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Missouri cancer registry.

The Missouri Cancer Registry (MCR), established in 1972, serves as a statewide cancer database. Cancer reporting for Missouri hospitals was voluntary until 1984 when the Missouri General Assembly passed a bill to require cancer reporting of inpatient cancer cases. Consequently, 1985 represents the first year that Missouri cancer incidence rates can be calculated. Responding to public health needs, Congress established the National Program of Cancer Registries (NPCR) in 1992. Administered by the Centers for Disease Control (CDC), this program provides funds to enhance or establish state central cancer registries. Missouri became a NPCR state in 1996. In 1999, the late Governor Mel Carnahan signed an expanded cancer reporting law. This law required that pathology laboratories, ambulatory surgery centers, freestanding cancer clinics and treatment centers, physicians and nursing homes report cancer cases.