Ombudsman Program

A Project of The Childhood Brain Tumor Foundation

The Childhood Cancer Ombudsman Program provides complaint investigation and resolution for families of children with cancer and adult survivors of childhood cancer. We provide information and research options to families so that they may better exercise their rights in making decisions in the areas of medical treatment, schooling, rehabilitation, employment, and insurance coverage.

We work with and refer to local cooperating attorneys in some cities, cancer and other disability organizations, protection and advocacy organizations, independent living centers, state departments of vocational rehabilitation, regional developmental disabilities centers, the President's and governors' committees on the employment of persons with disabilities, regional ADA centers, and medical and other specialists in academic medical practice who have volunteered to provide medical record reviews and answer specific questions about treatment options and alternatives.

You can contact us directly or ask your nurse, social worker, or physician to contact us. We serve all 50 states and US territories and US citizens working abroad.

We research and answer questions on The Americans with Disabilities Act, The Rehabilitation Act, The Individuals with Disabilities Education Act, social security programs for disability insurance and Supplemental Security Income, Medicaid, including community based waivers, Cobra, family medical leave laws and certain state medical leave acts, health and life insurance policies -- analysts and application, individualized education plans and related services including OT/PT (occupational and physical therapy), psychotherapy, transportation, technology assessment, technical assistance to attorneys who represent families, parents and childhood cancer survivors, job search assistance, information on paratransit and transportation services (aviation, train, or bus) for survivors, and for families in the military we answer questions on Champus and programs such as Exceptional Family Member.

We are a resource for disability attorneys and advocates, government attorneys, schools, pediatric oncology clinics, departments of vocational rehabilitation, primary and oncology physicians and caseworkers. We can provide disability awareness, medical, psychosocial and legal literature, information on late effects, and analysis on informed consents, terms and conditions of health plans and access to a volunteer second opinion/record review by specialists in many areas of medicine. We are happy to provide information and training referrals to these public and private entities.

How we work

We interview you and request copies of documents that will enable us to analyze your issue. As an alternative we can provide intake forms for you to fill out and send back with the necessary documentation. Your privacy is protected. Your concerns and documentation are shared only with the professionals who will be helping provide you with the information you need in your particular situation. If you meet our guidelines we will provide assistance to you. Your cooperation and communication with us is essential if we agree to take your case. Case by case analysis means that your case is different than other families cases, so the outcomes may be different. We do not provide financial assistance or pay attornes fees. We never provide health insurance or money for medical treatment. We cannot help you look for private health insurance unless you are off treatment for your cancer. We do not take cases where you have another authorized representative handling your matter. You must disclose whether another attorney or other representative is working on you problem. We may be able to assist your representative but this is determined on a case by case basis.

Who we are

Grace Powers Monaco is an attorney with over 30 years of experience in health/medical care law and problem solving for families of children with cancer, including insurance access and discrimination, employment issues, health fraud and misrepresentation, and informed consent. She is the elected public trustee for the United States Pharmacopoeia Convention which sets drug formulation standards and provides health information for physicians and the public. She has served as the consumer/public representative on the Food and Drug Administration's Oncologic Drug Advisory Committee. She also serves on the Data Monitoring Committee and Tissue Bank Committee for the Pediatric Oncology Group. Her daughter, Kathleen Rea, died at age four of leukemia in 1970.

Gib Smith, Esq.,  is an adult survivor of acute lymphoblastic leukemia and a law school graduate whose areas of specialty are insurance reimbursement, second opinions, the ADA and the military. He has spent the last several years advocating for families of children with cancer and adult survivors of childhood cancer. He has also coordinated several fund raisers for area charities, including The Childhood Brain Tumor Foundation, Make a Wish Foundation, and the NIH Pediatric Oncology wing.

We can be contacted through CBTF by phone, mail, or e-mail.