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Expanding Medicare Coverage for Genetic Counseling Services.

This law expands Medicare Part B to include services provided by genetic counselors. This means seniors and other Medicare beneficiaries will gain easier access to crucial genetic counseling, which helps assess the risk of inherited diseases. The changes take effect on January 1, 2027, enhancing healthcare options for beneficiaries.
Key points
Medicare Part B will cover genetic counselor services starting January 1, 2027, increasing access to specialized care.
Genetic counselors must be state-licensed or certified to qualify for federal coverage.
Medicare payment for these services will be 80% of the allowed charge, which is capped at 85% of the physician fee schedule amount.
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Introduced
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Additional Information
Print number: 119_HR_6280
Sponsor: Rep. Smith, Adrian [R-NE-3]
Process start date: 2025-11-21