S2213-118

Introduced

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.

118th Congress Introduced Jun 22, 2023

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

This bill creates a comprehensive framework to support Americans living with and beyond cancer. It establishes new Medicare and Medicaid benefits for cancer care planning, fertility preservation, and survivorship services, while creating employment assistance programs and research initiatives to better understand the long-term needs of cancer survivors.

Who Benefits and How

Cancer survivors and their families benefit from new covered services including cancer care planning, fertility preservation under Medicaid, and employment assistance programs. Healthcare providers gain new reimbursable services for cancer care planning and survivorship navigation. Healthcare technology companies and EHR vendors may benefit from requirements to develop survivorship care plan tools.

Who Bears the Burden and How

Federal government (HHS, CMS) must develop new programs, alternative payment models, and resource centers. State Medicaid programs must provide coverage for cancer fertility services. Taxpayers fund new grant programs, demonstration projects, and the comprehensive survivorship program.

Key Provisions

  • Creates Medicare coverage for cancer care planning and coordination services
  • Requires Medicaid coverage for cancer fertility preservation services
  • Establishes employment assistance programs for cancer survivors
  • Creates a childhood cancer survivorship demonstration model under Medicaid
  • Mandates comprehensive cancer survivorship resource centers and programs

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers.

At a Glance

What This Bill Does

Establishes comprehensive programs and services to improve the health, quality of life, and care coordination for cancer survivors from diagnosis through the rest of their lives.

Key Policy Areas

Healthcare, Medicare, Medicaid, Employment, Research

Primary Purpose

Establishes comprehensive programs and services to improve the health, quality of life, and care coordination for cancer survivors from diagnosis through the rest of their lives.

Policy Domains

Healthcare Medicare Medicaid Employment Research

Employment Programs (Section 9)

Identified Gains
Contextual inference, no direct clause citation
  • Cancer survivors
  • Nonprofit organizations
  • Cancer survivor families and caregivers
Model: N/A | Version: bill_summary_v2 | Source: is

Contextual inference, no direct clause citation

Identified Costs
Contextual inference, no direct clause citation
  • Department of Labor
Model: N/A | Version: bill_summary_v2 | Source: is

Contextual inference, no direct clause citation

Navigation and Demonstration Programs (Sections 7-8)

Identified Gains
Contextual inference, no direct clause citation
  • Cancer survivors
  • Healthcare providers
  • Patient navigators
Model: N/A | Version: bill_summary_v2 | Source: is

Contextual inference, no direct clause citation

Identified Costs
Contextual inference, no direct clause citation
  • HHS
Model: N/A | Version: bill_summary_v2 | Source: is

Contextual inference, no direct clause citation

Medicaid Programs (Sections 13-15)

Identified Gains
Contextual inference, no direct clause citation
  • Childhood cancer survivors
  • Cancer patients needing fertility preservation
  • State Medicaid programs
Model: N/A | Version: bill_summary_v2 | Source: is

Contextual inference, no direct clause citation

Identified Costs
Contextual inference, no direct clause citation
  • State Medicaid programs
  • CMS
Model: N/A | Version: bill_summary_v2 | Source: is

Contextual inference, no direct clause citation

Medicare Services (Sections 4-6)

Identified Gains
Contextual inference, no direct clause citation
  • Cancer survivors
  • Healthcare providers
  • EHR vendors
Model: N/A | Version: bill_summary_v2 | Source: is

Contextual inference, no direct clause citation

Identified Costs
Contextual inference, no direct clause citation
  • Medicare (CMS)
  • HHS
Model: N/A | Version: bill_summary_v2 | Source: is

Contextual inference, no direct clause citation

Findings and Definitions (Sections 2-3)

Identified Gains
Contextual inference, no direct clause citation
  • Cancer survivors
  • Cancer patient families
Model: N/A | Version: bill_summary_v2 | Source: is

Contextual inference, no direct clause citation

Comprehensive Survivorship Program (Sections 10-12)

Identified Gains
Contextual inference, no direct clause citation
  • Cancer survivors
  • Healthcare professionals
  • Researchers
Model: N/A | Version: bill_summary_v2 | Source: is

Contextual inference, no direct clause citation

Identified Costs
Contextual inference, no direct clause citation
  • HHS
  • GAO
Model: N/A | Version: bill_summary_v2 | Source: is

Contextual inference, no direct clause citation

Legislative Progress

Introduced
Introduced Committee Passed
Jun 22, 2023

Ms. Klobuchar (for herself and Mr. Cardin) introduced the following …

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Healthcare
16 mentions across 10 clauses
+15 positive ?1 uncertain

Adult cancer survivors, Cancer care providers participating in alternative payment models, Cancer centers, academic health centers, FQHCs, rural health clinics

Government
9 mentions across 9 clauses
-9 negative

Center for Medicare and Medicaid Innovation, Department of Labor, Government Accountability Office

State & Local Government
2 mentions across 2 clauses
-2 negative

State Medicaid directors and programs, State Medicaid programs

Reproductive Medicine
1 mention across 1 clause
+1 positive

Fertility clinics and reproductive medicine providers

Technology
1 mention across 1 clause
+1 positive

Electronic health record vendors

Labor
1 mention across 1 clause
+1 positive

Cancer survivors facing employment barriers

Nonprofits
1 mention across 1 clause
+1 positive

Nonprofit organizations providing cancer support services

Research & Science
1 mention across 1 clause
+1 positive

Cancer researchers and National Cancer Institute

14/15
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare
Domains
Healthcare Medicare
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
Domains
Healthcare
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
Domains
Employment Healthcare
Actor Mappings
"the_secretary"
→ Secretary of Labor
Domains
Healthcare Research
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
Domains
Medicaid Healthcare
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services

Note: 'The Secretary' refers to Secretary of Labor in Section 9 (employment programs) but Secretary of Health and Human Services in all other sections

Key Definitions

Terms defined in this bill

5 terms
"cancer survivor" §3(a)

An individual from the time of cancer diagnosis through the balance of his or her life

"caregiver" §3(b)

A family member, friend, or other person who cares for an individual with a chronic or disabling condition, including cancer

"patient experience data" §3(c)

Patient experiences, perspectives, needs, and priorities related to symptoms, impact on functioning and quality of life, treatment experience, and outcome preferences

"psychosocial effects" §3(d)

The psychological, behavioral, emotional, and social effects of a disease such as cancer and its treatment

"psychosocial care" §3(e)

Psychological and social services and interventions that enable survivors, patients, their families, and health care providers to optimize health care

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology