Finn Sawyer Access to Cancer Testing Act · Introduced in House (2025-02-26) · Congress.wiki

H.R. 1620

119th CONGRESS 1st Session

To facilitate the development of treatments for cancer, and for other purposes.

IN THE HOUSE OF REPRESENTATIVES · February 26, 2025 · Sponsor: Ms. Matsui

H.R. 1620

SEC. 1. Short title

This Act may be cited as the Finn Sawyer Access to Cancer Testing Act.

SEC. 2. Coverage of cancer diagnostic and laboratory tests

(a) Medicare
- (1) Coverage
  - Section 1861 of the Social Security Act () is amended— 42 U.S.C. 1395x
    - in subsection (s)(2)—
      - (i) in subparagraph (JJ), by adding at the end; and
      - (ii) by adding at the end the following new subparagraph:
        
        cancer diagnostic and laboratory tests (as defined in subsection (nnn)) furnished on or after the date that is 6 months after the date of the enactment of this subparagraph.
      - (nnn) Cancer diagnostic and laboratory tests
        
        (1) In general
        
        The term cancer diagnostic and laboratory tests means—
        
        microarray analysis, DNA sequencing, RNA sequencing, whole-exome sequencing, and other forms of next-generation sequencing furnished and reported by a clinical laboratory (as defined in section 353(a) of the Public Health Service Act); and
        
        explanation and interpretation of any analysis or sequencing described in subparagraph (A);
        
        furnished to an individual diagnosed with cancer.
        
        (2) Frequency
        
        When an individual test as described in paragraph (1) reports out the same genetic content, it may only be furnished with respect to an individual diagnosed with a cancer—
        
        once upon the diagnosis of such cancer;
        
        once upon any recurrence of such cancer; and
        
        as necessary for purposes of planning treatment or monitoring the progression of such cancer or the response of such cancer to treatment.
    - by adding at the end the following new subsection:
- (2) Payment
  - Section 1833 of the Social Security Act () is amended— 42 U.S.C. 1395l
    - in subsection (a)(1)—
      - (i) by striking before ; and
      - (ii) by inserting the following before the semicolon: ; and
    - in subsection (b)—
      - (i) by striking , and (13)and inserting (13); and
      - (ii) by striking 1861(n).and inserting section 1861(n), and (14) such deductible shall not apply with respect to cancer diagnostic and laboratory tests (as defined in section 1861(nnn)).
- (3) Exclusion modification
  - Section 1862(a)(1) of the Social Security Act () is amended— 42 U.S.C. 1395y(a)(1)
    - in subparagraph (O), by striking and at the end;
    - in subparagraph (P), by striking the semicolon and inserting ; and
      - in the case of cancer diagnostic and laboratory tests (as defined in section 1861(nnn)), which are performed more frequently than is covered under such section;
    - by adding at the end the following new subparagraph:
(b) Medicaid
- (1) Inclusion as medical assistance
  - Section 1905(a) of the Social Security Act () is amended— 42 U.S.C. 1396d(a)
    - in paragraph (31), by striking and at the end;
    - by redesignating paragraph (32) as paragraph (33); and
      - cancer diagnostic and laboratory tests (as defined in section 1861(nnn)); and
    - by inserting after paragraph (31) the following new paragraph:
- (2) Mandatory coverage
  - Section 1902(a)(10)(A) of such Act is amended, in the matter preceding clause (i), by striking and (30)and inserting (30), and (32).
- (3) Inclusion in benchmark coverage
  - Section 1937(b)(5) of such Act is amended by inserting before the period at the end the following: .
- (4) Effective date
  - (A) In general
    - The amendments made by this section shall apply with respect to items and services furnished on or after January 1, 2027.
  - (B) Exemption for State legislation
    - In the case of a State plan under title XIX of the Social Security Act (), or waiver of such plan, that the Secretary of Health and Human Services determines requires State legislation in order for the respective plan to meet any requirement imposed by amendments made by this section, the respective plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet such an additional requirement before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of the enactment of this Act. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of the session shall be considered to be a separate regular session of the State legislature. 42 U.S.C. 1396 et seq.
(c) CHIP
- Section 2103(c) of the Social Security Act (), as amended by section 11405(b)(1) of , is amended by adding at the end the following new paragraph: 42 U.S.C. 1397cc(c); Public Law 117–169
  - (13) Coverage of cancer diagnostic and laboratory tests
    - Regardless of the type of coverage elected by a State under subsection (a), beginning January 1, 2027, child health assistance provided under such coverage for targeted low-income children and, in the case that the State elects to provide pregnancy-related assistance under such coverage pursuant to section 2112, such pregnancy-related assistance for targeted low-income pregnant women (as defined in section 2112(d)), shall include coverage of cancer diagnostic and laboratory tests (as defined in section 1861(nnn)).

SEC. 3. Education and awareness program on genomic testing

(a) In general
- The Secretary of Health and Human Services, in coordination with the Director of the National Human Genome Research Institute, shall carry out an education and awareness program for physicians and the general public on what genomic testing is, how can be used, and the role of genetic counselors.
(b) Cancer and molecular diagnostics
- The education and awareness program under subsection (a) shall encourage the inclusion in graduate medical education and continuing medical education (including for specialty oncology services) of education and training on the importance of molecular diagnostics at diagnosis and reoccurrence of cancer to detect mutations.

H.R. 1620

Table of contents

SEC. 1. Short title

SEC. 2. Coverage of cancer diagnostic and laboratory tests

SEC. 3. Education and awareness program on genomic testing