,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #bdgg  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #be1 #bjac ,mrs4
 ,capps 7= h]self & ,mr4 ,b\/any7       
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to am5d title ,,xviii ( !     
,social ,security ,act to provide =     
cov]age ( canc] c>e plann+ & coord9ation
 "u ! ,m$ic>e program4  #a4 ,%ort title 
7a7 ,%ort title ,?is ,act may be cit$ z 
! ,plann+ ,actively = ,canc] ,treatm5t  
7,,pact7 ,act ( #bjac4  7b7 ,f9d+s      
,congress makes ! foll[+ f9d+s3  7#a7   
,individuals ) canc] (t5 d n h access to
 a canc] c>e sy/em t incorporates %>$   
decision-mak+ & ! coord9ation ( all     
elem5ts ( c>e4  7#b7 ,! canc] c>e sy/em 
has n traditionally (f]$ individuals )  
canc] a %>$ decision-mak+ process1 a    

prospective & compreh5sive plan =       
treatm5t1 symptom managem5t & supportive
 c>e1 /rategies = updat+ & evaluat+ su* 
plan ) ! assi/ance ( a heal? c>e        
pr(essional1 & a foll[-up plan =        
monitor+ & treat+ possible late effects 
( canc] & its treatm5t4  7#c7 ,canc]    
survivors (t5 exp]i5ce ! "u-diagnosis & 
"u-treatm5t ( ! symptoms ( canc]1 a     
problem t beg9s at ! "t ( diagnosis &   
may become m sev]e ) disease progression
 & at ! end ( life4 ,! failure to treat 
! symptoms1 side effects1 & late effects
 ( canc] & canc] treatm5t may h a s]i\s 
adv]se impact on ! heal?1 survival1     
well-be+1 & quality ( life ( canc]      
survivors4  7#d7 ,! #aiii ,in/itute (   
,m$ic9e report entitl$ ,! ,unequal      
,burd5 ( ,canc] f\nd t l[-income p (t5  
lack access to adequate canc] c>e & t   
e?nic m9orities h n b5efitt$ fully f    
canc] treatm5t advances4  7#e7          
,individuals ) canc] (t5 d n p>ticipate 
9 a %>$ decision-mak+ process t consid]s
 all treatm5t options & d n b5efit f    

coord9ation ( all elem5ts ( active      
treatm5t & palliative c>e4  7#f7        
,quality canc] c>e %\ld incorporate     
access to psy*osocial s]vices &         
managem5t ( ! symptoms ( canc] & !      
symptoms ( canc] treatm5t1 includ+ pa91 
nausea1 vomit+1 fatigue1 & depression4  
7#g7 ,quality canc] c>e %\ld include a  
means = engag+ canc] survivors 9 a %>$  
decision-mak+ process t produces a      
compreh5sive c>e summ>y & a plan =      
foll[-up c>e aft] prim>y treatm5t to    
ensure t canc] survivors h access to    
foll[-up monitor+ & treatm5t ( possible 
late effects ( canc] & canc] treatm5t1  
includ+ appropriate psy*osocial s]vices4
  7#h7 ,! ,in/itute ( ,m$ic9e report    
entitl$ ,ensur+ ,quality ,canc] ,c>e    
describ$ ! elem5ts ( quality c>e = an   
individual ) canc] to include--  7,a7 ! 
developm5t ( initial treatm5t           
recomm5dations by an exp]i5c$ heal? c>e 
provid]2  7,b7 ! developm5t ( a plan = !
 c\rse ( treatm5t ( ! individual &      
communication ( ! plan to ! individual2 

7,c7 access to ! res\rces necess>y to   
implem5t ! c\rse ( treatm5t2  7,d7      
access to high-quality cl9ical trials2  
7,e7 a me*anism to coord9ate s]vices = !
 treatm5t ( ! individual2 &  7,f7       
psy*osocial support s]vices &           
compassionate c>e = ! individual4  7#i7 
,9 its report ,f ,canc] ,pati5t to      
,canc] ,survivor3 ,lo/ 9 ,transition1 ! 
,in/itute ( ,m$ic9e recomm5d$ t         
individuals ) canc] complet+ prim>y     
treatm5t be provid$ a compreh5sive      
summ>y ( _! c>e along ) a foll[-up      
survivor%ip plan ( treatm5t4  7#aj7 ,9  
,canc] ,c>e = ! ,:ole ,pati5t1 !        
,in/itute ( ,m$ic9e /at$ t ! developm5t 
( a plan t includes biom$ical &         
psy*osocial c>e %\ld be a /&>d = quality
 canc] c>e 9 any quality measurem5t     
sy/em4  7#aa7 ,because m ?an half ( all 
canc] diagnoses occur among eld]ly      
,m$ic>e b5efici>ies1 canc] c>e          
inadequacies %\ld be address$ ?r\gh !   
,m$ic>e program4  7#ab7 ,%ortcom+s 9    
provid+ canc] c>e1 result+ 9 a lack (   

%>$ decision-mak+1 inadequate managem5t 
( canc] symptoms1 & insuffici5t monitor+
 & treatm5t ( late effects ( canc] & its
 treatm5t1 relate 9 "p to ! inadequacy (
 ,m$ic>e paym5ts = su* plann+ &         
coord9ation s]vices4  7#ac7 ,*anges 9   
,m$ic>e paym5t = canc] c>e plann+ &     
coord9ation w support %>$ decision-mak+ 
t reviews all treatm5t options & w      
contribute to improv$ c>e = individuals 
) canc] f ! "t ( diagnosis ?r\gh ! end (
 ! life4  #b4 ,cov]age ( canc] c>e      
plann+ & coord9ation s]vices  7a7 ,9    
g5]al ,section #ahfa ( ! ,social        
,security ,act 7#db ,u4,s4,c4 #aciex7 is
 am5d$--  7#a7 9 subsection 7s77#b7--   
7,a7 by /rik+ & at ! end ( subp>agraph  
7,,ee72  7,b7 by add+ & at ! end (      
subp>agraph 7,,ff72 &  7,c7 by add+ at !
 end ! foll[+ new subp>agraph3  7,,gg7  
canc] c>e plann+ & coord9ation s]vices  
7z def9$ 9 subsection 7iii77  2 &  7#b7 
by add+ at ! end ! foll[+ new           
subsection3  7iii7 ,canc] ,c>e ,plann+ &
 ,coord9ation ,s]vices  7#a7 ,! t]m     

canc] c>e plann+ & coord9ation s]vices  
means--  7,a7 ) respect to an individual
 :o is diagnos$ ) canc]1 ! developm5t ( 
a treatm5t plan by a physician1 nurse   
practition]1 or physician assi/ant t--  
7i7 includes an assessm5t ( !           
individual's diagnosis1 heal? /atus1    
treatm5t ne$s1 functional /atus1 pa9    
control1 & psy*osocial ne$s2  7ii7      
engages ! individual 9 a %>$            
decision-mak+ process t reviews all     
treatm5t options2  7iii7 details1 to !  
greate/ ext5t practicable all aspects ( 
! c>e to be provid$ to ! individual )   
respect to ! treatm5t ( su* canc]1      
includ+ any curative treatm5t1          
compreh5sive symptom managem5t1 &       
palliative c>e2  7iv7 is furni%$ 9      
p]son1 9 writt5 =m1 to ! individual )9 a
 p]iod specifi$ by ! ,secret>y t is z   
soon z practicable aft] ! date on :i* ! 
individual is s diagnos$2  7v7 is       
furni%$1 to ! greate/ ext5t practicable1
 9 a =m t appropriately takes into      
acc\nt cultural & l+ui/ic ne$s ( !      

individual 9 ord] to make ! plan        
accessible to ! individual2 &  7vi7 is 9
 accordance ) /&>ds det]m9$ by !        
,secret>y to be appropriate2  7,b7 )    
respect to an individual = :om a        
treatm5t plan has be5 develop$ "u       
subp>agraph 7,a71 ! revision ( su*      
treatm5t plan z necess>y to acc\nt = any
 sub/antial *ange 9 ! condition ( !     
individual1 recurr5ce ( disease1 *anges 
9 ! individual's treatm5t pref]5ces1 or 
significant revision ( ! elem5ts (      
curative c>e or symptom managem5t = !   
individual1 if su* revision--  7i7 is 9 
accordance ) clauses 7i71 7ii71 7iv7 &  
7v7 ( su* subp>agraph2 &  7ii7 is       
furni%$ 9 writt5 =m to ! individual )9 a
 p]iod specifi$ by ! ,secret>y t is z   
soon z practicable aft] ! date ( su*    
revision2  7,c7 ) respect to an         
individual :o has complet$ ! prim>y     
treatm5t = canc]1 z def9$ by !          
,secret>y1 ! developm5t ( a foll[-up    
survivor%ip c>e plan t--  7i7 includes  
an assessm5t ( ! individual's diagnosis1

 heal? /atus1 treatm5t ne$s1 functional 
/atus1 pa9 control1 & psy*osocial ne$s2 
7ii7 engages ! individual 9 a %>$       
decision-mak+ process t reviews all     
survivor%ip c>e options2  7iii7         
describes ! elem5ts ( ! prim>y treatm5t1
 includ+ symptom managem5t & palliative 
c>e1 furni%$ to su* individual2  7iv7   
provides recomm5dations = ! subsequ5t   
c>e ( ! individual ) respect to ! canc] 
involv$2  7v7 is furni%$1 9 p]son1 9    
writt5 =m1 to ! individual )9 a p]iod   
specifi$ by ! ,secret>y t is z soon z   
practicable aft] ! completion ( su*     
prim>y treatm5t2  7vi7 is furni%$1 to ! 
greate/ ext5t practicable1 9 a =m t     
appropriately takes into acc\nt cultural
 & l+ui/ic ne$s ( ! individual 9 ord] to
 make ! plan accessible to ! individual2
 &  7vii7 is 9 accordance ) /&>ds       
det]m9$ by ! ,secret>y to be            
appropriate2 &  7,d7 ) respect to an    
individual = :om a foll[-up canc] c>e   
plan has be5 develop$ "u subp>agraph    
7,c71 ! revision ( su* plan z necess>y  

to acc\nt = any sub/antial *ange 9 !    
condition ( ! individual1 diagnosis ( a 
second canc]1 *ange 9 ! individual's    
pref]5ce = survivor%ip c>e1 or          
significant revision ( ! plan = foll[-up
 c>e1 if su* revision--  7i7 is 9       
accordance ) clauses 7i71 7ii71 7iii71  
7v71 & 7vi7 ( su* subp>agraph2 &  7ii7  
is furni%$ 9 writt5 =m to ! individual  
)9 a p]iod specifi$ by ! ,secret>y t is 
z soon z practicable aft] ! date ( su*  
revision4  7#b7 ,! ,secret>y %all       
e/abli% /&>ds to c>ry out p>agraph 7#a7 
9 consultation ) appropriate            
organizations repres5t+ suppli]s &      
provid]s ( s]vices relat$ to canc]      
treatm5t & organizations repres5t+      
survivors ( canc]4 ,su* /&>ds %all      
include /&>ds = det]m9+ ! ne$ & frequ5cy
 = revisions ( ! treatm5t plans &       
foll[-up survivor%ip c>e plans bas$ on  
*anges 9 ! condition ( ! individual or  
elem5ts & int5t ( treatm5t & /&>ds = !  
communication ( ! plan to ! individual4 
7#c7 ,9 ?is subsection1 ! t]m %>$       

decision-mak+ process means1 ) respect  
to an individual1 a process 9 :i* !     
individual & ! individual's heal? c>e   
provid]s consid] ! individual's         
diagnosis1 treatm5t options1 ! m$ical   
evid5ce relat$ to treatm5t options1 !   
risks & b5efits ( all treatm5t options1 
& ! individual's pref]5ces reg>d+       
treatm5t1 & !n jo9tly develop & implem5t
 a treatm5t plan4  4  7b7 ,paym5t "u    
physician fee s*$ule  7#a7 ,9 g5]al     
,section #ahdh7;j77#c7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#aciew-#d7;j77#c77 is am5d$ by ins]t+   
7,,gg71 aft] heal? risk assessm5t714    
7#b7 ,initial rates ,unless ! ,secret>y 
( ,heal? & ,human ,s]vices o!rwise      
provides1 ! paym5t rate specifi$ "u !   
physician fee s*$ule "u ! am5dm5t made  
by p>agraph 7#a7 = canc] c>e plann+ &   
coord9ation s]vices %all be ! same      
paym5t rate z provid$ = transitional c>e
 managem5t s]vices 7z def9$ 9 ,,cpt code
 #iidif74  7c7 ,effective date ,!       
am5dm5ts made by ?is section %all apply 

to s]vices furni%$ on or aft] ! fir/ day
 ( ! fir/ cal5d> ye> t beg9s aft] ! date
 ( ! enactm5t ( ?is ,act4