Access to Genetic Counselor Services Act of 2026
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed House
- 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 modifies payment rates for these services. It also addresses balance billing and integrates 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 requirements for genetic counselor licensure or certification.
- Modifies Medicare payment rates for genetic counseling services to 80 percent of the physician fee schedule.
- Addresses balance billing for genetic counseling services.
- Includes genetic counseling services in the list of covered services 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 Centers for Medicare & Medicaid Services (CMS)
Notable changes
- Expands Medicare coverage to include genetic counseling services.
- Establishes specific criteria for genetic counselors to be considered providers.
Bill text
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Sponsors
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5 on record
Primary sponsor
Cosponsors
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