ment of the symptoms of cancer (and the symptoms 
of its treatment), including pain, nausea and vom-
iting, fatigue, and depression. 
(7) Comprehensive cancer care should include a 
means for providing cancer survivors with a com-
prehensive care summary and a plan for follow-up 
care after primary treatment to ensure that cancer 
survivors have access to follow-up monitoring and 
treatment of possible late effects of cancer and can-
cer treatment. 
(8) The Institute of Medicine report, ‘‘Ensuring 
Quality Cancer Care’’, described the elements of 
quality care for an individual with cancer to in-
clude— 
(A) the development of initial treatment 
recommendations by an experienced health care 
provider; 
(B) the development of a plan for the 
course of treatment of the individual and com-
munication of the plan to the individual; 
(C) access to the resources necessary to 
implement the course of treatment; 
(D) access to high-quality clinical trials; 
(E) a mechanism to coordinate services for 
the treatment of the individual; and 
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(F) psychosocial support services and com-
passionate care for the individual. 
(9) In its report, ‘‘From Cancer Patient to 
Cancer Survivor: Lost in Transition’’, the Institute 
of Medicine recommended that individuals with can-
cer completing primary treatment be provided a 
comprehensive summary of their care along with a 
follow-up survivorship plan of treatment. 
(10) Since more than half of all cancer diag-
noses occur among elderly Medicare beneficiaries, 
the problems of providing cancer care are problems 
of the Medicare program. 
(11) Shortcomings in providing cancer care, re-
sulting in inadequate management of cancer symp-
toms and insufficient monitoring and treatment of 
late effects of cancer and its treatment, are related 
to problems of Medicare payments for such care, in-
adequate professional training, and insufficient in-
vestment in research on symptom management. 
(12) Changes in Medicare payment for com-
prehensive cancer care, enhanced public and profes-
sional education regarding symptom management, 
and more research related to symptom management 
and palliative care will enhance patient decision- 
making about treatment options and will contribute 
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to improved care for individuals with cancer from 
the time of diagnosis of the individual through the 
end of the life of the individual. 
TITLE I—COMPREHENSIVE CAN-
CER CARE UNDER THE MEDI-
CARE PROGRAM 
SEC. 101. COVERAGE OF CANCER CARE PLANNING SERV-
ICES. 
(a) IN GENERAL.—Section 1861 of the Social Secu-
rity Act is amended— 
(1) in subsection (s)(2)— 
(A) by striking ‘‘and’’ at the end of sub-
paragraph (Z); 
(B) by adding ‘‘and’’ at the end of sub-
paragraph (AA); and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(BB) comprehensive cancer care planning 
services (as defined in subsection (ccc));’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘Comprehensive Cancer Care Planning Services 
‘‘(ccc)(1) The term ‘comprehensive cancer care plan-
ning services’ means— 
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