PlainBillCongress, translated.Legislation. Context. Public interest.Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
Congressional Research Service
Version 00 · Introduced in House · Aug 13, 2026
Cancer Care Planning and Communications Act
This bill provides for Medicare coverage and payment of cancer care planning and coordination services for individuals who are diagnosed with or treated for cancer, including the development of treatment plans, follow-up care, and any necessary revisions.
People & committees
Rep. DeSaulnier, Mark [D-CA-10] · D–CA
Legislative record
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Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
Introduced in House
Introduced in House
Primary sources
Text links open the official source. We also preserved the text version used in the PlainBill explanation below.
No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.
Source last updated: Aug 26, 2026. Consult Congress.gov for the current record.
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Analyze H.R.10087 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.
Examine H.R.10087 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.
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PlainBill explanation
Based on the full Introduced in House · 2026-08-13 text. This explanation has not received human editorial review. This overview describes the proposal’s major provisions; it does not establish what its real-world effects would be.
The bill would add Medicare coverage and payment for cancer care planning for people diagnosed with cancer. A physician, physician assistant, or nurse practitioner would develop a written or electronic treatment plan. Planning could occur at diagnosis and specified later stages, including changes in treatment preferences and cancer recurrence. These are proposed changes; the supplied record does not establish enactment.
Providing Medicare beneficiaries more routine access to cancer care plans and survivorship care plans is a key to shared decision making and better coordination of care.
(LL) cancer care planning and coordination services (as defined in subsection (ooo));
the development of a treatment plan by a physician, physician assistant, or nurse practitioner
is furnished in written form or electronically
(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.
Section 1 names the proposal the Cancer Care Planning and Communications Act. Its findings describe gaps in shared treatment decisions and coordination, and assert that payment changes would improve care. Those statements express the bill’s rationale, rather than demonstrate its effects.
This Act may be cited as the Cancer Care Planning and Communications Act.
Individuals with cancer often do not participate in a shared decision-making process that considers all treatment options and do not benefit from coordination of all elements of active treatment and palliative care.
Changes in Medicare payment for cancer care planning and coordination will support shared decision making that reviews all treatment options and will contribute to improved care for individuals with cancer from the time of diagnosis through the end of the life.
Section 2 would add cancer care planning and coordination services to the services listed in section 1861(s)(2) of the Social Security Act. It defines the new service as development of a treatment plan for an individual diagnosed with cancer by a physician, physician assistant, or nurse practitioner.
Section 1861 of the Social Security Act (42 U.S.C. 1395x) is amended— (1) in subsection (s)(2)
(C) by adding at the end the following new subparagraph: (LL) cancer care planning and coordination services (as defined in subsection (ooo));
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
The treatment plan would have to include every component of the Institute of Medicine Care Management Plan identified in the bill. The bill references an external publication rather than listing those components.
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)
The plan would have to be supplied in writing or electronically during the patient’s visit or as soon afterward as practicable.
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
To the greatest extent practicable, the plan’s format would have to account for the patient’s cultural and language needs so the patient can access it.
is furnished, to the greatest extent practicable, in an appropriate form that appropriately takes into account cultural and linguistic needs of the individual in order to make the plan accessible to the individual.
The Secretary would set how often these services may be provided. The rules would have to allow them at diagnosis, when the patient’s condition or treatment preferences change, when active treatment ends and care after treatment begins, and when cancer returns. These are permitted occasions, not a requirement that every patient receive a plan on each occasion.
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.
The bill would place these services under the physician fee schedule, the system used to set payment rates. Unless the Secretary specifies otherwise, the rate would equal the rate for transitional care management services identified by medical billing code 99496. The bill supplies no dollar amount.
(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)(LL), after health risk assessment),.
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).
The changes would apply to services provided starting January 1 of the calendar year following enactment. The start date therefore depends on when the bill becomes law.
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.
The supplied official-actions snapshot, updated August 26, 2026, records introduction in the House on August 13, 2026, and referral that day to the Energy and Commerce and Ways and Means committees for provisions within their respective jurisdictions.
Source snapshot updated 2026-08-26T15:50:19Z.
2026-08-13: Introduced in House
2026-08-13: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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 closer look
Reviewed version: Introduced in House · 2026-08-13. These findings describe provisions and who may benefit; they are not judgments of waste, corruption, or motive.
This review covers the supplied bill text. “None identified” does not rule out provisions in later versions or accompanying reports and disclosures.
Provisions outside the bill’s main subject, or policy changes attached to appropriations.
None identified in the reviewed text
No unrelated provision or policy change attached to appropriations was identified in the complete supplied introduced text. This conclusion does not cover other versions or accompanying materials.
Spending directed to particular recipients or places outside ordinary competitive or formula-based allocation.
None identified in the reviewed text
No congressionally directed spending for a particular recipient or place was identified in the complete supplied introduced text. This conclusion does not establish the absence of earmarks in other versions or accompanying materials.
Narrow exceptions, exemptions, or preferential treatment that warrant a closer look.
None identified in the reviewed text
No materially narrow carve-out, special exemption, or preferential exception was identified in the complete supplied introduced text. Ordinary program coverage and accessibility requirements do not alone constitute such benefits. This conclusion is limited to this version.
Full text preserved for this analysis. Legislative record snapshot: Aug 26, 2026. How PlainBill uses AI