
Coverage & Access to Care
Insurance coverage—or lack thereof—is often a barrier for patients seeking cancer treatment. Recognizing the importance of insurance coverage to health equity, several states have begun to mandate expanded coverage to address various facets of cancer care.
Into the Fold: Colorado Joins Other States in Expanding Access to Biomarker Testing
Preserving the Future: 12 States Expand Fertility Care to Include Patients Undergoing Cancer Treatment
Dismantling Barriers: Washington State Works to Improve Diversity in Clinical Trial

Cancer Research Funding
Federal grants from the National Institutes of Health (NIH) and the National Cancer Institute (NCI) support cancer research in every state, accelerating discoveries in prevention, early detection, treatment, and care.
Taking note of the positive impact of cancer research funding for patients as well as its role in job creation and economic growth, many states have created their own funding initiatives to support biomedical research.

Maryland
Education is Prevention: Maryland Passes Legislation to Develop Education Campaigns on Prostate, Lung, and Breast Cancer Prevention
Maryland Cancer Moonshot

Federal Funding
NCI Grants Play Crucial Role in Developing State Cancer Research
The National Cancer Institute (NCI) provides grants to state cancer centers and universities, enabling these institutions to fund innovative research. Below are some recent success stories of NCI-funded projects at AACI cancer centers.

Florida
Florida Fact Sheet
Better Early Than Never: Florida’s Skin Cancer Early Detection Bill Helping To Reduce Health Disparities In Black And Rural Populations
Florida Passes Milestone Cancer Funding, Investing in the Future of Cancer Research
Peer-Reviewed Grant Programs
Florida Consortium of National Cancer Institute Centers

Kansas
Cancer Center Research Fund

North Carolina
North Carolina Fact Sheet
University Cancer Research Fund

South Carolina
Collaborating for a Brighter Future: South Carolina Releases Inaugural Childhood Cancer Report

Indiana
Indiana Establishes New Grant Programs for Pediatric and Breast Cancer

Texas
Texas Fact Sheet
Formula Funding for Health-Related Institutions
Cancer Prevention & Research Institute of Texas (CPRIT)

Prevention & Screening
The National Cancer Institute defines cancer prevention simply as “action taken to lower the risk of getting cancer.” Prevention activities may include maintaining a healthy lifestyle, avoiding exposure to known carcinogens, testing for genetic predispositions to certain cancers, and taking preventive medicines or vaccines. Equally important is cancer screening, which allows for early detection and better outcomes.
Combating the Known Unknowns: Cancer Presumption Laws Return Agency to Firefighters
Bridging The Gap: Delaware’s Approach to Health Disparities
Genetic Screening: History and Recent Progress
PA Enacts “First of Its Kind” Breast Cancer Screening Bill
Lightening the Load: Louisiana Amends Tumor Registry to Reduce Burden of Cancer in the State
Hawaiʻi Appropriates $1.8 Million to Address Colorectal Cancer Health Disparities
Alabama Appropriates over $8 million to Cancer Digital Regionalization Initiative as Part of Larger Rural Health Transformation Plan
Maine Removes Cost Barriers to Prostate Cancer Screenings

Bioethics
The field of bioethics focuses on the ethical considerations surrounding medical research, treatment, and care. Cancer bioethics specifically poses questions about the use of new technologies in cancer treatment, the allocation of limited resources, and the ethical implications of genetic testing for cancer risk. The goal of bioethics is to ensure that advancements in cancer care take patient well-being, informed consent, and equitable access to care into consideration.
Henrietta Lacks: A Key Figure in Cancer Research

Cellular Therapies
Cellular therapies involve the use of cells to treat or prevent diseases. These therapies harness the unique properties of different types of cells to restore, repair, or replace damaged tissues or cells within the body. There are various types of cellular therapies, each with a specific application. With the rapidly changing science and innovation around these treatments and cures, some states have taken the lead on fostering a stronger environment for innovation.

Louisiana
In June 2023 Louisiana Governor John Bel Edwards signed into law a new bill aimed at broadening Medicaid coverage for chimeric antigen receptor T-cell (CAR T) therapy.
Louisiana Moves to Expand Medicaid Coverage for CAR T-Cell Therapy

Patients’ Bill of Rights
The Cancer Patients’ Bill of Rights is a first-of-its-kind measure outlining the rights that every patient with cancer deserves, including access to specialists, clinical trials, and innovative new treatments.
Illinois Legislature Recognizes Cancer Patients’ Rights in New Resolution
Cancer Patients’ Bill of Rights

Eliminating HPV-Related Cancers
Over 33,000 cancers caused by human papillomavirus (HPV)—including oropharyngeal, cervical, anal, vulvar, penile, and vaginal cancers—are diagnosed annually among men and women in the United States alone.
Through gender-neutral vaccination and evidence-based screening and treatment, the U.S. is poised to eliminate cervical cancer, with other HPV-related cancers to follow.

Vaccination
Gender-neutral vaccination of children, aged 11-12, has been proven effective in preventing HPV and related cancers, including oropharyngeal, cervical, anal, vulvar, penile, and vaginal cancers.
State and Territory Level HPV Vaccination Laws
High-risk human papillomavirus (HPV) strains cause the majority of oropharyngeal (throat), cervical, anal, vulvar, penile, and vaginal cancers. Over 33,000 cancers caused by HPV are diagnosed annually among men and women in the United States alone.

Communication Tools
Recommendations from trusted health care providers are one of the most effective interventions for preventing HPV infection and HPV-related cancers.
A Future Without HPV-Related Cancers

Tobacco Control
According to the Centers for Disease Control and Prevention (CDC), tobacco is the leading cause of preventable death. Tobacco-related diseases, including lung cancer, are responsible for 480,000 deaths each year in the United States.
Many states are raising the age to purchase tobacco products to 21, but the widespread availability of vaping products and their popularity among young people present new challenges to legislators.

Tobacco 21
Armed with the knowledge that tobacco-related diseases, including lung cancer, are responsible for 480,000 deaths each year in the United States, many states are raising the age to purchase tobacco products to 21 to curb youth tobacco use and diminish long-term health effects.
Federal Tobacco 21
2019 was a landmark year in the longstanding effort to federally raise the age for purchasing tobacco products from 18 to 21. The movement’s origins can be traced to 1996 when the Preventing Tobacco Addiction Foundation was established with the goal of reducing the toll of smoking and tobacco through preventive efforts.
Tobacco 21 in Kansas

E-Cigarettes & Vaping
Scientific evidence has shown negative effects of electronic cigarette flavoring agents on the lungs, and deaths have been reported. The widespread availability of vaping products and their popularity among young people present new challenges to legislators and public health advocates.
Tobacco Flavor Ban Proposals in Kansas City
Teen Vaping Town Hall

Tobacco Control Efforts
Recognizing the pervasive health effects of both combustible tobacco and vaping products, some states have proposed legislation that broadly addresses tobacco-related public health issues.
Alabama’s Long Running Tobacco Quitline Program is a Model For States Aiming to Curb Tobacco Usage
New York State Comprehensive Tobacco Reform

Clinical Trials
Clinical trials are the bedrock of discovery for promising cancer treatments, and even cures. Without proper access for underrepresented populations, health care disparities persist. Recognizing this, some states have taken action to toward coverage of routine care during clinical trials for all.

Illinois
Senate Bill 1864: Providing Coverage for Medicaid Beneficiaries

Minnesota
Clinical Trials Coverage for Medicaid Beneficiaries

Washington
Dismantling Barriers: Washington State Works to Improve Diversity in Clinical Trial

COVID-19 Vaccination for Patients With Cancer
Research has shown that patients with cancer and cancer survivors are at increased risk of severe illness and death if they are infected with COVID-19. In several states, AACI cancer centers are leading an effort to prioritize these vulnerable populations for the COVID-19 vaccine.

Kansas
Kansas
In 2007, the State of Kansas established a budget line item of $5 million per year in support of The University of Kansas Cancer Center’s goal of obtaining National Cancer Institute (NCI) designation. This funding played an essential role in the cancer center’s NCI designation in 2012, and supports cancer research, education, and outreach.

West Virginia
