H.R. 10087 — Cancer Care Planning and Communications Act

This section provides the short title of the Act as the “Cancer Care Planning and Communications Act” and sets forth congressional findings on cancer care disparities, the lack of shared decision-making and care coordination for patients, under-treatment of symptoms and side effects, the value of survivorship care plans, and the role of Medicare payment reforms such as the Oncology Care Model in expanding access to planning services.

This section adds cancer care planning and coordination services to Medicare-covered medical and other health services. It defines the services as development of a treatment plan by a physician, physician assistant, or nurse practitioner that incorporates all Institute of Medicine Care Management Plan components, is furnished in written or electronic form, and accounts for cultural and linguistic needs. The Secretary sets allowable frequencies, including at diagnosis, upon changes in condition or preferences, at the end of active treatment, and upon recurrence. Payment equals the rate for transitional care management services under CPT code 99496. The coverage applies to services furnished on or after the first day of the first calendar year after enactment.