This bill, known as the "Lainie Jones Comprehensive Cancer Survivorship Act of 2026," aims to significantly improve the health and quality of life for cancer survivors by addressing their unmet needs across the entire continuum of care. It defines a cancer survivor as an individual from diagnosis through the rest of their life, recognizing the persistent physical, emotional, and financial challenges they face. The legislation emphasizes a comprehensive approach, particularly for vulnerable populations such as racial and ethnic minorities, rural residents, and childhood cancer survivors, who often experience disproportionately poorer outcomes. A key provision mandates Medicare coverage for cancer care planning and coordination services , ensuring individuals receive a written or electronic treatment plan that considers cultural and linguistic needs. These services can be furnished at diagnosis, upon condition changes, at the end of active treatment, and in case of recurrence. The bill also directs the Secretary of Health and Human Services to convene a stakeholder meeting to evaluate strategies for improving care transitions, including the use of information technology and existing tools, and to publish related information resources for patients and providers. To incentivize quality care, the bill requires the development of an alternative payment model for cancer survivorship care under Medicare and Medicaid within one year. This model will define triggers for entry, participation length, navigation services, and strategies for care coordination and addressing social determinants of health. Furthermore, it establishes a Cancer Survivor Employment Assistance Program , awarding grants to non-profits to help survivors and their families with employment barriers, including financial, transportation, childcare, and career training assistance. The legislation also mandates a Comprehensive Cancer Survivorship Program , providing grants to eligible entities like NCI-designated centers and community organizations to offer services enhancing survivors' quality of life and long-term survival. These services include promoting physical activity, mitigating anxiety, providing nutrition education, and ensuring adherence to screening schedules. To assess progress, the bill requires a Government Accountability Office study on cancer survivorship over the past decades, examining care quality, transitions, outcomes, disparities, and payment systems, involving a public meeting with diverse stakeholders. Finally, the bill expands Medicaid coverage to include healthcare transitions for childhood and adolescent cancer survivors, based on Children's Oncology Group guidelines, and mandates coverage for cancer fertility services , including preservation and long-term storage costs, for individuals undergoing or at risk of iatrogenic infertility due to cancer treatment. An important structural change is the establishment of an Office of Cancer Survivorship within the National Cancer Institute, tasked with managing research grants and leading professional and survivor education efforts.