It's rare to hear excitement over another government reporting requirement, but that's how Rebecca Smith-Bindman, M.D., feels about a new California law that requires providers to track their patients' long-term radiation exposure from CT scans.

"There's been lots of struggling to respond to the requirements of this law, but I think it's an extraordinary thing," says Smith-Bindman, director of the Radiology Outcomes Research Laboratory at the UCSF Medical Center, San Francisco, who contributed to a December 2011 Institute of Medicine report on decreasing potential environmental risks associated with breast cancer. She's also principal investigator on a project at the five University of California medical centers to standardize and optimize CT doses system-wide and report those doses as part of patients' electronic health records (more information on the project is on page 24).

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