amended by inserting ‘‘(2)(II),’’ after ‘‘health risk 
assessment),’’. 
(2) INITIAL RATES.—Unless the Secretary oth-
erwise provides, the payment rate specified under 
the physician fee schedule under the amendment 
made by paragraph (1) for cancer care planning and 
coordination services shall be the same payment rate 
as provided for transitional care management serv-
ices (as defined in CPT code 99496). 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to services furnished on or after 
the first day of the first calendar year that begins after 
the date of the enactment of this Act. 
SEC. 5. SURVIVORSHIP TRANSITION TOOLS. 
(a) IN GENERAL.—The head of the Office of the Na-
tional Coordinator for Health Information Technology, in 
collaboration with Director of the Agency for Healthcare 
Research and Quality, shall— 
(1) evaluate existing models for survivorship 
care plans, as they relate to both adults and chil-
dren, through engagement with professional soci-
eties, payors, patient advocacy organizations, com-
munity-based organizations, electronic health record 
vendors, and other stakeholders; 
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(2) evaluate other existing tools for developing 
survivorship care plans, such as— 
(A) survivorship guidelines of the National 
Comprehensive Cancer Network and the Amer-
ican Society of Clinical Oncology; or 
(B) tools such as Passport for Care; 
(3) collaborate with the Office for Civil Rights 
of the Department of Health and Human Services to 
evaluate the privacy and security implications of— 
(A) consolidating treatment history and 
survivorship guidelines into a personalized sur-
vivorship care plan, as described in paragraph 
(4); and 
(B) patient use of computer or mobile 
phone-based application programs described in 
paragraph (4)(B); and 
(4) taking into consideration the results of eval-
uation under paragraphs (1) and (2)— 
(A) not later than 12 months after the 
date of enactment of this Act, publish informa-
tion resources for cancer patients and providers 
on strategies for consolidating treatment history 
and survivorship guidelines into a personalized 
survivorship care plan to guide survivorship 
monitoring and follow-up care; and 
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(B) include in such information resources 
recommendations about possible patient use of 
application programs (‘‘apps’’) to develop per-
sonalized survivorship care plans. 
(b) DEFINITION.—In this section, the term ‘‘elec-
tronic health record’’ means an electronic record of health- 
related information on an individual that is created, gath-
ered, managed, and consulted by authorized health care 
clinicians and staff. 
SEC. 6. ALTERNATIVE PAYMENT MODEL. 
Not later than 18 months after the date of the enact-
ment of this Act, the Secretary shall submit to Congress 
a report containing a description of an alternative pay-
ment model for payment under title XVIII and title XIX 
of the Social Security Act (42 U.S.C. 1395 et seq., 1396 
et seq.) for items and services relating to cancer survivor-
ship care. The report shall include the following: 
(1) A description of what event would trigger 
an individual’s entry into such a model (such as the 
end of the individual’s active cancer treatment, the 
beginning of the individual’s need for supportive 
care during active treatment, or another event). 
(2) The length of the individual’s participation 
under such model, including a description of any 
ability to extend such participation. 
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(3) In the case that such model is based on an 
episode of care, the appropriate length of the survi-
vorship episode of care and whether additional epi-
sodes may be triggered, if necessary. 
(4) Strategies to ensure that any episode of 
care under such a model begins with the develop-
ment and dissemination of a survivorship care plan 
for the transition from active cancer treatment to 
follow-up care to the individual and all relevant 
health care providers. 
(5) A description of any bundled payment pack-
ages that will be used under such model. 
(6) A specification of any follow up or new 
screening under such model for unmet needs of indi-
viduals participating in such model. 
(7) How consistent, shared decision making will 
be promoted under such model so that individuals 
are given the knowledge needed for self-management 
between episodes of care. 
(8) A specification of which types of health care 
providers may furnish items and services under such 
model, including genetic counselors and mental 
health professionals. 
(9) Strategies for applying evidence-based risk 
stratification principles to direct survivors to person-
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alized care pathways that match the level of care 
needed to the relative risks and needs of the sur-
vivor. 
(10) Strategies for coordination of care between 
such providers, such as between specialists and pri-
mary care providers, and how principal responsibility 
will be assigned for an episode of care. 
(11) Strategies for addressing social deter-
minants of health through such model. 
(12) A description of how such model will pro-
mote— 
(A) prevention, early detection surveillance, 
and treatment for individuals continuing to re-
ceive systemic therapy after the end of active 
cancer treatment; 
(B) such individuals’ understanding of, 
and access to, treatment; 
(C) survivorship research; and 
(D) the continuing health of cancer sur-
vivors. 
(13) An analysis of how different forms and 
stages of cancer may require the development of dif-
ferent survivorship plans and alternative payment 
models based on varying episodes of care. 
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