[Intl_DxMedPhys] EXT MSG Re: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals
Gauntt, David
davidgauntt at uabmc.edu
Fri Sep 12 14:01:03 EDT 2025
It took some work but I did verify that this is the correct link (https://urldefense.com/v3/__https://www.regulations.gov/commenton/CMS-2025-0306-0002__;!!KGKeukY!w1Vu7LjKhUZ9yuu_9jHIuPv-9EmpAR5iXUJKZehaCC5345CSBCOuYI-9hKEb4m9VLX-NblP3-SlJ3LN_vgKM_IGhXMsaYG-0bxKDVV--H0btbQ$ ). 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 "Excessive Radiation eCQM" under "Summary of the Major Provisions" (along with a lot of other provisions).
---
David M. Gauntt, Ph.D.
Associate Professor
Division of Physics and Engineering
Department of Radiology
(205)975-3777
[1647458080270]
________________________________
From: Johnson, Loretta M
Sent: Friday, September 12, 2025 12:48 PM
To: Gauntt, David; DxMedPhys List
Subject: Re: [Intl_DxMedPhys] EXT MSG Re: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals
That’s the right link – search the webpage for “excessive” and you’ll see that it’s included there.
Peace,
Loretta
Loretta Johnson, Ph.D., DABR, FAAPM | Assistant Professor
Director | Division of Physics and Engineering
Department of Radiology | Heersink School of Medicine
UAB | The University of Alabama at Birmingham
GSB Suite #301 | 619 19th Street South | Birmingham, AL 35249
P: 205.934.7592 | lorettajohnson at uabmc.edu<mailto:lorettajohnson at uabmc.edu>
https://urldefense.com/v3/__https://www.uab.edu/medicine/radiology/__;!!KGKeukY!w1Vu7LjKhUZ9yuu_9jHIuPv-9EmpAR5iXUJKZehaCC5345CSBCOuYI-9hKEb4m9VLX-NblP3-SlJ3LN_vgKM_IGhXMsaYG-0bxKDVV8Q9PgV7Q$
From: Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces at lists.osu.edu> on behalf of Dxmedphys new list <intl_dxmedphys_wd_osu_list at lists.osu.edu>
Reply-To: David Gauntt <davidgauntt at uabmc.edu>
Date: Friday, September 12, 2025 at 12:31 PM
To: Dxmedphys new list <intl_dxmedphys_wd_osu_list at lists.osu.edu>
Subject: Re: [Intl_DxMedPhys] EXT MSG Re: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals
The link that I have (https: //www. regulations. gov/commenton/CMS-2025-0306-0002) 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
The link that I have (https://urldefense.com/v3/__https://www.regulations.gov/commenton/CMS-2025-0306-0002__;!!KGKeukY!w1Vu7LjKhUZ9yuu_9jHIuPv-9EmpAR5iXUJKZehaCC5345CSBCOuYI-9hKEb4m9VLX-NblP3-SlJ3LN_vgKM_IGhXMsaYG-0bxKDVV--H0btbQ$ <https://urldefense.com/v3/__https:/www.regulations.gov/commenton/CMS-2025-0306-0002__;!!KGKeukY!x-VSuVIqPRmh3xyxXcU3JL2Ll5zN5AnAY5E39FA9qS561xGEJMgS0TwWLSfyf9flbE2ZG_mC1SUERI2OXHJx48yE5dKdSE9YpIUAzkLsJdna2g$>) 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.
---
David M. Gauntt, Ph.D.
Associate Professor
Division of Physics and Engineering
Department of Radiology
(205)975-3777
[1647458080270]
________________________________
From: Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces at lists.osu.edu> on behalf of Douglas Pfeiffer via Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list at lists.osu.edu>
Sent: Friday, September 12, 2025 12:09 PM
To: Mahadevappa Mahesh
Cc: intl_dxmedphys_wd_osu_list at lists.osu.edu
Subject: EXT MSG Re: [Intl_DxMedPhys] [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals
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,
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, DABR FACR, FAAPM
Medical Physicist, Radiation Safety Officer
Boulder Community Health
xraydoug at me.com
303.415.7515
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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.
On Sep 12, 2025, at 11:02 AM, Dr M. Mahesh <MMAHESH at jhmi.edu> wrote:
FYI,
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.
Mahesh
Be Curious!
Please do not feel obligated to respond after normal working hours!
<image002[42].png>
==========================================================================================
M. Mahesh, MS, PhD, FAAPM, FACR, FACMP, FSCCT, FIOMP.
(he/him/his)
Professor - The Russell H. Morgan Department of Radiology and Radiological Science
Johns Hopkins University School of Medicine
Chair – Radiation Control Committee, Johns Hopkins Health Systems
President, American Association of Physicists in Medicine (AAPM)
601 N Caroline Street,
Baltimore, MD 21287-0856
(410) 955-5115<tel:(410)%C2%A0955-5115> (O)
(410) 404-8742 (M)
email: mmahesh at jhmi.edu
https://urldefense.com/v3/__http://ow.ly/QfiB50ExGRi__;!!KGKeukY!w1Vu7LjKhUZ9yuu_9jHIuPv-9EmpAR5iXUJKZehaCC5345CSBCOuYI-9hKEb4m9VLX-NblP3-SlJ3LN_vgKM_IGhXMsaYG-0bxKDVV-jhJBKwA$ <https://urldefense.com/v3/__http:/ow.ly/QfiB50ExGRi__;!!KGKeukY!0-1HJHMNX6HanVaT16T_iIucNajRmEqvpdJQ0IHqlVOcKsYm6d9MpWWdei1HUabzUYHwvNVbSgg-RYkrfQAN_vX-wipY4VEOg-T8$>
Zoom: https://urldefense.com/v3/__https://jhjhm.zoom.us/my/m.mahesh__;!!KGKeukY!w1Vu7LjKhUZ9yuu_9jHIuPv-9EmpAR5iXUJKZehaCC5345CSBCOuYI-9hKEb4m9VLX-NblP3-SlJ3LN_vgKM_IGhXMsaYG-0bxKDVV88EitZaw$ <https://urldefense.com/v3/__https:/jhjhm.zoom.us/my/m.mahesh__;!!KGKeukY!0-1HJHMNX6HanVaT16T_iIucNajRmEqvpdJQ0IHqlVOcKsYm6d9MpWWdei1HUabzUYHwvNVbSgg-RYkrfQAN_vX-wipY4c5drh8K$>
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From: Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces+mmahesh=jhmi.edu at lists.osu.edu> on behalf of Matt Wait via Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list at lists.osu.edu>
Date: Friday, September 12, 2025 at 12:59 PM
To: Douglas Pfeiffer <xraydoug at me.com>
Cc: intl_dxmedphys_wd_osu_list at lists.osu.edu <intl_dxmedphys_wd_osu_list at lists.osu.edu>
Subject: Re: [Intl_DxMedPhys] [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals
External Email - Use Caution
I misspoke and the article was a bit misleading. The article is only reporting on the proposed, not final rulemaking.
Matt Wait, MS, DABR, DABSNM, MRSE
Senior Diagnostic Physicist
Assistant Radiation Safety Officer
Assistant Residency Director
Kaiser Permanente
Southern Permanente Medical Group
Medical Imaging Technology and Informatics
4867 Sunset Blvd
Los Angeles, CA 90027
x5347 (office)
(818) 232-2427 (mobile phone)
From: Douglas Pfeiffer <xraydoug at me.com>
Sent: Friday, September 12, 2025 8:53 AM
To: Matt Wait <Matt.Wait at kp.org>
Cc: Ryan Fisher <rfisher1 at metrohealth.org>; Medich, Tara <TMEDICH at mgh.harvard.edu>; intl_dxmedphys_wd_osu_list at lists.osu.edu
Subject: Re: [Intl_DxMedPhys] [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals
I’m confused. If the comment period is open until 9/15, why is a decision being announced now? I’m all in favor of the decision, it just seems odd to make it before the comment period closes.
Best regards,
Doug
Douglas Pfeiffer, MS, DABR FACR, FAAPM
Medical Physicist, Radiation Safety Officer
Boulder Community Health
xraydoug at me.com<mailto:xraydoug at me.com>
303.415.7515
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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.
On Sep 12, 2025, at 9:25 AM, Matt Wait via Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list at lists.osu.edu<mailto:intl_dxmedphys_wd_osu_list at lists.osu.edu>> wrote:
Update: We won this round. https://urldefense.com/v3/__https://radiologybusiness.com/topics/healthcare-management/healthcare-quality/medicare-opts-not-make-ct-radiation-related-quality-measure-mandatory-2027__;!!KGKeukY!w1Vu7LjKhUZ9yuu_9jHIuPv-9EmpAR5iXUJKZehaCC5345CSBCOuYI-9hKEb4m9VLX-NblP3-SlJ3LN_vgKM_IGhXMsaYG-0bxKDVV_RcWSL1Q$ <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$>
Matt Wait, MS, DABR, DABSNM, MRSE
Senior Diagnostic Physicist
Assistant Radiation Safety Officer
Assistant Residency Director
Kaiser Permanente
Southern Permanente Medical Group
Medical Imaging Technology and Informatics
4867 Sunset Blvd
Los Angeles, CA 90027
x5347 (office)
(818) 232-2427 (mobile phone)
From: Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces at lists.osu.edu<mailto:intl_dxmedphys_wd_osu_list-bounces at lists.osu.edu>> On Behalf Of Ryan Fisher via Intl_dxmedphys_wd_osu_list
Sent: Friday, September 12, 2025 8:03 AM
To: Medich, Tara <TMEDICH at mgh.harvard.edu<mailto:TMEDICH at mgh.harvard.edu>>; intl_dxmedphys_wd_osu_list at lists.osu.edu<mailto:intl_dxmedphys_wd_osu_list at lists.osu.edu>
Subject: Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals
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
Caution: This email came from outside Kaiser Permanente. Do not open attachments or click on links if you do not recognize the sender.
________________________________
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 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.
Ryan
From: Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces+rfisher1=metrohealth.org at lists.osu.edu<mailto:intl_dxmedphys_wd_osu_list-bounces+rfisher1=metrohealth.org at lists.osu.edu>> On Behalf Of Medich, Tara via Intl_dxmedphys_wd_osu_list
Sent: Friday, September 12, 2025 10:55 AM
To: intl_dxmedphys_wd_osu_list at lists.osu.edu<mailto:intl_dxmedphys_wd_osu_list at lists.osu.edu>
Subject: Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals
STOP!
THIS IS AN EXTERNAL EMAIL
This email was originated outside of the MetroHealth System
Take a 3-second pause and ask yourself the following questions:
1. Who is sending me this email? Do I know who this is?
2. Am I expecting this email? Is this out of the ordinary?
3. Why is there a link in the email? Do I trust this link?
THINK
Before You
Click the Link
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 – 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.
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.
Adam’s email gave the link to the comment field on regulations.gov<https://urldefense.com/v3/__http:/regulations.gov__;!!NoSwA-eRAg!GJnvBkKuPgZU2UX92MJuAzJTjo7j-xWWM5xmND3q81o__2cv8e3n0HFcVoh_uUic2k9S1_b-MPUjqRgBBLdIpy--moCvM0Ksm5aS$>: https://urldefense.com/v3/__https://www.regulations__;!!KGKeukY!w1Vu7LjKhUZ9yuu_9jHIuPv-9EmpAR5iXUJKZehaCC5345CSBCOuYI-9hKEb4m9VLX-NblP3-SlJ3LN_vgKM_IGhXMsaYG-0bxKDVV_2T7-L8w$ .<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$>g<https://urldefense.com/v3/__https:/secure-web.cisco.com/1crCs9FpIMKFPwVDSZRg_9xlR4aBruAi26SoIqqlSw2VPUFDnjCgkL0lEsnB7ml8Bu5NYKf5xTjimFZkBPkN-Ec9auI6_jfnfJKXqnTO9ucx6HqriS5Nys8Hp3-znpBPeQNJW1avDz6n4ABUFvmwmdul4MPnA04UozE9yF6Cpk0yLlIP8kPYuvAUkMRKsqtJh_gTf1piZDI_BJNqeBAvwmiJsESxybJGcHi__iAYJ0-WHHt7p6G1gLCw2WiXJpguCWNt4o3PdfQXYnaT21DMBhywA6NwBwWryu_I5zY0dFpMaI3eanzOPQFYmWMFEmLwS/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1hSy6k9zrdAPTLR1oDl61VKQAtYRsfpmkl8u3zplpojnwSylMTEZWltisG-bHkqXATG1Y22TIvf645q8MDOnHBkMtXKMLgYNQzONvZfs3RWf300cPRjCR7TG2ad239owN7g_dknEYs9Dl6u2SFTfX0ZKWfiTr3-zTZksKVCn88xjXB5BlD-h1q7sqKJR657BxP1gEQn9QQkvXQNDAcxVryCVCjSvdcTEG8V90xH46-LZQ2PeaD-S6oKV4jgDehEnL_xea1R2CXrms2WYzKRpMZl4bFkRwRtYbEW9sQ8MkPICVh78GwOkL6K2P9rq3xMIU*2Fhttps*2A3A*2A2F*2A2Fwww.regulations.gov*2A2Fcommenton*2A2FCMS-2025-0306-0002__*3BJSUlJSU*21*21KGKeukY*210hWFh0hvSnArkmV9Q9QAzzhqk1PsEnPjbi74o_jzwcOuvkiordlZ2_jsAWqsffwN3RV8G_K-_WB6aw3sxwCNPf5eUCvMrfq-6OagYw*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSU!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFQ-Gcnp4A$>ov/commenton/CMS-2025-0306-0002<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$>.
The volume of comments opposing the proposed rule are growing. We need to match those numbers expressing support for the rule to change the CT metric reporting from mandatory to voluntary.
Mea culpa,
-Tara
From: Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces+tmedich=mgh.harvard.edu at lists.osu.edu<mailto:intl_dxmedphys_wd_osu_list-bounces+tmedich=mgh.harvard.edu at lists.osu.edu>> On Behalf Of Medich, Tara via Intl_dxmedphys_wd_osu_list
Sent: Thursday, September 11, 2025 3:09 PM
To: intl_dxmedphys_wd_osu_list at lists.osu.edu<mailto:intl_dxmedphys_wd_osu_list at lists.osu.edu>
Subject: Re: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals
Thank you for posting, Jerry. This is related to Adam Springer’s email from last night. The Smith-Bindman campaign is blazing through social media. There are hundreds of comments from her “supporters” on the regulations. gov site. Please see
External Email - Use Caution
Thank you for posting, Jerry. This is related to Adam Springer’s email from last night.
The Smith-Bindman campaign is blazing through social media. There are hundreds of comments from her “supporters” on the regulations.gov<https://urldefense.com/v3/__http:/regulations.gov__;!!NoSwA-eRAg!GJnvBkKuPgZU2UX92MJuAzJTjo7j-xWWM5xmND3q81o__2cv8e3n0HFcVoh_uUic2k9S1_b-MPUjqRgBBLdIpy--moCvM0Ksm5aS$> site. Please see her exact comment near the bottom of the first email:
My contacts at CMS have assured me if we get enough letters opposing the change, the proposed rule could be reversed.
The goal is to overwhelm with volume. There are four days remaining in the comment period. Please submit a statment!!
-Tara
______________________________
Tara M. Medich, MS, CHP
Director, Radiation Safety
Radiation Safety Officer, MGH & BWH
Massachusetts General Hospital
Brigham and Women’s Hospital
125 Nashua St, Suite 641, Boston MA 02114
MGH 617 724 4577 | BWH 617 525 6612
massgeneral.org<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$>
brighamandwomens.org<https://urldefense.com/v3/__http:/brighamandwomens.org__;!!NoSwA-eRAg!GJnvBkKuPgZU2UX92MJuAzJTjo7j-xWWM5xmND3q81o__2cv8e3n0HFcVoh_uUic2k9S1_b-MPUjqRgBBLdIpy--moCvM_02-vm2$>
<image001.png>
From: Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces at lists.osu.edu<mailto:intl_dxmedphys_wd_osu_list-bounces at lists.osu.edu>> On Behalf Of Jerry Thomas via Intl_dxmedphys_wd_osu_list
Sent: Thursday, September 11, 2025 12:00 PM
To: International Diagnostic Medical Physics List <intl_dxmedphys_wd_osu_list at lists.osu.edu<mailto:intl_dxmedphys_wd_osu_list at lists.osu.edu>>
Subject: [Intl_DxMedPhys] Fwd: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals
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
External Email - Use Caution
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.
vR,
Jerry
Jerry Thomas, MS, FAAPM, DABR, CHP, DABSNM
Diagnostic Medical Physicist / Radiation Safety Officer
Ascension Via Christi Hospitals Wichita
Wichita, KS 67214
Phone: 316-268-5958 (office)
240-447-1014 (cell)
---------- Forwarded message ---------
From: Smith-Bindman, Rebecca <Rebecca.Smith-Bindman at ucsf.edu<mailto:Rebecca.Smith-Bindman at ucsf.edu>>
Date: Wed, Sep 10, 2025 at 6:39 PM
Subject: [EXTERNAL] Re: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals
To: Smith-Bindman, Rebecca <Rebecca.Smith-Bindman at ucsf.edu<mailto:Rebecca.Smith-Bindman at ucsf.edu>>
Dear Colleagues,
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.
A new federal rule would make CT imaging less safe, causing 25,000 preventable cancers each year.<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$>
TAKE ACTION NOW!<https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$> <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$> ▶️<https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$>
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.
The time to act is short—the public comment period closes Monday, September 15, 2025.
It takes 30 seconds and every voice counts.
Thank you,
Rebecca Smith-Bindman, MD
Professor, Epidemiology and Biostatistics
Obstetrics, Gynecology, and Reproductive Sciences
Director, Radiology Outcomes Research Lab
<image002.jpg>
________________________________
From: Smith-Bindman, Rebecca
Sent: Wednesday, August 27, 2025 1:07 PM
To: Smith-Bindman, Rebecca <Rebecca.Smith-Bindman at ucsf.edu<mailto:Rebecca.Smith-Bindman at ucsf.edu>>
Subject: URGENT: Help Protect a Cancer-Reducing Safeguard in Hospitals
Dear Colleagues,
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.
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 optional for hospitals. If this change goes into effect, hospital radiation monitoring will become ineffective. Patients will be exposed to unnecessarily high radiation, andthousands of preventable cancers will occur<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$>.
In response to this unfortunate news, I’m reaching out to colleagues, friends, and family to tell CMS to stop this dangerous rollback for patient safety.
We’ve created a campaign<https://urldefense.com/v3/__https:/secure-web.cisco.com/1LlJzmg6nzGnQEd6EFS6ac7G2trRkN1IV-l2IhRXpACjca6tp34vplSYmWQDJOEhFs_2v7hAjVn5L5UShExNqrz5gL8Oig1-0Gi1QZa9rjgdspfc54bQ9eUMbDybpVgOpRahNS_6ZaHFGkn3d0P-EPyjFFPxYIlZL0AcnmoObMO7gxjUnJKDqeivk8taUk7EfeVu2Ml7gBZ30g9qqt-s66MRLggMxN1j22RkXxqORqOEe-i2bqnoE-pbRgiPbhsGx5TyYrSgZ3Ud844FTHFSlWrs6GL2xR5JzXOT_5fhw9kD01CIzQ9b7T4zFmEk2Wprzf6KStG5oW5T9fJ6rUcWYNA/https*3A*2F*2Furldefense.com*2Fv3*2F__https*3A*2F*2Fsecure-web.cisco.com*2F1m3ywWz2veNEkyhEEZt4HPorDUnDtWw4cJDqPUktf4614_BwJ7vVs4j99NE3BnuUbiN-__AtYDAor2kq8KkYh3ua55ed0SnZGJn0niJPBKxlKYjgLwqwHt0xeumxV2Mj5O6TuxicS-K46eUQT6tNp68-mZwJFnQOYAagGT7IEic41hgAoqykqV8-vF124mc0IaOl4MNM_vF8mco8jVtn5PACJaQN7yFSbhy-FYbB6ljnjxC0UV0FiXz_TFD0Ol_b8CxOTS5RuT_fzsLdHYUR6LgkCHK_6r8fGpXidu-B7H9VeIqIMEkcz75SQzKodA00B*2Fhttps*2A3A*2A2F*2A2Furldefense.com*2A2Fv3*2A2F__https*2A3A*2A2F*2A2Fucsf.quorum.us*2A2Fcampaign*2A2Fmake_CT_safer*2A2F__*2A3B*2A21*2A21KGKeukY*2A21z2kAh_kQJGWn1FW2P63hUmckhurynjKuRjYiF7FlrEGUa0wkvyeQg9u5kJT_XOjA_AvDkZeeEfwIPAgY1HjEkhp-hKxDL_zu7UERob1TDx31PRQ*2A24__*3BJSUlJSUlJSUlJSUlJSUlJQ*21*21KGKeukY*21yGKHnwn5GsTiwNY24Hh05sAFz3w6CmCuZowpbpxGpxrRt7PZcfZUZrs7NduLlsRDx1BaWfpGbZUZPoE76pDC77_OXvObQE42GRnSnDSLtfq0kQ*24__;JSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJSUlJQ!!KGKeukY!wLyu6xWFMohyY1OukI_HG4wIv8esAvccOZnrHARz9Gf_YqrlfKg5o8ENFtVic7yFJX77ovSMF0l8dzG7sB54ZSF1SHY8cPmtUo_QvFSLDFsCZw$> 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.
Please submit your comment before Monday, September 15!<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$>
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• You can simply email or text our campaign to friends and family: https://urldefense.com/v3/__https://ucsf.quorum.us/campaign/make_CT_safer/__;!!KGKeukY!w1Vu7LjKhUZ9yuu_9jHIuPv-9EmpAR5iXUJKZehaCC5345CSBCOuYI-9hKEb4m9VLX-NblP3-SlJ3LN_vgKM_IGhXMsaYG-0bxKDVV_b8w8Zeg$ <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$>
Thank you for using your voice to protect patients. Please don’t hesitate to reach out with any questions.
Sincerely,
Rebecca
Rebecca Smith-Bindman, MD
Professor
Epidemiology and Biostatistics
Obstetrics, Gynecology and Reproductive Science
Director, Radiology Outcomes Research Lab
University of California San Francisco
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