II 

117TH CONGRESS 

2D SESSION S. 4120 

To maximize discovery, and accelerate development and availability, of 

promising childhood cancer treatments, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

APRIL 28, 2022 

Mr. REED (for himself, Mrs. CAPITO, Mr. VAN HOLLEN, and Ms. MURKOWSKI) introduced the following bill; which was read twice and referred 

to the Committee on Health, Education, Labor, and Pensions 

A BILL 

To maximize discovery, and accelerate development and availability, of promising childhood cancer treatments, and 

for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Childhood Cancer Sur5 vivorship, Treatment, Access, and Research Reauthoriza6 tion Act of 2022’’ or the ‘‘Childhood Cancer STAR Reau7 thorization Act’’. 


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1 SEC. 2. REAUTHORIZING AND IMPROVING THE CHILDHOOD 

2 STAR ACT. 

3 (a) CHILDREN’S CANCER BIOREPOSITORIES.—Sec4 tion 417E of the Public Health Service Act (42 U.S.C. 

5 285a–11) is amended— 

6 (1) in subsection (a)— 

7 (A) in paragraph (2)(A), by inserting be8 fore the period at the end of the second sen9 tence the following: ‘‘, and providing sample col10 lection incentives for both solid tumor cancer 

11 and paired tissues for all pediatric cancers’’; 

12 (B) in paragraph (9), by striking ‘‘Child13 hood Cancer Survivorship, Treatment, Access, 

14 and Research Act of 2018’’ and inserting 

15 ‘‘Childhood Cancer Survivorship, Treatment, 

16 Access, and Research Reauthorization Act of 

17 2022’’; 

18 (C) by redesignating paragraph (10) as 

19 paragraph (11); and 

20 (D) by inserting after paragraph (9) the 

21 following: 

22 ‘‘(10) REPORT ON RESEARCHER ACCESS TO

23 CHILDREN’S CANCER BIOREPOSITORY SAMPLES.— 

24 The Director of NIH shall, not later than 2 years 

25 after the date of enactment of the Childhood Cancer 

26 Survivorship, Treatment, Access, and Research ReVerDate Sep 11 2014 01:43 Apr 30, 2022 Jkt 029200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S4120.IS S4120

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1 authorization Act of 2022, submit to Congress a re2 port on policy changes that would facilitate stream3 lining the approval process for researcher access to 

4 children’s cancer biorepository samples, with a spe5 cial focus on lowering the regulatory burden before 

6 samples can be sent to investigators.’’; and 

7 (2) in subsection (d), by striking ‘‘2019 through 

8 2023’’ and inserting ‘‘2024 through 2028’’. 

9 (b) CANCER SURVIVORSHIP PROGRAMS.—Section 

10 201 of the Childhood Cancer Survivorship, Treatment, Ac11 cess, and Research Act of 2018 (Public Law 115–180) 

12 is amended— 

13 (1) in subsection (a)— 

14 (A) in paragraph (1), by striking ‘‘may 

15 make awards’’ and inserting ‘‘shall make 

16 awards’’; and 

17 (B) by adding at the end the following: 

18 ‘‘(4) CONSIDERATION.—In developing, studying, 

19 and evaluating model systems pursuant to this sub20 section, recipients of awards under this subsection 

21 shall give particular consideration to the report 

22 issued by the Agency for Healthcare Research and 

23 Quality in February 2022, titled ‘Models of Care 

24 That Include Primary Care for Adult Survivors of 

25 Childhood Cancer: A Realist Review’.’’; and 


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1 (2) in subsection (b), in paragraphs (1) and 

2 (2), by striking ‘‘date of enactment of this Act’’ each 

3 place it appears and inserting ‘‘date of enactment of 

4 the Childhood Cancer Survivorship, Treatment, Ac5 cess, and Research Reauthorization Act of 2022’’. 

6 (c) SURVIVORSHIP ELECTRONIC HEALTH

7 RECORDS.—The Secretary of Health and Human Services 

8 shall coordinate with the Office of the National Coordi9 nator for Health Information to prepare a report on the 

10 role that tailored survivorship electronic health records 

11 can play in life-long health care for childhood cancer sur12 vivors, with a special focus on survivors who face unique 

13 lifelong health needs and late effects as they transition to 

14 primary care. Such report shall be submitted to Congress 

15 not later than 2 years after the date of enactment of this 

16 Act. 

17 (d) SENSE OF CONGRESS REGARDING THE CRE18 ATION OF A CHILDHOOD CANCER MEDICAL CODE.—It is 

19 the sense of Congress that the National Center for Health 

20 Statistics at the Centers for Disease Control and Preven21 tion and the Centers for Medicare & Medicaid Services 

22 should consider adding a new Childhood Cancer Code to 

23 the International Classification of Diseases (ICD) system 

24 for the purpose of facilitating access to existing insurance 


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1 coverage of childhood cancer patients and survivors, as ap2 propriate. 

Æ 


kjohnson on DSK79L0C42PROD with BILLS