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        • Cancer Nation is the oldest cancer survivor-led non-profit organization in America. We advocate for quality cancer care for all touched by cancer.

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You are here: Home1 / About2 / Our History

Our History

History of NCCSOct. 1986: Dr. Fitzhugh Mullan, a co-founder of the National Coalition for Cancer Survivorship (center), leads the NCCS founding meeting.

It is as if we have invented sophisticated techniques to save people from drowning, but once they have been pulled from the water, we leave them on the dock to cough and splutter on their own in the belief that we have done all that we can.
— Dr. Fitzhugh Mullan, from his 1985 essay “Seasons of Survival: Reflections of a Physician with Cancer”

Fitzhugh Mullan, MD and Ellen Stovall

NCCS Founding President Fitzhugh Mullan, MD and Ellen Stovall, who led NCCS as CEO from 1992 to 2008.

In 1986, the founders of the National Coalition for Cancer Survivorship (now Cancer Nation) set out to establish an organization that would replace the words “cancer victim” with “cancer survivor,” and bring about a different notion of the cancer experience. The founders envisioned an organization that would deal with the full spectrum of survivorship issues related to living with, through and beyond a cancer diagnosis.

Founded in Albuquerque, New Mexico, NCCS’s diverse leadership included some of the most recognized experts on employment and disability law, health care consumerism and psychosocial and behavioral research. Consequently, NCCS quickly developed a reputation as the “go to” organization for how to deal with the physiological, psychosocial, economic and spiritual issues that accompany a cancer diagnosis. The informed patient was — and still is — at the heart of NCCS’s mission. NCCS began its work by contributing to the literature and evidence base for quality cancer care. NCCS’s first publication dealt with doctor/patient communications, followed by publications on survivors’ rights and how to be an informed and knowledgeable health care consumer.

NCCS’s definition of a survivor, from the time of diagnosis and for the balance of life, is now the norm for the cancer community and beyond. NCCS has expanded its definition of survivor to include family, friends, and caregivers.

In 1992, NCCS relocated its offices to Washington, D.C. to be closer to the organizations and institutions that play a role in educating government agencies and policymakers about the need for quality cancer care throughout the survivorship continuum. Since that time, we have remained in the Washington, DC area and continued to advocate for the nearly 18.1 million cancer survivors living in the United States.

Timeline of Achievements

  • 1986

     

    Founded

    Twenty-three leaders with expertise in cancer research, community-based cancer support programs, cancer information services and cancer advocacy gathered in Albuquerque, New Mexico and founded the National Coalition for Cancer Survivorship (NCCS).

  • 1990

     

    Americans with Disabilities Act (ADA)

    NCCS Founding Chair, Barbara Hoffman, JD, testifies before Congress on how to include cancer survivors within the protection of the Americans with Disabilities Act.

  • 1990

     

    National Breast Cancer Coalition (NBCC)

    NCCS becomes one of five founding organizations of the National Breast Cancer Coalition.

  • 1993

     

    Medicare Cancer Coverage Improvement Act

    NCCS contributes significantly to drafting and passage of the Rockefeller-Levin Medicare Cancer Coverage Improvement Act, which provides Medicare coverage for oral forms of existing intravenous (IV) anti-cancer drugs and gives patients an important quality of life choice in how they choose to receive cancer treatment.

  • 1993

     

    Cancer Leadership Council (CLC)

    NCCS founds the Cancer Leadership Council, a patient-centered forum of national advocacy organizations addressing public policy issues in cancer, by convening the 8 existing cancer patient advocacy groups. By 2020, the CLC has grown to include 29 leading patient advocacy, professional, and volunteer organizations.

  • 1995

     

    First National Congress on Cancer Survivorship

    NCCS hosts the First National Congress on Cancer Survivorship of more than 300 experts including cancer survivors, caregivers, health care professionals, scientists, community leaders, policy experts, legislators, government officials, members of the clergy, and the media. The forum is the first-ever meeting on cancer survivorship of its kind.

  • 1995

     

    CanSearch™ Website

    NCCS launches one of the first Internet sites directing users to credible, online resources on cancer treatment and survivorship.

  • 1995

     

    Imperatives for Quality Cancer Care: Access, Advocacy, Action & Accountability

    NCCS publishes the first document to address quality cancer care from the patient’s perspective (based on the First National Congress on Cancer Survivorship).

  • 1996

     

    Office of Cancer Survivorship, National Cancer Institute

    After reading NCCS’s Imperatives for Quality Cancer Care, NCI Director, Dr. Richard Klausner establishes the Office of Cancer Survivorship to encourage survivorship research. Health Insurance Portability & Accountability Act, 1996. NCCS contributes significantly to drafting and passage of the Kassebaum-Kennedy Health Insurance Portability & Accountability Act (HIPAA) that gives patients changing jobs some measure of security regarding maintaining insurance benefits and continuity of care.

    President Bill Clinton signs the NCCS Ribbon of Hope.

  • 1996

     

    National Cancer Policy Board

    NCCS receives one of two consumer representative positions on the newly established National Cancer Policy Board (NCPB), which operates under the auspices of the Institute of Medicine. The NCPB’s role is to evaluate the United States cancer program and related policy making.

  • 1997-1998

     

    THE MARCH… Coming Together To Conquer Cancer™

    NCCS launches the first-ever national public awareness and grassroots organizing campaign on CNN’s Larry King Live. On September 25-26, 1998, 250,000 people gather on The National Mall in Washington, DC and a million more join 200 events in all 50 states calling for better funding for cancer research and access to quality cancer care for all Americans. Days later, Congress awards a 16% increase in National Cancer Institute funding — then, the largest monetary increase in funding for NCI to date.

  • 2000

     

    Clinical Trials Coverage

    President Clinton’s issuance of an executive memorandum on June 7, 2000 was directly attributable to NCCS’s advocacy. This new policy guaranteed Medicare beneficiaries who enroll in approved, high-quality clinical trials will have their routine patient care costs covered by Medicare.

  • 2000

     

    Cancer Policy Roundtable

    NCCS developed and launched the semi-annual Cancer Policy Roundtable (CPR) meeting to bring together experts in the field of cancer, along with survivors and advocates to discuss the most pressing policy issues impacting cancer care.

  • 2001-2007

     

    Institute of Medicine (IOM) Reports

    NCCS played a leadership role or participated in several IOM initiatives related to quality care and survivorship. Then-NCCS CEO Ellen Stovall served as Vice-Chair of the IOM Committee on Survivorship, co-edited the IOM Report on Adult Cancer Survivorship, was the principal reviewer for two IOM reports and was the lead external advisor for a report on psychosocial issues and cancer.

  • 2000-2003

     

    Access to Oral Cancer Therapies

    NCCS invested three years in the pursuit of Medicare coverage for oral chemotherapy. By the close of the 107th Congress, three-quarters of the House members and more than half of Senators co-sponsored the Access to Cancer Therapies Act. Ultimately the measure passed in the Medicare Modernization Act of 2003.

  • 2004

     

    Cancer Advocacy Now!™

    NCCS launched Cancer Advocacy Now! to assure that America’s then-12 million cancer survivors and the millions more who care for them have a voice in advocating for quality cancer care in Washington, D.C. and in forums where health care policy is decided.

  • 2005

     

    Cancer Survival Toolbox®

    NCCS surpasses distribution of 500,000 Cancer Survival Toolboxes to cancer survivors across the country, since its introduction in 1998. Toolboxes have been distributed to individuals and cancer centers in all 50 states, the District of Columbia and Puerto Rico.

  • 2005-2008

     

    Cancer Quality Alliance

    Following a series of meetings initiated by NCCS with the Medical Director of the Center for Medicare and Medicaid services (CMS), NCCS and the American Society for Clinical Oncology formed the Cancer Quality Alliance (CQA)—a collaboration among 28 organizations to encourage the sharing and implementation of cancer quality measures, tools, and practical programs into cancer practice.

  • 2006-2009

     

    FDA Citizen Petition

    NCCS and ASCO filed a Citizen Petition with the FDA requesting clarity, procedures and standards for companies that may be able to make investigational therapies available to patients who have exhausted their treatment options. In August 2009, the FDA finalized two regulations that will improve patient access to investigational drug therapies.

  • 2007

     

    Hematologic Cancers Strategies for Education and Outreach

    The Centers for Disease Control and Prevention (CDC) awarded NCCS its first federally-funded grant for more than $1.3 million to fund a five-year project based on NCCS’ award-winning Cancer Survival Toolbox®. The audio program provided strategic information and education, including self-advocacy skills, to people diagnosed with multiple myeloma, non-Hodgkin lymphoma, chronic myelogenous leukemia and chronic lymphocytic leukemia.

  • 2008

     

    “Blueprint” for Quality Cancer Care

    NCCS played a leadership role in a creation of a “Blueprint” for quality cancer care, which was first published in the journal Cancer in September 2008. Conceptualized and written through the collaborative effort of members of the Cancer Quality Alliance, the Blueprint was be widely available as a teaching tool and a guide to how the health care system can provide the best care to people living with, through and beyond a cancer diagnosis.

  • 2010

     

    Commission on Cancer

    NCCS was one of three patient-centered organizations invited to a membership in the Commission on Cancer (CoC) of the American College of Surgeons (ACOS) resulting in the first ever patient-centered COC Accreditation Standards requirements care plans, psychosocial assessment and patient navigator.

  • 2005 - 2013

     

    Comprehensive Cancer Care Improvement Act (CCCIA)

    109th – 112th Congresses. NCCS has been a leader in legislative efforts to develop and advance legislation to establish a Medicare service for cancer care treatment planning that would contribute to the delivery of coordinated cancer care. The bill, first introduced in the 109th Congress by Representative Lois Capps (D-CA), enjoyed bipartisan support in subsequent Congresses. The legislation was also supported by patient advocacy organizations, professional societies, cancer researchers, and leading cancer centers across the country.

  • 2014

     

    Cancer Policy and Advocacy Team (CPAT)

    NCCS developed a program for survivors and caregivers to learn about pressing policy issues that affect quality cancer care in order to be engaged as advocates in public policy around the needs of cancer survivors. The webinars, e-newsletters, online forum, and conferences for CPAT members offer advocates different ways to learn and to discuss current issues, programs, and policies that affect the cancer community and to take action as appropriate.

  • 2015 - 2019

     

    Planning Actively for Cancer Treatment (PACT) Act

    NCCS continued leading the way in advocating for a Medicare cancer care planning service, and supported bipartisan legislation introduced in June 2015 by Congresswoman Lois Capps (D-CA) and Congressman Charles Boustany, Jr., M.D., (R-LA). The PACT Act was intended to significantly improve the quality and coordination of care for Medicare patients with cancer.

  • 2017

     

    Affordable Care Act (ACA)

    NCCS convened 37 patient advocacy groups to oppose eliminating pre-existing condition protections in the AHCA, which would threaten cancer patients’ and survivors’ ability to purchase quality, affordable health insurance.

  • 2019

     

    Elevating Survivorship

    NCCS developed an advocate-led program to improve survivorship care in local communities around the country. The program centers around Elevate Ambassadors, a group of advocates who develop programs/projects to implement in their local area

  • 2019

     

    The Cancer Care Planning and Communications Act (CCPCA)

    Since 2019, NCCS has worked with Congressman Mark DeSaulnier (D-CA) on the bipartisan Cancer Care Planning and Communications Act, or CCPCA. As a cancer survivor, Rep. DeSaulnier has an understanding of the physical and emotional benefits of care planning for patients and their families facing a cancer diagnosis. Like its predecessors in previous Congresses, the CCPCA would establish a Medicare service for cancer care treatment planning that would contribute to the delivery of coordinated cancer care.

  • 2020

     

    Annual State of Survivorship Survey

    In 2020, NCCS conducted the first annual State of Cancer Survivorship Survey. Each year, NCCS partners with Edge Research for a nationwide survey about the cancer patient and survivor journey. This study captures a range of perspectives to better understand how NCCS can support its mission to advocate for quality cancer care for all. Over the years, the survey has explored different angles of survivorship such as inequities in care, the experiences of patients with metastatic cancer, and the needs of caregivers.

  • 2022

     

    The Comprehensive Cancer Survivorship Act (CCSA)

    NCCS was instrumental in the drafting and introduction of The CCSA, a bipartisan bill first introduced in December 2022 by Representatives Debbie Wasserman Schultz (D-FL), Brian Fitzpatrick (R-PA), and Mark DeSaulnier (D-CA) and Senators Amy Klobuchar (D-MN) and Ben Cardin (D-MD). The bill addresses the entire continuum of care – from diagnosis to active treatment and post-treatment – to improve survivorship, treatment, and transition for all survivors.

  • 2023

     

    Maintaining Access to DIEP Flap Breast Reconstruction

    In 2021, the Centers for Medicare and Medicaid Services (CMS) announced the sunsetting of code S2068 for DIEP flap breast reconstruction and the use of CPT® code 19364 for autologous flap breast reconstruction procedures. NCCS actively advocated against this decision in an effort to protect access to DIEP flap procedures. DIEP flap is an important reconstruction option for individuals who choose reconstruction with their own tissue, rather than breast implants. The plan to eliminate certain breast reconstruction codes created barriers to care for cancer survivors seeking access to medically appropriate breast reconstruction.

    In 2023, NCCS partnered with other patient advocacy organizations and the Community Breast Reconstruction Alliance (CBRA), led by microsurgeon Dr. Elisabeth Potter, to alert CMS to the access challenges that resulted from the plan to eliminate the codes. In the Spring, NCCS drafted a letter to CMS signed by 34 patient advocacy organizations, 12 medical professional societies, and 231 health care providers and hospitals. In May, NCCS and the CBRA met with CMS leadership to detail concerns about access to care. NCCS CEO Shelley Fuld Nasso also spoke at a public CMS meeting in June on the topic. In August, CMS announced that it would retain procedure codes for breast cancer reconstruction, after receiving feedback from NCCS and other patient advocates, patients, and health care professionals. Read More »

Link to: From Shadows to Life: A Biography of the Cancer Survivorship Movement
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A Biography of the Cancer Survivorship Movement
By Judith Pearson

From Shadows to Life is the story of 23 ordinary people, all with a connection to cancer, who founded NCCS and gave birth to a social movement that continues to improve life for millions. Part medical history, part inspirational group biography, this book leaves literary breadcrumbs for the millions who follow this path.

Read More and Watch Our Conversation

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From Shadows to Life: A Biography of the Cancer Survivorship Movement | Watch Our Conversation with Author Judith L. Pearson

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Harmar Brereton, MD

Founder
Northeast Regional Cancer Institute

 

“Perhaps one of the most impactful collaborations in Dr. Brereton’s extraordinary career remains his early work and long friendship with Ellen Stovall. Through him, and in turn through the thousands of lives he has touched, Ellen’s work continues, and her mission lives on.”

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President, Northeast Regional Cancer Institute