Lung Cancer Medicare Access to Precise Testing Act
Sponsored By: Representative Gottheimer
Introduced
Summary
This bill would require Medicare to cover lung cancer biomarker testing and pay 100% of the reasonable charges for those tests. It defines covered testing as tests furnished on or after January 1, 2027 that identify one or more specific biomarkers, such as genes, proteins, or other molecules, from a patient's tissue, blood, or bodily fluids.
Show full summary
- People on Medicare diagnosed with lung cancer would have biomarker testing covered when the test is furnished on or after January 1, 2027.
- Labs and clinicians who provide these tests would receive Medicare payment equal to 100 percent of the reasonable charges for the covered lung cancer biomarker testing.
- The bill sets a clear definition of covered lung cancer biomarker testing by listing the types of biomarkers and the sample sources that qualify for coverage, which narrows what services fall under the benefit.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Medicare would fully cover lung biomarker tests
If enacted, Medicare would cover lung cancer biomarker tests. Coverage would apply to tests given on or after January 1, 2027. The test would need to be for someone diagnosed with lung cancer and look for genes, proteins, or other markers in tissue, blood, or fluids. Medicare would pay 100% of the reasonable charge for these tests. This would likely lower, and could eliminate, out-of-pocket costs for Medicare patients who need this testing.
Sponsors & CoSponsors
Sponsor
Gottheimer
NJ • D
Cosponsors
Kiggans (VA)
VA • R
Sponsored 11/28/2025
Swalwell
CA • D
Sponsored 12/15/2025
Grijalva
AZ • D
Sponsored 2/3/2026
Roll Call Votes
No roll call votes available for this bill.
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