Expanding Medicare Coverage for Genetic Counseling Services starting 2027.
This bill expands Medicare Part B coverage to include services provided by genetic counselors, making specialized genetic counseling more accessible to seniors and eligible individuals. These changes are set to take effect on January 1, 2027. Beneficiaries will typically be responsible for 20% of the approved service costs, significantly reducing out-of-pocket expenses for these services.
Key points
Medicare Part B will cover genetic counseling services provided by licensed genetic counselors starting January 1, 2027.
Medicare will pay 80% of the approved amount for these services, leaving beneficiaries responsible for the remaining 20% co-insurance.
The act formally defines a genetic counselor, requiring state licensure or certification by the American Board of Genetic Counseling.
Introduced
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