Medicare Labs Fight for 2026 Test Payment Justice
Published Date: 4/21/2025
Notice
Summary
Medicare is holding a public meeting on June 27, 2025, to talk about new and updated lab test codes that affect how much Medicare will pay labs in 2026. Labs, doctors, and patients should pay attention because these changes could impact testing costs and payments. It’s a chance to share ideas and ask for changes before final decisions are made.
Analyzed Economic Effects
2 provisions identified: 1 benefits, 0 costs, 1 mixed.
Public Meeting on 2026 Lab Payments
Medicare will hold a public meeting on June 27, 2025, to get comments on how to set payment amounts for new or substantially revised lab test codes under the Clinical Laboratory Fee Schedule for calendar year 2026. Labs, doctors, and patients may be affected because the meeting concerns how much Medicare will pay for those tests, which could change testing payments and costs.
Forum for Reconsideration Requests
The June 27, 2025 meeting also provides a forum for those who submitted reconsideration requests about final determinations made last year on new test codes, and for the public to comment on those requests. If you or your lab submitted a reconsideration request, this meeting is an opportunity to present data and recommendations before Medicare makes final payment decisions for 2026.
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