YourVoice.Now Summary
Your MoneyCorporate BenefitsMedicare would cover a written cancer treatment plan built with the patient — and the patient would owe the usual 20 percent share of its cost.
Your Money
Medicare has no separate benefit for cancer care planning today, so many patients never get a written plan. Planning and coordination would become a covered service under Part B, built by a doctor, physician assistant, or nurse practitioner.
The bill does not waive the usual patient share for this service. Medicare would pay 80 percent of the fee, and the patient would owe the rest once the yearly Part B deductible is met.
The plan would come in writing or electronically, at the visit or as soon after as practical. It would also have to fit the patient's language and culture as far as is workable, so the patient can follow it.
Corporate Benefits
Doctors and cancer practices could bill Medicare for the time spent building the plan. The starting rate would match transitional care management, billing code 99496, unless Medicare sets a different one.
More about this bill
A cancer diagnosis would come with a written plan, paid for by Medicare. A doctor, physician assistant, or nurse practitioner would build the plan with the patient. It would be handed over at the visit, or as soon after as they can. The plan would have to fit the patient's language and culture as far as is workable. There are four points when a plan could be made or redone. Those are the day of diagnosis, a change in health or wishes, the end of active treatment, and a return of the cancer. Medicare would set how often it can be billed. The rate would match what Medicare now pays for transitional care. Nothing in the law would waive the usual Part B share. Medicare would pay 80 percent of the fee. The patient would owe the rest, once the yearly deductible is met. The change would start the first January after it became law.
Congressional Summary
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.
Details
- Congress
- 119th
- Chamber
- House
- Status
- summarized
- Action
- Introduced in House
- Action Date
- 2026-08-13
- Date Added
- 2026-08-27
- Source
- Congress.gov →
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