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It took some work but I did verify that this is the correct link (https: //www. regulations. gov/commenton/CMS-2025-0306-0002). Searching for "excessive" on the page this URL is linked to did not have any matches. However, this page has</div>
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<p>It took some work but I did verify that this is the correct link (<a href="https://urldefense.com/v3/__https://www.regulations.gov/commenton/CMS-2025-0306-0002__;!!KGKeukY!w1Vu7LjKhUZ9yuu_9jHIuPv-9EmpAR5iXUJKZehaCC5345CSBCOuYI-9hKEb4m9VLX-NblP3-SlJ3LN_vgKM_IGhXMsaYG-0bxKDVV--H0btbQ$" class="OWAAutoLink">https://www.regulations.gov/commenton/CMS-2025-0306-0002</a>). Searching for "excessive" on the page
this URL is linked to did not have any matches. However, this page has a link at the top to "Medicare and Medicaid Programs...CMS-1834-p", and when I clicked on that link and searched I did find a reference to the "<span>Excessive Radiation eCQM" under "<span>Summary
of the Major Provisions" (along with a lot of other provisions).</span></span></p>
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<div>David M. Gauntt, Ph.D.</div>
<div>Associate Professor</div>
<div><span style=""><span style=""><span style="font-size:12.0pt">Division of Physics and Engineering</span></span><i style=""><span style="font-size:12.0pt"></span></i></span><b style=""><i style=""><span style="font-size:12.0pt"></span></i></b><br>
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<div>Department of Radiology</div>
<div>(205)975-3777<br>
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<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" color="#000000" style="font-size:11pt"><b>From:</b> Johnson, Loretta M<br>
<b>Sent:</b> Friday, September 12, 2025 12:48 PM<br>
<b>To:</b> Gauntt, David; DxMedPhys List<br>
<b>Subject:</b> Re: [Intl_DxMedPhys] EXT MSG Re: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</font>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt">That’s the right link – search the webpage for “excessive” and you’ll see that it’s included there.</span></p>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black">Peace,</span></p>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black">Loretta</span></p>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-family:"Calibri",sans-serif; color:#1E6B52"> </span></b></p>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-family:"Calibri",sans-serif; color:#1A5632">Loretta Johnson, Ph.D., DABR, FAAPM | Assistant Professor</span></b><b><span style="font-family:"Calibri",sans-serif; color:#1E6B52"></span></b></p>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.5pt; font-family:"Calibri",sans-serif">Director | Division of Physics and Engineering</span></p>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.5pt; font-family:"Calibri",sans-serif">Department of Radiology | Heersink School of Medicine</span></p>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.5pt; font-family:"Calibri",sans-serif">UAB | The University of Alabama at Birmingham</span></p>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.5pt; font-family:"Calibri",sans-serif">GSB Suite #301 | 619 19<sup>th</sup> Street South | Birmingham, AL 35249</span></p>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.5pt; font-family:"Calibri",sans-serif">P: 205.934.7592 |<span style="color:#1A5632">
<a href="mailto:lorettajohnson@uabmc.edu" style="color: blue; text-decoration: underline;">
<span style="color:#1A5632">lorettajohnson@uabmc.edu</span></a></span></span></p>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:#1A5632"><a href="https://urldefense.com/v3/__https://www.uab.edu/medicine/radiology/__;!!KGKeukY!w1Vu7LjKhUZ9yuu_9jHIuPv-9EmpAR5iXUJKZehaCC5345CSBCOuYI-9hKEb4m9VLX-NblP3-SlJ3LN_vgKM_IGhXMsaYG-0bxKDVV8Q9PgV7Q$" style="color: blue; text-decoration: underline;"><span style="color:#1A5632">https://www.uab.edu/medicine/radiology/</span></a></span><span style="font-size:11.0pt"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-family:"Calibri",sans-serif; color:black">From:
</span></b><span style="font-family:"Calibri",sans-serif; color:black">Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces@lists.osu.edu> on behalf of Dxmedphys new list <intl_dxmedphys_wd_osu_list@lists.osu.edu><br>
<b>Reply-To: </b>David Gauntt <davidgauntt@uabmc.edu><br>
<b>Date: </b>Friday, September 12, 2025 at 12:31 PM<br>
<b>To: </b>Dxmedphys new list <intl_dxmedphys_wd_osu_list@lists.osu.edu><br>
<b>Subject: </b>Re: [Intl_DxMedPhys] EXT MSG Re: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"> </p>
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<div>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:1.0pt; color:white">The link that I have (https:</span><span style="font-size:1.0pt; font-family:"Arial",sans-serif; color:white"> </span><span style="font-size:1.0pt; color:white">//www.</span><span style="font-size:1.0pt; font-family:"Arial",sans-serif; color:white"> </span><span style="font-size:1.0pt; color:white">regulations.</span><span style="font-size:1.0pt; font-family:"Arial",sans-serif; color:white"> </span><span style="font-size:1.0pt; color:white">gov/commenton/CMS-2025-0306-0002)
appears to be for a different CMS measure. What is the link for CMS1074V3 "Excessive radiation dose.</span><span style="font-size:1.0pt; font-family:"Arial",sans-serif; color:white"> </span><span style="font-size:1.0pt; color:white">.</span><span style="font-size:1.0pt; font-family:"Arial",sans-serif; color:white"> </span><span style="font-size:1.0pt; color:white">.</span><span style="font-size:1.0pt; font-family:"Arial",sans-serif; color:white"> </span><span style="font-size:1.0pt; color:white">"?
Someone is submitting comments (about 20 so far</span></p>
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<p><span style="font-family:"Calibri",sans-serif; color:black">The link that I have (<a href="https://urldefense.com/v3/__https:/www.regulations.gov/commenton/CMS-2025-0306-0002__;!!KGKeukY!x-VSuVIqPRmh3xyxXcU3JL2Ll5zN5AnAY5E39FA9qS561xGEJMgS0TwWLSfyf9flbE2ZG_mC1SUERI2OXHJx48yE5dKdSE9YpIUAzkLsJdna2g$" style="color: blue; text-decoration: underline;">https://www.regulations.gov/commenton/CMS-2025-0306-0002</a>)
appears to be for a different CMS measure. What is the link for CMS1074V3 "Excessive radiation dose..."? Someone is submitting comments (about 20 so far today) but I have no idea how.</span></p>
<p><span style="font-family:"Calibri",sans-serif; color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black">David M. Gauntt, Ph.D.</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black">Associate Professor</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black">Division of Physics and Engineering</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black">Department of Radiology</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black">(205)975-3777</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black"><img naturalheight="67" naturalwidth="297" border="0" width="297" height="67" id="_x0000_i1028" alt="1647458080270" style="width:3.0937in; height:.6979in" src="cid:image001.png@01DC23E3.94CC5640"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black">From:</span></b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"> Intl_dxmedphys_wd_osu_list
<intl_dxmedphys_wd_osu_list-bounces@lists.osu.edu> on behalf of Douglas Pfeiffer via Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list@lists.osu.edu><br>
<b>Sent:</b> Friday, September 12, 2025 12:09 PM<br>
<b>To:</b> Mahadevappa Mahesh<br>
<b>Cc:</b> intl_dxmedphys_wd_osu_list@lists.osu.edu<br>
<b>Subject:</b> EXT MSG Re: [Intl_DxMedPhys] [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span><span style="font-family:"Calibri",sans-serif; color:black">
</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:1.0pt; font-family:"Calibri",sans-serif; color:white">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,</span></p>
</div>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black">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. </span>
</p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black">Best regards,</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black">Doug</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black">Douglas Pfeiffer, MS, DABR FACR, FAAPM</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black">Medical Physicist, Radiation Safety Officer</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black">Boulder Community Health</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black">xraydoug@me.com</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black">303.415.7515</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black">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></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black">On Sep 12, 2025, at 11:02 AM, Dr M. Mahesh <MMAHESH@jhmi.edu> wrote:</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black">FYI,</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black">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. </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black">Mahesh</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><i><span style="font-family:"Calibri",sans-serif; color:#009249">Be Curious!</span></i></b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black">Please do not feel obligated to respond after normal working hours!</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"><image002[42].png></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:black">==========================================================================================</span><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#262626">M. Mahesh, MS, PhD, FAAPM, FACR, FACMP, FSCCT, FIOMP.</span></b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:#262626">(he/him/his)</span></b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:black">Professor -</span></b><b><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:#595959"> </span></b><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:#595959">The
Russell H. Morgan Department of Radiology and Radiological Science</span><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:#595959">Johns Hopkins University School of Medicine</span><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:black">Chair</span></b><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:#595959"> – Radiation
Control Committee, Johns Hopkins Health Systems</span><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:black"> </span></b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:black">President, American Association of Physicists in Medicine (AAPM</span></b><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:black">)</span><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"></span></p>
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<p><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:black"> </span><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:#595959">601 N Caroline Street,</span><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:#595959">Baltimore, MD 21287-0856</span><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><u><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:#595959"><a href="tel:(410)%C2%A0955-5115" target="_blank" style="color: blue; text-decoration: underline;">(410)
955-5115</a></span></u><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:#595959"> (O)</span><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:#595959">(410) 404-8742 (M)</span><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:black">email: mmahesh@jhmi.edu</span></b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><u><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:#2F6B9A"><a href="https://urldefense.com/v3/__http:/ow.ly/QfiB50ExGRi__;!!KGKeukY!0-1HJHMNX6HanVaT16T_iIucNajRmEqvpdJQ0IHqlVOcKsYm6d9MpWWdei1HUabzUYHwvNVbSgg-RYkrfQAN_vX-wipY4VEOg-T8$" target="_blank" style="color: blue; text-decoration: underline;">http://ow.ly/QfiB50ExGRi</a></span></u></b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:#595959">Zoom:
<u><a href="https://urldefense.com/v3/__https:/jhjhm.zoom.us/my/m.mahesh__;!!KGKeukY!0-1HJHMNX6HanVaT16T_iIucNajRmEqvpdJQ0IHqlVOcKsYm6d9MpWWdei1HUabzUYHwvNVbSgg-RYkrfQAN_vX-wipY4c5drh8K$" style="color: blue; text-decoration: underline;">https://jhjhm.zoom.us/my/m.mahesh</a></u></span></b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.0pt; font-family:"Calibri",sans-serif; color:black">=========================================================================================</span><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="color:black">From:
</span></b><span style="color:black">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</span><span style="font-family:"Arial",sans-serif; color:black"> </span><span style="color:black">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</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-family:"Calibri",sans-serif; color:black"><br>
</span></b><b><span style="font-family:"Times New Roman",serif; color:white; background:red"> External Email - Use Caution </span></b><span style="font-family:"Calibri",sans-serif; color:black"></span></p>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black"> </span></p>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-family:"Calibri",sans-serif; color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">I misspoke and the article was a bit misleading. The article is only reporting on the proposed, not final rulemaking.</span></p>
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<p style="background: white; margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;">
<b><span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:#0078B3">Matt Wait, MS, DABR, DABSNM, MRSE</span></b><span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:black"><br>
Senior Diagnostic Physicist</span><span style="color:black"></span></p>
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<p style="background: white; margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;">
<span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:black">Assistant Radiation Safety Officer</span><span style="color:black"></span></p>
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<p style="background: white; margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;">
<span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:black">Assistant Residency Director</span><span style="color:black"></span></p>
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<p style="line-height: 12pt; background: white; margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;">
<b><span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:#0084B9">Kaiser Permanente</span></b><span style="color:black"></span></p>
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<p style="line-height: 12pt; background: white; margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;">
<b><span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:#0084B9">Southern Permanente Medical Group</span></b><span style="color:black"></span></p>
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<p style="line-height: 12pt; background: white; margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;">
<span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:black">Medical Imaging Technology and Informatics<br>
4867 Sunset Blvd</span><span style="color:black"></span></p>
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<p style="line-height: 12pt; background: white; margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;">
<span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:black">Los Angeles, CA 90027</span><span style="color:black"></span></p>
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<span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:black">x5347 (office)</span><span style="color:black"></span></p>
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<p style="line-height: 12pt; background: white; margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;">
<span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:black">(818) 232-2427 (mobile phone)</span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black">From:</span></b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"> 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><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">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.</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">Best regards,</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">Doug</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"> </span></p>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">Douglas Pfeiffer, MS, DABR FACR, FAAPM</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">Medical Physicist, Radiation Safety Officer</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">Boulder Community Health</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><u><span style="color:blue"><a href="mailto:xraydoug@me.com" style="color: blue; text-decoration: underline;">xraydoug@me.com</a></span></u><span style="color:black"></span></p>
</div>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">303.415.7515</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">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></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">On Sep 12, 2025, at 9:25</span><span style="font-family:"Arial",sans-serif; color:black"> </span><span style="color:black">AM, Matt Wait via Intl_dxmedphys_wd_osu_list
<</span><u><span style="color:blue"><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></span></u><span style="color:black">> wrote:</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">Update: We won this round.
</span><u><span style="color:blue"><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></span></u><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"> </span></p>
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<p style="background: white; margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;">
<b><span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:#0078B3">Matt Wait, MS, DABR, DABSNM, MRSE</span></b><span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:black"><br>
Senior Diagnostic Physicist</span><span style="color:black"></span></p>
</div>
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<p style="background: white; margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;">
<span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:black">Assistant Radiation Safety Officer</span><span style="color:black"></span></p>
</div>
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<p style="background: white; margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;">
<span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:black">Assistant Residency Director</span><span style="color:black"></span></p>
</div>
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<p style="line-height: 12pt; background: white; margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;">
<b><span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:#0084B9">Kaiser Permanente</span></b><span style="color:black"></span></p>
</div>
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<p style="line-height: 12pt; background: white; margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;">
<b><span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:#0084B9">Southern Permanente Medical Group</span></b><span style="color:black"></span></p>
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<span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:black">Medical Imaging Technology and Informatics<br>
4867 Sunset Blvd</span><span style="color:black"></span></p>
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<span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:black">Los Angeles, CA 90027</span><span style="color:black"></span></p>
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<span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:black">x5347 (office)</span><span style="color:black"></span></p>
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<span style="font-size:9.0pt; font-family:"Arial",sans-serif; color:black">(818) 232-2427 (mobile phone)</span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black">From:</span></b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"> Intl_dxmedphys_wd_osu_list
<</span><u><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:blue"><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></u><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black">>
<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><u><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:blue"><a href="mailto:TMEDICH@mgh.harvard.edu" style="color: blue; text-decoration: underline;">TMEDICH@mgh.harvard.edu</a></span></u><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black">>;
</span><u><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:blue"><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></span></u><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"><br>
<b>Subject:</b> Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.0pt; color:black"> </span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:1.0pt; 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><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-size:13.5pt; color:red">Caution:</span></b><b><span style="font-size:13.5pt; font-family:"Calibri",sans-serif; color:red"> </span></b><span style="font-size:13.5pt; font-family:Helvetica; 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><span style="font-family:"Calibri",sans-serif; color:black"></span></p>
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<hr size="0" width="99%" align="center">
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; color:black">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><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; color:black"> </span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; color:black">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><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; color:black"> </span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; color:black">Ryan </span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black">From:</span></b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"> Intl_dxmedphys_wd_osu_list
<</span><u><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:blue"><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></u><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black">>
<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><u><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:blue"><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></span></u><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"><br>
<b>Subject:</b> Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span><span style="color:black"></span></p>
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<b><span style="font-size:22.5pt; font-family:"Arial",sans-serif; color:white">STOP!</span></b></p>
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<p style="margin: 0in; font-size: 12pt; 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-size:10.0pt; 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></p>
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<b><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></b></p>
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<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></span></p>
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<b><span style="font-size:14.5pt; font-family:"Arial",sans-serif; color:white">THINK<br>
Before You <br>
Click the Link</span></b></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:1.0pt; 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><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; color:black">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><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; color:black"> </span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; color:black">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><span style="color:black"></span></p>
</div>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; color:black"> </span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; color:black">Adam’s email gave the link to the comment field on
<a href="https://urldefense.com/v3/__http:/regulations.gov__;!!NoSwA-eRAg!GJnvBkKuPgZU2UX92MJuAzJTjo7j-xWWM5xmND3q81o__2cv8e3n0HFcVoh_uUic2k9S1_b-MPUjqRgBBLdIpy--moCvM0Ksm5aS$" style="color: blue; text-decoration: underline;">
regulations.gov</a>: </span><u><span style="font-size:10.0pt; color:blue"><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1crCs9FpIMKFPwVDSZRg_9xlR4aBruAi26SoIqqlSw2VPUFDnjCgkL0lEsnB7ml8Bu5NYKf5xTjimFZkBPkN-Ec9auI6_jfnfJKXqnTO9ucx6HqriS5Nys8Hp3-znpBPeQNJW1avDz6n4ABUFvmwmdul4MPnA04UozE9yF6Cpk0yLlIP8kPYuvAUkMRKsqtJh_gTf1piZDI_BJNqeBAvwmiJsESxybJGcHi__iAYJ0-WHHt7p6G1gLCw2WiXJpguCWNt4o3PdfQXYnaT21DMBhywA6NwBwWryu_I5zY0dFpMaI3eanzOPQFYmWMFEmLwS/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1hSy6k9zrdAPTLR1oDl61VKQAtYRsfpmkl8u3zplpojnwSylMTEZWltisG-bHkqXATG1Y22TIvf645q8MDOnHBkMtXKMLgYNQzONvZfs3RWf300cPRjCR7TG2ad239owN7g_dknEYs9Dl6u2SFTfX0ZKWfiTr3-zTZksKVCn88xjXB5BlD-h1q7sqKJR657BxP1gEQn9QQkvXQNDAcxVryCVCjSvdcTEG8V90xH46-LZQ2PeaD-S6oKV4jgDehEnL_xea1R2CXrms2WYzKRpMZl4bFkRwRtYbEW9sQ8MkPICVh78GwOkL6K2P9rq3xMIU*2Fhttps*2A3A*2A2F*2A2Fwww.regulations.gov*2A2Fcommenton*2A2FCMS-2025-0306-0002__*3BJSUlJSU*21*21KGKeukY*210hWFh0hvSnArkmV9Q9QAzzhqk1PsEnPjbi74o_jzwcOuvkiordlZ2_jsAWqsffwN3RV8G_K-_WB6aw3sxwCNPf5eUCvMrfq-6OagYw*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFQ-Gcnp4A$" style="color: blue; text-decoration: underline;">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$" style="color: blue; text-decoration: underline;">g</a><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1crCs9FpIMKFPwVDSZRg_9xlR4aBruAi26SoIqqlSw2VPUFDnjCgkL0lEsnB7ml8Bu5NYKf5xTjimFZkBPkN-Ec9auI6_jfnfJKXqnTO9ucx6HqriS5Nys8Hp3-znpBPeQNJW1avDz6n4ABUFvmwmdul4MPnA04UozE9yF6Cpk0yLlIP8kPYuvAUkMRKsqtJh_gTf1piZDI_BJNqeBAvwmiJsESxybJGcHi__iAYJ0-WHHt7p6G1gLCw2WiXJpguCWNt4o3PdfQXYnaT21DMBhywA6NwBwWryu_I5zY0dFpMaI3eanzOPQFYmWMFEmLwS/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1hSy6k9zrdAPTLR1oDl61VKQAtYRsfpmkl8u3zplpojnwSylMTEZWltisG-bHkqXATG1Y22TIvf645q8MDOnHBkMtXKMLgYNQzONvZfs3RWf300cPRjCR7TG2ad239owN7g_dknEYs9Dl6u2SFTfX0ZKWfiTr3-zTZksKVCn88xjXB5BlD-h1q7sqKJR657BxP1gEQn9QQkvXQNDAcxVryCVCjSvdcTEG8V90xH46-LZQ2PeaD-S6oKV4jgDehEnL_xea1R2CXrms2WYzKRpMZl4bFkRwRtYbEW9sQ8MkPICVh78GwOkL6K2P9rq3xMIU*2Fhttps*2A3A*2A2F*2A2Fwww.regulations.gov*2A2Fcommenton*2A2FCMS-2025-0306-0002__*3BJSUlJSU*21*21KGKeukY*210hWFh0hvSnArkmV9Q9QAzzhqk1PsEnPjbi74o_jzwcOuvkiordlZ2_jsAWqsffwN3RV8G_K-_WB6aw3sxwCNPf5eUCvMrfq-6OagYw*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFQ-Gcnp4A$" style="color: blue; text-decoration: underline;">ov/commenton/CMS-2025-0306-0002</a></span></u><span style="font-size:10.0pt; color:black">. </span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; color:black"> </span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; color:black">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><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; color:black"> </span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; color:black">Mea culpa,</span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; color:black"> </span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; color:black">-Tara</span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black">From:</span></b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"> Intl_dxmedphys_wd_osu_list
<</span><u><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:blue"><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></u><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black">>
<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><u><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:blue"><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></span></u><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"><br>
<b>Subject:</b> Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:1.0pt; 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:1.0pt; font-family:"Arial",sans-serif; color:white"> </span><span style="font-size:1.0pt; color:white">gov site. Please see</span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-size:9.0pt; font-family:Helvetica; color:white; background:red"> External Email - Use Caution </span></b><span style="font-family:"Calibri",sans-serif; color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; color:black">Thank you for posting, Jerry. This is related to Adam Springer’s email from last night.</span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; color:black">The Smith-Bindman campaign is blazing through social media. There are hundreds of comments from her “supporters” on the
<a href="https://urldefense.com/v3/__http:/regulations.gov__;!!NoSwA-eRAg!GJnvBkKuPgZU2UX92MJuAzJTjo7j-xWWM5xmND3q81o__2cv8e3n0HFcVoh_uUic2k9S1_b-MPUjqRgBBLdIpy--moCvM0Ksm5aS$" style="color: blue; text-decoration: underline;">
regulations.gov</a> site. Please see her exact comment near the bottom of the first email:</span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:#C82613">My contacts at CMS have assured me if we get enough letters opposing the change, the proposed rule could be reversed.</span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; color:black">The goal is to overwhelm with volume. There are four days remaining in the comment period. <b>Please submit a statment!!</b></span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:11.0pt; color:black">-Tara</span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="color:#009CA6">______________________________</span></b><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:16.0pt; color:black">Tara M. Medich, MS, CHP</span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">Director, Radiation Safety</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">Radiation Safety Officer, MGH & BWH</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="color:black">Massachusetts General Hospital</span></b><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="color:black">Brigham and Women’s Hospital</span></b><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">125 Nashua St, Suite 641, Boston MA 02114</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">MGH 617 724 4577 | BWH 617 525 6612</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><u><span style="color:#0563C1"><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="color:#0563C1">massgeneral.org</span></a></span></u><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><u><span style="color:#0563C1"><a href="https://urldefense.com/v3/__http:/brighamandwomens.org__;!!NoSwA-eRAg!GJnvBkKuPgZU2UX92MJuAzJTjo7j-xWWM5xmND3q81o__2cv8e3n0HFcVoh_uUic2k9S1_b-MPUjqRgBBLdIpy--moCvM_02-vm2$" style="color: blue; text-decoration: underline;">brighamandwomens.org</a></span></u><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black">From:</span></b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"> Intl_dxmedphys_wd_osu_list
<</span><u><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:blue"><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></u><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black">>
<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><u><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:blue"><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></span></u><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black">><br>
<b>Subject:</b> [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:1.0pt; 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><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-size:9.0pt; font-family:Helvetica; color:white; background:red"> External Email - Use Caution </span></b><span style="font-family:"Calibri",sans-serif; color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">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></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">vR,</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">Jerry</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.0pt; font-family:"Tahoma",sans-serif; color:black">Jerry Thomas, MS, FAAPM, DABR, CHP, DABSNM</span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.0pt; font-family:"Tahoma",sans-serif; color:black">Diagnostic Medical Physicist / Radiation Safety Officer</span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.0pt; font-family:"Tahoma",sans-serif; color:black">Ascension Via Christi Hospitals Wichita</span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.0pt; font-family:"Tahoma",sans-serif; color:black">Wichita, KS 67214</span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.0pt; font-family:"Tahoma",sans-serif; color:black">Phone: 316-268-5958 (office)</span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.0pt; font-family:"Tahoma",sans-serif; color:black"> 240-447-1014 (cell)</span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">---------- Forwarded message ---------<br>
From: <b>Smith-Bindman, Rebecca</b> <</span><u><span style="color:blue"><a href="mailto:Rebecca.Smith-Bindman@ucsf.edu" target="_blank" style="color: blue; text-decoration: underline;">Rebecca.Smith-Bindman@ucsf.edu</a></span></u><span style="color:black">><br>
Date: Wed, Sep 10, 2025 at 6:39</span><span style="font-family:"Arial",sans-serif; color:black"> </span><span style="color:black">PM<br>
Subject: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals<br>
To: Smith-Bindman, Rebecca <</span><u><span style="color:blue"><a href="mailto:Rebecca.Smith-Bindman@ucsf.edu" target="_blank" style="color: blue; text-decoration: underline;">Rebecca.Smith-Bindman@ucsf.edu</a></span></u><span style="color:black">></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">Dear Colleagues,</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">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></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><u><span style="color:red"><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;"><span style="color:red">A
new federal rule would make CT imaging less safe, causing 25,000 preventable cancers each year.</span></a></span></u></b><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><u><span style="color:red"><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$" target="_blank" style="color: blue; text-decoration: underline;"><span style="color:red">TAKE
ACTION NOW!</span></a><a href="https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$" target="_blank" style="color: blue; text-decoration: underline;"><span style="color:red"> </span></a></span></u></b><b><u><span style="font-family:"Segoe UI Emoji",sans-serif; color:red"><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="color:red">▶️</span></a></span></u></b><span style="color:black"></span></p>
</div>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="color:black"> </span></b><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">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></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="color:black">The time to act is short—<i>the public comment period closes
<u>Monday, September 15, 2025</u>.</i></span></b><span style="color:black"></span></p>
</div>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="color:black"> </span></b><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">It takes 30 seconds and every voice counts.</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">Thank you,</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="color:black"> </span></b><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="color:black">Rebecca Smith-Bindman, MD</span></b><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">Professor, Epidemiology and Biostatistics</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">Obstetrics, Gynecology, and Reproductive Sciences</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">Director, Radiology Outcomes Research Lab</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"><image002.jpg></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.0pt; font-family:"Tahoma",sans-serif; color:black"> </span><span style="color:black"></span></p>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.0pt; font-family:"Tahoma",sans-serif; color:black"> </span><span style="color:black"></span></p>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"> </span></p>
<div align="center" style="text-align: center; margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;">
<span style="font-family:"Calibri",sans-serif; color:black">
<hr size="0" width="97%" align="center">
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<div id="m_-2620907601222420840m_561313882192148983divRplyFwdMsg">
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black">From:</span></b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black"> Smith-Bindman,
Rebecca<br>
<b>Sent:</b> Wednesday, August 27, 2025 1:07 PM<br>
<b>To:</b> Smith-Bindman, Rebecca <</span><u><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:blue"><a href="mailto:Rebecca.Smith-Bindman@ucsf.edu" target="_blank" style="color: blue; text-decoration: underline;">Rebecca.Smith-Bindman@ucsf.edu</a></span></u><span style="font-size:11.0pt; font-family:"Calibri",sans-serif; color:black">><br>
<b>Subject:</b> URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals</span><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">Dear Colleagues,</span></p>
</div>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"> </span></p>
<div>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">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></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">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><b><u><span style="color:blue"><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;">thousands
of preventable cancers will occur</a></span></u></b><b><span style="color:black">.</span></b><span style="color:black"></span></p>
</div>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">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></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"> </span></p>
<div>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:#C82613">We’ve created a
</span><u><span style="color:blue"><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;">campaign</a></span></u><span style="color:black"> </span><span style="color:#C82613">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><span style="color:black"></span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"> </span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">Thank you for using your voice to protect patients. Please don’t hesitate to reach out with any questions.</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">Sincerely,</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black">Rebecca</span></p>
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<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="color:black"> </span></p>
<div>
<p style="margin: 0in; font-size: 12pt; font-family: "Aptos", sans-serif;"><span style="font-size:10.0pt; font-family:"Tahoma",sans-serif; color:black">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><span style="color:black"></span></p>
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