Sponsors (339)
I'll give you the short version of this bill.
This is not an official government website.
Copyright © 2026 PLEJ LC. All rights reserved.
Amends section 1861 (definitions) by adding a new subparagraph (KK) to subsection (s)(2) to list 'multi-cancer early detection screening tests' and by adding a new subsection (nnn) that defines the term and requires use of the National Coverage Determination process for coverage determinations.
Adds a new subsection (aa) to section 1834 establishing payment amounts and standards for multi-cancer early detection screening tests, including interim and longer-term payment rules, annual age-based eligibility limits, an 11-month prior-test limitation, and an exception tied to USPSTF A/B recommendations and coverage under section 1861(ddd)(1).
Makes conforming amendments to section 1833 to reference the new subsection (aa) of section 1834 in existing cross-references.
Amends section 1862(a) to add a new exclusion (subparagraph (Q)) for multi-cancer early detection screening tests that are not reasonable and necessary for the concurrent detection of multiple cancer types, and updates paragraph (7) to reference the new subparagraph.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced January 31, 2025 by Jodey Cook Arrington · Last progress January 31, 2025
This bill would have Medicare cover certain blood-based tests that can screen for many cancers at once, starting in 2028. The tests must be cleared or approved by the FDA, and Medicare must decide they are appropriate to cover. The law defines these tests and says Medicare will use its normal review process to decide which ones qualify.
This bill does not take away or change coverage for other cancer screenings, like breast, cervical, colorectal, lung, or prostate tests. Those remain covered as they are now.
Reported (Amended) by the Committee on Ways and Means. H. Rept. 119-333, Part I.
Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 43 - 0.
Committee Consideration and Mark-up Session Held
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
