Recently, there has been significant legislative and public interest in the state’s Every Woman Counts (EWC) program for breast cancer early detection. We provide background on the EWC program and other state breast cancer programs and describe the recent history of the program, including caseload and funding trends and recent program changes. We also recommend the Legislature adopt a modified version of the Governor’s May Revision cost containment proposals, consider redirecting existing funding for research to direct clinical services, and improve transparency and oversight by requiring the administration to prepare a formal budget estimate for the EWC program.