Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
Sponsored By: Representative Arrington
In Committee
Summary
Would expand Medicare to cover multi-cancer early detection screening tests. It defines eligible tests as certain FDA-cleared or approved genomic blood tests or comparable biological-sample tests and directs the Secretary to use the national coverage determinations process to decide when they are covered.
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 2 benefits, 1 costs, 1 mixed.
Medicare could cover multi-cancer screening
If enacted, Medicare would cover certain multi-cancer early detection tests starting January 1, 2028. The tests would need FDA clearance or approval. They must be genomic blood tests or similar tests the Secretary finds comparable. The Secretary would use a national coverage decision to judge if a test is reasonable and necessary for people on Medicare. If covered, many beneficiaries could pay less out of pocket for these tests.
Medicare could deny some multi-cancer tests
If enacted, Medicare would not pay for multi-cancer tests that the Secretary finds are not reasonable and necessary to detect multiple cancers at once. If Medicare denies coverage, you could owe the full cost of the test.
Medicare pay and age caps for multi-cancer tests
If enacted, the bill would set how Medicare pays for these tests. For tests before January 1, 2031, payment would equal the amount in effect on the date this bill becomes law for a multi-target stool DNA screening test. For tests on or after January 1, 2031, Medicare would pay the lower of that amount or the rate set under section 1834A. Medicare would not pay in a year if, on January 1, you meet the age cutoff (68 in 2028, rising by 1 each year) or if you had the test in the last 11 months. If the U.S. Preventive Services Task Force gives a test an A or B grade and preventive coverage begins, these limits would not apply for that test. The bill would also update Medicare billing references so these new payment rules apply.
Other cancer screenings stay covered
If enacted, this would not change Medicare Part B coverage for other cancer screenings. Breast, cervical, colorectal, lung, and prostate screening would stay covered as before. It would also not reclassify multi-cancer tests as diagnostic when you get other screenings.
Sponsors & CoSponsors
Sponsor
Arrington
TX • R
Cosponsors
Miller (WV)
WV • R
Sponsored 2/5/2025
Turner (TX)
TX • D
Sponsored 2/5/2025
Pfluger
TX • R
Sponsored 2/5/2025
McGarvey
KY • D
Sponsored 2/5/2025
Carey
OH • R
Sponsored 2/5/2025
Moskowitz
FL • D
Sponsored 2/5/2025
Crenshaw
TX • R
Sponsored 2/5/2025
Bishop
GA • D
Sponsored 2/5/2025
Fitzpatrick
PA • R
Sponsored 2/5/2025
Cohen
TN • D
Sponsored 2/5/2025
Balderson
OH • R
Sponsored 2/5/2025
Sewell
AL • D
Sponsored 1/31/2025
Hudson
NC • R
Sponsored 1/31/2025
Ruiz
CA • D
Sponsored 1/31/2025
Miller-Meeks
IA • R
Sponsored 1/31/2025
Kelly (IL)
IL • D
Sponsored 1/31/2025
Wittman
VA • R
Sponsored 2/5/2025
LaHood
IL • R
Sponsored 2/7/2025
Scholten
MI • D
Sponsored 2/7/2025
Schweikert
AZ • R
Sponsored 2/7/2025
McIver
NJ • D
Sponsored 2/7/2025
Tenney
NY • R
Sponsored 2/7/2025
Kennedy (NY)
NY • D
Sponsored 2/7/2025
Yakym
IN • R
Sponsored 2/7/2025
Watson Coleman
NJ • D
Sponsored 2/7/2025
Graves
MO • R
Sponsored 2/7/2025
Adams
NC • D
Sponsored 2/7/2025
Van Duyne
TX • R
Sponsored 2/7/2025
Boyle (PA)
PA • D
Sponsored 2/7/2025
Bost
IL • R
Sponsored 2/7/2025
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 2/7/2025
Hern (OK)
OK • R
Sponsored 2/11/2025
Williams (GA)
GA • D
Sponsored 2/11/2025
Bilirakis
FL • R
Sponsored 2/11/2025
Jackson (IL)
IL • D
Sponsored 2/11/2025
Feenstra
IA • R
Sponsored 2/11/2025
Brown
OH • D
Sponsored 2/11/2025
Murphy
NC • R
Sponsored 2/11/2025
Sykes
OH • D
Sponsored 2/11/2025
Dunn (FL)
FL • R
Sponsored 2/11/2025
Crockett
TX • D
Sponsored 2/11/2025
Langworthy
NY • R
Sponsored 2/11/2025
Malliotakis
NY • R
Sponsored 2/11/2025
McClellan
VA • D
Sponsored 2/11/2025
Fry
SC • R
Sponsored 2/11/2025
Thompson (MS)
MS • D
Sponsored 2/11/2025
Bacon
NE • R
Sponsored 2/11/2025
Kamlager-Dove
CA • D
Sponsored 2/11/2025
Kelly (PA)
PA • R
Sponsored 2/14/2025
Deluzio
PA • D
Sponsored 2/14/2025
Clarke (NY)
NY • D
Sponsored 2/14/2025
Fischbach
MN • R
Sponsored 2/14/2025
Castro (TX)
TX • D
Sponsored 2/14/2025
Moolenaar
MI • R
Sponsored 2/14/2025
Underwood
IL • D
Sponsored 2/14/2025
Zinke
MT • R
Sponsored 2/14/2025
Beatty
OH • D
Sponsored 2/14/2025
Higgins (LA)
LA • R
Sponsored 2/14/2025
Soto
FL • D
Sponsored 2/14/2025
Mullin
CA • D
Sponsored 2/21/2025
Estes
KS • R
Sponsored 2/21/2025
DelBene
WA • D
Sponsored 2/21/2025
Allen
GA • R
Sponsored 2/21/2025
Wasserman Schultz
FL • D
Sponsored 2/21/2025
Garbarino
NY • R
Sponsored 2/21/2025
Ryan
NY • D
Sponsored 2/21/2025
Harder (CA)
CA • D
Sponsored 2/21/2025
Cline
VA • R
Sponsored 2/21/2025
Lee (FL)
FL • R
Sponsored 2/21/2025
Quigley
IL • D
Sponsored 2/21/2025
Issa
CA • R
Sponsored 2/21/2025
Scanlon
PA • D
Sponsored 2/21/2025
LaLota
NY • R
Sponsored 2/21/2025
Doggett
TX • D
Sponsored 2/21/2025
Moore (NC)
NC • R
Sponsored 2/24/2025
Davis (IL)
IL • D
Sponsored 2/24/2025
Lawler
NY • R
Sponsored 2/24/2025
Sanchez
CA • D
Sponsored 2/24/2025
Sessions
TX • R
Sponsored 2/24/2025
Clyburn
SC • D
Sponsored 2/24/2025
Finstad
MN • R
Sponsored 2/24/2025
Del. Plaskett, Stacey E. [D-VI-At Large]
VI • D
Sponsored 2/24/2025
Van Drew
NJ • R
Sponsored 2/24/2025
Barragan
CA • D
Sponsored 2/24/2025
Smith (NE)
NE • R
Sponsored 2/26/2025
Horsford
NV • D
Sponsored 2/26/2025
Hill (AR)
AR • R
Sponsored 2/26/2025
Schneider
IL • D
Sponsored 2/26/2025
Simpson
ID • R
Sponsored 2/26/2025
McGovern
MA • D
Sponsored 2/26/2025
Calvert
CA • R
Sponsored 2/26/2025
Smith (WA)
WA • D
Sponsored 2/26/2025
Fallon
TX • R
Sponsored 2/26/2025
Torres (CA)
CA • D
Sponsored 2/26/2025
Mann
KS • R
Sponsored 2/26/2025
Bonamici
OR • D
Sponsored 2/26/2025
Timmons
SC • R
Sponsored 2/26/2025
Tokuda
HI • D
Sponsored 2/26/2025
Rutherford
FL • R
Sponsored 3/4/2025
Baumgartner
WA • R
Sponsored 3/4/2025
Haridopolos
FL • R
Sponsored 3/4/2025
Bean (FL)
FL • R
Sponsored 3/4/2025
Rogers (AL)
AL • R
Sponsored 3/4/2025
Fleischmann
TN • R
Sponsored 3/4/2025
Bentz
OR • R
Sponsored 3/4/2025
Evans (CO)
CO • R
Sponsored 3/4/2025
Valadao
CA • R
Sponsored 3/4/2025
Panetta
CA • D
Sponsored 3/4/2025
Cleaver
MO • D
Sponsored 3/4/2025
Sorensen
IL • D
Sponsored 3/4/2025
Carbajal
CA • D
Sponsored 3/4/2025
Evans (PA)
PA • D
Sponsored 3/4/2025
Matsui
CA • D
Sponsored 3/4/2025
Menendez
NJ • D
Sponsored 3/4/2025
Tonko
NY • D
Sponsored 3/4/2025
Brownley
CA • D
Sponsored 3/4/2025
Bice
OK • R
Sponsored 3/4/2025
Auchincloss
MA • D
Sponsored 3/4/2025
Obernolte
CA • R
Sponsored 3/10/2025
Ezell
MS • R
Sponsored 3/10/2025
Del. King-Hinds, Kimberlyn [R-MP-At Large]
MP • R
Sponsored 3/10/2025
Ciscomani
AZ • R
Sponsored 3/10/2025
Luttrell
TX • R
Sponsored 3/10/2025
Wilson (SC)
SC • R
Sponsored 3/10/2025
Collins
GA • R
Sponsored 3/10/2025
Messmer
IN • R
Sponsored 3/10/2025
Weber (TX)
TX • R
Sponsored 3/10/2025
Kim
CA • R
Sponsored 3/10/2025
Kiggans (VA)
VA • R
Sponsored 3/10/2025
Steube
FL • R
Sponsored 3/10/2025
Nadler
NY • D
Sponsored 3/10/2025
Landsman
OH • D
Sponsored 3/10/2025
Veasey
TX • D
Sponsored 3/10/2025
Trahan
MA • D
Sponsored 3/10/2025
Thompson (CA)
CA • D
Sponsored 3/10/2025
Suozzi
NY • D
Sponsored 3/10/2025
Velazquez
NY • D
Sponsored 3/10/2025
Hayes
CT • D
Sponsored 3/10/2025
Peters
CA • D
Sponsored 3/10/2025
Scott, Austin
GA • R
Sponsored 3/10/2025
Budzinski
IL • D
Sponsored 3/10/2025
Guest
MS • R
Sponsored 3/14/2025
Bresnahan
PA • R
Sponsored 3/14/2025
Letlow
LA • R
Sponsored 3/14/2025
Tlaib
MI • D
Sponsored 3/14/2025
Frost
FL • D
Sponsored 3/14/2025
Norcross
NJ • D
Sponsored 3/14/2025
Case
HI • D
Sponsored 3/14/2025
Pingree
ME • D
Sponsored 3/14/2025
Foushee
NC • D
Sponsored 3/14/2025
Fitzgerald
WI • R
Sponsored 3/24/2025
Leger Fernandez
NM • D
Sponsored 3/24/2025
Thompson (PA)
PA • R
Sponsored 3/24/2025
Nunn (IA)
IA • R
Sponsored 3/24/2025
McBride
DE • D
Sponsored 3/24/2025
Salazar
FL • R
Sponsored 3/24/2025
Cammack
FL • R
Sponsored 3/24/2025
Lucas
OK • R
Sponsored 3/24/2025
Hamadeh (AZ)
AZ • R
Sponsored 3/24/2025
Hinson
IA • R
Sponsored 3/24/2025
Rouzer
NC • R
Sponsored 3/24/2025
McDonald Rivet
MI • D
Sponsored 3/24/2025
Gomez
CA • D
Sponsored 3/24/2025
Mrvan
IN • D
Sponsored 3/24/2025
Dingell
MI • D
Sponsored 3/24/2025
Cherfilus-McCormick
FL • D
Sponsored 3/24/2025
Larson (CT)
CT • D
Sponsored 3/24/2025
Morrison
MN • D
Sponsored 3/24/2025
Womack
AR • R
Sponsored 3/27/2025
Fields
LA • D
Sponsored 3/27/2025
Liccardo
CA • D
Sponsored 3/27/2025
Goldman (TX)
TX • R
Sponsored 3/27/2025
Davids (KS)
KS • D
Sponsored 3/27/2025
Griffith
VA • R
Sponsored 3/27/2025
Stefanik
NY • R
Sponsored 4/9/2025
Craig
MN • D
Sponsored 4/9/2025
Miller (OH)
OH • R
Sponsored 4/14/2025
Riley (NY)
NY • D
Sponsored 4/14/2025
Rose
TN • R
Sponsored 4/17/2025
Huizenga
MI • R
Sponsored 4/17/2025
Correa
CA • D
Sponsored 4/17/2025
Carter (LA)
LA • D
Sponsored 4/17/2025
Wagner
MO • R
Sponsored 4/30/2025
Buchanan
FL • R
Sponsored 4/30/2025
Cloud
TX • R
Sponsored 4/30/2025
Conaway
NJ • D
Sponsored 4/30/2025
Golden (ME)
ME • D
Sponsored 4/30/2025
Pocan
WI • D
Sponsored 4/30/2025
Figures
AL • D
Sponsored 4/30/2025
Strickland
WA • D
Sponsored 4/30/2025
Mfume
MD • D
Sponsored 4/30/2025
Johnson (GA)
GA • D
Sponsored 4/30/2025
Torres (NY)
NY • D
Sponsored 4/30/2025
Ross
NC • D
Sponsored 4/30/2025
Moulton
MA • D
Sponsored 4/30/2025
Frankel, Lois
FL • D
Sponsored 4/30/2025
Dean (PA)
PA • D
Sponsored 4/30/2025
Lynch
MA • D
Sponsored 4/30/2025
Sherman
CA • D
Sponsored 4/30/2025
Carson
IN • D
Sponsored 4/30/2025
Salinas
OR • D
Sponsored 4/30/2025
Waters
CA • D
Sponsored 4/30/2025
Costa
CA • D
Sponsored 4/30/2025
Swalwell
CA • D
Sponsored 4/30/2025
McBath
GA • D
Sponsored 4/30/2025
Thanedar
MI • D
Sponsored 4/30/2025
Gottheimer
NJ • D
Sponsored 4/30/2025
Johnson (TX)
TX • D
Sponsored 4/30/2025
Subramanyam
VA • D
Sponsored 4/30/2025
Latimer
NY • D
Sponsored 4/30/2025
Houlahan
PA • D
Sponsored 4/30/2025
Lieu
CA • D
Sponsored 4/30/2025
McClain Delaney
MD • D
Sponsored 4/30/2025
Garamendi
CA • D
Sponsored 4/30/2025
Cisneros
CA • D
Sponsored 4/30/2025
Morelle
NY • D
Sponsored 4/30/2025
Mannion
NY • D
Sponsored 4/30/2025
Balint
VT • D
Sponsored 4/30/2025
Stanton
AZ • D
Sponsored 4/30/2025
Cole
OK • R
Sponsored 5/5/2025
Kiley (CA)
CA • R
Sponsored 5/6/2025
Stansbury
NM • D
Sponsored 5/6/2025
Mills
FL • R
Sponsored 5/9/2025
De La Cruz
TX • R
Sponsored 5/9/2025
Webster (FL)
FL • R
Sponsored 5/15/2025
Crow
CO • D
Sponsored 5/19/2025
Ansari
AZ • D
Sponsored 5/19/2025
McCaul
TX • R
Sponsored 6/3/2025
Smucker
PA • R
Sponsored 6/3/2025
Pettersen
CO • D
Sponsored 6/3/2025
Moran
TX • R
Sponsored 6/4/2025
Joyce (PA)
PA • R
Sponsored 6/4/2025
Ellzey
TX • R
Sponsored 6/4/2025
Stevens
MI • D
Sponsored 6/5/2025
Bera
CA • D
Sponsored 6/5/2025
Jayapal
WA • D
Sponsored 6/5/2025
Amo
RI • D
Sponsored 6/5/2025
Keating
MA • D
Sponsored 6/5/2025
Kaptur
OH • D
Sponsored 6/5/2025
Jackson (TX)
TX • R
Sponsored 6/5/2025
Vindman
VA • D
Sponsored 6/9/2025
Bergman
MI • R
Sponsored 6/11/2025
McGuire
VA • R
Sponsored 6/11/2025
Kustoff
TN • R
Sponsored 6/12/2025
Gimenez
FL • R
Sponsored 6/23/2025
Fong
CA • R
Sponsored 6/23/2025
Sherrill
NJ • D
Sponsored 6/26/2025
Aderholt
AL • R
Sponsored 6/26/2025
Schmidt
KS • R
Sponsored 7/7/2025
Knott
NC • R
Sponsored 7/10/2025
Carter (GA)
GA • R
Sponsored 7/10/2025
Meuser
PA • R
Sponsored 7/10/2025
Davis (NC)
NC • D
Sponsored 7/14/2025
Krishnamoorthi
IL • D
Sponsored 7/14/2025
Foster
IL • D
Sponsored 7/14/2025
Chu
CA • D
Sponsored 7/14/2025
Crawford
AR • R
Sponsored 7/15/2025
Loudermilk
GA • R
Sponsored 7/16/2025
Walberg
MI • R
Sponsored 7/17/2025
Ogles
TN • R
Sponsored 7/17/2025
Rescom. Hernández, Pablo Jose [D-PR-At Large]
PR • D
Sponsored 7/22/2025
Pou
NJ • D
Sponsored 7/22/2025
Gillen
NY • D
Sponsored 7/22/2025
Fletcher
TX • D
Sponsored 7/22/2025
Ivey
MD • D
Sponsored 7/22/2025
Hoyle (OR)
OR • D
Sponsored 7/25/2025
Hurd (CO)
CO • R
Sponsored 7/25/2025
Larsen (WA)
WA • D
Sponsored 7/25/2025
Franklin, Scott
FL • R
Sponsored 7/25/2025
Magaziner
RI • D
Sponsored 7/25/2025
Vasquez
NM • D
Sponsored 7/29/2025
Houchin
IN • R
Sponsored 6/11/2025
Del. Radewagen, Aumua Amata Coleman [R-AS-At Large]
AS • R
Sponsored 7/29/2025
Amodei (NV)
NV • R
Sponsored 7/29/2025
Gonzalez, V.
TX • D
Sponsored 8/1/2025
LaMalfa
CA • R
Sponsored 8/1/2025
James
MI • R
Sponsored 8/1/2025
Van Orden
WI • R
Sponsored 8/12/2025
Gooden
TX • R
Sponsored 8/12/2025
Titus
NV • D
Sponsored 8/15/2025
Lee (PA)
PA • D
Sponsored 8/15/2025
Dexter
OR • D
Sponsored 8/26/2025
Meng
NY • D
Sponsored 8/26/2025
Fulcher
ID • R
Sponsored 8/26/2025
Donalds
FL • R
Sponsored 8/26/2025
Escobar
TX • D
Sponsored 9/2/2025
Elfreth
MD • D
Sponsored 9/2/2025
Harrigan
NC • R
Sponsored 9/2/2025
McDowell
NC • R
Sponsored 9/2/2025
Scott, David
GA • D
Sponsored 9/3/2025
Goldman (NY)
NY • D
Sponsored 9/8/2025
Courtney
CT • D
Sponsored 9/8/2025
Flood
NE • R
Sponsored 9/8/2025
Bynum
OR • D
Sponsored 9/8/2025
Wilson (FL)
FL • D
Sponsored 9/15/2025
Luna
FL • R
Sponsored 9/15/2025
Cuellar
TX • D
Sponsored 9/16/2025
Babin
TX • R
Sponsored 9/16/2025
Del. Moylan, James C. [R-GU-At Large]
GU • R
Sponsored 9/16/2025
Shreve
IN • R
Sponsored 9/16/2025
Levin
CA • D
Sponsored 9/16/2025
Moore (UT)
UT • R
Sponsored 9/16/2025
Turner (OH)
OH • R
Sponsored 9/16/2025
Kean
NJ • R
Sponsored 9/16/2025
Gray
CA • D
Sponsored 9/18/2025
Westerman
AR • R
Sponsored 9/18/2025
Simon
CA • D
Sponsored 9/18/2025
Whitesides
CA • D
Sponsored 9/18/2025
Lee (NV)
NV • D
Sponsored 9/23/2025
Neguse
CO • D
Sponsored 9/23/2025
Raskin
MD • D
Sponsored 9/30/2025
DeSaulnier
CA • D
Sponsored 9/30/2025
Walkinshaw
VA • D
Sponsored 9/30/2025
Rulli
OH • R
Sponsored 9/30/2025
Mackenzie
PA • R
Sponsored 10/6/2025
Vargas
CA • D
Sponsored 10/6/2025
McCollum
MN • D
Sponsored 10/6/2025
Khanna
CA • D
Sponsored 10/6/2025
Min
CA • D
Sponsored 10/8/2025
Newhouse
WA • R
Sponsored 10/8/2025
Gill (TX)
TX • R
Sponsored 10/8/2025
Kelly (MS)
MS • R
Sponsored 10/8/2025
Huffman
CA • D
Sponsored 10/14/2025
Diaz-Balart
FL • R
Sponsored 10/24/2025
Goodlander
NH • D
Sponsored 11/7/2025
Himes
CT • D
Sponsored 11/7/2025
Wied
WI • R
Sponsored 11/12/2025
Mast
FL • R
Sponsored 11/12/2025
Pappas
NH • D
Sponsored 11/17/2025
Hunt
TX • R
Sponsored 11/17/2025
Randall
WA • D
Sponsored 11/17/2025
Owens
UT • R
Sponsored 11/18/2025
Garcia (TX)
TX • D
Sponsored 12/9/2025
Castor (FL)
FL • D
Sponsored 12/9/2025
Green, Al (TX)
TX • D
Sponsored 12/9/2025
Joyce (OH)
OH • R
Sponsored 1/9/2026
Tran
CA • D
Sponsored 1/9/2026
Williams (TX)
TX • R
Sponsored 1/12/2026
Roll Call Votes
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