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Comprehensive cancer control program (CCCP)​

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Chapter 6: Treatment                

Improving Cancer Care and Support in California

Every Californian facing cancer deserves care that is accessible, affordable, high-quality, and tailored to their needs and values. To make this a reality, California must expand access to both medical and supportive services throughout the cancer care journey—including clinical trials, supportive services, evidence-based treatments, and palliative care.

Improving Access to Clinical Trials

Clinical trials are critical for developing better cancer treatments. They help make future care safer, more effective, and more inclusive. However, many groups—especially communities of color and      low-income populations—have historically been left out due to barriers such as lack of access, information, and trust.

To change this, California must remove barriers to participation and actively engage underrepresented communities. This includes addressing systemic inequalities, racism, and the social factors that affect who can participate in research.

Expanding Supportive Services

In addition to medical treatment, non-medical support services—like counseling, nutrition guidance, exercise programs, and transportation—are a vital part of quality cancer care. These services help patients and caregivers manage stress, maintain their health, and feel supported during and after treatment.

California must ensure these services are widely available, easy to access, and covered by insurance so that no patient is left without the support they need.

Reducing Delays and Barriers to Care

Cancer care should not be delayed by insurance issues or system-level obstacles. To improve access, the state must invest in local cancer care facilities and train a strong healthcare workforce, especially in underserved areas.

Expanding awareness of and access to palliative care and building stronger partnerships between healthcare providers and community organizations, will help deliver more complete and compassionate care.

Strengthening Palliative and End-of-Life Care

Everyone deserves timely, compassionate care. California aims to expand the palliative care workforce, promote early conversations about care preferences, and strengthen ties between healthcare systems and communities.

By doing so, California can ensure that all cancer patients receive respectful, supportive care—whether they are newly diagnosed, in treatment, living with advanced illness, recovering, or at the end of life.​

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References:

  1. American Cancer Society. (2024, February 28). American Cancer Society launches training and credentialing program to standardize and support high-quality oncology patient navigation. https://pressroom.cancer.org/releases?asPDF=1&item=1301
  2. American Cancer Society. (2025). Cancer facts & figures 2025. https://www.cancer.org/research/cancer-facts-statistics/all-cancer-facts-figures/2025-cancer-facts-figures.html
  3. American Society of Clinical Oncology. (n.d.). Guidelines. https://www.asco.org/practice-patients/guidelines
  4. Association of Cancer Care Centers. (2023). Financial advocacy services guidelines. https://www.accc-cancer.org/docs/projects/financial-advocacy/financial-advocacy-services-guidelines-2024.pdf
  5. Association of Cancer Care Centers. (2024). Equitable delivery of oncology supportive care services: A handbook for cancer care centers. https://cdn.sanity.io/files/0vv8moc6/accc-cancer/549c4b76f07925074abdb2b51964b2f2f68d57d5.pdf
  6. Centers for Medicare & Medicaid Services. (2023, November 2). Calendar year (CY) 2024 Medicare physician fee schedule final rule. https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2024-medicare-physician-fee-schedule-final-rule
  7. Franklin, E., Burke, S., Dean, M., Johnston, D., Nevidjon, B., & Booth, L. S. (2022). Oncology navigation standards of professional practice. Journal of Oncology Navigation & Survivorship, 13(3). https://d2geqc87xuuo99.cloudfront.net/pdf/2022/jons/0322_JONS_PONT.pdf
  8. National Comprehensive Cancer Network. (n.d.). NCCN Guidelines. https://www.nccn.org/guidelines
  9. University of Wisconsin Carbone Cancer Center and Wisconsin Department of Health Services. (2020). Wisconsin Cancer Plan 2020-2030. Wisconsin Cancer Collaborative. https://wicancer.org/cancer-plan/interactive/

Resources:

  1. American Cancer Society, Leadership in Oncology Navigation (ACS LION) - https://pressroom.cancer.org/releases?asPDF=1&item=1301
  2. American Cancer Society: Cancer Facts & Figures 2025 - https://www.cancer.org/research/cancer-facts-statistics/all-cancer-facts-figures/2025-cancer-facts-figures.html
  3. American Society of Clinical Oncology, Clinical Practice Guidelines and Quality Standards - https://www.asco.org/practice-patients/guidelines
  4. Association of Cancer Care Centers, "Equitable delivery of oncology supportive care services: A handbook for cancer care centers" - https://cdn.sanity.io/files/0vv8moc6/accc-cancer/549c4b76f07925074abdb2b51964b2f2f68d57d5.pdf
  5. Association of Cancer Care Centers, ACCC Community Oncology Research Institute - https://www.accc-cancer.org/home/learn/community-oncology-research/accc-community-oncology-research-institute
  6. Association of Cancer Care Centers, Financial advocacy services guidelines - https://www.accc-cancer.org/docs/projects/financial-advocacy/financial-advocacy-services-guidelines-2024.pdf?sfvrsn=f39e2f70_2&
  7. Centers for Medicare & Medicaid Services, Calendar Year (CY) 2024 Medicare Physician Fee Schedule Final Rule - https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2024-medicare-physician-fee-schedule-final-rule
  8. "Increasing Racial and Ethnic Diversity in Cancer Clinical Trials: An American Society of Clinical Oncology and Association of Community Cancer Centers Joint Research Statement" - https://ascopubs.org/doi/full/10.1200/JCO.22.00754
  9. National Cancer Institute, Cancer Clinical Trial Information for Patients and Caregivers - https://www.cancer.gov/research/participate/clinical-trials
  10. National Comprehensive Cancer Network, NCCN Clinical Practice Guidelines in Oncology, Treatment by Cancer Type - https://www.nccn.org/guidelines/category_1
  11. Oncology Navigation Standards of Professional Practice, The Professional Oncology Navigation Task Force - https://d2geqc87xuuo99.cloudfront.net/pdf/2022/jons/0322_JONS_PONT.pdf
  12. U.S. Department of Health and Human Services, National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care - https://thinkculturalhealth.hhs.gov/clas/standards
  13. Wisconsin Cancer Collaborative, Wisconsin Cancer Plan 2020-2030 - https://wicancer.org/​
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