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Since it seems that the decision will be made based on volume of comments as much as content, the number of signatories might not matter and it might be better to have each organization send its own. Best regards, Doug Douglas Pfeiffer, MS,</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;">Since it seems that the decision will be made based on volume of comments as much as content, the number of signatories might not matter and it might be better to have each organization send its own.<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 11:02 AM, Dr M. Mahesh <MMAHESH@jhmi.edu> wrote:</div><br class="Apple-interchange-newline"><div>

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FYI,</div>
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AAPM will submit a letter to CMS supporting the HOPPS proposal to make the quality measure voluntary indefinitely. The letter AAPM is submitting has got support from ACR, ASRT and few other organizations who have agreed to sign on. </div>
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Mahesh</div>
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<div id="ms-outlook-mobile-signature"><div style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style="font-size: 12pt; color: rgb(0, 146, 73);"><b><i>Be Curious!</i></b></span></div><div style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style="">Please do not feel obligated to respond after normal working hours!</span></div><div style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style=""><span id="cid:image002.png@01DB5B61.CDA06D80"><image002[42].png></span></span></div><div style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style="font-size: 10pt;">==========================================================================================</span></div><div style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style="color: rgb(38, 38, 38);"><b>M. Mahesh, MS, PhD, FAAPM, FACR, FACMP, FSCCT, FIOMP.</b></span></div><div style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style="color: rgb(38, 38, 38);"><b>(he/him/his)</b></span></div><div style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style="font-size: 10pt;"><b>Professor -</b></span><span style="font-size: 10pt; color: rgb(89, 89, 89);"><b> </b>The Russell H. Morgan Department of Radiology and
 Radiological Science</span></div><div style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style="font-size: 10pt; color: rgb(89, 89, 89);">Johns Hopkins University School of Medicine</span></div><div style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style="font-size: 10pt;"><b>Chair</b></span><span style="font-size: 10pt; color: rgb(89, 89, 89);"> – Radiation Control Committee, Johns Hopkins Health Systems</span></div><div style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style="font-size: 10pt;"><b> </b></span></div><div style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style="font-size: 10pt;"><b>President, American Association of Physicists in Medicine (AAPM</b>)</span></div><p style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style="font-size: 10pt;"> </span></p><div style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style="font-size: 10pt; color: rgb(89, 89, 89);">601 N Caroline Street,</span></div><div style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style="font-size: 10pt; color: rgb(89, 89, 89);">Baltimore, MD 21287-0856</span></div><div style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style="font-size: 10pt; color: rgb(89, 89, 89);"><u><a href="tel:(410)%C2%A0955-5115" target="_blank" data-outlook-id="e4144aeb-e33d-4aba-9546-c69c01e368d5" style="margin-top: 0px; margin-bottom: 0px;">(410)
 955-5115</a></u> (O)</span></div><div style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style="font-size: 10pt; color: rgb(89, 89, 89);">(410) 404-8742 (M)</span></div><div style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style="font-size: 10pt;"><b>email: mmahesh@jhmi.edu</b></span></div><div style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style="font-size: 10pt; color: rgb(47, 107, 154);"><b><u><a href="https://urldefense.com/v3/__http://ow.ly/QfiB50ExGRi__;!!KGKeukY!0-1HJHMNX6HanVaT16T_iIucNajRmEqvpdJQ0IHqlVOcKsYm6d9MpWWdei1HUabzUYHwvNVbSgg-RYkrfQAN_vX-wipY4VEOg-T8$" target="_blank" data-outlook-id="7a83120a-8352-4908-beaa-d5b9a1312c72" style="margin-top: 0px; margin-bottom: 0px;">http://ow.ly/QfiB50ExGRi</a></u></b></span></div><div style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style="font-size: 10pt; color: rgb(89, 89, 89);"><b>Zoom:
<u><a href="https://urldefense.com/v3/__https://jhjhm.zoom.us/my/m.mahesh__;!!KGKeukY!0-1HJHMNX6HanVaT16T_iIucNajRmEqvpdJQ0IHqlVOcKsYm6d9MpWWdei1HUabzUYHwvNVbSgg-RYkrfQAN_vX-wipY4c5drh8K$" data-outlook-id="97b3062d-d572-47a3-99ee-921c8e5dc431" style="margin-top: 0px; margin-bottom: 0px;">https://jhjhm.zoom.us/my/m.mahesh</a></u></b></span></div><div style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style="font-size: 10pt;">=========================================================================================</span></div><div style="margin: 0in; font-family: Calibri, sans-serif; font-size: 11pt;"><span style=""><br>
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<b>From: </b>Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces+mmahesh=jhmi.edu@lists.osu.edu> on behalf of Matt Wait via Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list@lists.osu.edu><br>
<b>Date: </b>Friday, September 12, 2025 at 12:59 PM<br>
<b>To: </b>Douglas Pfeiffer <xraydoug@me.com><br>
<b>Cc: </b>intl_dxmedphys_wd_osu_list@lists.osu.edu <intl_dxmedphys_wd_osu_list@lists.osu.edu><br>
<b>Subject: </b>Re: [Intl_DxMedPhys] [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals<br>
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</b><span style="font-family: "Times New Roman", serif; font-size: 12pt; color: white; background-color: red;"><b>      External Email - Use Caution      </b></span></p><p class="ms-outlook-mobile-reference-message skipProofing"><span style="font-family: "Times New Roman", serif; font-size: 12pt; color: white; background-color: red;"><b><br>
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I misspoke and the article was a bit misleading. The article is only reporting on the proposed, not final rulemaking.</div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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<span style="font-family: Arial, sans-serif; font-size: 9pt; color: rgb(0, 120, 179);"><b>Matt Wait, MS, DABR, DABSNM, MRSE</b></span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><br>
Senior Diagnostic Physicist</span></div><div style="background-color: white; margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt;">Assistant Radiation Safety Officer</span></div><div style="background-color: white; margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt;">Assistant Residency Director</span></div><div style="line-height: 12pt; background-color: white; margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt; color: rgb(0, 132, 185);"><b>Kaiser Permanente</b></span></div><div style="line-height: 12pt; background-color: white; margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt; color: rgb(0, 132, 185);"><b>Southern Permanente Medical Group</b></span></div><div style="line-height: 12pt; background-color: white; margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt;">Medical Imaging Technology and Informatics<br>
4867 Sunset Blvd</span></div><div style="line-height: 12pt; background-color: white; margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt;">Los Angeles, CA 90027</span></div><div style="line-height: 12pt; background-color: white; margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt;">x5347 (office)</span></div><div style="line-height: 12pt; background-color: white; margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt;">(818) 232-2427 (mobile phone)</span></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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<span style="font-family: Calibri, sans-serif; font-size: 11pt;"><b>From:</b> Douglas Pfeiffer <xraydoug@me.com><br>
<b>Sent:</b> Friday, September 12, 2025 8:53 AM<br>
<b>To:</b> Matt Wait <Matt.Wait@kp.org><br>
<b>Cc:</b> Ryan Fisher <rfisher1@metrohealth.org>; Medich, Tara <TMEDICH@mgh.harvard.edu>; intl_dxmedphys_wd_osu_list@lists.osu.edu<br>
<b>Subject:</b> Re: [Intl_DxMedPhys] [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span></div>
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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.</div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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<span style="">Best regards,</span></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="">Doug</span></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style=""> </span></p><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style=""> </span></p><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style=""> </span></p><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="">Douglas Pfeiffer, MS, DABR FACR, FAAPM</span></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="">Medical Physicist, Radiation Safety Officer</span></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="">Boulder Community Health</span></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="color: blue;"><u><a href="mailto:xraydoug@me.com" data-outlook-id="3da6d023-da99-4467-b461-e62bca66b4d5" style="color: blue; margin-top: 0px; margin-bottom: 0px;">xraydoug@me.com</a></u></span></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="">303.415.7515</span></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style=""> </span></p><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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<span style=""> </span></p><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="">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.</span></div>
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On Sep 12, 2025, at 9:25<span style="font-family: Arial, sans-serif;"> </span>AM, Matt Wait via Intl_dxmedphys_wd_osu_list <<span style="color: blue;"><u><a href="mailto:intl_dxmedphys_wd_osu_list@lists.osu.edu" data-outlook-id="7e252f39-f06f-4869-a05a-30c7a1b0761f" style="color: blue; margin-top: 0px; margin-bottom: 0px;">intl_dxmedphys_wd_osu_list@lists.osu.edu</a></u></span>>
 wrote:</div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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Update: We won this round. <span style="color: blue;"><u><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$" originalsrc="https://urldefense.com/v3/__https:/radiologybusiness.com/topics/healthcare-management/healthcare-quality/medicare-opts-not-make-ct-radiation-related-quality-measure-mandatory-2027__;!!KGKeukY!zbvcNBWICiqelbbDuVBifdMkK0izAe2_3PPi6zDgK3DTHfqD_uRMutA7O6deXrH6Q9SM0oaDRKXj6GcNmHi4J6aoxbzNj1OSfoeEOoA$" data-outlook-id="99d34a11-d422-41bd-a093-c30d0c640d7a" style="color: blue; margin-top: 0px; margin-bottom: 0px;">https://radiologybusiness.com/topics/healthcare-management/healthcare-quality/medicare-opts-not-make-ct-radiation-related-quality-measure-mandatory-2027</a></u></span></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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<span style="font-family: Arial, sans-serif; font-size: 9pt; color: rgb(0, 120, 179);"><b>Matt Wait, MS, DABR, DABSNM, MRSE</b></span><span style="font-family: Arial, sans-serif; font-size: 9pt;"><br>
Senior Diagnostic Physicist</span></div><div style="background-color: white; margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt;">Assistant Radiation Safety Officer</span></div><div style="background-color: white; margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt;">Assistant Residency Director</span></div><div style="line-height: 12pt; background-color: white; margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt; color: rgb(0, 132, 185);"><b>Kaiser Permanente</b></span></div><div style="line-height: 12pt; background-color: white; margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt; color: rgb(0, 132, 185);"><b>Southern Permanente Medical Group</b></span></div><div style="line-height: 12pt; background-color: white; margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt;">Medical Imaging Technology and Informatics<br>
4867 Sunset Blvd</span></div><div style="line-height: 12pt; background-color: white; margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt;">Los Angeles, CA 90027</span></div><div style="line-height: 12pt; background-color: white; margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt;">x5347 (office)</span></div><div style="line-height: 12pt; background-color: white; margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Arial, sans-serif; font-size: 9pt;">(818) 232-2427 (mobile phone)</span></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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<span style="font-family: Calibri, sans-serif; font-size: 11pt;"><b>From:</b> Intl_dxmedphys_wd_osu_list <</span><span style="font-family: Calibri, sans-serif; font-size: 11pt; color: blue;"><u><a href="mailto:intl_dxmedphys_wd_osu_list-bounces@lists.osu.edu" data-outlook-id="45e8435d-6895-4987-8e9d-742a9d2b7640" style="color: blue; margin-top: 0px; margin-bottom: 0px;">intl_dxmedphys_wd_osu_list-bounces@lists.osu.edu</a></u></span><span style="font-family: Calibri, sans-serif; font-size: 11pt;">>
<b>On Behalf Of </b>Ryan Fisher via Intl_dxmedphys_wd_osu_list<br>
<b>Sent:</b> Friday, September 12, 2025 8:03 AM<br>
<b>To:</b> Medich, Tara <</span><span style="font-family: Calibri, sans-serif; font-size: 11pt; color: blue;"><u><a href="mailto:TMEDICH@mgh.harvard.edu" data-outlook-id="8ad0dc6a-4986-43c2-ab12-d24b5aa96dc4" style="color: blue; margin-top: 0px; margin-bottom: 0px;">TMEDICH@mgh.harvard.edu</a></u></span><span style="font-family: Calibri, sans-serif; font-size: 11pt;">>;
</span><span style="font-family: Calibri, sans-serif; font-size: 11pt; color: blue;"><u><a href="mailto:intl_dxmedphys_wd_osu_list@lists.osu.edu" data-outlook-id="980d71fe-97df-4490-b129-629a5e68dbec" style="color: blue; margin-top: 0px; margin-bottom: 0px;">intl_dxmedphys_wd_osu_list@lists.osu.edu</a></u></span><span style="font-family: Calibri, sans-serif; font-size: 11pt;"><br>
<b>Subject:</b> Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span></div>
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<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</span></div><p class="WordSection1"><span style="font-family: Aptos, sans-serif; font-size: 13.5pt; color: red;"><b>Caution:</b></span><span style="font-size: 13.5pt; color: red;"><b> </b></span><span style="font-family: Helvetica, sans-serif; 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></p>
<hr dir="ltr" align="center" style="margin-right: 0in; margin-left: 0in; width: 100%;"><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<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.</span></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-size: 11pt;"> </span></p><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<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.</span></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-size: 11pt;"> </span></p><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-size: 11pt;">Ryan </span></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-size: 11pt;"> </span></p>
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<span style="font-family: Calibri, sans-serif; font-size: 11pt;"><b>From:</b> Intl_dxmedphys_wd_osu_list <</span><span style="font-family: Calibri, sans-serif; font-size: 11pt; color: blue;"><u><a href="mailto:intl_dxmedphys_wd_osu_list-bounces+rfisher1=metrohealth.org@lists.osu.edu" data-outlook-id="3eb94557-d9d8-4fe8-8769-f3e9866a8381" style="color: blue; margin-top: 0px; margin-bottom: 0px;">intl_dxmedphys_wd_osu_list-bounces+rfisher1=metrohealth.org@lists.osu.edu</a></u></span><span style="font-family: Calibri, sans-serif; font-size: 11pt;">>
<b>On Behalf Of </b>Medich, Tara via Intl_dxmedphys_wd_osu_list<br>
<b>Sent:</b> Friday, September 12, 2025 10:55 AM<br>
<b>To:</b> </span><span style="font-family: Calibri, sans-serif; font-size: 11pt; color: blue;"><u><a href="mailto:intl_dxmedphys_wd_osu_list@lists.osu.edu" data-outlook-id="7a00aeaa-f1d5-41dc-b397-c799a39d11d1" style="color: blue; margin-top: 0px; margin-bottom: 0px;">intl_dxmedphys_wd_osu_list@lists.osu.edu</a></u></span><span style="font-family: Calibri, sans-serif; font-size: 11pt;"><br>
<b>Subject:</b> Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span></div>
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<span style="font-family: Arial, sans-serif; font-size: 22.5pt; color: white;"><b>STOP!</b></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 11.5pt; color: white;"><b>THIS IS AN EXTERNAL EMAIL</b></span><span style="font-family: Arial, sans-serif; font-size: 10pt; color: white;"><b><br>
</b></span><span style="font-family: Arial, sans-serif; font-size: 8.5pt; color: white;"><b>This email was originated outside of the MetroHealth System</b></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 7.5pt; color: white;"><b>Take a 3-second pause and ask yourself the following questions:</b></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 7.5pt; color: white;"><b>1. Who is sending me this email? Do I know who this is?</b><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></span></p>
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<span style="font-family: Arial, sans-serif; font-size: 14.5pt; color: white;"><b>THINK<br>
Before You <br>
Click the Link</b></span></div>
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<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</span></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<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></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-size: 11pt;"> </span></p><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<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></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-size: 11pt;"> </span></p><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-size: 11pt;">Adam’s email gave the link to the comment field on regulations.gov:
</span><span style="font-size: 10pt; color: blue;"><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$" originalsrc="https://urldefense.com/v3/__https:/secure-web.cisco.com/1crCs9FpIMKFPwVDSZRg_9xlR4aBruAi26SoIqqlSw2VPUFDnjCgkL0lEsnB7ml8Bu5NYKf5xTjimFZkBPkN-Ec9auI6_jfnfJKXqnTO9ucx6HqriS5Nys8Hp3-znpBPeQNJW1avDz6n4ABUFvmwmdul4MPnA04UozE9yF6Cpk0yLlIP8kPYuvAUkMRKsqtJh_gTf1piZDI_BJNqeBAvwmiJsESxybJGcHi__iAYJ0-WHHt7p6G1gLCw2WiXJpguCWNt4o3PdfQXYnaT21DMBhywA6NwBwWryu_I5zY0dFpMaI3eanzOPQFYmWMFEmLwS/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1hSy6k9zrdAPTLR1oDl61VKQAtYRsfpmkl8u3zplpojnwSylMTEZWltisG-bHkqXATG1Y22TIvf645q8MDOnHBkMtXKMLgYNQzONvZfs3RWf300cPRjCR7TG2ad239owN7g_dknEYs9Dl6u2SFTfX0ZKWfiTr3-zTZksKVCn88xjXB5BlD-h1q7sqKJR657BxP1gEQn9QQkvXQNDAcxVryCVCjSvdcTEG8V90xH46-LZQ2PeaD-S6oKV4jgDehEnL_xea1R2CXrms2WYzKRpMZl4bFkRwRtYbEW9sQ8MkPICVh78GwOkL6K2P9rq3xMIU*2Fhttps*2A3A*2A2F*2A2Fwww.regulations.gov*2A2Fcommenton*2A2FCMS-2025-0306-0002__*3BJSUlJSU*21*21KGKeukY*210hWFh0hvSnArkmV9Q9QAzzhqk1PsEnPjbi74o_jzwcOuvkiordlZ2_jsAWqsffwN3RV8G_K-_WB6aw3sxwCNPf5eUCvMrfq-6OagYw*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFQ-Gcnp4A$" data-outlook-id="b7e2506f-845f-4126-bf44-9e918425858b" style="color: blue; margin-top: 0px; margin-bottom: 0px;">https://www.regulations.</a><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$" originalsrc="https://urldefense.com/v3/__https:/secure-web.cisco.com/1crCs9FpIMKFPwVDSZRg_9xlR4aBruAi26SoIqqlSw2VPUFDnjCgkL0lEsnB7ml8Bu5NYKf5xTjimFZkBPkN-Ec9auI6_jfnfJKXqnTO9ucx6HqriS5Nys8Hp3-znpBPeQNJW1avDz6n4ABUFvmwmdul4MPnA04UozE9yF6Cpk0yLlIP8kPYuvAUkMRKsqtJh_gTf1piZDI_BJNqeBAvwmiJsESxybJGcHi__iAYJ0-WHHt7p6G1gLCw2WiXJpguCWNt4o3PdfQXYnaT21DMBhywA6NwBwWryu_I5zY0dFpMaI3eanzOPQFYmWMFEmLwS/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1hSy6k9zrdAPTLR1oDl61VKQAtYRsfpmkl8u3zplpojnwSylMTEZWltisG-bHkqXATG1Y22TIvf645q8MDOnHBkMtXKMLgYNQzONvZfs3RWf300cPRjCR7TG2ad239owN7g_dknEYs9Dl6u2SFTfX0ZKWfiTr3-zTZksKVCn88xjXB5BlD-h1q7sqKJR657BxP1gEQn9QQkvXQNDAcxVryCVCjSvdcTEG8V90xH46-LZQ2PeaD-S6oKV4jgDehEnL_xea1R2CXrms2WYzKRpMZl4bFkRwRtYbEW9sQ8MkPICVh78GwOkL6K2P9rq3xMIU*2Fhttps*2A3A*2A2F*2A2Fwww.regulations.gov*2A2Fcommenton*2A2FCMS-2025-0306-0002__*3BJSUlJSU*21*21KGKeukY*210hWFh0hvSnArkmV9Q9QAzzhqk1PsEnPjbi74o_jzwcOuvkiordlZ2_jsAWqsffwN3RV8G_K-_WB6aw3sxwCNPf5eUCvMrfq-6OagYw*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFQ-Gcnp4A$" data-outlook-id="64733e69-198a-42d5-a323-b63c79b64acf" style="color: blue; margin-top: 0px; margin-bottom: 0px;">g</a><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1crCs9FpIMKFPwVDSZRg_9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<span style="font-size: 11pt;"> </span></p><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<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></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-size: 11pt;"> </span></p><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-size: 11pt;">Mea culpa,</span></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-size: 11pt;"> </span></p><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-size: 11pt;">-Tara</span></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-size: 11pt;"> </span></p>
<div style="padding: 3pt 0in 0in; border-width: 1pt medium medium; border-style: solid none none; border-color: currentcolor;"><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Calibri, sans-serif; font-size: 11pt;"><b>From:</b> Intl_dxmedphys_wd_osu_list <</span><span style="font-family: Calibri, sans-serif; font-size: 11pt; color: blue;"><u><a href="mailto:intl_dxmedphys_wd_osu_list-bounces+tmedich=mgh.harvard.edu@lists.osu.edu" data-outlook-id="af1e1d51-59df-4ec6-a2ac-22035b61aa7f" style="color: blue; margin-top: 0px; margin-bottom: 0px;">intl_dxmedphys_wd_osu_list-bounces+tmedich=mgh.harvard.edu@lists.osu.edu</a></u></span><span style="font-family: Calibri, sans-serif; font-size: 11pt;">>
<b>On Behalf Of </b>Medich, Tara via Intl_dxmedphys_wd_osu_list<br>
<b>Sent:</b> Thursday, September 11, 2025 3:09 PM<br>
<b>To:</b> </span><span style="font-family: Calibri, sans-serif; font-size: 11pt; color: blue;"><u><a href="mailto:intl_dxmedphys_wd_osu_list@lists.osu.edu" data-outlook-id="1a7a13b2-59ea-48e4-b741-a95e70718327" style="color: blue; margin-top: 0px; margin-bottom: 0px;">intl_dxmedphys_wd_osu_list@lists.osu.edu</a></u></span><span style="font-family: Calibri, sans-serif; font-size: 11pt;"><br>
<b>Subject:</b> Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span></div>
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<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-family: Arial, sans-serif; font-size: 1pt; color: white;"> </span><span style="font-size: 1pt; color: white;">gov
 site. Please see</span></div><p class="WordSection1"><span style="font-family: Helvetica, sans-serif; font-size: 9pt; color: white; background-color: red;"><b>        External Email - Use Caution        </b></span></p><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-size: 11pt;">Thank you for posting, Jerry.  This is related to Adam Springer’s email from last night.</span></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-size: 11pt;"> </span></p><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<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></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-size: 11pt;"> </span></p><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="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></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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<span style="font-size: 11pt;">The goal is to overwhelm with volume.  There are four days remaining in the comment period.  <b>Please submit a statment!!</b></span></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-size: 11pt;"><b> </b></span></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-size: 11pt;">-Tara</span></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="color: rgb(0, 156, 166);"><b>______________________________</b></span></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-size: 16pt;">Tara M. Medich, MS, CHP</span></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
Director, Radiation Safety</div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
Radiation Safety Officer, MGH & BWH</div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
 </p><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<b>Massachusetts General Hospital</b></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<b>Brigham and Women’s Hospital</b></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
125 Nashua St, Suite 641, Boston MA 02114</div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
MGH 617 724 4577    |    BWH  617 525 6612</div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="color: rgb(5, 99, 193);"><u><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$" originalsrc="https://urldefense.com/v3/__https:/secure-web.cisco.com/1xVDt0AUWOQ0u_U_hb32pPS5v2NNhaF4kKrCYAXjGvXY9G5EtRrBxXeMKeDhSOxkly7MvqGLhA6o8gnKd6ABV2r6A58j2KFzbhOlI27ThHmeRDT5Hz6_n7UpoUEk27DURzKWyn2DlBKt6cq-bg830JeKK25unZTRmusVLTHDlPjjNopkKDIPs9c_rilBQ8nyVx0TgUmZPr16lzWNqax0KpSoqbqwagXTv5NhcbwsXglmLPjIJFDGfnvW3GN-b0_pmWm-SoTXFNtDUE22-czD4axcn7A8QmbvtBpaFoJ6hE_DjAIctSjuKuyiHLk3UQdMMSiApNiSdOx5nSZdfuXjELQ/https*3A*2F*2Furldefense.com*2Fv3*2F__http*3A*2F*2Fwww.massgeneral.org*2F__*3B*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDQwYgMVhQ*24__;JSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFROvkV21A$" data-outlook-id="c29009d5-a58c-4baa-8bf9-008a32c2525b" style="color: rgb(5, 99, 193); margin-top: 0px; margin-bottom: 0px;">massgeneral.org</a></u></span></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="color: rgb(5, 99, 193);"><u>brighamandwomens.org</u></span></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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<span style="font-family: Calibri, sans-serif; font-size: 11pt;"><b>From:</b> Intl_dxmedphys_wd_osu_list <</span><span style="font-family: Calibri, sans-serif; font-size: 11pt; color: blue;"><u><a href="mailto:intl_dxmedphys_wd_osu_list-bounces@lists.osu.edu" data-outlook-id="8bbec57f-2f8f-4f25-8c3a-cc0d85b77c28" style="color: blue; margin-top: 0px; margin-bottom: 0px;">intl_dxmedphys_wd_osu_list-bounces@lists.osu.edu</a></u></span><span style="font-family: Calibri, sans-serif; font-size: 11pt;">>
<b>On Behalf Of </b>Jerry Thomas via Intl_dxmedphys_wd_osu_list<br>
<b>Sent:</b> Thursday, September 11, 2025 12:00 PM<br>
<b>To:</b> International Diagnostic Medical Physics List <</span><span style="font-family: Calibri, sans-serif; font-size: 11pt; color: blue;"><u><a href="mailto:intl_dxmedphys_wd_osu_list@lists.osu.edu" data-outlook-id="77aa15b9-7c09-44de-a5e1-127f8e61b1d8" style="color: blue; margin-top: 0px; margin-bottom: 0px;">intl_dxmedphys_wd_osu_list@lists.osu.edu</a></u></span><span style="font-family: Calibri, sans-serif; font-size: 11pt;">><br>
<b>Subject:</b> [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span></div>
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<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></div><p class="WordSection1"><span style="font-family: Helvetica, sans-serif; font-size: 9pt; color: white; background-color: red;"><b>        External Email - Use Caution        </b></span></p><div style="margin: 0in; font-family: Aptos, sans-serif; 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.</div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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vR,</div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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Jerry</div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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<span style="font-family: Tahoma, sans-serif; font-size: 10pt;">Jerry Thomas, MS, FAAPM, DABR, CHP, DABSNM</span></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Tahoma, sans-serif; font-size: 10pt;">Diagnostic Medical Physicist / Radiation Safety Officer</span></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Tahoma, sans-serif; font-size: 10pt;">Ascension Via Christi Hospitals Wichita</span></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Tahoma, sans-serif; font-size: 10pt;">Wichita, KS  67214</span></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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<span style="font-family: Tahoma, sans-serif; font-size: 10pt;">Phone:  316-268-5958  (office)</span></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Tahoma, sans-serif; font-size: 10pt;">            240-447-1014  (cell)</span></div><div style="margin: 0in 0in 12pt; font-family: Aptos, sans-serif; font-size: 12pt;">
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---------- Forwarded message ---------<br>
From: <b>Smith-Bindman, Rebecca</b> <<span style="color: blue;"><u><a href="mailto:Rebecca.Smith-Bindman@ucsf.edu" target="_blank" data-outlook-id="16d17b24-f6e0-4d13-ad01-c1d44165fae6" style="color: blue; margin-top: 0px; margin-bottom: 0px;">Rebecca.Smith-Bindman@ucsf.edu</a></u></span>><br>
Date: Wed, Sep 10, 2025 at 6:39<span style="font-family: Arial, sans-serif;"> </span>PM<br>
Subject: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals<br>
To: Smith-Bindman, Rebecca <<span style="color: blue;"><u><a href="mailto:Rebecca.Smith-Bindman@ucsf.edu" target="_blank" data-outlook-id="c30c95b1-6d83-4f01-84cb-09759022e719" style="color: blue; margin-top: 0px; margin-bottom: 0px;">Rebecca.Smith-Bindman@ucsf.edu</a></u></span>></div><div style="margin: 0in 0in 12pt; font-family: Aptos, sans-serif; font-size: 12pt;">
 <br class="webkit-block-placeholder"></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
Dear Colleagues,</div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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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.</div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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<span style="color: red;"><b><u><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$" target="_blank" originalsrc="https://urldefense.com/v3/__https:/secure-web.cisco.com/1WjP0oPeh2BJqJ5J9XTtH5wZsC-VAKjHx_I3wOg1I66-YBkczuklQ_OToy1wJYz-QfWHafKEXVyD5eX1nJX1geSC1hl0T7VWF-brIcKISL_gaKUPZJVJAWnJt3mnJIAr3oIwnFU3HDhebC2NUXq3KElu37w5ywwCpJmCc8Hr-3kcRfCF3__Eic1RJ_PlDY45qeYmrnv3GsfPct1wVZwlypS_Dio9nCzYaBFVkurPNMaWTS3mUNWRKp85gYmH_6sC87Ii6Fr2nU6BNCmF6LSHmH1C7MKGGyjAZLWpaiIZmtQFueimL5PZbN-Q2NExWsxAGdxBpNv-I9YupHXyMNQYh3Q/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1dOmmAQHEPqj3Ym9Cbx_aWTvuSyJpx70EIVAORHyTH4Trh58Qas80lkgPdxJqXmAvCfV5qk-3ouISnQjGxMaNW5c5JHYw5MxXDIl5iU64U-ISTbDDv5DTzQaKJ_RWZng34mEllhTbAxxmwLGI7NHJinUIxbGACvveKeaxsJJYcnEynAoGzeLLVS3BH7lCwaulaZGW8z0uuARH3l6YljCEy-uOYrg8G2g7idKhf6TyY8R8nzFewt7TI1SgYlvzNMzaby4rryHnuqoGmAOXuCfwLgiu51ri2WNVZLwJoFln0WmWn6VwN8oQu8bNFHiLFpdK*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDTsdka7OA*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFRpiqewkg$" data-outlook-id="104bfd4c-717c-4cf1-8dd2-7edb0258d47b" style="color: red; margin-top: 0px; margin-bottom: 0px;">A
 new federal rule would make CT imaging less safe, causing 25,000 preventable cancers each year.</a></u></b></span></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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<b> </b></div><div style="margin: 0in; font-family: Aptos, sans-serif; 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.</div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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<b>The time to act is short—<i>the public comment period closes <u>Monday, September 15, 2025</u>.</i></b></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<b> </b></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
It takes 30 seconds and every voice counts.</div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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Thank you,</div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<b> </b></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<b>Rebecca Smith-Bindman, MD</b></div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
Professor, Epidemiology and Biostatistics</div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
Obstetrics, Gynecology, and Reproductive Sciences</div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
Director, Radiology Outcomes Research Lab</div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
 </p><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<image002.jpg></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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<span style="font-family: Tahoma, sans-serif; font-size: 10pt;"> </span></p><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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<div id="m_-2620907601222420840m_561313882192148983divRplyFwdMsg"><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="font-family: Calibri, sans-serif; font-size: 11pt;"><b>From:</b> Smith-Bindman, Rebecca<br>
<b>Sent:</b> Wednesday, August 27, 2025 1:07 PM<br>
<b>To:</b> Smith-Bindman, Rebecca <</span><span style="font-family: Calibri, sans-serif; font-size: 11pt; color: blue;"><u><a href="mailto:Rebecca.Smith-Bindman@ucsf.edu" target="_blank" data-outlook-id="7b53650e-f8d4-4074-a1ce-e8e9e9640b2c" style="color: blue; margin-top: 0px; margin-bottom: 0px;">Rebecca.Smith-Bindman@ucsf.edu</a></u></span><span style="font-family: Calibri, sans-serif; font-size: 11pt;">><br>
<b>Subject:</b> URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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Dear Colleagues,</div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
 </p><div style="margin: 0in; font-family: Aptos, sans-serif; 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.</div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
 </p><div style="margin: 0in; font-family: Aptos, sans-serif; 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
<b><i><u>optional</u></i></b> for hospitals. <b>If this change goes into effect, hospital radiation monitoring will become ineffective. Patients will be exposed to unnecessarily high radiation, and</b><span style="color: blue;"><b><u><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$" target="_blank" originalsrc="https://urldefense.com/v3/__https:/secure-web.cisco.com/1M64aAhw18KQadm4IZRKqsH71CxwmQnNYDRdGvLxypsavFHKLh-_186MDxgN9t4yPNSC80-eRUjugY0GMKyXXk97UClglHtV1tnuZn0HS1AwCtNNOTRgKPdnu7_Iytg2na2xBR99Jxk0-_I1CKqinrxcQ9u-IMR0q9PRxTRGAfMZ11nNaT4b2xyy_bnMfy2pzivmtMjnCp9vaEJqKi83RKNzXs9DYGB2ZpDhfOlwIE6OonriHdYIocXxV7w_C9Bqli46Aqc4M8etimCy_LnpmGvEcqvytSDdK0dTrV_Ign8HFfCXpsnbCKoIvf-6N3ddgKIlbimprbioYm_DeQKR0vQ/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1dv86z054EgSfJBXp_2sq1CXrfjZFPKwwIXLeTzjdovArt_dPLb_6FgZwTifZHjxVt47za4KuApoTeU399BI0sxPh-wY5k9rnO2ZckCUaaMqu7cc0jYiHo0sinzx72dxrGNRBpUY7ZhJVrpSD7N1YJf0W-frWHIF6BWbVD2TFug3K5jRaN6EGFQBgMAiTykEwTxY66bDgAewY3rBRFjcTgrR1JHsVm4lDDTgqKR7yWWKOJwnz__zCS2ZXX8HhDsjKdHNUHOO20nFv7CCNIpieAznqlf8P9sX2Kiw4kZmTVDqGzaB-io_oawVZXyjfOyci*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fjamanetwork.com*2A2Fjournals*2A2Fjamainternalmedicine*2A2Ffullarticle*2A2F2832778__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TAQLOl68*2A24__*3BJSUlJSUlJSUlJSUlJSUlJSU*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDQfWZ33dA*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFRX5MyBdg$" data-outlook-id="e93311b1-0c5c-4660-897f-8062b1180905" style="color: blue; margin-top: 0px; margin-bottom: 0px;">thousands
 of preventable cancers will occur</a></u></b></span><b>.</b></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
 </p><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
In response to this unfortunate news, I’m reaching out to colleagues, friends, and family to
<b>tell CMS to stop this dangerous rollback for patient safety.</b></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
 </p><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
<span style="color: rgb(200, 38, 19);">We’ve created a </span><span style="color: blue;"><u><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$" target="_blank" originalsrc="https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$" data-outlook-id="86ee9eca-0ab1-4f8b-9817-b70dbc78201b" style="color: blue; margin-top: 0px; margin-bottom: 0px;">campaign</a></u></span> <span style="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></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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<span style="color: blue;"><u><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$" target="_blank" originalsrc="https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$" data-outlook-id="b4786aa4-b11a-4b98-b355-65f104e63856" style="color: blue; margin-top: 0px; margin-bottom: 0px;">Please
 submit your comment before Monday, September 15!</a></u></span></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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Thank you for using your voice to protect patients. Please don’t hesitate to reach out with any questions.</div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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Sincerely,</div><div style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
Rebecca</div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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<span style="font-family: Tahoma, sans-serif; font-size: 10pt;">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></div><p class="MsoNormal" style="margin: 0in; font-family: Aptos, sans-serif; font-size: 12pt;">
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