H.R. 8839

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8839 Introduced in House (IH)]

<DOC>

119th CONGRESS
2d Session
H. R. 8839

To address the health of cancer survivors and unmet needs that 
survivors face through the entire continuum of care from diagnosis 
through active treatment and posttreatment, in order to improve 
survivorship, treatment, transition to recovery and beyond, quality of 
life and palliative care, and long-term health outcomes, including by 
developing a minimum standard of care for cancer survivorship, 
irrespective of the type of cancer, a survivor's background, or 
forthcoming survivorship needs, and for other purposes.

_______________________________________________________________________

IN THE HOUSE OF REPRESENTATIVES

May 14, 2026

Ms. Wasserman Schultz (for herself, Mr. Fitzpatrick, Mr. DeSaulnier, 
Mr. Wilson of South Carolina, and Mr. Kennedy of New York) introduced 
the following bill; which was referred to the Committee on Energy and 
Commerce, and in addition to the Committees on Ways and Means, and 
Education and Workforce, for a period to be subsequently determined by 
the Speaker, in each case for consideration of such provisions as fall 
within the jurisdiction of the committee concerned

_______________________________________________________________________

A BILL

To address the health of cancer survivors and unmet needs that 
survivors face through the entire continuum of care from diagnosis 
through active treatment and posttreatment, in order to improve 
survivorship, treatment, transition to recovery and beyond, quality of 
life and palliative care, and long-term health outcomes, including by 
developing a minimum standard of care for cancer survivorship, 
irrespective of the type of cancer, a survivor's background, or 
forthcoming survivorship needs, and for other purposes.

Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

(a) Short Title.--This Act may be cited as the ``Lainie Jones 
Comprehensive Cancer Survivorship Act of 2026''.
(b) Table of Contents.--The table of contents of this Act is as 
follows:

Sec. 1. Short title; table of contents.
Sec. 2. Findings.
Sec. 3. Definitions.
Sec. 4. Coverage of cancer care planning and coordination services.
Sec. 5. Stakeholder meeting on survivorship transition tools; 
publication of information resources.
Sec. 6. Alternative payment model for quality cancer survivorship care.
Sec. 7. Cancer survivor employment assistance program.
Sec. 8. Comprehensive cancer survivorship program.
Sec. 9. Survivorship progress report.
Sec. 10. Medicaid coverage of healthcare transitions for survivors of 
childhood and adolescent cancer.
Sec. 11. Medicaid coverage of cancer fertility services for cancer 
survivors.
Sec. 12. Office of Cancer Survivorship.

SEC. 2. FINDINGS.

Congress finds the following:
(1) A cancer survivor is any individual with a history of 
cancer, from the time of diagnosis through the rest of their 
life, across the continuum of care.
(2) Today, there are approximately 18,000,000 Americans who 
are cancer survivors, and the number of survivors is projected 
to reach 26,000,000 by 2040. Therefore, there is a great need 
to be able to provide ways to sustain the care needed and to 
offer those living with, through, and beyond cancer a safe, 
supportive, and accommodating environment where such 
individuals can engage in physical and social support 
activities to sustain optimal quality of life.
(3) Cancer survivors face difficult emotional, 
psychological, neurological, financial, legal, and other 
physical challenges that persist beyond diagnosis and 
treatment, often arising months and years after active cancer 
treatment ends.
(4) Cancer survivors have unique needs and must manage 
short- and long-term effects of their treatment, as well as 
regular screenings for cancer recurrence or new cancers.
(5) Cancer survivors of racial and ethnic diversity, as 
well as lower socioeconomic status, have disproportionately 
lower health-related, quality-of-life scores compared to non-
Hispanic White cancer survivors.
(6) Cancer survivors living in rural areas have less access 
to services and have poorer outcomes than survivors in 
metropolitan areas.
(7) Children, adolescent, and young adult cancer survivors 
are particularly susceptible to long-term consequences from 
treatment, and up to 80 percent have a severe, disabling, life-
threatening, or fatal health condition by the age of 50. Best 
practices in this area would improve treatment, quality of 
life, and long-term health outcomes.
(8) Clinical trials have shown that cancer survivorship 
programs help cancer survivors meet or exceed the recommended 
amount of physical activity, significantly increasing their 
cardiovascular health and overall quality of life and 
decreasing their cancer-related fatigue.
(9) Despite the National Cancer Institute and other 
professional organizations' definition of a cancer survivor 
beginning on the day of a cancer diagnosis, there is little 
agreement among clinicians, researchers, and insurance 
companies on what services are included in ``survivorship 
care'' and the point at which ``survivorship care'' begins.
(10) Cancer survivors, their families, their caregivers, 
and their providers face many difficulties understanding and 
coordinating the transition from specialty to primary care, and 
for this reason communication and treatment are often 
fragmented and inconsistent.
(11) To avoid additional health-related or financial 
hardships to cancer survivors and their families, comprehensive 
and forward-thinking cancer survivorship studies and programs 
across Federal agencies, in collaboration with States, 
localities, and medical and professional organizations, are 
required to engage in a coordinated effort to improve health 
outcomes and quality of life of survivors.

SEC. 3. DEFINITIONS.

In this Act:
(1) Cancer survivor.--The term ``cancer survivor'' means an 
individual from the time of cancer diagnosis through the 
balance of his or her life.
(2) Caregiver.--The term ``caregiver'' means a family 
member, friend, or other person who cares for an individual 
with a chronic or disabling condition, including cancer.
(3) Patient experience data.--The term ``patient experience 
data'' means patient experiences, perspectives, needs, and 
priorities related to--
(A) the symptoms of the patient's conditions and 
the natural history of such conditions;
(B) the impact of the conditions on the patient's 
functioning and quality of life;
(C) the patient's experience with treatments;
(D) input on which outcomes are important to the 
patient;
(E) patient preferences for outcomes and 
treatments; and
(F) the relative importance of any issues as 
defined by patients.
(4) Psychosocial effects.--The term ``psychosocial 
effects''--
(A) means the psychological, behavioral, emotional, 
and social effects of a disease, such as cancer, and 
its treatment; and
(B) in the case of such effects of cancer, includes 
changes in how a patient thinks, their feelings, moods, 
beliefs, ways of coping, and relationships with family, 
friends, and coworkers.
(5) Psychosocial care.--The term ``psychosocial care'' 
means psychological and social services and interventions that 
enable survivors, patients, their families, and health care 
providers to optimize health care and to manage the 
psychological, behavioral, physical, emotional, and social 
aspects of illness and its consequences so as to promote better 
health and well-being.
(6) Secretary.--Except as otherwise specified, the term 
``Secretary'' means the Secretary of Health and Human Services.
(7) Survivorship.--The term ``survivorship'' means the 
period from the time of cancer diagnosis until the end of life, 
including any portions of such period during which 
interventions are necessary to address--
(A) the physical, mental, emotional, social, and 
financial effects of cancer that begin at diagnosis and 
continue through treatment and beyond; and
(B) issues related to follow-up care (including 
regular health and wellness checkups), late and long-
term effects of treatment, screening for cancer 
recurrence and new cancers, and quality of life.
(8) Survivorship care plan.--The term ``survivorship care 
plan''--
(A) means an individualized care plan for patients 
who have been diagnosed with cancer; and
(B) includes a treatment summary and any follow-up 
care guidelines in such plan that--
(i) are for monitoring and maintaining 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 ``treatment summary'' 
means a detailed summary of a patient's disease, the types of 
treatment the patient received, 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 COORDINATION SERVICES.

(a) In General.--Section 1861 of the Social Security Act (42 U.S.C. 
1395x) is amended--
(1) in subsection (s)(2)--
(A) by striking ``and'' at the end of subparagraph 
(II);
(B) by adding ``and'' at the end of subparagraph 
(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 subsection:

``Cancer Care Planning and Coordination Services

``(nnn)(1) The term `cancer care planning and coordination 
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 practitioner 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 electronically, at 
the visit of such individual with such physician, physician 
assistant, or nurse practitioner, or as soon after the date of 
the visit as practicable; and
``(C) is furnished, to the greatest extent practicable, in 
a form that appropriately takes into account cultural and 
linguistic needs of the individual in order to make the plan 
accessible to such individual.
``(2) The Secretary shall establish frequencies at which services 
described in paragraph (1) may be furnished, 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 preferences;
``(C) at the end of active treatment and beginning 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),''.
(2) Initial rates.--Unless the Secretary otherwise 
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 
services (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. STAKEHOLDER MEETING ON SURVIVORSHIP TRANSITION TOOLS; 
PUBLICATION OF INFORMATION RESOURCES.

(a) In General.--The Secretary shall convene a stakeholder meeting 
(in this section referred to as the ``meeting'') to evaluate 
strategies, including the use of information technology, to improve 
transitions in care from active treatment to long-term.
(b) Participants.--In conducting the meeting, the Secretary shall 
ensure that the participants include representatives of patient 
advocacy organizations, medical professional societies, community-based 
organizations, electronic health record vendors, information technology 
experts, and other stakeholders of the meeting.
(c) Consideration of Existing Tools.--In conducting the meeting, 
the Secretary shall ensure that the participants consider existing 
tools for improving transitions to survivorship care, such as--
(1) the survivorship guidelines of the National 
Comprehensive Cancer Network and the American Society of 
Clinical Oncology;
(2) the Passport for Care survivor website;
(3) survivorship care software applications that have been 
developed by patient advocacy organizations, research 
foundations, and for-profit entities; and
(4) other information and tools that may improve 
transitions in care and improve overall quality of survivorship 
care.
(d) Consideration of Privacy and Security Implications.--In 
conducting the meeting, the Secretary shall feature collaboration with 
the Office for Civil Rights of the Department of Health and Human 
Services to evaluate the privacy and security implications of--
(1) consolidating treatment history and survivorship 
guidelines into a personalized survivorship care plan that 
outlines future health care needs after completion of active 
treatment;
(2) patient use of computer or mobile phone-based 
application programs described in subsection (c)(3); and
(3) taking into consideration the results of meeting under 
subsection (a).
(e) Publication of Information Resources.--
(1) In general.--Not later than 36 months after the date of 
enactment of this Act, the Secretary shall, taking into 
consideration the results of the meeting, publish information 
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.
(2) Inclusion of recommendations on patient use of software 
application programs.--The information resources referred to in 
paragraph (1) shall include recommendations on patient use of 
software application programs to develop personalized 
survivorship care plans.
(f) Electronic Health Record Defined.--In this section, the term 
``electronic health record'' means an electronic record of health-
related information on an individual that is created, gathered, 
managed, and consulted by authorized health care clinicians and staff.

SEC. 6. ALTERNATIVE PAYMENT MODEL FOR QUALITY CANCER SURVIVORSHIP CARE.

(a) In General.--Not later than one year after the date of 
enactment of this Act, the Secretary of Health and Human Services shall 
develop an alternative payment model for payments made under titles 
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 Secretary).
(b) Report to Congress.--Following development of the alternative 
payment model under subsection (a), 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, or a definition of survivorship care as 
extending until death.
(3) In the case that such model is based on an episode of 
care, the appropriate length of the survivorship episode of 
care, whether additional episodes may be triggered, if 
necessary, and whether the episode should end at the 
beneficiary's death but not before.
(4) Strategies to ensure that any episode of care under 
such a model begins with the development 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 the navigation services that will be 
provided as part of such model.
(6) A description of any bundled payment packages that will 
be used under such model.
(7) A specification of any follow-up or new screening under 
such model for unmet needs of individuals participating in such 
model.
(8) A description of 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.
(9) A specification of which types of health care providers 
may furnish items and services under such model, including 
genetic counselors and mental health professionals.
(10) Strategies for applying evidence-based risk 
stratification principles to direct survivors to personalized 
care pathways that match the level of care needed to the 
relative risks and needs of the survivor.
(11) Strategies for coordination of care between such 
providers, such as between specialists and primary care 
providers, and how principal responsibility will be assigned 
for an episode of care.
(12) Strategies for addressing social determinants of 
health through such model.
(13) A description of how such model will promote--
(A) prevention, early detection surveillance, and 
treatment for individuals continuing to receive 
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 survivors.
(14) An analysis of how different forms and stages of 
cancer may require the development of different survivorship 
plans and suggest variations in elements of the alternative 
payment model based on form and stage of cancer.
(15) 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 appropriate by the Secretary.

SEC. 7. CANCER SURVIVOR EMPLOYMENT ASSISTANCE PROGRAM.

(a) In General.--The Secretary of Labor, in consultation with the 
Secretary of Health and Human Services, shall carry out a program to 
award grants to non-profit organizations and other entities to provide 
education and targeted assistance--
(1) to eligible cancer survivors facing barriers to 
employment, including those who remain in the workforce during 
treatment, those who reduce working hours while in treatment, 
and those who reenter the workforce after a treatment-related 
departure; and
(2) to the families and caregivers of such eligible 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;
(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 continuation 
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 
survivors 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--
(i) supplemental security income benefits 
under title XVI of the Social Security Act (42 
U.S.C. 1381 et seq.);
(ii) disability insurance benefits under 
section 223 of the Social Security Act (42 
U.S.C. 423);
(iii) benefits under a State plan, or 
waiver of such plan, under title XIX of the 
Social Security Act (42 U.S.C. 1396 et seq.);
(iv) with respect to minimizing delays in 
eligibility before a cancer survivor becomes 
eligible for Medicare coverage, benefits under 
the Medicare program under title XVIII of the 
Social Security Act (42 U.S.C. 1801 et seq.), 
including with respect to enrolling in plans 
under part C or D of such title and 
supplemental plans under section 1882 of such 
title;
(v) State and private sector assistance 
programs for such cancer survivors; and
(vi) career and training services available 
under title I, II, or IV of the Workforce 
Innovation and Opportunity Act (29 U.S.C. 3101 
et seq.); and
(B) information on the eligibility of a cancer 
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 guidelines; and
(2) other resources as determined by the Secretary.
(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 Workforce Innovation and 
Opportunity Act (29 U.S.C. 3102).

SEC. 8. COMPREHENSIVE CANCER SURVIVORSHIP PROGRAM.

(a) In General.--The Secretary shall carry out a comprehensive 
cancer survivorship program that includes a program of supportive care 
services in accordance with subsection (b) to improve the quality of 
life and long-term survivorship of cancer survivors.
(b) Cancer Survivorship Quality-of-Life Program.--
(1) In general.--The Secretary shall carry out a program of 
awarding grants to eligible entities to provide services 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.
(2) Eligible entity defined.--In this subsection, 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, including 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;
(C) utilize community support services to fully 
implement survivorship care plans;
(D) access nutrition education and counseling; and
(E) adhere to a schedule for, and access, screening 
for recurrence of cancer or the occurrence of other 
primary cancers.
(4) Standards for application from eligible entities.--To 
seek a grant under this subsection, an eligible entity shall 
submit an application, at such time as may be required by the 
Secretary, 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 
communities of color and multilingual 
communities;
(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 professionals 
serving historically disadvantaged and underserved 
communities;
(C) documentation of the curriculum that will be 
used for providers in the program, including mechanisms 
to update the staff on curriculum changes; and
(D) an agreement to provide the Secretary 
semiannual reports on--
(i) the number of participants served;
(ii) quality-of-life measures for 
participants; and
(iii) plans for fostering communication 
between oncology and non-oncology providers 
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;
(C) share best practices among all grantees under 
this subsection; and
(D) consider strategies for the coordination of the 
program carried out under this section with the 
alternative payment model for quality survivorship care 
developed under section 6 to ensure that enrollees in 
the alternative payment model have access to the 
services that will be funded through the program.

SEC. 9. 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 Office to conduct a study of the progress 
made in cancer survivorship over the period beginning on the date of 
enactment of the National Cancer Act of 1971 (Public Law 92-216).
(b) Scope of the Study.--The study under subsection (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 survivorship care;
(3) the quality of life of cancer survivors;
(4) outcomes for cancer survivors;
(5) disparities in access to care and survivorship 
outcomes;
(6) the health care systems for providing survivorship 
care;
(7) the contribution of community-based services 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--
(1) consider the contribution of the Office of Cancer 
Survivorship to the evolution of cancer survivorship care over 
the last 25 years; and
(2) assess the impact of the mission of the Office 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 survivorship care 
and the professional societies representing them;
(6) community-based organizations involved in survivorship 
care;
(7) representatives of the National Cancer Institute;
(8) third-party payors;
(9) researchers engaged in survivorship research;
(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).

SEC. 10. MEDICAID COVERAGE OF HEALTHCARE TRANSITIONS FOR SURVIVORS OF 
CHILDHOOD AND ADOLESCENT CANCER.

(a) In General.--Section 1902(a)(10) of the Social Security Act (42 
U.S.C. 1396a(a)(10)) is amended--
(1) in subparagraph (F), by striking ``; and'' and 
inserting a semicolon;
(2) in subparagraph (G), by adding at the end ``and''; and
(3) 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 healthcare transitions for 
survivors of childhood and adolescent cancer (as 
defined in section 1905(jj));''.
(b) Definition.--Section 1905 of the Social Security Act (42 U.S.C. 
1396d) is amended by adding at the end the following new subsection:
``(jj) Healthcare Transitions for Survivors of Childhood and 
Adolescent Cancer.--
``(1) Definition.--For purposes of section 1902(a)(10)(H) 
and this subsection, the term `healthcare transitions for 
survivors of childhood and adolescent cancer'--
``(A) means transition services from active 
oncological care to primary care of a child or 
adolescent with cancer ensuring development and 
delivery of survivorship care plans to patients, 
families and primary care providers and transition 
coverage; and
``(B) includes--
``(i) transition care based on the 
Children's Oncology Group (in this section 
referred to as the `COG') Long-term Follow-Up 
Guidelines for Survivors of Childhood, 
Adolescent, and Young Adult Cancers; and
``(ii) coverage based on the COG exposure-
based standard of care for risk assessment and 
surveillance recommendations;
``(iii) transition services that include 
evidence-based recommendations for screening 
and management of late effects that may arise 
as a result of treatment for childhood cancer, 
increase awareness of potential late effects, 
and follow-up care for childhood cancer and 
adolescent survivors; and
``(iv) at least 2 survivorship transition 
care visits per year.''.

SEC. 11. MEDICAID COVERAGE OF CANCER FERTILITY SERVICES FOR CANCER 
SURVIVORS.

(a) Medicaid.--
(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 subparagraph (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 (kk));''.
(2) Definition.--Section 1905 of the Social Security Act 
(42 U.S.C. 1396d), as amended by section 10(4) of this Act, is 
further amended by adding at the end the following new 
subsection:
``(kk) Cancer Fertility Services.--
``(1) Definition.--For purposes of section 1902(a)(10)(H) 
and this subsection, the term `cancer fertility services'--
``(A) means fertility treatment and fertility 
preservation services for individuals diagnosed with 
cancer who--
``(i) are undergoing treatment for such 
cancer where such treatment may lead to 
iatrogenic infertility;
``(ii) previously underwent such treatment 
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 
experimental and non-experimental services to 
preserve fertility or treat infertility (as 
determined by the Secretary, consistent with 
established 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); 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
``(II) with respect to individuals 
age 18 or older, for a period of not 
less than 10 years.
``(2) Exception for territories.--Notwithstanding 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 Social 
Security Act (42 U.S.C. 1396o) is amended--
(i) in subsection (a)(2)--
(I) in subparagraph (I), by 
striking at the end ``, or'' and 
inserting a semicolon;
(II) in subparagraph (J), by 
striking at the end ``; and'' and 
inserting ``; or''; and
(III) by adding at the end the 
following new subparagraph:
``(K) cancer fertility services (as defined in 
section 1905(kk)); and''; and
(ii) in subsection (b)(2)--
(I) in subparagraph (I), by 
striking at the end ``, or'' and 
inserting a semicolon;
(II) in subparagraph (J), by 
striking at the end ``; and'' and 
inserting ``; or''; and
(III) by adding at the end the 
following new subparagraph:
``(K) cancer fertility services (as defined in 
section 1905(jj)); and''.
(B) Application to alternative cost-sharing.--
Section 1916A(b)(3)(B) of the Social Security Act (42 
U.S.C. 1396o-1(b)(3)(B)) is amended by adding at the 
end the following new clause:
``(xv) Cancer fertility services (as 
defined in section 1905(jj)).''.
(b) CHIP.--
(1) In general.--Section 2103(c) of the Social Security Act 
(42 U.S.C. 1397cc(c)) is amended--
(A) by redesignating the paragraph (12) added by 
section 11405(b)(1) of Public Law 117-169 as paragraph 
(13); and
(B) by inserting after paragraph (11) the following 
new paragraph:
``(12) Required coverage of cancer fertility services for 
cancer survivors.--Regardless 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 assistance 
pursuant to section 2112, the pregnancy-related assistance 
provided for a targeted low-income pregnant woman (as such 
terms are defined for purposes of such section), shall include 
coverage of cancer 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 treatment''; and
(B) by inserting ``cancer fertility services (as 
described in section 1905(jj)),'' after ``testing or 
treatments described in section 1916(a)(2)(I) furnished 
during the period described in such section''.
(3) Effective date.--The amendment made by paragraph (1)(A) 
shall take effect on October 1, 2026.
(c) Effective Date.--The amendments made by this section (other 
than the amendment made by subsection (b)(1)(A)) shall apply with 
respect to medical assistance, 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.

SEC. 12. OFFICE OF CANCER SURVIVORSHIP.

(a) In General.--The Secretary shall establish within Office of the 
Director of the National Cancer Institute (referred to in this section 
as ``NCI'') the Office of Cancer Survivorship (referred to in this 
section as the ``Office'').
(b) Purpose.--The Office shall function as the entity within NCI 
with primary responsibility for improving cancer survivorship for 
individuals living with and through cancer.
(c) Responsibilities.--The Office shall undertake the following 
responsibilities:
(1) Management of a portfolio of research grants focused on 
survivorship topics, including--
(A) late and long-term effects of cancer and cancer 
treatment;
(B) interventions to address late and long-term 
effects of cancer;
(C) health delivery models that ensure access to 
quality survivorship care for all survivors; and
(D) communication and education efforts to enhance 
access to survivorship care for all survivors.
(2) Professional education efforts to share best practices 
in survivorship care and to improve survivorship care delivery.
(3) Survivor education efforts related to--
(A) understanding the late and long-term effects of 
cancer and cancer treatment;
(B) improving access to monitoring and follow-up 
care after active treatment for all survivors; and
(C) enhancing survivor management of long-term 
follow-up survivorship care.
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