# 119-hr-6280: Access to Genetic Counselor Services Act of 2025

119-hr-6280, Access to Genetic Counselor Services Act of 2025, is a 119th Congress bill sponsored by Rep. Smith, Adrian [R-NE-3] (R-NE); status introduced; PRIA reads it as touching household money (as of 2026-10-21).

- Canonical: https://policyrisk.com/legislation/119-hr-6280
- As of: 2026-10-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-6280
- Congress: 119
- Title: Access to Genetic Counselor Services Act of 2025
- Status: introduced
- Introduced: 2025-11-21
- Sponsor: Rep. Smith, Adrian [R-NE-3] (R-NE)
- Cosponsors: 39
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-21

## Summary

**Expands Medicare Part B to cover genetic counseling services provided by qualified genetic counselors.** This change would create a new covered service category, define who counts as a genetic counselor, set a specific payment formula, and apply to services furnished on or after January 1, 2027. - Medicare beneficiaries: Would gain direct coverage of genetic counseling when provided by state-licensed genetic counselors or American Board of Genetic Counseling (ABGC) certified counselors who meet Secretary-established criteria, including supplies incident to counseling, starting January 1, 2027. - Genetic counselors and providers: Would be eligible to bill Medicare directly and receive payment equal to 80% of the lesser of the actual charge or 85% of the physician-fee-schedule amount that would apply if a physician had furnished the service. - Program rules and flexibility: Expands balance-billing protections to include genetic counselors, preserves physicians' ability to bill for genetic counseling services, and authorizes the Department of Health and Human Services Secretary to implement the policy by an interim final rule with comment.

## Cosponsors (39)

- Rep. Mullin, Kevin [D-CA-15] (D-CA), 2026-09-28T00:00:00.000Z
- Rep. Riley, Josh [D-NY-19] (D-NY), 2026-10-01T00:00:00.000Z
- Rep. Wilson, Joe [R-SC-2] (R-SC), 2026-10-05T00:00:00.000Z
- Rep. Goodlander, Maggie [D-NH-2] (D-NH), 2026-10-19T00:00:00.000Z
- Rep. Bonamici, Suzanne [D-OR-1] (D-OR), 2026-10-19T00:00:00.000Z
- Rep. Castor, Kathy [D-FL-14] (D-FL), 2025-11-21T00:00:00.000Z
- Rep. Neguse, Joe [D-CO-2] (D-CO), 2025-12-23T00:00:00.000Z
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA), 2026-01-09T00:00:00.000Z
- Rep. Davis, Donald G. [D-NC-1] (D-NC), 2026-01-13T00:00:00.000Z
- Rep. Crow, Jason [D-CO-6] (D-CO), 2026-02-24T00:00:00.000Z
- Rep. Raskin, Jamie [D-MD-8] (D-MD), 2026-03-04T00:00:00.000Z
- Rep. Gottheimer, Josh [D-NJ-5] (D-NJ), 2026-03-04T00:00:00.000Z
- Rep. Bilirakis, Gus M. [R-FL-12] (R-FL), 2026-03-04T00:00:00.000Z
- Rep. DelBene, Suzan K. [D-WA-1] (D-WA), 2026-03-04T00:00:00.000Z
- Rep. Lawler, Michael [R-NY-17] (R-NY), 2026-03-04T00:00:00.000Z
- Rep. Swalwell, Eric [D-CA-14] (D-CA), 2026-03-04T00:00:00.000Z
- Rep. Dean, Madeleine [D-PA-4] (D-PA), 2026-03-04T00:00:00.000Z
- Rep. Tonko, Paul [D-NY-20] (D-NY), 2026-03-25T00:00:00.000Z
- Rescom. Hernández, Pablo Jose [D-PR-At Large] (D-PR), 2026-04-09T00:00:00.000Z
- Rep. Peters, Scott H. [D-CA-50] (D-CA), 2026-04-09T00:00:00.000Z
- Rep. Craig, Angie [D-MN-2] (D-MN), 2026-04-28T00:00:00.000Z
- Rep. Pingree, Chellie [D-ME-1] (D-ME), 2026-05-12T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2026-05-12T00:00:00.000Z
- Rep. Cohen, Steve [D-TN-9] (D-TN), 2026-05-12T00:00:00.000Z
- Rep. LaHood, Darin [R-IL-16] (R-IL), 2026-05-14T00:00:00.000Z
- Rep. Scanlon, Mary Gay [D-PA-5] (D-PA), 2026-05-19T00:00:00.000Z
- Rep. Fitzpatrick, Brian K. [R-PA-1] (R-PA), 2026-05-21T00:00:00.000Z
- Rep. Lynch, Stephen F. [D-MA-8] (D-MA), 2026-06-02T00:00:00.000Z
- Rep. Houlahan, Chrissy [D-PA-6] (D-PA), 2026-06-10T00:00:00.000Z
- Rep. Kelly, Mike [R-PA-16] (R-PA), 2026-08-27T00:00:00.000Z
- Rep. Quigley, Mike [D-IL-5] (D-IL), 2026-08-27T00:00:00.000Z
- Rep. Wasserman Schultz, Debbie [D-FL-25] (D-FL), 2026-08-27T00:00:00.000Z
- Rep. Wilson, Frederica S. [D-FL-24] (D-FL), 2026-08-31T00:00:00.000Z
- Rep. Bacon, Don [R-NE-2] (R-NE), 2026-08-31T00:00:00.000Z
- Rep. Rutherford, John H. [R-FL-5] (R-FL), 2026-09-01T00:00:00.000Z
- Rep. Walkinshaw, James R. [D-VA-11] (D-VA), 2026-09-02T00:00:00.000Z
- Rep. Bynum, Janelle S. [D-OR-5] (D-OR), 2026-09-14T00:00:00.000Z
- Rep. Dunn, Neal P. [R-FL-2] (R-FL), 2026-09-14T00:00:00.000Z
- Rep. Goldman, Daniel S. [D-NY-10] (D-NY), 2026-09-15T00:00:00.000Z

## Provisions PRIA read

- Medicare coverage for genetic counseling visits: benefit, medium. If enacted, Medicare would cover genetic counseling visits starting January 1, 2027. Coverage would apply when the visit is with a state-licensed genetic counselor, or with an American Board of Genetic Counseling–certified counselor in states without licensure, plus any extra criteria the Health an…
- Medicare pay rates for genetic counseling: mixed, medium. Starting January 1, 2027, Medicare would pay for genetic counseling using a set formula. Medicare would pay 80% of the lesser of: the provider’s actual charge, or 85% of the amount that would apply if a physician provided the same service. This formula would set the allowed payment per visit.

## Related bills

- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025
- 119-hres-1641: Honoring the contributions of Indian Americans and supporting the designation of July as "Indian American Heritage Month".
- 119-hr-3277: Ensuring Lasting Smiles Act

## Sources
- [119-hr-6280 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/6280)

## Related
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [119-hres-1641: Honoring the contributions of Indian Americans and supporting the designation o…](https://policyrisk.com/legislation/119-hres-1641)
- [119-hr-3277: Ensuring Lasting Smiles Act](https://policyrisk.com/legislation/119-hr-3277)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-6280 (as of 2026-10-21).