I Mina'Trentai Kuåttro Na Liheslaturan BILL STATUS

Transcription

1 34th GL CLERKS OFFICE Bill HISTORY 4/20/2018 1:19 PM I Mina'Trentai Kuåttro Na Liheslaturan BILL STATUS BILL NO (COR) SPONSOR Louise B. Muña Telena C. Nelson Therese M. Terlaje Mary Camacho Torres Régine Biscoe Lee TITLE AN ACT TO ADD A NEW TO ARTICLE 10, CHAPTER 18, TITLE 22, GUAM CODE ANNOTATED AND TO REPEAL SUBSECTION (e) OF 4301, ARTICLE 3, CHAPTER 4, TITLE 4, GUAM CODE ANNOTATED RELATIVE TO BREAST CANCER SCREENING COVERAGE IN HEALTH INSURANCE/BENEFIT PLANS SOLD ON GUAM AND BY MEDICAID AND THE MEDICALLY INDIGENT PROGRAM (MIP). DATE INTRODUCED 1/9/18 12:30 p.m. DATE REFERRED 1/18/18 11:01 a.m. 1/18/18 4:17 p.m. CMTE REFERRED Committee on Appropriations and Adjudica on Re referred : Committee on Health, Tourism, Military Affairs and Senior Citizens PUBLIC HEARING DATE 4/12/18 8:30 a.m. DATE COMMITTEE REPORT FILED 4/20/18 10:48 a.m. FISCAL NOTES Fiscal Note Request 1/18/18 Fiscal Note Waiver 2/05/18 NOTES Page 1

2 SENATOR DENNIS G. RODRIGUEZ, JR. April 18, 2018 Honorable B~njamin J.F. Cruz Speaker I Mina'Trentai Kuattro Na Liheslaturan Guahan 163 Chalan Santo Papa Hagatfia, Guam /na_l(:) VIA: The Honorable Regine Biscoe L~ Chairperson, Committee on Rules RE: Committee Report- Bill No (COR) I...;::: t CiO Dear Speaker Cruz: Transmitted herewith, for your consideration, is the Committee Report on Bill No (COR) AN ACT TO ADD A NEW TO ARTICLE 10, CHAPTER 18, TITLE 22, GUAM CODE ANNOTATED AND TO REPEAL SUBSECTION (e) OF 4301, ARTICLE 3, CHAPTER 4, TITLE 4, GUAM CODE ANNOTATED RELATIVE TO BREAST CANCER SCREENING COVERAGE IN HEALTH INSURANCE/BENEFIT PLANS SOLD ON GUAM AND BY MEDICAID AND THE MEDICALLY INDIGENT PROGRAM (MIP). As introduced, was publicly heard on April 12, Committee votes are as follows: Senseramente, /}.. TO PASS - NOTTOPASS - ABSTAIN I/ TO REPORT OUT ONLY _... TO PLACE IN INACTIVE FILE Senator Dennis G. Rodriguez, Jr. Chairman Attachments 1 RECEIVED APR ~M~E~~ RULES Chairman, Committee on H ealth, Tourism, Militaiy Affairs and Senior Citize ns Ufisi11a11 To d11 Guam I Mi11a' T rmtai K111ittro Na Liheslat11ra11 G111iha11 34th G11at11 Legislature Ran Care Bldg., Suite B1, 761 S. Marine Corps Drive, Tamuning, Guam Telephone: TODU (8638) /Facsimile: / senatordrodriguez@gmail.com /

3 SENATOR DENNIS G. RODRIGUEZ, JR. COMMITTEE REPORT ON Bill No (COR) - Sponsored by: Louise B. Muna I Telena C. Nelson I Therese M. Terlaje I Mary Camacho Torres I Regine Biscoe Lee Bill No (CORAN ACT TO ADD A NEW TO ARTICLE 10, CHAPTER 18, TITLE 22, GUAM CODE ANNOTATED AND TO REPEAL SUBSECTION (e) OF 4301, ARTICLE 3, CHAPTER 4, TITLE 4, GUAM CODE ANNOTATED RELATIVE TO BREAST CANCER SCREENING COVERAGE IN HEAL TH INSURANCE/BENEFIT PLANS SOLD ON GUAM AND BY MEDICAID AND THE MEDICALLY INDIGENT PROGRAM (MIP). Chairman, Committee on Health, Tourism, Military Affairs and Senior Citizens Ufisi11a11 Todtt G11a111 I Mina' T rrmtai K11Jttro Na Lihes!at11ran Gtttihan 34th G11am Legis!at11re Ran Care Bldg., Suite B1, 761 S. Marine Corps Drive, Tamuning, Guam Telephone: TODU (8638) /Facsimile: / senatordrodriguez@gmail.com /

4 SENATOR DENNIS G. RODRIGUEZ, JR. April 18, 2018 MEMORANDUM To: From: Subject: ALL MEMBERS Committee on Health, Tourism, Military Affairs and Senior Citizens Senator Dennis G. Rodriguez, Jr. fj..v Committee Chairperson Committee Report on Bill No (COR) Transmitted herewith, for your consideration, is the Committee Report Bill No (COR) AN ACT TO ADD A NEW TO ARTICLE 10, CHAPTER 18, TITLE 22, GUAM CODE ANNOTATED AND TO REPEAL SUBSECTION (e) OF 4301, ARTICLE 3, CHAPTER 4, TITLE 4, GUAM CODE ANNOTATED RELATIVE TO BREAST CANCER SCREENING COVERAGE IN HEALTH INSURANCE/BENEFIT PLANS SOLD ON GUAM AND BY MEDICAID AND THE MEDICALLY INDIGENT PROGRAM (MIP). This report includes the following: Committee Voting Sheet Committee Report Narrative/Digest Copy of Bill No (COR) Public Hearing Sign-in Sheet Copies of Submitted Testimony and Supporting Documents Copy of COR Referral of Bill No (COR), As introduced Copy of COR Fiscal Note Request/Fiscal Note Notices of Public Hearing (1 st and 2nd) Copy of the Public Hearing Agenda Related News Articles (Public hearing publication of public notice) Please take the appropriate action on the attached voting sheet. Your attention to this matter is greatly appreciated. Should you have any questions or concerns, please do not hesitate to contact me. Si Yu'os Ma 'ase '! Attachments Chairman, Committee on Health, Tourism, Military Affairs and Senior Citizens Ufisina11 Todtt G11a111 I Mina' T re11tai K11dttro Na U heslat11ra11 G11dha11 34th G11am Legis!at11re Ran Care Bldg., Suite B1, 761 S. Marine Corps Drive, Tamuning, Guam Telephone: TODU (8638) /Facsimile: / senatordrodriguez@gmail.com /

5 1otor Thomas C. Ada. e Chairperson ~aker Benjamin J.F. Cruz. mber e Speaker Therese M. Terloje. mber 1ator Fronk B. Aguon, Jr.. mber 1olor Telena C. Nelson. mber COMMITTEE ON RULES SENATOR REGINE BISCOE LEE, CHAIR SIKRITARIAN UHESLATURAN GUAHAN I MINA'TRENTAI KUATRO NA LIHESLA TU RAN GU A HAN LEGISLATIVE SECRETARY 34TH GUAM LEGISLATURE Sen. Dennis G. Rodriguez. Jr Membe1 Sen. Joe S. Son Agustin. Senator Michael F.Q. Son Nicolas. Senator Jomes V. Espaldon. Senator Mory C. Torres. January 17, 2018 MEMO To: Rennae Meno Clerk of the Legislature Attorney Julian Aguon Legislative Legal Counsel From: Re: Senator Regine Biscoe Le Chairperson. Committee on Rules Referral of Bill No (COR) Buenos yon Hcifa odai! Committee on Rules and subject to 6.01 (d} ( 1}. Rule VI of our Standing Rules (see 8(3} of the pre-referral checklist}, I am foiwarding the referral of Biii No (COR). Please ensure that the subject bill is referred, in my name, to Speaker Benjamin J.F. Cruz, Chairperson of the Committee on Appropriations and Adjudication. I also request that the same be foiwarded to the prime sponsor of the subject bill. After committee review, the subject bill may be further referred by the Committee on Appropriations to the Principal Committee of subject matter jurisdiction, pursuant to 6.01 (d} ( 1), Rule VI of our Standing Rules. If the Committee on Appropriations determines that a subsequent referral is in order, the Committee on Rules respectfully advises that the subject bill be referred to Senator Dennis G. Rodriguez, Jr., Chairperson of the Committee on Health, Tourism, Military Affairs and Senior Citizens. Attached, please see the COR pre-referral checklist for your information, which shall be attached as a committee report item to the bill. If you have any questions or concerns, please feel free to contact Jeanenne Cordero at Thank you for your attention to this important matter. ~ -I ri -~~a:-d' i: ~lfil~~tp~~il GUAM CONGRESS BUILDING I 163 CHALAN SANTO PAPA I HAGATNA, GUAM senatorbiscoelee@guamlegislature.org I (671)

6 /16/2018 Gmail - FIRST NOTICE OF PUBLIC HEARING on Thursday, April 12, 2018 M Gmail Maria Loraine Umbrero <mumbrero.senatordrodriguez@gmail.com> FIRST NOTICE OF PUBLIC HEARING on Thursday, April 12, message Joe Mesngon <joe@toduguam.com> To: phnotice <phnotice@guamlegislature.org> Fri, Mar 30, 2018 at 9:55 AM March 29, 2018 MEMORANDUM To: From: All Senators, Stakeholders & Media Sen. Dennis G. Rodriguez, Jr. Subject: FIRST NOTICE of PUBLIC HEARING on April 12, 2018 Hafa Adai! The Committee on Health, Tourism, Military Affairs and Senior Citizens will conduct a Public Hearing on Thursday, April 12, 2018, at 8:30am in the Guam Congress Building Public Hearing Room in Hagatna. The Committee will accept oral and written testimony on the following: Bill No (COR) - James V. Espaldon I B. J.F. Cruz AN ACT TO AMEND ITEMS (a) AND (b) OF 4301 OF 4 GCA, RELATIVE TO THE GOVERNMENT OF GUAM GROUP HEALTH INSURANCE PROGRAM. Bill No (COR) - Louise B. Muna I Telena C. Nelson I Therese M. Terlaje I Mary Camacho Torres I Regine Biscoe Lee AN ACT TO ADD A NEW TO ARTICLE 10, CHAPTER 18, TITLE 22, GUAM CODE ANNOTATED AND TO REPEAL SUBSECTION (e) OF 4301, ARTICLE 3, CHAPTER 4, TITLE 4, GUAM CODE ANNOTATED RELATIVE TO BREAST CANCER SCREENING COVERAGE IN HEALTH INSURANCE/BENEFIT PLANS SOLD ON GUAM AND BY MEDICAID AND THE MEDICALLY INDIGENT PROGRAM (MIP). Written testimony may be addressed to Sen. Dennis G. Rodriguez, Jr., Chairman and sent via to senatordrodriguez@gmail.com or hand delivered to his office at 761 S. Marine Corps Drive Suite B1 Tamuning, Guam or the Guam Congress Building Mailroom at 163 Chalan Santo Papa Hagatna, Guam Individuals who may require special accommodations are asked to contact the office of Sen. Rodriguez at /0511 no later than 48 hours prior to the scheduled hearing. For more information, please call our office. Si Yu'os Ma'ase'! Joseph A. Q. Mesngon Deputy Chief of Staff Office of Senator Dennis G. Rodriguez, Jr. Committee on Legislative Operations, Health, Tourism, Military Affairs and Senior Citizens I Mina' Trentai Kuattro Na Liheslat11ran Guahan 34th Guam Legislature 761 S. Marine Corps Drive Suite 81

7 /16/2018 Tamuning, Guam Tel: /0511 Fax: Gmail - FIRST NOTICE OF PUBLIC HEARING on Thursday, April 12, 2018

8 ~ / 16/2018 Gmail - SECOND NOTICE OF PUBLIC HEARING on Thursday, April 12, 2018 M Gmail Maria Loraine Umbrero <mumbrero.senatordrodriguez@gmail.com> SECOND NOTICE OF PUBLIC HEARING on Thursday, April 12, message Joe Mesngon <joe@toduguam.com> To: phnotice <phnotice@guamlegislature.org> Thu, Apr 5, 2018 at 11 :16 AM April 5, 2018 MEMORANDUM To: From: All Senators, Stakeholders & Media Sen. Dennis G. Rodriguez, Jr. Subject: SECOND NOTICE of PUBLIC HEARING on April 12, 2018 Hafa Adai! The Committee on Health, Tourism, Military Affairs and Sen ior Citizens will conduct a Public Hearing on Thursday, April 12, 2018, at 8:30am in the Guam Congress Building Public Hearing Room in Hagatna. The Committee will accept oral and written testimony on the following: Bill No (COR) - James V. Espaldon I B. J.F. Cruz AN ACT TO AMEND ITEMS (a) AND (b) OF 4301 OF 4 GCA, RELATIVE TO THE GOVERNMENT OF GUAM GROUP HEALTH INSURANCE PROGRAM. Bill No (COR) - Louise B. Muna I Telena C. Nelson I Therese M. Terlaje I Mary Camacho Torres I Regine Biscoe Lee AN ACT TO ADD A NEW TO ARTICLE 10, CHAPTER 18, TITLE 22, GUAM CODE ANNOTATED AND TO REPEAL SUBSECTION (e) OF 4301, ARTICLE 3, CHAPTER 4, TITLE 4, GUAM CODE ANNOTATED RELATIVE TO BREAST CANCER SCREENING COVERAGE IN HEALTH INSURANCE/BENEFIT PLANS SOLD ON GUAM AND BY MEDICAID AND THE MEDICALLY INDIGENT PROGRAM (MIP). Written testimony may be addressed to Sen. Dennis G. Rodriguez, Jr., Chairman and sent via to senatordrodriguez@gmail.com or hand delivered to his office at 761 S. Marine Corps Drive Suite B1 Tamuning, Guam or the Guam Congress Building Mailroom at 163 Chalan Santo Papa Hagatna, Guam Individuals who may require special accommodations are asked to contact the office of Sen. Rodriguez at /0511 no later than 48 hours prior to the scheduled hearing. For more information, please call our office. Si Yu'os Ma'ase'! Joseph A. Q. Mesngon Deputy Chief of Staff Office of Senator Dennis G. Rodriguez, Jr. Committee on Legislative Operations, Health, Tourism, Military Affairs and Senior Citizens I Mina' Trentai Kuattro Na Uheslat11ran Guahan 34th Guam Legislature 761 S. Marine Corps Drive Suite B1

9 i/16/2018 Tamuning, Guam Tel: /0511 Fax: Gmail - SECOND NOTICE OF PUBLIC HEARING on Thursday, April 12, 2018

10 SENATOR DENNIS G. RODRIGUEZ, JR. I Mina' TrentaiKuattronaLiheslaturanGuahan Chainnan, Committee on Health, Towism, Military Affairs & Senior Citizens PUBLIC HEARING AGENDA Thursday, April 12, 2018 at 8:30AM Public Hearing Room, I Liheslatura I. Call to order II. Items for public consideration: BILL NO (COR) - AN ACT TO AMEND ITEMS (A) AND (B) OF ~ 4301 OF 4 GCA, RELATIVE TO THE GOVERNMENT OF GUAM GROUP HEALTH INSURANCE PROGRAM. BILL NO (COR) - AN ACT TO ADD A NEW TO ARTICLE 10, CHAPTER 18, TITLE 22, GUAM CODE ANNOTATED AND TO REPEAL SUBSECTION (E) OF 4301, ARTICLE 3, CHAPTER 4, TITLE 4, GUAM CODE ANNOTATED RELATIVE TO BREAST CANCER SCREENING COVERAGE IN HEALTH INSURANCE/BENEFIT PLANS SOLD ON GUAM AND BY MEDICAID AND THE MEDICALLY INDIGENT PROGRAM (MIP). III. Adjournment Thank you for your participation in today's hearing. UfisinanTodu Guam 761 S. Marine Corps Drive, Suite Bl, Tamuning, Guam I Telephone: TODU (8638) I Facsimile: senatordrodriguez@gmail.com I

11 S EN AT 0 R D EN NI S G. R 0 D RI GUE Z, Jr., Chairman COMMITTEE ON HEALTH, TOURISM, MILITARY AFFAIRS & SENIOR CITIZENS Mina 'trentai Kuatro Na Liheslaturan Guahan 34rdGuam Legislature PUBLIC HEARING Thursday, April 12, :30 AM Guam Congress Building Public Hearing Room ill No (COR)-AN ACT TO ADD A NEW TO ARTICLE 10, CHAPTER 18, TITLE 22, GUAM CODE ANNOTATED AND TO EPEAL SUBSECTION (e) OF 4301, ARTICLE 3, CHAPTER 4, TITLE 4, GUAM CODE ANNOTATED RELATIVE TO BREAST CANCER :::REENING COVERAGE IN HEALTH INSURANCE/BENEFIT PLANS SOLD ON GUAM AND BY MEDICAID AND THE MEDICALLY ~DIGENT PROGRAM (MIP). PRINT NAME SIGN AGENCY or --JoRAL v'wrjtten.yno -YIN.y CONTACT ADDRESS ORGANIZATION INITIALS TESTIMONY TESTIMONY TESTlMONY FAVOR OPPOSE NUMBERS Lt 5'~ 6ecsuJ& uz_ ~ v v i/ 22-"Jt:(~ fheqq;r/s;.e ;WitP.coM v- v /\.Uun s~ ~~vnv ~- v v \l811s'lt 'f \ssec...r,\..1\@~~..v v v rvw~d~ J2,~{4~io rfe'- lf'g3~1'{7 r",,,. '1/() 0 - _s introduced by: Louise B. Mufia I Telena C. Nelson I Therese M. Terlaje I Mary Camacho Torres I Regine Biscoe Lee age i- of

12

13 I I I! I ' I : I it -... JJ ~/,. MfZ1 l t]l1/11_~ dor_s. ~r rf?~ I -~-:::::; '-"--=--~us f _ J-.o L?;_ X w a > µx_ '-' I i~--. l br~ ~ ur. ~ - _ ~~ - : ll~vv Joo. w-m n-o-w s~ I ;wiide, ~~ tk_ ~&~ta~ -!. I f1a) - 7i~ '/: o ~ w ~ IUJ_~ I !~. CVL ( ~~~ ~ - ~VV\/~ - 7 ii lle o/j-'±h~. w~-c. d~- [~ ~ ~ ~--Lto -._-_ I 1. I i I I

14

15 '18/2018 Gmail - Testimony in Support of Bill ~ Gmail Joan Aguon <joanaguon@gmail.com> Testimony in Support of Bill message Darlene Roberto <robertodarlene@yahoo.com> To: joanaguon@gmail.com Tue, Apr 17, 2018 at 5:07 PM Testimony in Support of Bill Good morning! My name is Darlene Roberto and I am an 8-year survivor of Stage II Invasive Mucinous Carcinoma and Ductal Carcinoma in situ... otherwise known as breast cancer affecting both of my breasts. I was diagnosed at age 35 on September 30, 2010 when my children were just 10 and 7 years old. I found a massive and painful lump on my left breast the day after my husbands and mothers birthday on August 29, 2010, and within one month I had undergone several breast exams, an ultrasound, two mammograms, and a biopsy/lumpectomy. My whole family was in shock and scared and my two sisters ages 37 and 32 at the time had to go through an emergency screening too. I went through chemotherapy and radiation treatment on Guam and at the Breast Center at UCLA and I remember my doctor saying I'm way too young at 35 to have an old lady's disease and that she's seeing more and more patients under 40. All of these procedures and treatments required Co-payments and because my health insurance was from my husbands private commercial insurance, these were manageable costs with no deductible. If I had a government plan at that time I would have had to pay the co-payments and/or my deductible before the 20% kicked in. At 35 years old I faced my own mortality and for one day only I thought I was going to die leaving my family to take care of all the financial obligations that I left behind. I was stressed out just thinking about how much this was going to cost and how embarrassed I would be to ask my family and friends to help me.... and this is all after my diagnosis...! already started my race to save my life! In these past 8 years I have used my experience in navigating this journey to help and mostly just listen to many of my family, friends, and colleagues going through exactly what I went through and all of them barely out of their 30s and 40s. There would always be a point in the conversation about money and how they need to have another diagnostic test after another diagnostic test and maybe how the radiology company just wants their money. It's so sad because I have to tell them that their life is worth more than anything and knowing is the first step. So they pay for these tests because who is not going to do whatever they can to make sure they are going to be ok. Stress makes you sick, you can even develop cancer from it...let's take this out of the equation from the beginning and allow young women, young mothers to know early on if they will need to put on those running shoes and superhero cape to save their life without having to worry about co-payments or deductibles. Having breast cancer is no longer a death sentence when detected early. On Saturday, April 14, I will celebrate my 43rd birthday and my wish is for this bill to pass and become law. Sent from my iphone

16 SENATOR DENNIS G. RODRIGUEZ, JR. COMMITTEE VOTING SHEET Bill No (COR) AN ACT TO ADD A NEW TO ARTICLE 10, CHAPTER 18, TITLE 22, GUAM CODE ANNOTATED AND TO REPEAL SUBSECTION (e) OF 4301, ARTICLE 3, CHAPTER 4, TITLE 4, GUAM CODE ANNOTATED RELATIVE TO BREAST CANCER SCREENING COVERAGE IN HEALTH INSURANCE/BENEFIT PLANS SOLD ON GUAM AND BY MEDICAID AND THE MEDICALLY INDIGENT PROGRAM (MIP). DENNIS G. RODRIGUEZ, Jr. Chairman JOE S. SAN AGUSTIN Vice Chairman FERNANDO B. ESTEVES Vice Chairman on Health BENJAMIN J.F. CRUZ THERESE M. TERLAJE FRANK B. AGUON, JR. THOMAS A. MORRISON WILLIAM M. CASTRO LOUISE BORJA MUNA NOT SIGNATURE TO TO ABSTAIN PASS PASS PLACE IN INACTIVE FILE Chairman, Committee on Health, Tourism, Military Affairs and Senior Citizens Ufisit1a11 Tod11 Guam I Mi11a' T rwtai K11tittro Na Liheslat11ra11 G11aha11 34th G11atJJ Legislature Ran Care Bldg., Suite B1, 761 S. Marine Corps Drive, Tamuning, Guam Telephone: TODU (8638) /Facsimile: / senatordrodriguez@gmail.com /

17 SENATOR DENNIS G. RODRIGUEZ, JR. COMMITTEE REPORT DIGEST Bill No (COR) OVERVIEW: The Committee on Health, Tourism, Military Affairs and Senior Citizens conducted a Public Hearing on April 12, The hearing convened at 08:30am in I Liheslatura's Public Hearing Room. Among the items on the agenda was the consideration of Bill No (COR) AN ACT TO ADD A NEW TO ARTICLE 10, CHAPTER 18, TITLE 22, GUAM CODE ANNOTATED AND TO REPEAL SUBSECTION (e) OF 4301, ARTICLE 3, CHAPTER 4, TITLE 4, GUAM CODE ANNOTATED RELATIVE TO BREAST CANCER SCREENING COVERAGE IN HEALTH INSURANCE/BENEFIT PLANS SOLD ON GUAM AND BY MEDICAID AND THE MEDICALLY INDIGENT PROGRAM (MIP). I. Public Notice Requirements Notices were disseminated via hand-delivery/fax and/or to all senators and all main media broadcasting outlets on March 29, 2018, and April 5, Senators Present Senator Dennis G. Rodriguez, Jr. Senator Benjamin Cruz Senator James Espaldon Senator Louis Muna Senator Therese Terlaje Chairman II. SUMMARY OF TESTIMONY & DISCUSSION Hearing for Bill (COR)- Thursday, April 12, 2018 Speaker Cruz: No you're not at the wrong hearing. This is the Committee on Health, Tourism, Military Affairs, and Senior Citizens. The Chairman has asked me to convene this morning's meeting and hearing and start it. He like a couple of witnesses is stuck in traffic caused by accidents. But I know there are some people here who want to read their testimonies so they can return back to work. And we'll continue the hearing when the rest of the witnesses show up. Notices for this hearing were sent out to the media on Thursday March 29th and the second notice was sent out on April the 5th. We have two items on the agenda and one of them is Bill No I will have the sponsor Senator Louise Muna to introduce and explain her bill to us. Senator Muna: Thank you Mr. Speaker. My very sincere appreciation to all the people who came out here to testify on Bill No The intent ofbill is to require that all health insurance companies provide coverage for breast cancer screening for both women and men within a certain age group without co-payment or deductible provisions. The bill's recommendations are patterned Chairman, Committee on H ealth, Tourism, Military Affairs and Senior Citizens Ufisi11an Tod11 G11a111 I Mi11a' T rentai K11Jttro Na Liheslat11ran G11Jha11 34th G11a1JJ Legislat11re Ran Care Bldg., Suite Bl, 761 S. Marine Corps Drive, Tamu ning, Guam Telephone: TODU (8638) /Facsimile: / senatordrodriguez@gmail.com /

18 SENATOR DENNIS G. RODRIGUEZ, JR. companies provide coverage for breast cancer screening for both women and men within a certain age group without co-payment or deductible provisions. The bill's recommendations are patterned after the Medicare guidelines since Medicare is the largest health insurer in the United States. Medicare covers a baseline mammogram at age 35, an annual screening at age 40. This age range is consistent with the commencement age for the government of Guam group health insurance mandate for baseline and annual screening a mandate that has been in effect since In effect the bill adopts the age provisions of Medicare and the no payment, no deductible requirements of the US Preventative Services Task Force. Certain provisions of this bill differ from the grade A recommendations of the USPSTF are not supported by some of our health insurers. A close examination of the date and the reasoning behind the USPSTF recommendations and the recommendations of experts in the area of breast cancer show. However, the provisions ofbill are in the best interest of our community. Thank you, Mr. Chair. Speaker Cruz: Thank you, Senator. We have three individuals that signed up- Lisa Geisinger, Marissa Rosario, and Darlene Roberto. Please join us at the table. Darlene Roberto: (Written testimony provided) Senator Rodriguez: Good morning, Thank you so much for your testimony. And happy advanced birthday to you! We'll move on... do you wish to speak? Go ahead ma'am. Marissa Rosario: Good morning, Senator Cruz, Senator Muna, Senator Espaldon, and Senator Rodriguez. My name is Marissa Rosario. I didn't come with anything prepared. I think I've spoken my story many times that I've practically memorized it. But I was diagnosed with Stage 3 Breast Cancer at age 39. My baby was only 1. I'd have an 18-year old by then and four boys in between so my life then just took a whirlwind and I needed to decide what I was going to do. Fortunately for me, I was active duty military so my procedures, everything I've done on Guam by the way was covered. I had a double mastectomy, I went through chemo and I went through radiation. I've been in remission since August Not cancer free yet because of the advancement of the cancer but I have hope now. I'm here because my daughter, she's 21, so no longer going to be a military dependent under myself and she's going to be one of the ladies out there who needs to get screened because of our history. My mom is also a breast cancer survivor, she's going to need to be screened early on and she's only 21. Now the gene that I have is not the BRCA, it's called ATM and it is passed down by our parents. So I had a 50/50 percent chance of getting breast cancer and now my daughter has a 50% chance of getting breast cancer and that's extraordinary... that's significantly high in my book. So it's either you get it or you don't. Now that she's entering the workforce after college, I need her to be in that population where she won't have to worry about getting screened or paying these deductibles at a young age. I am for it and I really hope that this bill gets passed and you for the better of the community. Thank you. Chairman, Committee on H ealth, Tourism, Military Affairs and Senior Citizens Ufisi11a11 Tod11 G11a1J1 I Mi11a' T re11tai K11attro N a Llheslat11ra11 G11aha11 34th G11all! Legislat11re Ran Care Bldg., Suite Bl, 761 S. Marine Corps Drive, Tamuning, Guam Telephone: TODU (8638) / Facsimile: / E -mail: senatordrodriguez@gmail.com /

19 SENATOR DENNIS G. RODRIGUEZ, JR. Senator Rodriguez: Thank you so much, Marissa. Ma'am? Lisa Geisinger: (Written testimony provided) Senator Rodriguez: Si yu'os ma'ase. Thank you very much, ma'am. Does the sponsor have any questions or would you like to speak? Senator Muna: I don't have really any questions. But I want to say, congratulations to all of you for being survivors and still continuing on that path. And I did want to let everyone know that I did not have a short list of people to contact.... to come out and support this bill. It's astounding how many breast cancer patients we have here on island that we detected even under the age of 40. It just amazed me that even the people I knew or and I just met Marissa today but there's just so many of us and we need to figure out how to prevent it and this is one of the ways that I'd like for it to happen. It already currently is covered under Government of Guam insurance and we'd like to continue that and follow the Medicare guidelines since there are so many difference guidelines out there and everyone's confused, we're not sure when do we get screened and I think for the most vital part is communicating with your physician and I think if we have that opportunity, to go out there and talk to them and not be afraid, this bill will help that happen so I just want to thank you all for being here today. I know you took time out of your schedule to be here to talk about it and my blessings and prayers to you. Thank you, Senator. Senator Rodriguez: Thank you, Senator. Mr. Speaker? Vice Speaker, do you have any questions or comments? Thank you very much for your testimony this morning. lfthere is anyone else who wish to provide oral testimony on Bill No If you're interested please come forward if you would like to present any testimonies. If not the committee will accept any testimonies after the hearing today. Okay we'll now move on to Bill III. Fiscal Note: Attached III. FINDINGS AND RECOMMENDATIONS The Committee on Health, Tourism, Military Affairs fe'd Senior Ci9zens, h=; reports out Bill No (COR) with the recommendation to ~a-r/' M ~. Chairman, Committee on Health, Tourism, Military A ffairs and Senior Citizens Ufisi11a11 To d11 Guam I Mina' T re11tai K11attro Na Llheslat11ran G11aha11 34th G11am Legislat11n Ran Care Bldg., Suite B1, 761 S. Marine Corps Drive, Tamuning, Guam Telephone: TODU (8638) /Facsimile: / E -mail: senatordrodriguez@gmail.com /

20 I MINA 'TRENTAI KUATTRO NA LIHESLATURAN GUAHAN 2o1 8 ( second )Regular Session Bill No.Z (COR) Introduced by: Louise B. Mufia~ Telena Cruz Nelso~ Therese M. Terlaje( )\19\., Mary Camacho Torres ( Re ine Biscoe Lee AN ACT TO ADD A NEW TO ARTICLE 10, CHAPTER 18, TITLE 22, GUAM CODE ANNOTATED AND TO REPEAL SUBSECTION (e) OF 4301, ARTICLE 3, CHAPTER 4, TITLE 4, GUAM CODE ANNOTATED RELATIVE TO BREAST CANCER SCREENING COVERAGE IN HEALTH INSURANCE/BENEFIT PLANS SOLD ON GUAM AND BY MEDICAID AND THE MEDICALLY INDIGENT PROGRAM (MIP). ' ' BE IT ENACTED BY THE PEOPLE OF GUAM: 2 Section 1. Legislative Findings and Intent. I Liheslaturan Guahan finds that breast 3 cancer is the most common non-skin cancer in women and the second leading cause 4 of cancer death of women in the United States (lung cancer is the leading cause of 5 cancer death for both sexes). Every woman is at risk, and this risk increases with age. 6 Breast cancer usually can be treated successfully if it is detected early. 7 I Lihes latura fmiher finds that Public Law that was signed into law on May 17, required health insurance companies who provide coverage for Government of 9 Guam employees and retirees to cover mammograms for women on the following 10 schedule: one base-line mammogram at age 35 and annual mammograms beginning 11 at age 40. This benefit is subject to co-payments or deductibles depending on the 12 plan the employee opted for.

21 I Liheslatura forther finds that the breast cancer screenmg recommendations for 2 Affordable Care Act compliant policies are based on the United States Preventive 3 Services Task Force (USPSTF) recommendation are Grade B that begins biennial 4 screening at age 50 and Grade C which begin screen at ages younger than 50. These 5 screenings are free from co-payments or deductibles. 6 I Liheslatura further finds that the breast cancer screening recommendation of the 7 American Cancer Society is annual mammograms for women at ages 45 to 55 and 8 biennial mammograms at age 56 and older. 9 I Liheslatura further finds that the breast cancer screening for Medicare patients is 10 women 40 years of age and older are eligible for a screening mammogram every months. Medicare covers screening mammograms and digital technologies to check 12 for breast cancer before a patient or a doctor may be able to find it manually. 13 Medicare also covers one baseline mammogram for women between ages I Liheslatura further finds that the screening recommendation of the National 15 Comprehensive Cancer Network (NCCN) recommends men at higher risk for breast 16 cancer, starting at 40: (1) have a clinical breast exam every year (2) learn how to do 17 breast self-exam and (3) mammography screening. Men at higher risk (those with a 18 relative, within one degree of consanguinity, who were diagnosed with breast cancer 19 under the age of 40 or with a BRCAl or BRCA2 [breast cancer 1 or 2] gene 20 mutation) for breast cancer should also be aware of the warning signs of and screen 21 for breast cancer. 22 It is the intent of I Liheslatura to expand the Government of Guam mammogram 23 coverage mandates to all health insurance policies sold on Guam but to include the 24 recommendations for Medicare, the American Cancer Society and the USPSTF for 25 screenings that are free of co-payments and deductibles. It is also the intent of I

22 1 Liheslatura to extend mammogram coverage for men who are at higher risks for 2 breast cancer. 3 4 Section 2. A new Section is added to Article 10, Chapter 18, Title 22 Guam 5 Code Annotated to read as follows: 6 " Breast Cancer Screening benefit in every health insurance policy. 7 (a) Every policy of health insurance issued or renewed to a resident of Guam on 8 or after January 1, 2018, except a policy that provides coverage only for specified and 9 limited benefits, shall provide coverage for screening by low-dose mammography for 10 occult breast cancer as follows: 11 (1) For women thirty five (35) to thirty nine (39) years of age, one baseline 12 mammogram; 13 (2) For women f01iy (40) years of age and older, an annual mammogram; 14 (3) For a woman of any age and for men of beginning at age forty ( 40) who 15 have a first-degree consanguineous relative that was diagnosed to have 16 developed breast cancer at foiiy ( 40) years of age or younger, mammogram 17 screening may be performed as recommended by the patient's physician but 18 not more than once annually. 19 The services provided in this section are not subject to any comsurance or 20 deductible provisions which may be in force in such policies, contracts, plans or 21 agreements for routine x-ray examinations. 22 (b) The term, "low-dose mammography" means the x-ray examination of the 23 breast using equipment dedicated specifically for mammography, including but not 24 limited to the x-ray tube, filter, compression device, screens, films, and cassettes, 25 with an average radiation exposure delivery of less than one rad mid-breast, with two 26 views for each breast or digital breast tomosynthesis (DBT) or full-field digital 27 mammography (FFDM). "Digital breast tomosynthesis (DBT)," is a form of breast

23 1 imagmg, or mammography:, that uses a low-dose x-ray system and computer 2 reconstructions to create three-dimensional images of the breasts. "Full-field digital 3 mammography (FFDM)," is a mammography system in which the x-ray film is 4 replaced by electronics that convert x-rays into mammographic pictures of the breast. 5 (c) To the extent permitted by federal law, rules and regulations, the provisions of 6 this section, supra, shall apply to persons covered by the Medicaid without the 7 requirement for prece1iification. The provisions of this section, supra, shall apply to 8 persons covered by the Medically Indigent Program (MIP) without the requirement 9 for precertification." Section 3. Subsection (e) of 4301 Article 3, Chapter 4, Title 4, Guam Code 12 Annotated is repealed: 13 ~1ammogram to be included as a benefit in every health insurance policy. 14 Every policy of health insurance issued to a female resident of Guam on or after 15 July 1, 1991, except a policy that provides coverage only for specified and limited 16 benefits, shall provide coverage for screening by 10\v dose mammography for 17 occult breast cancer as follov1s: 18 ( 1) For women 35 to 39 years of age, one baseline mammogram; 19 (2) For v./omen 40 to 49 years of age, a mammogram every two 20 years; 21 (3) For women 50 years of age and older, an annual mammogram; 22 anti 23 (4) For a woman of any age with a history of breast cancer or v1hose mother or 24 sister has mcperienced breast cancer, a mammogram upon the recommendation of 25 the woman's physician The services provided in this subparagraph (e) are subject to any comsurance

24 1 17rovisions which may be in force in such policies, contracts, plans or agreements. 2 The director, with the advice of the Director of Public Health and Social Services, 3 shall annaally reviev.,,r the age and frequency guidelines for mammographic screening 4 recommended by tfl.e-american Cancer Society, and shall accordingly adjust the age 5 ood frequency reqhirements under subitems (1) through (4), by rule, if necessary. 6 7 For purposes of this subparagraph (e), the term,,low dose mammography" means 8 the x ray examination of the breast using equipment dedicated specifically for 9 mammography, including but not limited to the x ray tube, filter, compression device, 1 o screens, films, and cassettes, '.Vith an average radiation exposure delivery of less than 11 one ra&-mid breast, '<Vith tvlo vim.vs for each breast. An insurer may provide the 12 services required by this subparagraph (e) through contracts with providers; provided, 13 that the contract is determined to be a cost effective means of delivering the services 14 without sacrifice of quality and meets the approval of the Director of Public Health 15 and Social Services.

25 Senator Thomas C. Ado. Vice Choirpe~on Speaker Benjamin J.F. Cruz. Vice Speaker Therese M. TerlaJe. 8 Senator Fronk B. Aguon. Jr.. Me.mber Senator Telena C. N"e!Son... - COMMITTEE ON RULES SENATOR REGINE BISCOE LEE, CHAIR SIKRITARIAN LIHESLATURAN GUAHAN 0 '.. I MINA'TRENTAI KUATIRO ;NA LIHESLATU RAN GUAHA-N LEGIS~ATIVE SECRETARV 34rH GUAM LEGISLATUR_E PRE-REFERRAL CHECKLIST. Senator Dennis G. Rodriguez. Jr. Senator Joe S. Son Agustin. Senator Michael F.Q. Son Nicolas. _M~mber Senator Jomes v. Espoldon. M~mber Senator Mary camacho Torres.. '... BILL NO (COR), AN ACT TO ADD A NEW TO ARTICLE 10, CHAPTER 18, TITLE 22, GUAM CODE ANNOTATED AND TO ' REPEAL SUBSECTION (e) OF 4301, ARTICLE 3, CHAPTER 4. TITLE 4, GUAM CODE ANNOTATED RELATIVE TO BREAST CANCER SCREENING COVERAGE IN HEALTH INSURANCE/BENEFIT PLANS SOLD ON GUAM AND BY MEDICAID AND THE MEDICALLY INDIGENT PROGRAM (MlP). 1 Introduced b : Louise B.. Mu_iia, Telena C. Nelson, Therese M. Terla e, Ma _Camacho Torres, Re lne Biscoe lee ~ (l)'.!le s.ubject matter? Notice to Legal Bure~u;, (A) Legal Bureau -... (B) Office of.finance-_& Budget (OFB) COR Action ~~f/oljo),2 G~A 2108(0)]. a NO (Return to Prime. Sponsor) (2) Conform to Standing R ules as to form Qnd style? _ [~ R 6.02(b) and (d), 6.b'.3(d)J ~ YES,, o NO eturn to Prime S nsor (1) Does tbe Bill contain appropriations or a4fhorizations for. appropriations from any fund sources? 1\IKF,.,Jill~ q' All~@Q:fi?ri.. _,.,, r Completed by Legal Bureau: ~-,~ p,~ltj@~:~. ~.. - : Notice to OFB:.. ~YE:. )(No TtKb.,~. q._./?dltd. 0. -_.2:rff;.. m. (2) Does the Bill contain an ~ ~ a~thorlzotlpn to expend ~~~nme~~ds? o N/A wa l~~~\of~~\o: (3) Does the Bill contain provisions, that have potential fiscal impacts on the government of Guam budget? YES c NO o N/A Is the fiscal impact revenue negative to the government of Guam budget? n YES frefer to Committee on _ Appropriations) "fs..no I on/a, Completed by: n. - ~ ~~~~ L-~~~~~ -OUA.M CONGRESS BUILDING 163 CHALAN SANTO PAPA HAGAT~A. GUAM Telephone: (671) address: corguamlegblature@gmail.com Page 1of2

26 PRE-REFERRAL CHECKLIST BILL NO (COR) AN ACT TO ADD A NEW TO ARTICLE 10, CHAPTER 18, TITLE 22, GUAM CODE ANNOTATED AND TO REPEAL SUBSECTION (e} OF ~01, ARTICLE 3, CHAPTER 4, TITLE 4, GUAM CODE ANNOTATED RELATIVE TO BREAST CANCER SCREENING COVER GE IN HEALTH IN.SURANCE/BENEFIT PLANS SOLD ON GUAM AND BY MEDICAID AND ~ THE MEDICALLY INDIGENT PROGRAM {MIP). ~ Introduced bv: Louise B. Muna, Telena C. Nelson, Therese M. Terlale, Marv Camacho Torres, Regine Biscoe Lee (C) DEBT (1) SR 6.01 (b)(1 )(A) Land, Infrastructure, Building Projects, Capital Improvement Projects N/A o YES o NO (Return to Prime Sponsor) Received by: {Signature, Date & Time). ~~ \ "'\'\ -\'6@ } ">Lt ID (2) SR 6.01 (b)(1 )(8),IN/A Refinancing of existing o YES debt (not less than 23) o NO (Return to Prime Sponsor) Completed by: (3) SR 6.01 (b)(2) ~/A (Signature, Date & Time) Authorize public debt to o YES (Return to Prime Sponsor} fund operations of agency, ono instrumentality, public o Waived (per official state of corporation emergency, as attached).., - o Return to Prime Spon~.J Refer to: Wt_. m.... Date & Time: ~\ \') \lb~ &~~! y m.. COR Action r~~ ~~~.. ~. ~... ~~-~~ ~ ~~~~!l -~l~ -~. For COR Office Use Only Pursuant to COR decision (COR Meeting, April 3, 2017): Completed within five (5) working 7vs? ES o NO,.mID lfno: Provide letter of explanation (see attached). GUAM CONGRESS BUILDING 163 CHALAN SANTO PAPA HAGAT~A, GUAM Telephone: (671) address: corguamleghlature@gmail.com Page 2 ot 2 '

27 Senator Thomas C. Ada, Vice Chairperson Speaker Benjamin J.F. Cruz, Vice Speaker Therese M. Terlaje, Senator Frank B. Aguon, Jr.. Senator Telena C. Nelson. 8 -., ~ ; ~ ~ COMMITTEE ON RULES SENATOR REGINE BISCOE LEE, CHAIR SIKRITARIAN LIHESLATURAN GUAHAN I MINA'TRENTAI KUATTRO NA LIHESLATURAN GUAHAN LEGISLATIVE SECRETARY 34 1 H GUAM LEGISLATURE Senator Dennis G. Rodriguez, Jr., Senator Joe S. San Agustin, Senator Michael F.Q. San Nicolas, Senator James V. Espaldon, Senator Mary Camacho Torres. MEMO February 5, 2018 To: From: Re: Rennae Meno Clerk of the Legislature Senator Regine Biscoe Lee Chairperson, Committee on Rules Fiscal Note Waiver Buenos yon Hafa adai. Attached, please find the fiscal note waiver for the following bill: Bill No (COR) Please forward the same to Management Information Services (MIS) for posting on our website. For any questions or concerns, please feel free to contact Jean Cordero, Committee on Rules Director, at Thank you for your attention to this important matter. Respectfully, Senator Regine Biscoe Lee Chairperson, Committee on Rules GUAM CONGRESS BUILDING 163 CHALAN SANTO PAPA HAGATNA, GUAM Telenhone: (671) address: conwamle1dslature@11mail.com

28 BUREAU OF BUDGET & MANAGEMENT RESEARCH OFFICE OF THE GOVERNOR Post Office Box 2950, HagAtfia Guam EDDIE BAZA CALVO GOVERNOR LESTER L. CARLSON, JR. ACTING DIRECTOR RAY TENORIO LIEUTENANT GOVERNOR FEB Senator Regine Biscoe-Lee Legislative Secretary and Chairperson, Committee on Rules I Mina 'Trentai Kuattro na Liheslaturan GuAhan 34th Guam Legislature Guam Congress Building 163 Chalan Santo Papa Hagatiia, Guam Hafa adai! Senator Biscoe-Lee: The Bureau requests that Bill No (COR) be granted a waiver pursuant to Public Law as amended for the following reason(s): The intent of this proposed legislation is to add a new Section to Article 10, Chapter 18, Title 22 Guam Code Annotated (GCA) and to repeal Subsection (e) of Section 4301, Article 3, Chapter 4, Title 4, GCA. The proposed new Section is seeking to provide low-dose mammography, not subject to any coinsurance or deductible provisions, for occult breast cancer as the basis for breast cancer screening for women and men, using new criteria. The repeal of Section 4301 is to eliminate existing health insurance criteria for breast cancer screening to be replaced with the breast cancer screening criteria under the proposed new Section This proposed legislation is administrative in nature.

29 Senator Thomas C. Ada, Vice Chairperson Speaker Benjamin J.F. Cruz, Vice Speaker Therese M. Terlaje, Senator Frank B. Aguon, Jr., SenatorTelena C. Nelson, COMMITTEE ON RULES SENATOR REGINE BISCOE LEE, CHAIR SIKRITAR IAN LIHESLATURAN GUAH~ N I MINA'TRENTAI KUATTRO NA LIHESLATURA UGISLATIVE SECRETARY 34rH GUAM LE COMMITTEE REPORT CHECKLIST Part 1 I 1 GUAHAN SLATUR E Senator Dennis G. Rodriguez, Jr., Senator Joe S. San Agustin, Senator Michael F.Q. San Nicolas, Senator James V. Espaldon, Senator Mary C. Torres, BILL NO (COR) AN ACT TO ADDA NEW TO ARTICLE 10, CHAPTER 18, TITLE 22, GUAM CODE ANNOTATED AND TO REPEAL SUBSECTION (e) OF 4301, ARTICLE 3, CHAPTER 4, TITLE 4, GUAM CODE ANNOTATED RELATIVE TO BREAST CANCER SCREENING COVERAGE IN HEA L TH INSURANCE/BENEFIT PLANS SOLD ON GUAM AND BY MEDICAID AND THE MED/CALLY INDIGENT PROGRAM (MIP) - sponsors: Louise B. Muna, Telena C. Nelson, Therese M. Terlaje, Mary Camacho Torres, Regine Biscoe Lee REFERRED TO: Senator Dennis G. Rodriguez, Jr., Chairman Cmte on Health, Tourism, M ilitary Affairs & Senior Citizens {J) Requested by COR " YES o NO (~) Received by COR ef, YES o NO Date & Time: Jo.n. t <&, iovi ~ \ l :qo {k.(11. Date & Time: (A) FISCAL NOTE or WAIVER (3.)'Waived by COR pr'yes o NO (4) Bill contains appropriations or authorizations for appropriations Date & Time: fpb. 5. ~\i ~ \G:sq f\ th - If YES: {4/5){a) Funding Availability Note/Waiver {OFB) attached? o YES from any fund sources? o YES,/NO {4/5){b) Funding source identified? 2 GCA o YES ( 5) Bill contains an authorization to expend gov7rnment funds? o YES./J NO o YES D NO (Unable to file CMTE Report) o NO (Proceed to (A) (6)) {4/5){c) Funds available and sufficient? 2 GCA 9101 o NO (Proceed to (A) (6)) (6) Restrictions Against Unfunded Appropriations (2 GCA 910 l) o Identifies specific alternate funding source o De-appropriates from previous appropriation with available funds and fiscal note o Written certification by CMTE Chair that a situation exists which "threatens the safety, health and welfare of the communitv" If no boxes checked: UNABLE TO PLACE ON SESSION AGENDA 2 GCA 9102 GUAM CONGRESS BU I LDING 163 CHALAN SANTO PAPA llagatna, GUAM T lcµhonc: (671) address: corguamlegislarurc@gma il.co m

30 Committee Report Checklist on Bill No (COR) Part 1 I 1 (1) HEARING NOTICES SR 6.04(a)(l) and 6.04(a)(2), Open Government Law (5 GCA, Ch. 8) J (a) Five (5) working days prior (A L Senators & ALL Media) Date and Time of Notice: rj (b) Forty-eight (48) hours prior (ALL Senators & ALL Media) Date and Time of Notice: (B) PUBLIC HEARING (2) Date and Time of Hearing: '\\w.\1., flv(. \a,?.o\i ~ i:"->o O l1' \ - (3) Location: Public Hearing Room, Guam Congress Building \ or (4) HEARING WAIVED by Speaker in case of emergency SR 6.04(a)(l) o YES o NO D N/A If YES: Attach memo indicating WAIVER (5) AMENDMENTS or SUBSTITUTIONS BY COMMITTEE SR 6.04(b) If YES: Date and Time: (a) Committee elects to substitute bill? o YES ' NO ( a)(l) Vote sheet affirmative? DYES o NO ( a)(2) Preliminary report filed with COR? SR 6.04(b) (2) DYES o NO ( a)(3) Public Hearing noticed? DYES o NO (b) Bill materially different after committee amendment or substitution? D YES ~ o If YES: SECONDARY PUBLIC HEARING MAY BE REQUIRED SR 6.04(c)(3) o YES o NO COR Chair 2

31 Committee Report Checklist on Bill No (COR) Part 1 I 1 (1) Committee Report filed with 7 0R? ijj YES o NO Notes: If YES: Date & Time: (1')( a) Secondary CMTE Report filed with COR? o YES o NO If NO: UNABLE TO PLACE ON SESSION AGENDA SR 6.04(d)(l) If YES: Date & Time: (2) LAND LEGISLATION (C) COMMITTEE REPORT (a) Bill involves government taking, transfer, purchase, or le,9se of land? o YES o NO ~ N/ A (a)(l) Please indicate on both columns: (i) Type of (ii) Type of entity: transaction: o Government o Taking o Transfer o Purchase o Lease o Non-government (b) Bill involves legislative land rezoning? o YES o NO (b)(l) Bill involves legislative rezoning of property zoned Agri9'1tural (A)? o YES o NO../J N/A If YES: ATTACH TWO (2) PROPERTY APPRAISALS TO CMTE REPORT SR 6.04(c) (4) 2 GCA 2107(b) If YES: INCLUDE Land Zoning Consideration Report 2 GCA 2110 If YES: INCLUDE Agricultural Consideration Report (Dept. of Agriculture) 2GCA 2110 [Proceed to (b) (2)] (b)(2) Proof of Agricultural consideration report reviewed by Guam Land Use Commission? 21 GCf o YES o NO -i N/ A 3

32 Committee Report Checklist on Bill No (COR) Part 1 I 1 (3) G.A.R.R. LEGISLATION SR 6.04(c )(l) 5 GCA 9301 and 9303 a) Bill involves approving or If YES: amending Rules and INCLUDE Regulations? Economic Impact Statement o YES o NO I N/A 5 GCA 9301 (d), 9301 (e), (f) (4) COMMITTEE REPORT COMPONENTS / (a) Front PaQe Transmittal to Speaker ~ ( a)(l) COR Chair Signature Line..$' (b) Title Page <;/ (c) Committee Chair Memo to All Committee s $ ( d) COR Referral Memorandum.$ (e) Notice of Public Hearing & Other Correspondence / (f) Public Hearing Agenda o/ (D) COMMITTEE REPORT (g) Public Hearing Sign-in Sheet./ (continued) (h) Written Testimonies & Additional Documents ~ (i) Committee Vote Sheet(s) ~ U) Committee Report Digest(s) ~ (k) Bill History d' (k)(l) Copy of Bill as introduced ii': (k)(2) COR Pre-Referral Checklist.Ji{ (k)(3) Copy of Bill as corrected by Prime Sponsor (if applicable) 0 (k)(4) Copy of Bi ll as amended/substituted by Committee (if applicable) 0 Substitute/ Amended Mark-Up Version 0 Substitute/Amended Word-Version ed to COR? 0 (I) Fiscal Note/Waiver and Funding Availability Note (OFB).llf (m) Two (2) Property Appraisals (if applicable) 0 (n) Related News Reports (optional) 0 (o) Miscellaneous (optional) 0 (p) Committee Report Checklist(s) ~ Originals t/ Single-Sided./ Letter Size No Staples/ Paper Clips ~ I d CMTE Report duly filed; Available for Placement on Session Agenda COR CHAIR (E) COR Action o CMTE Report non-conforming (~ ~re, Date & Time) for acceptance; Return to '.l1j.~ I A., Committee ~JW.~l ef/ y :_,l\,\ ~ '31'\n Bf \ 4