Appendix A

Statement of Task

A National Academies of Sciences, Engineering, and Medicine planning committee will organize and host a 1.5-day public workshop to examine the impact of the Patient Protection and Affordable Care Act (ACA) on cancer prevention and care (early detection, diagnosis, treatment, and survivorship). The workshop will feature invited presentations and panel discussions on topics that may include:

• The effects of ACA provisions such as:
  • Coverage for certain preventive care services without patient cost sharing;
  • Prohibition of exclusions for preexisting conditions;
  • Coverage of children up to age 26 on a parent’s health insurance plan; and
  • State-based Medicaid expansions.
• The impact of new organizational infrastructure (e.g., the Patient-Centered Outcomes Research Institute and the Center for Medicare & Medicaid Innovation), and their relevance to cancer research.
• The effects of payment reform demonstration projects (such as accountable care organizations and the oncology medical home pilot) on patient outcomes and the quality and efficiency of oncology care delivery; as well as the viability and sustainability of alternative payment models.
• Remaining evidence gaps and policy challenges and their impact on patients with cancer.

• Lessons learned from the design and implementation of the ACA that could inform future health care reform efforts.

The planning committee will develop the agenda for the workshop sessions, select and invite speakers and discussants, and moderate the discussions. A proceedings of the presentations and discussions at the workshop will be prepared by a designated rapporteur in accordance with institutional guidelines.