Access to Genetic Counselor Services Act of 2025
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To President
- Became Law
Overview
This bill amends the Medicare program to expand coverage for services provided by genetic counselors. Specifically, it defines ‘covered genetic counseling services,’ establishes requirements for genetic counselors (including licensure or certification), and outlines payment rates for these services, setting them at 80% of the physician fee schedule. The bill also addresses balance billing and incorporates genetic counseling services into existing Medicare coverage categories.
Key provisions
- Defines ‘covered genetic counseling services’ as services provided by licensed genetic counselors or certified individuals.
- Establishes a payment rate of 80% for covered genetic counseling services, aligned with physician fee schedules.
- Requires genetic counselors to meet specific licensure or certification standards.
- Addresses balance billing for genetic counseling services.
- Includes covered genetic counseling services in the list of services covered under Medicare.
- Allows for interim final rule implementation by the Secretary of Health and Human Services.
Who is affected
- Medicare beneficiaries
- Genetic counselors
- Physicians
- Healthcare providers
- The Medicare program
Notable changes
- Expands Medicare coverage to include genetic counseling services.
Bill text
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Sponsors
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30 on record
Primary sponsor
Cosponsors
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