HR5671119th CongressWALLET

Colorectal Cancer Payment Fairness Act

Sponsored By: Representative Watson Coleman

Introduced

Summary

Eliminates Medicare coinsurance for certain colorectal cancer screening tests and makes that change permanent. This bill would remove the law's time limit and set Medicare coverage at 100 percent for the specified colorectal cancer screening tests in each year after 2026, ending beneficiary coinsurance.

Show full summary
  • Seniors and Medicare enrollees: Would owe no coinsurance for the covered colorectal cancer screening tests in each year after 2026, lowering out-of-pocket costs.
  • Medicare program: Shifts coverage from 85 percent through 2026 to 100 percent in subsequent years for these tests, increasing Medicare's share of the cost.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

No Medicare coinsurance for colon cancer screenings

If enacted, this bill would end coinsurance for certain colorectal cancer screening tests under Medicare. Medicare would pay 100% of the allowed amount for these tests in each year after 2026, so you would not owe the 15% coinsurance. Your savings would equal about 15% of Medicare’s allowed amount per test. The bill also removes the prior end date (January 1, 2030), so this change would not sunset. The policy would take effect upon enactment.

Sponsors & CoSponsors

Sponsor

Watson Coleman

NJ • D

Cosponsors

  • Fitzpatrick

    PA • R

    Sponsored 9/30/2025

  • Carter (LA)

    LA • D

    Sponsored 9/30/2025

Roll Call Votes

No roll call votes available for this bill.

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