text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Cancer Survivorship Research and 
  Quality of Life Act of 2002''.
  
  SEC. 2. FINDINGS.
  
      The Congress finds as follows:
              (1) There are more than 9,000,000 individuals in the United 
          States today who are cancer survivors (living with, through, 
          and beyond cancer).
              (2) 60 percent of cancer survivors are 65 years of age and 
          older.
              (3) 62 percent of adults diagnosed with cancer today will 
          be alive 5 years from now.
              (4) In 1960, 4 percent of children with cancer survived 
          more than 5 years.
              (5) 77 percent of children (age 0 through 14) diagnosed 
          with cancer today will be living five years from now.
              (6) Three out of every four American families will have at 
          least one family member diagnosed with cancer.
              (7) 24 percent of adults with cancer are parents who have a 
          child 18 years or younger living in the home.
              (8) One of every four deaths in the United States is from 
          cancer. In 2002, 555,500 Americans will die of cancer--more 
          than 1,500 people a day.
              (9) The annual cost of cancer in the United States is 
          $180,000,000,000 in direct and indirect costs.
              (10) In fiscal year 2001 the National Institutes of Health 
          invested $38,000,000 in survivorship--less than $4.25 per 
          survivor.
  
  SEC. 3. CANCER CONTROL PROGRAMS.
  
      Section 412 of the Public Health Service Act (42 U.S.C. 285a-1) is 
  amended--
              (1) in the first sentence, by inserting ``, for 
          survivorship,'' after ``treatment of cancer'';
              (2) in paragraph (1)(B), by striking ``cancer patients'' 
          and all that follows and inserting the following: ``cancer 
          patients, families of cancer patients, and cancer survivors, 
          and''; and
              (3) in paragraph (3), by inserting ``and concerning cancer 
          survivorship programs,'' after ``control of cancer''.
  
  SEC. 4. EXPANSION AND COORDINATION OF ACTIVITIES OF NATIONAL INSTITUTES 
                OF HEALTH WITH RESPECT TO CANCER SURVIVORSHIP RESEARCH.
  
      (a) In General.--Subpart 1 of part C of title IV of the Public 
  Health Service Act (42 U.S.C. 285 et seq.) is amended by adding at the 
  end following section:
  
  ``SEC. 417D. EXPANSION AND COORDINATION OF ACTIVITIES WITH RESPECT TO 
                CANCER SURVIVORSHIP RESEARCH.
  
      ``(a) In General.--
              ``(1) Expansion of activities.--The Director of NIH shall 
          expand and coordinate the activities of the National Institutes 
          of Health with respect to cancer survivorship research.
              ``(2) Administration of program; collaboration among 
          agencies.--The Director of NIH shall carry out this section 
          acting through the Director of the Institute and in 
          collaboration with any other agencies that the Director 
          determines appropriate.
      ``(b) Office on Survivorship.--
              ``(1) In general.--The Director of NIH shall establish an 
          Office on Survivorship within the Institute through which the 
          activities under subsection (a)(1) shall be implemented and 
          directed.
              ``(2) Associate director for survivorship; appointment; 
          function.--
                      ``(A) There shall be in the Institute an Associate 
                  Director for Survivorship to coordinate and promote the 
                  programs in the Institute concerning cancer 
                  survivorship research. The Associate Director shall be 
                  appointed by the Director of the Institute from among 
                  individuals who, because of their professional training 
                  or experience, are equipped to address the breadth of 
                  needs associated with cancer survivorship.
                      ``(B) Not later than February 1, 2003, the 
                  Associate Director for Survivorship shall prepare and 
                  submit to the Congress report providing a description 
                  of the survivorship activities of the Office and 
                  strategies for future activities.''.
      (b) Funding.--Section 417B(d)(2) of the Public Health Service Act 
  (42 U.S.C. 285a-8(d)(2)) is amended--
              (1) in subparagraph (B), by striking ``and'' after the 
          semicolon;
              (2) in subparagraph (C), by striking ``each'' and all that 
          follows and inserting ``each fiscal year through 2002; and''; 
          and
              (3) by adding at the end the following:
                      ``(D) 13 percent, in the case of fiscal year 2003 
                  and each subsequent fiscal year, of which not less than 
                  3 percent shall be for the Office on Survivorship under 
                  section 417D.''.
  
  SEC. 5. EXPANSION OF CDC COMPREHENSIVE CANCER PROGRAMS; PROGRAMS TO 
                IMPROVE CANCER SURVIVORSHIP.
  
      (a) In General.--The Secretary of Health and Human Services 
  (referred to in this Act as the ``Secretary''), acting through the 
  Director of the Centers for Disease Control and Prevention, shall study 
  the unique health challenges associated with cancer survivorship and 
  carry out projects and interventions to improve the long-term health 
  status of cancer survivors. Such projects shall be carried out directly 
  and through the awards of grants or contracts.
      (b) Certain Activities.--Activities under subsection (a) include--
              (1) the expansion of current cancer surveillance systems to 
          track the health status of cancer survivors and determine 
          whether cancer survivors are at-risk for other chronic and 
          disabling conditions;
              (2) assess the unique challenges associated with cancer 
          survivorship;
              (3) the development of a national cancer survivorship 
          action plan, in partnership with health organizations focused 
          on cancer survivorship, to be carried out in coordination with 
          the state-based comprehensive cancer control program of the 
          Centers for Disease Control and Prevention to--
                      (A) develop unique and innovative post-treatment 
                  programs, services and demonstrations designed to 
                  support and advance cancer survivorship through--
                              (i) promotion of physical activity and 
                          healthy lifestyles;
                              (ii) educational outreach programs for 
                          health care providers;
                              (iii) support for innovative programs to 
                          improve the quality of life among cancer 
                          survivors;
                              (iv) home and community-based 
                          interventions;
                              (v) peer support and mentor programs;
                              (vi) public awareness and outreach 
                          campaigns; and
                              (vii) information dissemination to inform 
                          health care providers and cancer survivors of 
                          their health care options and available 
                          survivorship programs; and
                      (B) develop unique cancer survivorship 
                  demonstration programs designed to address the needs of 
                  underserved populations, including minorities, 
                  children, and persons residing in rural areas.
      (c) Coordination of Activities.--The Secretary shall assure that 
  activities under this section are coordinated as appropriate with other 
  agencies of the Public Health Service.
      (d) Report to Congress.--Not later than October 1, 2003, the 
  Secretary shall submit to the Congress a report describing the results 
  of the evaluation under subsection (a), and as applicable, the 
  strategies developed under such subsection.
      (e) Authorization of Appropriations.--For the purpose of carrying 
  out this section, there are authorized to be appropriated $75,000,000 
  for fiscal year 2003, and such sums as may be necessary for each of the 
  fiscal years 2004 through 2006.
  
  SEC. 6. MONITORING AND EVALUATING QUALITY CANCER CARE AND CANCER 
                SURVIVORSHIP.
  
      (a) In General.--Part M of title III of the Public Health Service 
  Act (42 U.S.C. 280e et seq.) is amended by inserting after section 399E 
  the following section:
  
  ``SEC. 399E-1. MONITORING AND EVALUATING QUALITY CANCER CARE AND CANCER 
                SURVIVORSHIP.
  
      ``(a) In General.--The Secretary, acting through the Director of 
  the Centers for Disease Control and Prevention, and in consultation 
  with the National Cancer Institute, shall make grants to eligible 
  entities for the purpose of enabling such entities to monitor and 
  evaluate quality cancer care, develop information concerning quality 
  cancer care, and monitor cancer survivorship.
      ``(b) Eligible Entities.--For purposes of this section, an entity 
  is an eligible entity for a fiscal year if the entity--
              ``(1) operates a statewide cancer registry with funds from 
          a grant made under section 399B for such fiscal year; and
              ``(2) is certified by the North American Association of 
          Central Cancer Registries or another similar certification 
          organization.
      ``(c) Contracting Authority.--In carrying out the purpose described 
  in subsection (a), an eligible entity may expend a grant under such 
  subsection to enter into contracts with academic institutions, cancer 
  centers, and other entities, when determined appropriate by the 
  Secretary.
      ``(d) Application for Grant.--A grant may be made under subsection 
  (a) only if an application for the grant is submitted to the Secretary 
  and the application is in such form, is made in such manner, and 
  contains such agreements, assurances, and information as the Secretary 
  determines to be necessary to carry out this section.
      ``(e) Authority of Secretary Regarding Use of Grant.--The Secretary 
  shall determine the appropriate uses of grants under subsection (a) to 
  achieve the purpose described in such subsection.
      ``(f) Authorization of Appropriations.--For the purpose of carrying 
  out this section, there are authorized to be appropriated such sums as 
  may be necessary for each of the fiscal years 2003 through 2007.''.
      (b) Conforming Amendment Regarding Authorization of 
  Appropriations.--Section 399F(a) of the Public Health Service Act (42 
  U.S.C. 280e-4(a)) is amended in the first sentence by striking ``this 
  part,'' and inserting ``this part (other than section 399E-1),''.
target: Cancer Survivorship Research and Quality of Life Act of 2002 - Amends the Public Health Service Act to include demonstration, education, and other programs concerning cancer survivorship among the activities of the National Cancer Institute (Institute) within the National Institutes of Health (NIH).Requires the Director of NIH to: (1) expand and coordinate NIH activities related to cancer survivorship; and (2) establish an Office on Survivorship within the Institute. Creates the position of Associate Director for Survivorship.Requires the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Protection, to: (1) study the health challenges associated with cancer survivorship and carry out projects and interventions; and (2) make grants for the monitoring and evaluation of cancer care and survivorship.
feat_title: To provide for the expansion and coordination of activities of the National Institutes of Health and the Centers for Disease Control and Prevention with respect to research and programs on cancer survivorship, and for other purposes.