Accessing and navigating the health care system can be complex and overwhelming for patients, especially for individuals facing illnesses such as cancer. Patient navigators are critical in helping patients overcome barriers to accessing high-quality care by guiding them through the medical system, connecting them to necessary health care and social services, and ensuring they understand their care options.

WHAT THIS BILL DOES

• H1173 and S692, An Act to Facilitate Timely Access to Quality Health Care by Expanding Access to Patient Navigation, would require Medicaid-affiliated health insurers, plans, and organizations to cover patient navigation services to improve access to health care.
• The bill also requires the Executive Office of Health and Human Services to seek the necessary federal approvals to implement this mandate and to secure enhanced federal financial support for patient navigators.

WHY THIS MATTERS

• Many patients face challenges navigating the health care system, leading to missed appointments, untreated conditions, and worse health outcomes. 
• Community health workers can help individuals overcome barriers to care by working with social workers, resource specialists, and financial counselors to address various challenges that impact health outcomes.