‘‘(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 FERTILITY PRESERVA-
TION SERVICES FOR CANCER PATIENTS. 
(a) MEDICAID.— 
(1) IN GENERAL.—Section 1905(a) of the So-
cial Security Act (42 U.S.C. 1396d(a)) is amend-
ed— 
(A) in paragraph (30), by striking ‘‘and’’ 
at the end; 
(B) by redesignating paragraph (31) as 
paragraph (32); and 
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(C) by inserting after paragraph (30) the 
following new paragraph: 
‘‘(31) standard fertility preservation services 
(as specified by the Secretary consistent with estab-
lished medical practices and professional guidelines 
published by the American Society for Reproductive 
Medicine, the American Society of Clinical Oncology, 
or other professional medical organizations specified 
by the Secretary) for individuals diagnosed with can-
cer who— 
‘‘(A) are undergoing treatment for such 
cancer where such treatment may lead to iatro-
genic infertility; 
‘‘(B) previously underwent such treatment 
and may be at risk of such infertility due to 
such treatment; or 
‘‘(C) are preparing to undergo such treat-
ment where such treatment may lead to such 
infertility.’’. 
(2) 
MANDATORY
BENEFIT.—Section 
1902(a)(10)(A) of the Social Security Act (42 
U.S.C. 1396a(a)(10)(A)) is amended by striking 
‘‘and (30)’’ and inserting ‘‘(30), and (31)’’. 
(b) CHIP.— 
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(1) IN GENERAL.—Section 2103(c) of the So-
cial Security Act (42 U.S.C. 1397cc(c)) is amended 
by adding at the end the following new paragraph: 
‘‘(12) REQUIRED
COVERAGE
OF
FERTILITY 
PRESERVATION SERVICES FOR CANCER PATIENTS.— 
Regardless of the type of coverage elected by a State 
under subsection (a), the child health assistance pro-
vided for a targeted low-income child, and, in the 
case of a State that elects to provide pregnancy-re-
lated assistance pursuant to section 2112, the preg-
nancy-related assistance provided for a targeted low- 
income pregnant woman (as such terms are defined 
for purposes of such section), shall include coverage 
of standard fertility preservation services (as de-
scribed in section 1905(a)(31)) for individuals de-
scribed in such section.’’. 
(2) CONFORMING AMENDMENT.— 
(A) IN GENERAL.—Section 2103(c) of the 
Social Security Act (42 U.S.C. 1397cc(c)) is 
amended by redesignating the paragraph (12) 
added by section 11405(b)(1) of Public Law 
117–169 as paragraph (13). 
(B) EFFECTIVE
DATE.—The amendment 
made by subparagraph (A) shall take effect on 
October 1, 2023. 
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(c) EFFECTIVE DATE.—The amendments made by 
this section (other than the amendment made by sub-
section (b)(2)) shall apply with respect to medical assist-
ance, child health assistance, and pregnancy-related as-
sistance furnished on or after the date that is 18 months 
after the date of the enactment of this Act. 
Æ 
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