(i) are for monitoring and maintain-
ing the patient’s medical and psychosocial 
health and well-being; and 
(ii) are meant to be a transition and 
communication tool for the survivor, their 
family, their caregiver, and all their health 
care providers. 
(9) SURVIVORSHIP
NAVIGATION.—The term 
‘‘survivorship navigation’’ means a service that— 
(A) helps patients overcome health care 
system and other barriers; and 
(B) provides patients with timely access to 
high-quality medical, physical, and psychosocial 
care from their cancer diagnosis through all 
phases of their cancer experience. 
(10) TREATMENT SUMMARY.—The term ‘‘treat-
ment summary’’ means a detailed summary of a pa-
tient’s disease, the types of treatment the patient re-
ceived, members of the patient’s care team, and any 
side effects or other problems, including psychosocial 
effects, caused by treatment. 
SEC. 4. COVERAGE OF CANCER CARE PLANNING AND CO-
ORDINATION SERVICES. 
(a) IN GENERAL.—Section 1861 of the Social Secu-
rity Act (42 U.S.C. 1395x) is amended— 
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(1) in subsection (s)(2)— 
(A) by striking ‘‘and’’ at the end of sub-
paragraph (II); 
(B) by adding ‘‘and’’ at the end of sub-
paragraph (JJ); and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(KK) cancer care planning and coordination 
services (as defined in subsection (nnn));’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘Cancer Care Planning and Coordination Services 
‘‘(nnn)(1) The term ‘cancer care planning and coordi-
nation services’ means, with respect to an individual who 
is diagnosed with cancer, the development of a treatment 
plan by a physician, physician assistant, or nurse practi-
tioner that— 
‘‘(A) includes each component of the Institute 
of Medicine Care Management Plan (as described in 
the article entitled ‘Delivering High-Quality Cancer 
Care: Charting a New Course for a System in Crisis’ 
published by the Institute of Medicine); 
‘‘(B) is furnished in written form or electroni-
cally, at the visit of such individual with such physi-
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cian, physician assistant, or nurse practitioner, or as 
soon after the date of the visit as practicable; and 
‘‘(C) is furnished, to the greatest extent prac-
ticable, in a form that appropriately takes into ac-
count cultural and linguistic needs of the individual 
in order to make the plan accessible to such indi-
vidual. 
‘‘(2) The Secretary shall establish frequencies at 
which services described in paragraph (1) may be fur-
nished, provided that such services may be furnished with 
respect to an individual— 
‘‘(A) at the time such individual is diagnosed 
with cancer for purposes of planning treatment; 
‘‘(B) if there is a change in the condition of 
such individual or such individual’s treatment pref-
erences; 
‘‘(C) at the end of active treatment and begin-
ning of survivorship care; and 
‘‘(D) if there is a recurrence of such cancer.’’. 
(b) PAYMENT UNDER PHYSICIAN FEE SCHEDULE.— 
(1) IN
GENERAL.—Section 1848(j)(3) of the 
Social Security Act (42 U.S.C. 1395w–4(j)(3)) is 
amended by inserting ‘‘(2)(KK),’’ after ‘‘health risk 
assessment),’’. 
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(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; 
(2) evaluate other existing tools for developing 
survivorship care plans, such as— 
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(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 36 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 
(B) include in such information resources 
recommendations about possible patient use of 
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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 enactment 
of this Act, the Secretary of Health and Human Services 
shall develop an alternative payment model for payment 
under title XVIII and XIX of the Social Security Act (42 
U.S.C. 1395 et seq., 1396 et seq.) for items and services 
relating to cancer survivorship care (as defined by the Sec-
retary). Following such testing, the Secretary shall submit 
to Congress a report containing a description of such 
model that includes the following information: 
(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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(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: 
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(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 
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(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. 
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(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; 
(viii) a rural health clinic; or 
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(ix) another type of entity as the Sec-
retary 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; 
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(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— 
(1) in urban, suburban, rural, and Tribal areas; 
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(2) in one or more territories of the United 
States; and 
(3) at cancer care sites including cancer cen-
ters, academic health centers, Federally qualified 
health centers, rural health clinics, physician offices, 
Tribal organizations, community-based health care 
providers, and health care providers serving medi-
cally underserved communities. 
(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; 
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(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. 
(f) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$20,000,000 for each of fiscal years 2024 through 2028. 
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SEC. 9. CANCER SURVIVOR EMPLOYMENT ASSISTANCE 
PROGRAM. 
(a) IN GENERAL.—The Secretary of Labor, in con-
sultation with the Secretary of Health and Human Serv-
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; 
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(F) financial assistance during a period of 
medical leave; and 
(G) other similar assistance. 
(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— 
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(B) information on the eligibility of a can-
cer survivor, and their families and caregivers, 
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-
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force Innovation and Opportunity Act (29 U.S.C. 
3102). 
SEC. 10. COMPREHENSIVE CANCER SURVIVORSHIP PRO-
GRAM. 
(a) IN GENERAL.—The Secretary shall carry out a 
comprehensive cancer survivorship program that in-
cludes— 
(1) a cancer survivorship resource center in ac-
cordance with subsection (b) to provide evidence- 
based resources to cancer survivors, their families, 
and their caregivers; 
(2) a health care professional resource center in 
accordance with subsection (c) to assist and educate 
health care professionals in the delivery of high-qual-
ity survivorship care; 
(3) an educational campaign in accordance with 
subsection (d) to provide health care professionals 
with resources to improve cancer survivorship care; 
and 
(4) a program of supportive care services in ac-
cordance with subsection (e) to improve the quality 
of life and long-term survivorship of cancer sur-
vivors. 
(b) CANCER SURVIVORSHIP RESOURCE CENTER.— 
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(1) ESTABLISHMENT.—The Secretary shall es-
tablish and operate a survivorship resource center 
(in this subsection referred to as the ‘‘Center’’) that 
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-
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cluding strategies that provide virtual options, 
online resources, and marketing. 
(4) USE OF AVAILABLE EVIDENCE-BASED RE-
SOURCES.—In establishing and operating the Cen-
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. 
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(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 
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. 
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(2) EXPAND
COLLABORATION
WITH
COM-
PREHENSIVE CANCER CONTROL NATIONAL PARTNER-
SHIP AND OTHER ORGANIZATIONS FOR SURVIVOR-
SHIP EDUCATION AND SUPPORT.— 
(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 organizations that support the 
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National Comprehensive Cancer Control Pro-
gram, the Secretary shall— 
(i) develop and implement a plan to 
distribute survivorship educational mate-
rials to ensure that such materials are ac-
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) DEVELOPMENT OF PROGRAMS.— 
(i) GRANTS
AND
CONTRACTS.—The 
Secretary shall carry out a program of 
awarding grants and contracts to eligible 
entities to support the development of con-
tinuing medical education programs for 
survivorship care that utilize and rely on 
the guidelines for survivorship care devel-
oped and published by national organiza-
tions. 
(ii) TIMING.—Not later than 12 
months after the date of enactment of this 
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Act, the Secretary shall initiate the pro-
gram required by clause (i). 
(B) 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. 
(ii) 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. 
(C) ELIGIBLE
ENTITIES.—In this para-
graph, the term ‘‘eligible entity’’ includes a 
medical professional society, a patient organiza-
tion, an academic institution, a cancer center, 
and any other entity with experience in con-
tinuing medical education for cancer profes-
sionals. 
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(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 culturally appropriate public aware-
ness 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 
educational and informational resources available 
from the Centers for Disease Control and Preven-
tion. 
(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. 
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(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 
(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 services to mitigate 
anxiety, depression, and uncertainty; 
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(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-
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-
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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; 
(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 
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(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; 
(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 landscape analysis under subsection 
(a), the Secretary shall submit to the Congress a report 
on the results of such landscape analysis. 
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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). 
(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— 
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(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. 
(d) PUBLIC MEETING.—In conducting the study 
under subsection (a), the Comptroller General of the 
United States shall hold a public meeting with a broad 
cross section of stakeholders to inform the study’s findings 
and conclusions. Such stakeholders shall include— 
(1) cancer survivors and their caregivers and 
families; 
(2) patient organizations representing cancer 
survivors; 
(3) oncologists involved in survivorship care and 
the professional societies representing them; 
(4) primary care providers involved in survivor-
ship care and the professional societies representing 
them; 
(5) other health professionals providing survi-
vorship care and the professional societies rep-
resenting them; 
(6) community-based organizations involved in 
survivorship care; 
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(7) representatives of the National Cancer In-
stitute; 
(8) third-party payors; 
(9) researchers engaged in survivorship re-
search; 
(10) epidemiologists with knowledge of trends 
in cancer survivorship; and 
(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). 
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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-
zations, Medicaid and CHIP beneficiaries, providers 
with childhood cancer pediatric expertise, the Na-
tional Association 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 transi-
tion from active oncological care to primary care of 
children or adolescents with cancer, including best 
practices for ensuring development of and delivery of 
summary of care and survivorship care plans to pa-
tients, families, and primary care providers, and best 
practices for such transitions occurring under the 
State Medicaid plan under title XIX of the Social 
Security Act (42 U.S.C. 1396 et seq.) or State child 
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health plan under title XXI of such Act (42 U.S.C. 
1397aa et seq.), as applicable. Such best practices 
shall include— 
(A) design of models of follow-up care, 
monitoring, and other survivorship programs 
(including peer support and mentoring pro-
grams); 
(B) development of models for providing 
multidisciplinary care; 
(C) dissemination of information to health 
care providers about culturally and linguistically 
appropriate follow-up care for cancer survivors 
and their families, as appropriate and prac-
ticable; and 
(D) dissemination of the information and 
programs described in clauses (i) through (iii) 
to other health care providers (including pri-
mary care physicians and internists) and to 
cancer survivors and their families, where ap-
propriate and in accordance with Federal and 
State law. 
(2) STATE MEDICAID AND CHIP PROGRAM INNO-
VATION.—The Secretary shall work with States on 
innovative strategies, based on the best practices 
identified under the process described in subsection 
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(a)(1), to ease the transition from active oncological 
care to primary care of child or adolescent with can-
cer ensuring development of and delivery of survivor-
ship care plans to patients, families, and primary 
care providers and transition coverage 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. 
(3) NONAPPLICATION OF FEDERAL ADVISORY 
COMMITTEE ACT.—The Federal Advisory Committee 
Act (5 U.S.C. App.) shall not apply to the stake-
holder group convened under paragraph (1). 
(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 of Health 
and Human Services shall issue guidance to State health 
officials, based on best practices developed under sub-
section (a)(1), regarding opportunities 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.). 
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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 
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, 
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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; 
‘‘(III) develop a standard of care 
based on the Children’s Oncology 
Group (COG) Long-Term Follow-Up 
Guidelines for Survivors of Childhood, 
Adolescent, and Young Adult Cancers 
to manage the transition of such indi-
viduals from active treatment to gen-
eral care with the informed knowledge 
of such individuals; and 
‘‘(IV) provide incentives to health 
care providers for treating such indi-
viduals through such model that in-
cludes at least two survivorship care 
planning visits.’’. 
SEC. 15. MEDICAID COVERAGE OF CANCER FERTILITY 
SERVICES FOR CANCER SURVIVORS. 
(a) MEDICAID.— 
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(1) 
MANDATORY
COVERAGE.—Section 
1902(a)(10) of the Social Security Act (42 U.S.C. 
1396a) is amended— 
(A) in subparagraph (F), by striking ‘‘; 
and’’ and inserting a semicolon; 
(B) in subparagrah (G), by adding at the 
end ‘‘and’’; and 
(C) by inserting after subparagraph (G) 
the following new subparagraph: 
‘‘(H) 
notwithstanding 
section 
1902(a)(10)(B) (relating to comparability), for 
making medical assistance available for cancer 
fertility services (as defined in subsection 
(jj));’’; and 
(2) DEFINITION.—Section 1905 of the Social 
Security Act (42 U.S.C. 1396d) is amended by add-
ing at the end the following new subsection: 
‘‘(jj) CANCER FERTILITY SERVICES.— 
‘‘(1) DEFINITION.—For purposes of section 
1902(a)(10)(H) and this subsection, the term ‘can-
cer fertility services’— 
‘‘(A) means fertility treatment and fertility 
preservation services for individuals diagnosed 
with cancer who— 
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‘‘(i) are undergoing treatment for 
such cancer where such treatment may 
lead to iatrogenic infertility; 
‘‘(ii) previously underwent such treat-
ment and may be at risk of such infertility 
due to such treatment; or 
‘‘(iii) are preparing to undergo such 
treatment where such treatment may lead 
to such infertility; and 
‘‘(B) includes— 
‘‘(i) other services, including experi-
mental and non-experimental services to 
preserve fertility or treat infertility (as de-
termined by the Secretary, consistent with 
established medical practices and profes-
sional guidelines published by the Amer-
ican Society for Reproductive Medicine, the 
American Society of Clinical Oncology, or 
other professional medical organizations 
specified by the Secretary); and 
‘‘(ii) long-term storage costs— 
‘‘(I) with respect to individuals 
under the age of 18, for a period of 
not less than 15 years; and 
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‘‘(II) with respect to individuals 
age 18 or older, for a period of not 
less than 10 years. 
‘‘(2) EXCEPTION FOR TERRITORIES.—Notwith-
standing any other provision of this title, in the case 
of a State (other than the 50 States and the District 
of Columbia), the requirement stated in section 
1902(a)(10)(H) shall be optional.’’. 
(3) PROHIBITION ON COST-SHARING.— 
(A) IN GENERAL.—Section 1916 of the So-
cial Security Act (42 U.S.C. 1396o) is amend-
ed— 
(i) in subsection (a)(2)— 
(I) in subparagraph (I), by strik-
ing at the end ‘‘, or’’ and inserting a 
semicolon; 
(II) in subparagraph (J), by 
striking at the end ‘‘; and’’ and in-
serting ‘‘; or’’; and 
(III) by adding at the end the 
following new subparagraph: 
‘‘(K) cancer fertility services (as defined in 
section 1905(jj)); and’’; and 
(ii) in subsection (b)(2)— 
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(B) by inserting after paragraph (11) the 
following new paragraph: 
‘‘(12) REQUIRED COVERAGE OF CANCER FER-
TILITY SERVICES FOR CANCER SURVIVORS.—Regard-
less of the type of coverage elected by a State under 
subsection (a), the child health assistance provided 
for a targeted low-income child, and, in the case of 
a State that elects to provide pregnancy-related as-
sistance pursuant to section 2112, the pregnancy-re-
lated assistance provided for a targeted low-income 
pregnant woman (as such terms are defined for pur-
poses of such section), shall include coverage of can-
cer fertility services (as described in section 
1905(jj)).’’. 
(2) PROHIBITION ON COST-SHARING.—Section 
2103(e)(2) of the Social Security Act (42 U.S.C. 
1397cc(e)(2)) is amended— 
(A) in the heading, by inserting ‘‘CANCER 
FERTILITY SERVICES,’’ after ‘‘COVID–19 TREAT-
MENT,’’; and 
(B) by inserting ‘‘cancer fertility services 
(as described in section 1905(jj)),’’ after ‘‘test-
ing 
or 
treatments 
described 
in 
section 
1916(a)(2)(I) furnished during the period de-
scribed in such section,’’. 
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(3) EFFECTIVE DATE.—The amendment made 
by paragraph (1)(A) shall take effect on October 1, 
2023. 
(c) EFFECTIVE DATE.—The amendments made by 
this section (other than the amendment made by sub-
section (b)(1)(A)) shall apply with respect to medical as-
sistance, child health assistance, and pregnancy-related 
assistance furnished on or after the date that is 18 months 
after the date of the enactment of this Act. 
Æ 
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