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The Breast, Cervical and Colon Health Program (BCCHP) began in Washington state in 1993. The program was created by the United States Congress to improve access to breast, and cervical cancer screening for Washington residents without health insurance. In 2009, colon cancer screening was added for people without health insurance.

Through this landmark program, the Centers for Disease Control and Prevention (CDC) now supports comprehensive screening activities in all 50 states, 4 U.S. territories, in the District of Columbia and in 13 American Indian/Alaskan Native tribes and tribal organizations. Since 1990 the program has served more than 8 million women in the U.S.

BCCHP at Public Health — Seattle & King County provides services for residents in Clallam, Jefferson, King and Kitsap counties.

  • 1993 – The Breast, Cervical and Colon Health Program (BCCHP) began in Washington state.

  • 1994 – BCCHP begins services. Since then BCCHP has provided services to 54,447 women in Clallam, Jefferson, King and Kitsap counties.

  • 2005 – Through a grant from CDC, Washington Colon Health Program started as a pilot program providing colon cancer screening services in Clallam, Jefferson, King and Kitsap counties, totaling 7,754 men and women till date.

  • 2009 – The state of Washington received funding from CDC to continue the colon cancer screening and becomes part of the breast and cervical cancer screening services. Since 2005 BCCHP has screened a total of 7,754 people for colon cancer.

  • 2014 – With the passing of the Affordable Care Act (ACA), thousands of people have access to affordable insurance options. BCCHP educates the communities we serve about full insurance coverage options.

Without the BCCHP, we would not have been able to serve these uninsured clients:

Breast health
  • 43,105 women would not have been screened for breast cancer
  • 856 clients would have not or had a delayed diagnosis of breast cancer
  • 822 women would not have access or had delayed access to treatment
Cervical health
  • 43,282 women would not have been screened for cervical cancer using pap smears
  • 6,918 women would not have been screened for cervical cancer using HPV tests
  • 295 women would have not or had a delayed diagnosis of cervical cancer
  • 622 women would have not or had a delayed diagnosis of pre-cancerous cervical lesions
  • 423 women would have not have been followed up with treatment
Colon health
  • 7,754 adults would not have been screened for colon cancer with a take home Fecal Immunological Test (FIT) and a health examination with a primary care provider
  • 545 adults with a positive FIT would not have had pre-cancerous polyps removed during a screening colonoscopy
  • 6 adults would have not or had a delayed diagnosis of colorectal cancer

Program guide, forms, policies and other resources

Consent for release of information, Health Screening Program of Washington (HSP):
Consent form for text opt-in

This BCCHP consent form is for BCCHP colorectal cancer screening and BCCTP Treatment clients. Using texting facilitates communication with our clients in addition to phone calls and voicemail messaging. Clients are more apt to respond to text messages vs responding to an unknown phone number or unrecognized voicemail message:

Self-care while supporting distressed clients: tips and tricks
For health care providers: Tips and tricks for self-care while supporting distressed clients

In this presentation, learn tips and tricks that cover:

  • Mindful stretching
  • Meditation
  • Stress, burnout, moral injury
  • Internal and external pressures
  • Self care at work
  • Self care outside of work

External resources

  • American Cancer Society
    Provides health education, cancer information and more.
    • Phone: 1-800-227-2345 National Cancer Helpline; stay online for language translator support

  • CANCERcare
    A national nonprofit organization whose mission is to provide free professional support services to anyone affected by cancer: people with cancer, caregivers, children, loved ones, and the bereaved.
  • Cancer Information Service
    Health and cancer education materials, help with quitting smoking, librarians can answer questions about cancer. Spanish-speakers available.
    • Phone: 1-800-4-CANCER, (1-800-422-6237)

  • Cancer Lifeline
    Offers a wide range of programs, support groups, financial assistance, classes, activities and presentations aimed at optimizing the quality of life for cancer patients and cancer survivors and their families, friends, co-workers and caregivers. All services free of charge.
    • Phone: 206-297-2100, 206-297-2500, 1-800-255-5505

  • Crisis Connections
    Helping Lives on the Line and 211 and other resources available in multiple languages.
    • Phone: 1-866-4CRISIS (427-4747) for 24-hour assistance for people with emotional crisis
    • Phone: 1-800-621-4636 for 211 Community Informationline. Available from 8 am - 6 pm

  • Cancer Pathways
    Offers programs of education, support and community options for people living with cancer along with their families and friends.
    • Phone: 206-709-1400, 866-200-2383
  • EthnoMED
    Culture, language, health, illness and community resources directly accessible to health care providers who see patients from different ethnic groups.
  • Hopelink
    Serves homeless and low-income families, children, seniors and people with disabilities, promoting self-sufficiency for all members of the community. Transportation to medical appointments is provided to all Medicaid patients in King County.
    • Phone: 1-800-923-7433

  • Living Beyond Breast Cancer
    • Cancer Survivors Help Line: 888-753-5222
  • Cancer resources from MedlinePlus, National Institutes of Health
    Includes a dictionary of cancer terms and more. See information on chemotherapy.

  • College of American Pathologists
    Information about the disease, treatment options, key terms, pictures of normal and diseased tissue, questions to ask your doctor.

  • Cancer Genetic Counseling Resources
    • Swedish Hospital Medical Center – Hereditary Cancer Clinic
      • 1221 Madison, Suite 1220, Seattle, WA 98104
      • Phone: 206-215-4377 for appointments
    • University of Washington Medical Center – Medical Genetics Clinic
      • 1959 NE Pacific, Seattle, WA 98195
      • Phone: 206-598-4030

  • Operation Uplift
    Provides no-cost support groups, prosthesis, wigs, head coverings, mammogram vouchers and limited financial assistance for transportation.
    • 118 N. Liberty St. Port Angeles, WA 98362
      Phone: 360-457-5141 (Limited hours, call first)

  • Patient Advocate Foundation
    National non-profit that uses case managers and healthcare attorneys to act as a liaison for complex situations between patients and insurers, employers, creditors, etc. (Clinics should help first with simpler problems).
    • Phone: 800-532-5274
  • RX Outreach
    Provides prescription drug assistance for clients based on income and number of dependents living in their home.
    • Phone: 800-769-3880
  • NeedyMeds
    A national non-profit helping people locate assistance programs to help them afford their medications and other healthcare costs.
  • Must be enrolled in the Breast, Cervical and Colon Health Program (BCCHP).
  • Must meet income requirements as set by DOH (see BCCHP Eligibility Criteria).
  • Must be under 65 years old.
  • Must be a Washington State resident.
  • Must be a U.S. citizen or legal permanent resident in the US for over 5 years (other non-citizens may be eligible for the Alien Emergency Medical (AEM) program).
  • Must be uninsured or without creditable health coverage.
  • Must not be eligible for another Apple Health program.
  • Must have a qualifying diagnosis of breast or cervical cancer or pre-cancer.
  • Female to Male (FTM) transgender clients are eligible; men with breast cancer are not.

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