiative to change the proposed rule and require mandatory reporting of CT dose and image quality. I absolutely do not condone the UCSF efforts at all. <span class="Apple-converted-space"> </span></span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;"> </span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;">The information sent from Adam Springer is what I am in favor of. Comments supporting the proposed rule for voluntary reporting need to be submitted by those who are technically qualified to provide solid reasoning as to why mandatory reporting of these CT metrics is flawed. <span class="Apple-converted-space"> </span></span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;"> </span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;">Adam’s email gave the link to the comment field on regulations.gov:<span class="Apple-converted-space"> </span></span><u><span style=""><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1crCs9FpIMKFPwVDSZRg_9xlR4aBruAi26SoIqqlSw2VPUFDnjCgkL0lEsnB7ml8Bu5NYKf5xTjimFZkBPkN-Ec9auI6_jfnfJKXqnTO9ucx6HqriS5Nys8Hp3-znpBPeQNJW1avDz6n4ABUFvmwmdul4MPnA04UozE9yF6Cpk0yLlIP8kPYuvAUkMRKsqtJh_gTf1piZDI_BJNqeBAvwmiJsESxybJGcHi__iAYJ0-WHHt7p6G1gLCw2WiXJpguCWNt4o3PdfQXYnaT21DMBhywA6NwBwWryu_I5zY0dFpMaI3eanzOPQFYmWMFEmLwS/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1hSy6k9zrdAPTLR1oDl61VKQAtYRsfpmkl8u3zplpojnwSylMTEZWltisG-bHkqXATG1Y22TIvf645q8MDOnHBkMtXKMLgYNQzONvZfs3RWf300cPRjCR7TG2ad239owN7g_dknEYs9Dl6u2SFTfX0ZKWfiTr3-zTZksKVCn88xjXB5BlD-h1q7sqKJR657BxP1gEQn9QQkvXQNDAcxVryCVCjSvdcTEG8V90xH46-LZQ2PeaD-S6oKV4jgDehEnL_xea1R2CXrms2WYzKRpMZl4bFkRwRtYbEW9sQ8MkPICVh78GwOkL6K2P9rq3xMIU*2Fhttps*2A3A*2A2F*2A2Fwww.regulations.gov*2A2Fcommenton*2A2FCMS-2025-0306-0002__*3BJSUlJSU*21*21KGKeukY*210hWFh0hvSnArkmV9Q9QAzzhqk1PsEnPjbi74o_jzwcOuvkiordlZ2_jsAWqsffwN3RV8G_K-_WB6aw3sxwCNPf5eUCvMrfq-6OagYw*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFQ-Gcnp4A$" style="color: blue; text-decoration: underline;"><span style="">https://www.regulations.</span></a></span></u><span style=""><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1crCs9FpIMKFPwVDSZRg_9xlR4aBruAi26SoIqqlSw2VPUFDnjCgkL0lEsnB7ml8Bu5NYKf5xTjimFZkBPkN-Ec9auI6_jfnfJKXqnTO9ucx6HqriS5Nys8Hp3-znpBPeQNJW1avDz6n4ABUFvmwmdul4MPnA04UozE9yF6Cpk0yLlIP8kPYuvAUkMRKsqtJh_gTf1piZDI_BJNqeBAvwmiJsESxybJGcHi__iAYJ0-WHHt7p6G1gLCw2WiXJpguCWNt4o3PdfQXYnaT21DMBhywA6NwBwWryu_I5zY0dFpMaI3eanzOPQFYmWMFEmLwS/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1hSy6k9zrdAPTLR1oDl61VKQAtYRsfpmkl8u3zplpojnwSylMTEZWltisG-bHkqXATG1Y22TIvf645q8MDOnHBkMtXKMLgYNQzONvZfs3RWf300cPRjCR7TG2ad239owN7g_dknEYs9Dl6u2SFTfX0ZKWfiTr3-zTZksKVCn88xjXB5BlD-h1q7sqKJR657BxP1gEQn9QQkvXQNDAcxVryCVCjSvdcTEG8V90xH46-LZQ2PeaD-S6oKV4jgDehEnL_xea1R2CXrms2WYzKRpMZl4bFkRwRtYbEW9sQ8MkPICVh78GwOkL6K2P9rq3xMIU*2Fhttps*2A3A*2A2F*2A2Fwww.regulations.gov*2A2Fcommenton*2A2FCMS-2025-0306-0002__*3BJSUlJSU*21*21KGKeukY*210hWFh0hvSnArkmV9Q9QAzzhqk1PsEnPjbi74o_jzwcOuvkiordlZ2_jsAWqsffwN3RV8G_K-_WB6aw3sxwCNPf5eUCvMrfq-6OagYw*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFQ-Gcnp4A$" style="color: blue; text-decoration: underline;"><span style="">g</span></a><u><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1crCs9FpIMKFPwVDSZRg_9xlR4aBruAi26SoIqqlSw2VPUFDnjCgkL0lEsnB7ml8Bu5NYKf5xTjimFZkBPkN-Ec9auI6_jfnfJKXqnTO9ucx6HqriS5Nys8Hp3-znpBPeQNJW1avDz6n4ABUFvmwmdul4MPnA04UozE9yF6Cpk0yLlIP8kPYuvAUkMRKsqtJh_gTf1piZDI_BJNqeBAvwmiJsESxybJGcHi__iAYJ0-WHHt7p6G1gLCw2WiXJpguCWNt4o3PdfQXYnaT21DMBhywA6NwBwWryu_I5zY0dFpMaI3eanzOPQFYmWMFEmLwS/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1hSy6k9zrdAPTLR1oDl61VKQAtYRsfpmkl8u3zplpojnwSylMTEZWltisG-bHkqXATG1Y22TIvf645q8MDOnHBkMtXKMLgYNQzONvZfs3RWf300cPRjCR7TG2ad239owN7g_dknEYs9Dl6u2SFTfX0ZKWfiTr3-zTZksKVCn88xjXB5BlD-h1q7sqKJR657BxP1gEQn9QQkvXQNDAcxVryCVCjSvdcTEG8V90xH46-LZQ2PeaD-S6oKV4jgDehEnL_xea1R2CXrms2WYzKRpMZl4bFkRwRtYbEW9sQ8MkPICVh78GwOkL6K2P9rq3xMIU*2Fhttps*2A3A*2A2F*2A2Fwww.regulations.gov*2A2Fcommenton*2A2FCMS-2025-0306-0002__*3BJSUlJSU*21*21KGKeukY*210hWFh0hvSnArkmV9Q9QAzzhqk1PsEnPjbi74o_jzwcOuvkiordlZ2_jsAWqsffwN3RV8G_K-_WB6aw3sxwCNPf5eUCvMrfq-6OagYw*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFQ-Gcnp4A$" style="color: blue; text-decoration: underline;"><span style="">ov/commenton/CMS-2025-0306-0002</span></a></u>. </span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;"> </span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;">The volume of comments opposing the proposed rule are growing. We need to match those numbers expressing support for the rule to change the CT metric reporting from mandatory to voluntary.</span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;"> </span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;">Mea culpa,</span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;"> </span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;">-Tara</span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;"> </span><o:p></o:p></div><div style="border-width: 1pt medium medium; border-style: solid none none; border-color: rgb(225, 225, 225) currentcolor currentcolor; border-image: none; padding: 3pt 0in 0in;"><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><b><span style="font-size: 11pt; font-family: Calibri, sans-serif;">From:</span></b><span style="font-size: 11pt; font-family: Calibri, sans-serif;"><span class="Apple-converted-space"> </span>Intl_dxmedphys_wd_osu_list <<a href="mailto:intl_dxmedphys_wd_osu_list-bounces+tmedich=mgh.harvard.edu@lists.osu.edu" style="color: blue; text-decoration: underline;">intl_dxmedphys_wd_osu_list-bounces+tmedich=mgh.harvard.edu@lists.osu.edu</a>><span class="Apple-converted-space"> </span><b>On Behalf Of<span class="Apple-converted-space"> </span></b>Medich, Tara via Intl_dxmedphys_wd_osu_list<br><b>Sent:</b><span class="Apple-converted-space"> </span>Thursday, September 11, 2025 3:09 PM<br><b>To:</b><span class="Apple-converted-space"> </span><a href="mailto:intl_dxmedphys_wd_osu_list@lists.osu.edu" style="color: blue; text-decoration: underline;">intl_dxmedphys_wd_osu_list@lists.osu.edu</a><br><b>Subject:</b><span class="Apple-converted-space"> </span>Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span><o:p></o:p></div></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"> <o:p></o:p></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 1pt; color: white;">Thank you for posting, Jerry. This is related to Adam Springer’s email from last night. The Smith-Bindman campaign is blazing through social media. There are hundreds of comments from her “supporters” on the regulations.</span><span style="font-size: 1pt; font-family: Arial, sans-serif; color: white;"> </span><span style="font-size: 1pt; color: white;">gov site. Please see</span><o:p></o:p></div></div><p><b><span style="color: white; background: red;"> External Email - Use Caution </span></b><o:p></o:p></p><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;">Thank you for posting, Jerry. This is related to Adam Springer’s email from last night.</span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;"> </span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;">The Smith-Bindman campaign is blazing through social media. There are hundreds of comments from her “supporters” on the regulations.gov site. Please see her exact comment near the bottom of the first email:</span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;"> </span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; color: rgb(200, 38, 19);">My contacts at CMS have assured me if we get enough letters opposing the change, the proposed rule could be reversed.</span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;"> </span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;">The goal is to overwhelm with volume. There are four days remaining in the comment period. <span class="Apple-converted-space"> </span><b>Please submit a statment!!</b></span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><b><span style="font-size: 11pt;"> </span></b><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;">-Tara</span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><b><span style="font-size: 12pt; color: rgb(0, 156, 166);">______________________________</span></b><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 16pt;">Tara M. Medich, MS, CHP</span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">Director, Radiation Safety</span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">Radiation Safety Officer, MGH & BWH</span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><b><span style="font-size: 12pt;">Massachusetts General Hospital</span></b><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><b><span style="font-size: 12pt;">Brigham and Women’s Hospital</span></b><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">125 Nashua St, Suite 641, Boston MA 02114</span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">MGH 617 724 4577 | BWH 617 525 6612</span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1xVDt0AUWOQ0u_U_hb32pPS5v2NNhaF4kKrCYAXjGvXY9G5EtRrBxXeMKeDhSOxkly7MvqGLhA6o8gnKd6ABV2r6A58j2KFzbhOlI27ThHmeRDT5Hz6_n7UpoUEk27DURzKWyn2DlBKt6cq-bg830JeKK25unZTRmusVLTHDlPjjNopkKDIPs9c_rilBQ8nyVx0TgUmZPr16lzWNqax0KpSoqbqwagXTv5NhcbwsXglmLPjIJFDGfnvW3GN-b0_pmWm-SoTXFNtDUE22-czD4axcn7A8QmbvtBpaFoJ6hE_DjAIctSjuKuyiHLk3UQdMMSiApNiSdOx5nSZdfuXjELQ/https*3A*2F*2Furldefense.com*2Fv3*2F__http*3A*2F*2Fwww.massgeneral.org*2F__*3B*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDQwYgMVhQ*24__;JSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFROvkV21A$" style="color: blue; text-decoration: underline;"><span style="font-size: 12pt; color: rgb(5, 99, 193);">massgeneral.org</span></a><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><a href="x-msg://29/brighamandwomens.org" style="color: blue; text-decoration: underline;"><span style="font-size: 12pt; color: rgb(5, 99, 193);">brighamandwomens.org</span></a><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"><span id="cid:image001.png@01DC23BE.C9F83E80"><image001.png></span></span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 11pt;"> </span><o:p></o:p></div><div style="border-width: 1pt medium medium; border-style: solid none none; border-color: rgb(225, 225, 225) currentcolor currentcolor; border-image: none; padding: 3pt 0in 0in;"><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><b><span style="font-size: 11pt; font-family: Calibri, sans-serif;">From:</span></b><span style="font-size: 11pt; font-family: Calibri, sans-serif;"><span class="Apple-converted-space"> </span>Intl_dxmedphys_wd_osu_list <<a href="mailto:intl_dxmedphys_wd_osu_list-bounces@lists.osu.edu" style="color: blue; text-decoration: underline;">intl_dxmedphys_wd_osu_list-bounces@lists.osu.edu</a>><span class="Apple-converted-space"> </span><b>On Behalf Of<span class="Apple-converted-space"> </span></b>Jerry Thomas via Intl_dxmedphys_wd_osu_list<br><b>Sent:</b><span class="Apple-converted-space"> </span>Thursday, September 11, 2025 12:00 PM<br><b>To:</b><span class="Apple-converted-space"> </span>International Diagnostic Medical Physics List <<a href="mailto:intl_dxmedphys_wd_osu_list@lists.osu.edu" style="color: blue; text-decoration: underline;">intl_dxmedphys_wd_osu_list@lists.osu.edu</a>><br><b>Subject:</b><span class="Apple-converted-space"> </span>[Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span><o:p></o:p></div></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"> <o:p></o:p></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 1pt; color: white;">I thought this email thread might be of interest to some members of the list. Dr. Smith-Bindman is a substantial part of the driving force behind the CMS requirement for CT effective dose reporting. The ALARA company -- I believe run by her</span><o:p></o:p></div></div><p><b><span style="color: white; background: red;"> External Email - Use Caution </span></b><o:p></o:p></p><div><div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">I thought this email thread might be of interest to some members of the list. Dr. Smith-Bindman is a substantial part of the driving force behind the CMS requirement for CT effective dose reporting. The ALARA company -- I believe run by her husband -- is the "Free solution" being pushed on many smaller hospitals. Personally, her standance in this area causes me great concern, as I feel it should be to others in our field. I have no idea what the "end goal" of her push is -- but it is most likely not without substantial financial gain on her part, rather than a "true" concern about the potential cancer risk from CT.</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">vR,</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">Jerry</span><o:p></o:p></div></div><div><div><div><div><div><div><div><div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-family: Tahoma, sans-serif;">Jerry Thomas, MS, FAAPM, DABR, CHP, DABSNM</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-family: Tahoma, sans-serif;">Diagnostic Medical Physicist / Radiation Safety Officer</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-family: Tahoma, sans-serif;">Ascension Via Christi Hospitals Wichita</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-family: Tahoma, sans-serif;">Wichita, KS 67214</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-family: Tahoma, sans-serif;">Phone: 316-268-5958 (office)</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-family: Tahoma, sans-serif;"> 240-447-1014 (cell)</span><o:p></o:p></div></div></div></div></div></div></div></div></div></div><p class="MsoNormal" style="margin: 0in 0in 12pt; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></p><div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">---------- Forwarded message ---------<br>From:<span class="Apple-converted-space"> </span><strong><span style="font-family: Aptos, sans-serif;">Smith-Bindman, Rebecca</span></strong><span class="Apple-converted-space"> </span><</span><a href="mailto:Rebecca.Smith-Bindman@ucsf.edu" target="_blank" style="color: blue; text-decoration: underline;"><span style="font-size: 12pt;">Rebecca.Smith-Bindman@ucsf.edu</span></a><span style="font-size: 12pt;">><br>Date: Wed, Sep 10, 2025 at 6:39</span><span style="font-size: 12pt; font-family: Arial, sans-serif;"> </span><span style="font-size: 12pt;">PM<br>Subject: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals<br>To: Smith-Bindman, Rebecca <</span><a href="mailto:Rebecca.Smith-Bindman@ucsf.edu" target="_blank" style="color: blue; text-decoration: underline;"><span style="font-size: 12pt;">Rebecca.Smith-Bindman@ucsf.edu</span></a><span style="font-size: 12pt;">></span><o:p></o:p></div></div><p class="MsoNormal" style="margin: 0in 0in 12pt; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></p><div><div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">Dear Colleagues,</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">I’m reaching out for your help on an incredibly important issue to me and millions of patients nationwide. We’re in the final days of a campaign to tell Washington: make CT safer. Your past support has been very meaningful and I hope you'll once again lend your voice to protect patients.</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1WjP0oPeh2BJqJ5J9XTtH5wZsC-VAKjHx_I3wOg1I66-YBkczuklQ_OToy1wJYz-QfWHafKEXVyD5eX1nJX1geSC1hl0T7VWF-brIcKISL_gaKUPZJVJAWnJt3mnJIAr3oIwnFU3HDhebC2NUXq3KElu37w5ywwCpJmCc8Hr-3kcRfCF3__Eic1RJ_PlDY45qeYmrnv3GsfPct1wVZwlypS_Dio9nCzYaBFVkurPNMaWTS3mUNWRKp85gYmH_6sC87Ii6Fr2nU6BNCmF6LSHmH1C7MKGGyjAZLWpaiIZmtQFueimL5PZbN-Q2NExWsxAGdxBpNv-I9YupHXyMNQYh3Q/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1dOmmAQHEPqj3Ym9Cbx_aWTvuSyJpx70EIVAORHyTH4Trh58Qas80lkgPdxJqXmAvCfV5qk-3ouISnQjGxMaNW5c5JHYw5MxXDIl5iU64U-ISTbDDv5DTzQaKJ_RWZng34mEllhTbAxxmwLGI7NHJinUIxbGACvveKeaxsJJYcnEynAoGzeLLVS3BH7lCwaulaZGW8z0uuARH3l6YljCEy-uOYrg8G2g7idKhf6TyY8R8nzFewt7TI1SgYlvzNMzaby4rryHnuqoGmAOXuCfwLgiu51ri2WNVZLwJoFln0WmWn6VwN8oQu8bNFHiLFpdK*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDTsdka7OA*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFRpiqewkg$" target="_blank" style="color: blue; text-decoration: underline;"><b><span style="font-size: 12pt; color: red;">A new federal rule would make CT imaging less safe, causing 25,000 preventable cancers each year.</span></b></a><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$" target="_blank" style="color: blue; text-decoration: underline;"><b><span style="font-size: 12pt; color: red;">TAKE ACTION NOW!</span></b></a><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$" target="_blank" style="color: blue; text-decoration: underline;"><b><span style="font-size: 12pt; color: red;"><span class="Apple-converted-space"> </span></span></b></a><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$" target="_blank" style="color: blue; text-decoration: underline;"><b><span style="font-size: 12pt; font-family: "Segoe UI Emoji", sans-serif; color: red;">▶️</span></b></a><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><b><span style="font-size: 12pt;"> </span></b><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">The Excessive Radiation Dose quality measure is the only safeguard ensuring hospitals use safe radiation doses. To protect patients and make CT imaging safer, it must remain mandatory under the Centers for Medicare & Medicaid Services.</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><b><span style="font-size: 12pt;">The time to act is short—<i>the public comment period closes<span class="Apple-converted-space"> </span><u>Monday, September 15, 2025</u>.</i></span></b><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><b><span style="font-size: 12pt;"> </span></b><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">It takes 30 seconds and every voice counts.</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">Thank you,</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><b><span style="font-size: 12pt;"> </span></b><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><b><span style="font-size: 12pt;">Rebecca Smith-Bindman, MD</span></b><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">Professor, Epidemiology and Biostatistics</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">Obstetrics, Gynecology, and Reproductive Sciences</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">Director, Radiology Outcomes Research Lab</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"><span id="cid:image002.jpg@01DC23BE.C9F83E80"><image002.jpg></span></span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-family: Tahoma, sans-serif;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-family: Tahoma, sans-serif;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div class="MsoNormal" align="center" style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif; text-align: center;"><span style="font-size: 12pt;"><hr size="1" width="98%" align="center"></span></div><div id="m_-2620907601222420840m_561313882192148983divRplyFwdMsg"><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><b><span style="font-size: 11pt; font-family: Calibri, sans-serif;">From:</span></b><span style="font-size: 11pt; font-family: Calibri, sans-serif;"> Smith-Bindman, Rebecca<br><b>Sent:</b> Wednesday, August 27, 2025 1:07 PM<br><b>To:</b> Smith-Bindman, Rebecca <</span><a href="mailto:Rebecca.Smith-Bindman@ucsf.edu" target="_blank" style="color: blue; text-decoration: underline;"><span style="font-size: 11pt; font-family: Calibri, sans-serif;">Rebecca.Smith-Bindman@ucsf.edu</span></a><span style="font-size: 11pt; font-family: Calibri, sans-serif;">><br><b>Subject:</b> URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">Dear Colleagues,</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">I hope this finds you well and having a nice summer. As participants in our Virtual Symposium on CT, I know you care deeply about patient health and safety, I’m asking if you would take action to oppose new federal rules that would make CT imaging less safe by weakening requirements for hospitals to report their CT radiation data.</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">Currently, a mandatory measure is in place for hospitals that monitors the amount of radiation used during CT scans, ensuring doses remain within safe limits. However, CMS announced a proposal that would make reporting CT radiation data<span class="Apple-converted-space"> </span><b><i><u>optional</u></i></b> for hospitals.<span class="Apple-converted-space"> </span><b>If this change goes into effect, hospital radiation monitoring will become ineffective. Patients will be exposed to unnecessarily high radiation, and</b></span><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1M64aAhw18KQadm4IZRKqsH71CxwmQnNYDRdGvLxypsavFHKLh-_186MDxgN9t4yPNSC80-eRUjugY0GMKyXXk97UClglHtV1tnuZn0HS1AwCtNNOTRgKPdnu7_Iytg2na2xBR99Jxk0-_I1CKqinrxcQ9u-IMR0q9PRxTRGAfMZ11nNaT4b2xyy_bnMfy2pzivmtMjnCp9vaEJqKi83RKNzXs9DYGB2ZpDhfOlwIE6OonriHdYIocXxV7w_C9Bqli46Aqc4M8etimCy_LnpmGvEcqvytSDdK0dTrV_Ign8HFfCXpsnbCKoIvf-6N3ddgKIlbimprbioYm_DeQKR0vQ/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1dv86z054EgSfJBXp_2sq1CXrfjZFPKwwIXLeTzjdovArt_dPLb_6FgZwTifZHjxVt47za4KuApoTeU399BI0sxPh-wY5k9rnO2ZckCUaaMqu7cc0jYiHo0sinzx72dxrGNRBpUY7ZhJVrpSD7N1YJf0W-frWHIF6BWbVD2TFug3K5jRaN6EGFQBgMAiTykEwTxY66bDgAewY3rBRFjcTgrR1JHsVm4lDDTgqKR7yWWKOJwnz__zCS2ZXX8HhDsjKdHNUHOO20nFv7CCNIpieAznqlf8P9sX2Kiw4kZmTVDqGzaB-io_oawVZXyjfOyci*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fjamanetwork.com*2A2Fjournals*2A2Fjamainternalmedicine*2A2Ffullarticle*2A2F2832778__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TAQLOl68*2A24__*3BJSUlJSUlJSUlJSUlJSUlJSU*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDQfWZ33dA*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFRX5MyBdg$" target="_blank" style="color: blue; text-decoration: underline;"><b><span style="font-size: 12pt;">thousands of preventable cancers will occur</span></b></a><b><span style="font-size: 12pt;">.</span></b><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">In response to this unfortunate news, I’m reaching out to colleagues, friends, and family to<span class="Apple-converted-space"> </span><b>tell CMS to stop this dangerous rollback for patient safety.</b></span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt; color: rgb(200, 38, 19);">We’ve created a<span class="Apple-converted-space"> </span></span><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$" target="_blank" style="color: blue; text-decoration: underline;"><span style="font-size: 12pt;">campaign</span></a><span style="font-size: 12pt;"> </span><span style="font-size: 12pt; color: rgb(200, 38, 19);">to allow quick and easy submission – just visit the site, enter your information, and submit the letter. My contacts at CMS have assured me if we get enough letters opposing the change, the proposed rule could be reversed.</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$" target="_blank" style="color: blue; text-decoration: underline;"><span style="font-size: 12pt;">Please submit your comment before Monday, September 15!</span></a><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><b><span style="font-size: 12pt;">If you can, please also share the message with your community:</span></b><o:p></o:p></div></div><div><div style="margin: 0in 0in 0in 1in; font-size: 10pt; font-family: Aptos, sans-serif; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; font-width: normal; font-size: 7pt; line-height: normal; font-family: "Times New Roman"; font-size-adjust: none; font-kerning: auto; font-variant-alternates: normal; font-variant-ligatures: normal; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-position: normal; font-variant-emoji: normal; font-feature-settings: normal; font-optical-sizing: auto; font-variation-settings: normal;"> <span class="Apple-converted-space"> </span></span></span></span><span style="font-size: 12pt; color: rgb(200, 38, 19);">You can forward this email to everyone you know</span><o:p></o:p></div></div><div><div style="margin: 0in 0in 0in 1in; font-size: 10pt; font-family: Aptos, sans-serif; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; font-width: normal; font-size: 7pt; line-height: normal; font-family: "Times New Roman"; font-size-adjust: none; font-kerning: auto; font-variant-alternates: normal; font-variant-ligatures: normal; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-position: normal; font-variant-emoji: normal; font-feature-settings: normal; font-optical-sizing: auto; font-variation-settings: normal;"> <span class="Apple-converted-space"> </span></span></span></span><span style="font-size: 12pt;">You can like, re-post, or share my<span class="Apple-converted-space"> </span></span><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1jPglFl6_tA8RR_vfEpWI1dg79D-OmuIF4yi3whuHp5zkr7Ot111bNsT63KRCDKhseEthJwbuiFASW7b2ZfzQvuI9EXozcMUOT0we7kBiM_RqkhGKBLZRWk4k2_4epr2Fn8zjiEVxIy1_zcTo9OmPentUeoa3-5jlij_zHlvfnkTI678ERPSNdqEtSmXPIv4QuIZsPPY1cxBFOB1So7msIhPohhzqsVW4UHCWzWpY3GsLDpk2ZEHVvn7e4zvzOdX8Lw8pTmo7MMUuZxEeZwwJZ6cOSQNd13kZMXN_mO8BxpWOFlZ4nFYgIohc7dBa931VVU_bHvgsk6bPMY5hD3gBxQ/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1-0nU0hA1GlPA8-I7c__5pGN6_r-R7_KKZ2Bs1ncnQLpYsYeAIjik8HCLLfcsJ5adZK6pNbVP1ZrwwIh7pzKQuMPZ59KSWmn3FgQYdi2h7RifFJ-XU6YH2t_j0gKwMlFk146rUoOGXKNyOeIizaXZg0wu7y33Kmc-tlrXBWrHeaIvFmK2cecG-fe3eiKCyB957G6oO_7o0csTiN94AnC3oVjiMK8zBfQCA8aW7j9XphCUm_IKIAF8pgMR-g2g-NjCPr_V4qAA9JRd7SaZo-eljnqpKkETDUw0kBEm6F_OWv6RFXua2OCzvQu7RU8z-KHR*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fwww.linkedin.com*2A2Fposts*2A2Frebecca-smith-bindman-md-182031376_tell-washington-protect-patients-from-dangerous-activity-7366330637290532865-UOjL*2A3Futm_source*2A3Dshare*2A26utm_medium*2A3Dmember_desktop*2A26rcm*2A3DACoAAFzomrIBjPVXL5dkrweBZdyw6J82s-BP1jU__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TI5sqSMA*2A24__*3BJSUlJSUlJSUlJSUlJSUlJSUlJSUl*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDRSx2mh3A*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUl!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFQcz76-tQ$" target="_blank" style="color: blue; 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text-decoration: underline;"><span style="font-size: 12pt;">X post</span></a><o:p></o:p></div></div><div style="margin: 0in 0in 0in 1in; font-size: 10pt; font-family: Aptos, sans-serif; text-indent: -0.25in; line-height: 15.333332px;"><span style="font-family: Symbol;"><span>·<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; font-width: normal; font-size: 7pt; line-height: normal; font-family: "Times New Roman"; font-size-adjust: none; font-kerning: auto; font-variant-alternates: normal; font-variant-ligatures: normal; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-position: normal; font-variant-emoji: normal; font-feature-settings: normal; font-optical-sizing: auto; font-variation-settings: normal;"> <span class="Apple-converted-space"> </span></span></span></span><span style="font-size: 12pt; line-height: 18.4px;">You can simply email or text our campaign to friends and family:<span class="Apple-converted-space"> </span></span><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$" target="_blank" style="color: blue; text-decoration: underline;"><span style="font-size: 12pt; line-height: 18.4px;">https://ucsf.quorum.us/campaign/make_CT_safer/</span></a><o:p></o:p></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">Thank you for using your voice to protect patients. Please don’t hesitate to reach out with any questions.</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">Sincerely,</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;">Rebecca</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-family: Tahoma, sans-serif;">Rebecca Smith-Bindman, MD<br>Professor<br>Epidemiology and Biostatistics<br>Obstetrics, Gynecology and Reproductive Science<br>Director, Radiology Outcomes Research Lab<br>University of California San Francisco</span><o:p></o:p></div></div><div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div></div></div></div></div></div></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"><br><br></span><span style="font-size: 12pt; font-family: "3D", serif;"><br>CONFIDENTIALITY NOTICE:<span class="Apple-converted-space"> </span><br>This email message and any accompanying data or files is confidential and may contain privileged information intended only for the named recipient(s). If you are not the intended recipient(s), you are hereby notified that the dissemination, distribution, and or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at the email address above, delete this email from your computer, and destroy any copies in any form immediately. Receipt by anyone other than the named recipient(s) is not a waiver of any attorney-client, work product, or other applicable privilege.</span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;">The information in this e-mail is intended only for the person to whom it is addressed. If you believe this e-mail was sent to you in error and the e-mail contains patient information, please contact the Mass General Brigham Compliance HelpLine at<span class="Apple-converted-space"> </span><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1jacgxdFdtQXr7mZLNEUcCa0a-7mPvP04wvynZCkTM3rZmjpqY0iImV7CAjDe5WMHS2OcxE9qkI2MV-Fv7-KCweFRojHJpvQGOj8QiygynJzaO4dk6ss1QNODYlDnT8-WKRpbABR0-rAUG-JGnl8DlCuQ1T0xiGZEJDATnR4-bgUEkSwB5rFTHFrr0RD8wXac8kGxw1HOeqEniSL8Js9DYdYY912GfND5MseTGdiWwFosii94LmexmTlMiMyVKMpp0Na-rStRWYQ1KJ-suqo6ZVDuBoCmUIWiHYiw587-iPTmqcHOqdLEiRrJ_cJbwQG6v01Mmpw_4gN_F5jww1sFHw/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fwww.massgeneralbrigham.org*2Fcomplianceline__*3B*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDTAnjJtWg*24__;JSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFTC2G2B7g$" style="color: blue; text-decoration: underline;">https://www.massgeneralbrigham.org/complianceline</a><span class="Apple-converted-space"> </span>.<o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;"><span style="font-size: 12pt;"> </span><o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;">Please note that this e-mail is not secure (encrypted). If you do not wish to continue communication over unencrypted e-mail, please notify the sender of this message immediately. Continuing to send or respond to e-mail after receiving this message means you understand and accept this risk and wish to continue to communicate over unencrypted e-mail. <o:p></o:p></div><div style="margin: 0in; font-size: 10pt; font-family: Aptos, sans-serif;">The information in this e-mail is intended only for the person to whom it is addressed. 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