‘‘(iii) is furnished in written form to 
the individual in person within a period 
specified by the Secretary that is as soon 
as practicable after the completion of such 
primary treatment; 
‘‘(iv) is furnished, to the greatest ex-
tent practicable, in a form that appro-
priately takes into account cultural and 
linguistic needs of the individual in order 
to make the plan accessible to the indi-
vidual; and 
‘‘(v) is in accordance with standards 
determined by the Secretary to be appro-
priate; and 
‘‘(D) with respect to an individual for 
whom a follow-up cancer care plan has been de-
veloped under subparagraph (C), the revision of 
such plan as necessary to account for any sub-
stantial change in the condition of the indi-
vidual, if such revision— 
‘‘(i) is in accordance with clauses (i), 
(ii), and (iv) of such subparagraph; and 
‘‘(ii) is furnished in written form to 
the individual within a period specified by 
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the Secretary that is as soon as practicable 
after the date of such revision. 
‘‘(2) The Secretary shall establish standards to carry 
out paragraph (1) in consultation with appropriate organi-
zations representing providers of services related to cancer 
treatment and organizations representing survivors of can-
cer. Such standards shall include standards for deter-
mining the need and frequency for revisions of the plans 
of care and follow-up plans based on changes in the condi-
tion of the individual and standards for the communica-
tion of the plan to the patient.’’. 
(b) PAYMENT.—Section 1833(a)(1) of the Social Se-
curity Act (42 U.S.C. 1395l(a)(1)) is amended by striking 
‘‘and’’ before ‘‘(V)’’ and inserting before the semicolon at 
the end the following: ‘‘, and (W) with respect to com-
prehensive cancer care planning services described in any 
of subparagraphs (A) through (D) of section 1861(ccc)(1), 
the amount paid shall be an amount equal to the sum of 
(i) the national average amount under the physician fee 
schedule established under section 1848 for a new patient 
office consultation of the highest level of service in the 
non-facility setting, and (ii) the national average amount 
under such fee schedule for a physician certification de-
scribed in section 1814(a)(2) for home health services fur-
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nished to an individual by a home health agency under 
a home health plan of care’’. 
(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. 102. DEMONSTRATION PROJECT TO PROVIDE COM-
PREHENSIVE CANCER CARE SYMPTOM MAN-
AGEMENT SERVICES UNDER MEDICARE. 
(a) IN GENERAL.—Beginning not later than 180 
days after the date of the enactment of this Act, the Sec-
retary of Health and Human Services (in this section re-
ferred to as the ‘‘Secretary’’) shall conduct a two-year 
demonstration project (in this section referred to as the 
‘‘demonstration project’’) under title XVIII of the Social 
Security Act under which payment shall be made under 
such title for comprehensive cancer care symptom man-
agement services, including items and services described 
in subparagraphs (A) through (I) of section 1861(dd)(1) 
of the Social Security Act, furnished by an eligible entity, 
in accordance with a plan developed under subparagraph 
(A) or (C) of section 1861(ccc)(1) of such Act, as added 
by section 101(a). Sections 1812(d) and 1814(a)(7) of 
such Act (42 U.S.C. 1395d(d), 1395f(a)(7)) are not appli-
cable to items and services furnished under the dem-
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