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High Impact

Proposed Medicare Coverage for Multi-Cancer Early Detection Tests

Original title: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act

Record date · December 17, 2024

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

This bill would update Medicare to cover new blood-based screening tests capable of detecting multiple types of cancer at once. If passed, it would allow Medicare beneficiaries to access these FDA-approved tests once per year, provided the Secretary of Health and Human Services determines coverage is appropriate.

Why it matters

This legislation would expand the range of cancer screenings available to Medicare beneficiaries, potentially allowing for earlier detection of cancers that currently lack specific Medicare-covered screening tests.

Background
  • Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease. context
  • The Social Security Act is the foundational law that established the Medicare program in 1965. context

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Medicare beneficiaries

They would gain access to a new category of covered cancer screening tests.

Directly affected

Healthcare providers

They would be able to order and receive Medicare payment for these new screening tests for their patients.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Would this bill replace my current cancer screenings?
No. The bill includes a '' stating that these new tests will not affect coverage for existing cancer screenings like breast, cervical, colorectal, lung, or prostate cancer tests.
How often can I get a multi-cancer screening test under this bill?
The bill limits payment to one test per individual every 11 months.
Are all multi-cancer tests covered?
Only tests approved or cleared by the FDA and deemed appropriate for coverage by the Secretary of Health and Human Services would be eligible.

What else do you want to know?

News Coverage

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Where This Stands

Currently filed. The next step in the legislative lifecycle is Committee.

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Connected Entities

600,000, Arrington, Michael, Hudson, Brian and 10 more
dollar amount600,000“Number of cancer deaths each year”Map →
PersonArrington, Michael“Co-sponsor of the bill”Map →
PersonHudson, Brian“Co-sponsor of the bill”Map →
dollar amount50“Number of cancers screened for by one test”Map →
bill number42 U.S.C. 1395x“Section of the Social Security Act being amended”Map →
PersonSewell, Sheila“Co-sponsor of the bill”Map →
OrganizationFood and Drug Administration“Regulatory body for approving screening tests”Map →
PersonNancy Gardner Sewell“Sponsor of the bill”Map →
PersonRuiz, Raja“Co-sponsor of the bill”Map →
OrganizationU.S. Government Publishing Office“Source of the document”Map →
dollar amount1,000,000“Number of Medicare beneficiaries diagnosed with cancer annually”Map →
OrganizationNational Cancer Institute“Reference to data on cancer incidence and mortality”Map →
bill numberSocial Security Act“The law being amended”Map →

Sources

Open source document

www.congress.gov

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy20
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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