(14) A plan for testing any alternative payment 
model described in the report, including the timing 
of such testing, an analysis of the impact of such 
testing, any barriers to implementing such testing, 
and any other recommendations determined appro-
priate by the Secretary. 
SEC. 7. SURVIVORSHIP NAVIGATION. 
(a) REVIEW
OF
PROGRAMS
AND
NAVIGATION 
STUDY.— 
(1) IN GENERAL.—Not later than 18 months 
after the date of enactment of this Act, the Sec-
retary shall— 
(A) complete a review of previous and cur-
rent cancer survivorship navigation programs, 
including any applicable standards of care such 
as those of the Professional Oncology Naviga-
tion Task Force, and the Academy of Oncology 
Nurse & Patient Navigators, the Oncology 
Nursing Society; and 
(B) submit a report to the Congress on the 
results of such review. 
(2) CONSIDERATIONS.—In carrying out sub-
section (a), the Secretary shall take into consider-
ation each of the following: 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00016
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
(A) How cancer survivorship navigation 
program services might be provided from diag-
nosis across the continuum of care through sur-
vivorship, taking into consideration— 
(i) the type of navigation services that 
are most effective for survivors at the time 
of diagnosis; and 
(ii) the type of navigation services 
that are most useful for survivors who are 
managing the late and long-term effects of 
cancer and cancer treatment. 
(B) How navigation services might evolve 
over the continuum of care and how to encour-
age a dynamic navigation system. 
(C) Training needs for navigators. 
(D) Comparison and delineation of naviga-
tion services provided by lay and professional 
navigators. 
(E) Evaluation of optimal strategies for of-
fering survivors navigation services and encour-
aging their utilization of such services. 
(F) Defining— 
(i) the continuum of care during 
which services are provided; and 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00017
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
(ii) the nature of services for a long- 
term survivor. 
(G) The location of navigation services 
(such as whether such services should be pro-
vided as part of oncology practices or outside of 
oncology practices). 
(H) Federal financing for navigation serv-
ices (such as whether to finance such services 
through a grant program funded through an-
nual discretionary appropriations). 
(I) Alternative delivery and payment mod-
els for cancer survivorship navigation services, 
including consideration of— 
(i) an episode-of-care model for pro-
viding cancer survivorship navigation serv-
ices, or a patient-focused navigation benefit 
that survivors could utilize in different set-
tings, with the navigation services meeting 
standards set by the Secretary; and 
(ii) services funded through the Medi-
care and Medicaid programs. 
(J) Resources and the role of patient advo-
cacy organizations and peer support networks 
in cancer survivorship navigation services. 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00018
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
(b) DEMONSTRATION PROGRAM
FOR NAVIGATION 
SERVICES FOR CANCER SURVIVORS.— 
(1) IN
GENERAL.—The Secretary shall carry 
out a demonstration program consisting of awarding 
grants to eligible entities to provide navigation serv-
ices to cancer survivors. 
(2) TIMING.—The Secretary shall initiate the 
demonstration program under this subsection not 
later than 12 months after completing the review as 
required under subsection (a)(1)(A). 
(3) ELIGIBLE ENTITIES.—To be eligible to re-
ceive a grant under this subsection, an entity shall— 
(A) have staff and expertise to provide 
navigation services; and 
(B) be— 
(i) a community-based organization; 
(ii) a patient-centered education and 
service organization; 
(iii) a nonprofit patient or cancer ad-
vocacy organization; 
(iv) a community cancer provider; 
(v) a cancer center; 
(vi) a hospital; 
(vii) a community health center; or 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00019
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
(viii) another type of entity as the 
Secretary determines appropriate. 
(4) USE OF FUNDS.—A recipient of a grant 
under this section shall use the grant to provide 
navigation services to cancer survivors, including 
by— 
(A) offering navigation services from diag-
nosis through the continuum of care, including 
long-term survivorship, or offering navigation 
services from the end of active treatment with 
an emphasis on facilitating the transition from 
active treatment to long-term survivorship care 
and throughout survivorship; 
(B) in a timely manner, assisting cancer 
survivors to navigate cancer treatment and fol-
low-up services, such as screenings, risk assess-
ment, mitigation, health promotion activities, 
providing health information and education, 
coaching, and support; 
(C) addressing cancer care disparities in 
the design and delivery of services; 
(D) ensuring coordination with the sur-
vivor’s health care providers; 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00020
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
(E) following evidence-based survivorship 
care guidelines in the design and delivery of 
survivorship services; 
(F) ensuring the delivery of culturally ap-
propriate services and materials; and 
(G) assisting cancer survivors to meet and 
overcome barriers to treatment and follow-up 
services, such as any such barriers relating to 
food insecurity, housing, transportation, labor, 
access to broadband connectivity, the avail-
ability of telehealth, or child care, with empha-
sis placed on high-risk populations. 
SEC. 8. SURVIVORSHIP CARE DEMONSTRATION PROGRAM. 
(a) IN GENERAL.—The Secretary shall carry out a 
demonstration program for a period of 5 years consisting 
of awarding grants to improve the quality of cancer survi-
vorship care. 
(b) TIMING.—The Secretary shall initiate the dem-
onstration program under this section not later than 1 
year after the date of enactment of this Act. 
(c) DEMONSTRATION SITES.—The Secretary shall 
ensure that grants are awarded under this section to im-
prove the quality of cancer survivorship care at a wide di-
versity of sites, including— 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00021
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
(1) in urban, suburban, rural, and Tribal areas; 
and 
(2) cancer care sites including cancer centers, 
academic health centers, Federally qualified health 
centers, rural health clinics, physician offices, Tribal 
organizations, community-based health care pro-
viders, and health care providers serving medically 
underserved areas. 
(d) AREAS OF FOCUS UNDER THE DEMONSTRATION 
PROGRAM.—The demonstration program under this sec-
tion shall be designed to ensure the development of a vari-
ety of models for survivorship care that will permit evalua-
tion of a variety of care strategies, including— 
(1) utilization of navigators to assist survivors 
in obtaining survivorship care; 
(2) employment of risk-stratification to better 
determine the nature and intensity of services that 
survivors require; 
(3) transitions of care from cancer care pro-
viders to primary care providers, through transition- 
of-care models that involve collaboration between 
cancer care specialists and primary care providers; 
(4) the training needs of primary care providers 
to be better equipped to work with survivors in pri-
mary care settings; 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00022
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
(5) utilization of survivorship care plans to fa-
cilitate coordination of survivorship care; 
(6) experimentation with providing cancer sur-
vivorship care at home; 
(7) use of information technology to plan and 
coordinate care to improve the consistent identifica-
tion, collection, and measurement of all forms of pa-
tient experience data, including patient-reported out-
comes of patient-reported symptoms and quality-of- 
life measures; and 
(8) expansion of existing successful models of 
survivorship care. 
(e) EVALUATION OF DEMONSTRATION PROGRAM.— 
The Secretary shall— 
(1) develop a plan for evaluating the projects 
that are conducted as part of the demonstration pro-
gram under this section; and 
(2) not later than 18 months after the end of 
the 5-year demonstration program, complete such 
evaluation and submit a report to the Congress on 
the results of such evaluation. 
SEC. 9. CANCER SURVIVOR WORKFORCE ASSISTANCE 
GRANTS. 
(a) IN GENERAL.—The Secretary of Labor, in con-
sultation with the Secretary of Health and Human Serv-
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00023
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
ices, shall carry out a program to award grants to non-
profit organizations and other entities to provide edu-
cation and targeted assistance— 
(1) to eligible cancer survivors facing barriers 
to employment, including those who remain in the 
workforce during treatment, those who reduce work-
ing hours while in treatment, and those who reenter 
the workforce after a treatment-related departure; 
and 
(2) to the families and caregivers of such eligi-
ble cancer survivors. 
(b) PROGRAM COMPONENTS.—The program under 
this section shall include the following: 
(1) Assistance, career and training services, and 
supportive services for eligible cancer survivors who 
stay in the workforce during treatment, and for their 
families and caregivers, including— 
(A) transportation assistance; 
(B) childcare assistance; 
(C) nutritional assistance; 
(D) physical activity assistance; 
(E) psychosocial assistance; 
(F) financial assistance during a period of 
medical leave; and 
(G) other similar assistance. 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00024
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
(2) Assistance and education for eligible cancer 
survivors who leave the workforce during treatment, 
and for their families and caregivers, including— 
(A) financial assistance during a period of 
medical leave; 
(B) assistance with premiums for continu-
ation coverage provided pursuant to part 6 of 
subtitle B of title I of the Employee Retirement 
Income Security Act of 1974 (29 U.S.C. 1161 
et seq.), title XXII of the Public Health Service 
Act (42 U.S.C. 300bb–1 et seq.), or section 
4980B of the Internal Revenue Code of 1986 
(26 U.S.C. 4980B); and 
(C) career and training services, including 
upskilling and reskilling, for eligible cancer sur-
vivors who are not able to return to work after 
treatment. 
(3) Assistance, career and training services, and 
supportive services for eligible cancer survivors who 
are unable to work after a cancer diagnosis, and 
their families and caregivers, including— 
(A) assistance in applying for— 
(i) supplemental security income bene-
fits under title XVI of the Social Security 
Act (42 U.S.C. 1381 et seq.); 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00025
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
(ii) disability insurance benefits under 
section 223 of the Social Security Act (42 
U.S.C. 423); 
(iii) benefits under a State plan, or 
waiver of such plan, under title XIX of the 
Social Security Act (42 U.S.C. 1396 et 
seq.); 
(iv) with respect to minimizing delays 
in eligibility before a cancer survivor be-
comes eligible for Medicare coverage, bene-
fits under the Medicare program under 
title XVIII of the Social Security Act (42 
U.S.C. 1801 et seq.), including with re-
spect to enrolling in plans under part C or 
D of such title and supplemental plans 
under section 1882 of such title; 
(v) State and private sector assistance 
programs for such cancer survivors; and 
(vi) career and training services avail-
able under title I, II, or IV of the Work-
force Innovation and Opportunity Act (29 
U.S.C. 3101 et seq.); and 
(B) information on the eligibility of a can-
cer survivor, and their families and caregivers, 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00026
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
for benefits or services described in any of 
clauses (i) through (vi) of subparagraph (A). 
(c) EVIDENCE-BASED RESOURCES.—In carrying out 
this section, the Secretary of Labor, in consultation with 
the Secretary of Health and Human Services, shall use 
evidence-based resources, including— 
(1) nationally recognized evidence-based guide-
lines; and 
(2) other resources as determined by the Sec-
retary. 
(d) DEFINITIONS.—In this section: 
(1) The term ‘‘eligible cancer survivor’’ means 
a cancer survivor (as defined in section 3) who— 
(A) remains in the workforce during cancer 
treatment; 
(B) reduces working hours during cancer 
treatment; 
(C) reenters the workforce after a cancer 
treatment-related departure; or 
(D) leaves the workforce as the result of a 
cancer diagnosis or related complications. 
(2) The term ‘‘supportive services’’ has the 
meaning given such term in section 3 of the Work-
force Innovation and Opportunity Act (29 U.S.C. 
3102). 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00027
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
serves as a comprehensive source of information and 
resources related to survivorship. 
(2) TIMING.—Not later than 2 years after the 
date of enactment of this Act, the Secretary shall es-
tablish and begin operation of the Center. 
(3) CONSULTATION.—In establishing and oper-
ating the Center, the Secretary shall consult with 
cancer survivors, patient organizations, health pro-
fessionals, researchers, health education organiza-
tions, oncology professional societies and other med-
ical societies, community-based organizations, and 
science education organizations regarding— 
(A) the information and resources that 
would assist cancer survivors in managing the 
survivorship experience and obtaining high- 
quality care across the continuum of care; 
(B) gaps in such information and re-
sources that need to be addressed to respond to 
the needs of cancer survivors; and 
(C) optimal strategies for ensuring that 
cancer survivors have access to the Center, in-
cluding strategies that provide virtual options, 
online resources, and marketing. 
(4) USE OF AVAILABLE EVIDENCE-BASED RE-
SOURCES.—In establishing and operating the Cen-
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00029
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
ter, the Secretary shall, with permission and attribu-
tion, rely on and utilize the evidence-based materials 
and resources developed, collected, and distributed 
by cancer organizations. 
(c) HEALTH CARE PROFESSIONAL RESOURCE CEN-
TER.— 
(1) IN GENERAL.—The Secretary shall establish 
and operate a health care professional resource cen-
ter (in this subsection referred to as the ‘‘Center’’) 
that serves as a comprehensive source of information 
and resources to assist health care professionals in 
the delivery of high-quality survivorship care. 
(2) REFERENCE CANCER SURVIVORSHIP GUIDE-
LINES.—In establishing and operating the Center, 
the Secretary shall reference cancer survivorship 
guidelines developed by cancer care professional soci-
eties, patient organizations, research foundations, 
and other health care professional societies in the 
development of materials related to survivorship 
care. 
(3) SUPPORT PARTNERSHIPS BETWEEN CANCER 
SPECIALTY
SOCIETIES
AND
PRIMARY
CARE
PRO-
VIDER ORGANIZATIONS.—In establishing and oper-
ating the Center, the Secretary shall facilitate col-
laboration between cancer care specialty societies 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00030
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
and primary care provider organizations in the de-
velopment of standards for survivorship care, includ-
ing standards for coordination of care and transi-
tions of care from active treatment to long-term sur-
vivorship care. 
(d) CAMPAIGN
TO
EDUCATE
SURVIVORS
AND 
HEALTH
CARE
PROFESSIONALS
IN
SURVIVORSHIP 
CARE.— 
(1) 
IN
GENERAL.—The 
Secretary 
acting 
through the Director of the Centers for Disease 
Control and Prevention (in this subsection referred 
to as the ‘‘Secretary’’) shall— 
(A) expand educational programs and serv-
ices to— 
(i) health care professionals; and 
(ii) cancer survivors, their families, 
and caregivers; and 
(B) enhance the continuing medical edu-
cation resources on cancer survivorship that are 
available to health care professionals. 
(2) EXPAND
COLLABORATION
WITH
COM-
PREHENSIVE CANCER CONTROL NATIONAL PARTNER-
SHIP AND OTHER ORGANIZATIONS FOR SURVIVOR-
SHIP EDUCATION AND SUPPORT.— 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00031
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
(A) IN GENERAL.—The Secretary shall ex-
pand collaborations with organizations that are 
part of the Comprehensive Cancer Control Na-
tional Partnership and other organizations to 
focus on increasing education and awareness re-
lated to cancer survivorship through materials, 
resources, and other methods as necessary. 
(B) COLLABORATE WITH THE ORGANIZA-
TIONS
IN
THE
NATIONAL
PARTNERSHIP
AND 
OTHER
ORGANIZATIONS.—The Secretary shall 
collaborate with the organizations that are part 
of the Comprehensive Cancer Control National 
Partnership and other organizations to inform 
cancer survivors of survivorship monitoring and 
follow-up standards, availability of survivorship 
care services, and how to access these services. 
(C) 
REFERENCE
THE
SURVIVORSHIP 
STANDARDS
OF
CARE
DEVELOPED
AND
PUB-
LISHED BY CANCER ORGANIZATIONS.—In col-
laboration with the organizations that are part 
of the Comprehensive Cancer Control National 
Partnership, the Secretary shall— 
(i) develop and implement a plan to 
distribute survivorship educational mate-
rials to ensure that such materials are ac-
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00032
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
cessible to all cancer survivors, their fami-
lies and caregivers, and health care profes-
sionals; and 
(ii) reference in such plan the survi-
vorship standards of care developed and 
published by such organizations. 
(3) CONTINUING MEDICAL EDUCATION.— 
(A) IN
GENERAL.—The Secretary shall 
carry out a program to support the development 
of continuing medical education programs for 
survivorship care that utilize and rely on the 
guidelines for survivorship care developed and 
published by national organizations. 
(B) TIMING.—Not later than 12 months 
after the date of enactment of this Act, the Sec-
retary shall initiate the program required by 
subparagraph (A). 
(C) GRANTS FOR DEVELOPMENT OF CUR-
RICULUM FOR SURVIVORSHIP CONTINUING MED-
ICAL EDUCATION.— 
(i) IN GENERAL.—The Secretary shall 
award grants to eligible entities for devel-
opment of diverse, equitable, and culturally 
appropriate curricula for survivorship care 
curriculum for medical care. 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00033
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
(ii) ELIGIBLE ENTITIES.—In this sub-
paragraph, the term ‘‘eligible entity’’ in-
cludes a medical professional society, a pa-
tient organization, an academic institution, 
a cancer center, and any other entity with 
experience in continuing medical education 
for cancer professionals. 
(iii) SCOPE OF CURRICULUM.—To re-
ceive a grant under this section, an appli-
cant shall demonstrate its ability to de-
velop survivorship care curriculum for 
medical care, taking into consideration 
services from the legal, social work, public 
health, behavioral sciences, genetic, epide-
miology, and nursing fields. 
(4) PUBLIC AWARENESS CAMPAIGN.—The Sec-
retary, at an appropriate time after the availability 
of patient survivorship materials, professional survi-
vorship materials, and continuing medical education 
programs under this subsection, shall initiate a lin-
guistically and cultural appropriate public awareness 
campaign that targets the organization’s catchment 
area to ensure that cancer survivors, their families 
and caregivers, health care professionals, and the 
public are aware of the scope of survivorship edu-
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00034
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
cational and informational resources available from 
the Centers for Disease Control and Prevention. 
(e) CANCER SURVIVORSHIP QUALITY-OF-LIFE PRO-
GRAM.— 
(1) 
IN
GENERAL.—The 
Secretary 
acting 
through the Director of the Centers for Disease 
Control and Prevention (in this subsection referred 
to as the ‘‘Secretary’’) shall carry out a program of 
awarding grants to eligible entities to provide serv-
ices to cancer survivors to enhance their quality of 
life and improve their long-term survival rates. Not 
later than 18 months after the date of enactment of 
this Act, the Secretary shall commence operating 
such program. 
(2) ELIGIBLE ENTITY DEFINED.—In this sub-
section, the term ‘‘eligible entity’’ includes an entity 
that is— 
(A) a State comprehensive cancer program; 
(B) a National Cancer Institute-designated 
cancer center or centers; or 
(C) a community-based organization, in-
cluding a patient advocacy organization, that— 
(i) has the capacity to reach cancer 
survivors through local, State, or national 
organizations; and 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00035
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
(ii) is focused on cancer survivors and 
strategies for meeting their needs related 
to their health and well-being. 
(3) USE OF FUNDS.—A grant received under 
this subsection shall be used to provide services to 
cancer survivors to enhance their quality of life and 
improve their long-term survival rates, such as by 
assisting survivors to— 
(A) engage in moderate physical activity 
and other health-promoting activities, including 
ceasing tobacco use and increasing consumption 
of healthy foods; 
(B) increase access to support services to 
mitigate anxiety, depression, and uncertainty; 
(C) utilize community support services to 
fully implement survivorship care plans; 
(D) access nutrition education and coun-
seling; and 
(E) adhere to a schedule for, and access, 
screening for recurrence of cancer or the occur-
rence of other primary cancers. 
(4) STANDARDS FOR APPLICATION FROM ELIGI-
BLE ENTITIES.—To seek a grant under this sub-
section, an eligible entity shall submit an applica-
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00036
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
tion, at such time as may be required by the Sec-
retary, that includes— 
(A) an explanation of how the entity will— 
(i) provide cancer survivors access to 
cancer patient navigator services; 
(ii) overcome barriers to care for com-
munities of color and multilingual commu-
nities; 
(iii) provide culturally competent care; 
and 
(iv) work with and support caregivers 
of cancer survivors; 
(B) a description of how the entity receives 
referrals of cancer survivors from health care 
professionals, including health care profes-
sionals serving historically disadvantaged and 
underserved communities; 
(C) documentation of the curriculum that 
will be used for providers in the program, in-
cluding mechanisms to update the staff on cur-
riculum changes; and 
(D) an agreement to provide the Secretary 
semiannual reports on— 
(i) the number of participants served; 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00037
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
(ii) quality-of-life measures for partici-
pants; and 
(iii) plans for fostering communication 
between oncology and non-oncology pro-
viders serving participants. 
(5) RESPONSIBILITIES OF THE SECRETARY.— 
The Secretary shall— 
(A) conduct outreach to inform health care 
professionals of the availability of programs and 
activities funded under this subsection; 
(B) analyze the data submitted by grantees 
under this subsection to determine the number 
of cancer survivors served and the impact of the 
program under this subsection on their quality 
of life; and 
(C) share best practices among all grantees 
under this subsection. 
SEC. 11. ADULT CANCER SURVIVORSHIP STUDY. 
(a) IN GENERAL.—Not later than 18 months after 
the date of enactment of this Act, the Secretary shall com-
plete a landscape analysis that— 
(1) assesses the potential benefits of an adult 
version of the Childhood Cancer Survivor Study; 
(2) assesses the financial costs and other bur-
dens associated with an adult cancer survivor study; 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00038
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
(3) identifies sources of data on adult cancer 
survivors; 
(4) identifies gaps in data on adult cancer sur-
vivors, compared to data collected in the Childhood 
Cancer Survivor Study; and 
(5) identifies strategies to publish data on adult 
cancer survivors derived from research that is con-
ducted or supported by the National Cancer Insti-
tute, in a manner that is accessible to cancer sur-
vivors, health care professionals, researchers, and 
the public. 
(b) REPORT.—Not later than 6 months after the date 
of completion of the feasibility analysis under subsection 
(a), the Secretary shall submit to the Congress a report 
on the results of such feasibility analysis. 
SEC. 12. SURVIVORSHIP PROGRESS REPORT. 
(a) IN GENERAL.—Not later than 6 months after the 
date of enactment of this Act, the Secretary shall enter 
into an agreement with the Government Accountability Of-
fice to conduct a study of the progress made in cancer 
survivorship over the period beginning on the date of en-
actment of the National Cancer Act of 1971 (Public Law 
92–216). 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00039
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
(b) SCOPE OF THE STUDY.—The study under sub-
section (a) shall investigate developments over the period 
described in subsection (a) in— 
(1) the nature and quality of survivorship care; 
(2) transitions from active treatment to survi-
vorship care; 
(3) the quality of life of cancer survivors; 
(4) outcomes for cancer survivors; 
(5) disparities in access to care and survivor-
ship outcomes; 
(6) the health care systems for providing survi-
vorship care; 
(7) the contribution of community-based serv-
ices to the survivorship care system; and 
(8) payment for survivorship care by public and 
private third-party payors. 
(c) ROLE OF OFFICE OF CANCER SURVIVORSHIP.— 
The study under subsection (a) shall— 
(1) consider the contribution of the Office of 
Cancer Survivorship to the evolution of cancer survi-
vorship care over the last 25 years; and 
(2) assess the impact of the mission of the Of-
fice and the resources provided to the Office on its 
leadership in cancer survivorship care. 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00040
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
(11) such other stakeholders as the Comptroller 
General deems important to participate in the public 
meeting. 
(e) REPORT.—The Comptroller General of the United 
States shall— 
(1) release a report on the results of the study 
under subsection (a); and 
(2) in addition to the public meeting convened 
under subsection (d)— 
(A) convene another public meeting to be 
held on the day of the release of the report; and 
(B) include in such meeting all categories 
of stakeholders listed in subsection (d). 
SEC. 13. PROMOTING STATE INNOVATIONS TO EASE TRAN-
SITIONS TO THE PRIMARY CARE SETTING 
FOR CHILDREN WITH CANCER. 
(a) STAKEHOLDER GROUP DEVELOPMENT OF BEST 
PRACTICES; STATE MEDICAID AND CHIP PROGRAM IN-
NOVATION.— 
(1) STAKEHOLDER GROUP BEST PRACTICES.— 
Not later than 12 months after the date of the en-
actment of this Act, the Secretary of Health and 
Human Services (in this section referred to as the 
‘‘Secretary’’) shall convene a stakeholder group of 
representatives of childhood cancer advocacy organi-
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00042
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
zations, Medicaid and CHIP beneficiaries, providers 
with childhood cancer expertise, the National Asso-
ciation of Medicaid Directors, and other relevant 
representatives to develop best practices (and submit 
to the Secretary and Congress a report on such best 
practices) for States to ease the transition from ac-
tive oncological care to primary care of children or 
adolescents with cancer, including best practices for 
ensuring development of and delivery of survivorship 
care plans to patients, families, and primary care 
providers and best practices for such transitions oc-
curring under the State Medicaid plan under title 
XIX of the Social Security Act (42 U.S.C. 1396 et 
seq.) or State child health plan under title XXI of 
such Act (42 U.S.C. 1397aa et seq.), as applicable. 
Such best practices shall include practices to ensure 
that— 
(A) cancer care providers transfer diag-
nosis and treatment information to patient pri-
mary care providers; 
(B) cancer care providers develop an indi-
vidualized survivorship care plan of potential 
late effects; 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00043
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
(C) cancer care providers deliver the plan 
to the patient and family members through an 
in-person visit; 
(D) cancer care providers deliver the plan 
to the primary care provider through electronic 
health records or other means; and 
(E) relevant health entities develop sys-
tems that promote the coordination and effec-
tive transition of care between cancer care pro-
viders, primary care physicians, and other 
health care professionals. 
(2) STATE MEDICAID AND CHIP PROGRAM INNO-
VATION.—The Secretary shall work with States on 
innovative strategies, based on the best practices de-
veloped under on the best practices identified under 
the process described in subsection (a)(1), to ease 
the transition from active oncological care to pri-
mary care of child or adolescent with cancer ensur-
ing development of and delivery of survivorship care 
plans to patients, families, and primary care pro-
viders and transition coverage under the State Med-
icaid plan under title XIX of the Social Security Act 
(42 U.S.C. 1396 et seq.) or State child health plan 
under title XXI of such Act (42 U.S.C. 1397aa et 
seq.), as applicable. 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00044
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
(b) GUIDANCE ON INNOVATIVE SERVICE DELIVERY 
SYSTEMS DEMONSTRATION PROJECT OPPORTUNITIES.— 
Not later than 1 year after the date the stakeholder group 
is convened under subsection (a), the Secretary, acting 
through the Administrator of the Centers for Medicare & 
Medicaid Services, shall issue guidance to State health of-
ficials, based on best practices developed under subsection 
(a)(1), regarding opportunities to design demonstration 
projects under the Social Security Act to improve care 
transitions for children and adolescents with cancer who 
transition from oncological care to primary care and who 
are otherwise eligible to receive medical assistance under 
title XIX of such Act (42 U.S.C. 1396 et seq.) or title 
XXI of such Act (42 U.S.C. 1397aa et seq.). 
(c) NONAPPLICATION OF FEDERAL ADVISORY COM-
MITTEE ACT.—The Federal Advisory Committee Act shall 
not apply to the stakeholder group convened under para-
graph (1). 
SEC. 14. CHILDHOOD CANCER DEMONSTRATION MODEL 
AND STANDARD OF CARE. 
Section 1115A(b)(2) of the Social Security Act (42 
U.S.C. 1315a(b)(2)) is amended— 
(1) in subparagraph (A), by striking the period 
at the end and inserting ‘‘, and shall include the 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00045
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB
model described in clause (xxviii) of such subpara-
graph.’’; and 
(2) in subparagraph (B), by adding at the end 
the following new clause: 
‘‘(xxviii) A local service delivery and 
State payment model for individuals up to 
age 21 enrolled under a State plan (or 
waiver of such plan) under title XIX or a 
State child health plan (or waiver of such 
plan) under title XXI of such Act (42 
U.S.C. 1397aa et seq.) who have been di-
agnosed with cancer and who are in the 
survivorship phase of their treatment. Such 
model shall— 
‘‘(I) provide for the creation of a 
survivorship plan, that can be inte-
grated 
into 
an 
electronic 
health 
record, for such individuals and dis-
seminate the plan to such individuals, 
families of such individuals, and the 
health providers of such individuals; 
‘‘(II) offer States and local pro-
viders technical assistance to develop 
and implement different survivorship 
care planning services; 
VerDate Sep 11 2014 
03:06 Dec 28, 2022
Jkt 039200
PO 00000
Frm 00046
Fmt 6652
Sfmt 6201
E:\BILLS\H9565.IH
H9565
pbinns on DSKJLVW7X2PROD with $$_JOB