Federal RuleAug 21
62
DOL Rewrites Disability Rules for 'Merit-Based Opportunity' Push
RuleLabor DepartmentFederal Contract Compliance Programs OfficeSignificant Wallet
119-hr-8260119th CongressWALLET
Cardiovascular Disease Early Detection and Prevention Act of 2026
Sponsored By: Representative Cherfilus-McCormick, Sheila [D-FL-20]
Introduced
Summary
No-cost coverage for Lp(a) and apolipoprotein B (ApoB) testing for people at elevated cardiovascular risk. This bill would require private group and individual health plans, Medicare, and Medicaid to cover these tests for people with a family history of premature cardiovascular disease, a prior heart attack or stroke, high LDL cholesterol, diabetes, obesity, or other recognized cardiovascular risk factors.
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- Families and people with private insurance would get preventive Lp(a)/ApoB tests covered without cost sharing when they meet the listed risk criteria. This applies through the preventive services rules for plan years starting 180 days after enactment.
- Medicare beneficiaries with the specified high-risk profile would see Lp(a)/ApoB testing covered and exempted from cost sharing under the Medicare benefit rules, including relevant Parts A and B provisions.
- Medicaid enrollees who meet the risk criteria would have the tests covered without cost sharing and states offering benchmark or benchmark-equivalent plans would be required to include this testing. The Medicare and Medicaid changes would apply to items and services furnished on or after the same 180-day date after enactment.
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 3 benefits, 0 costs, 0 mixed.
Free heart-risk tests for insured
If enacted, group and individual health plans would have to cover tests for lipoprotein(a) and apolipoprotein B as preventive services without cost sharing. This would apply only to people with listed heart‑risk factors and to plan years beginning 180 days after enactment. You must be enrolled in an applicable plan and meet the risk rules to get the test covered.
Free heart-risk tests for Medicaid
If enacted, State Medicaid programs would have to cover lipoprotein(a) and apolipoprotein B tests for enrollees with certain heart‑risk factors. Medicaid would not charge cost sharing for those tests. States could not offer benchmark or benchmark‑equivalent plans that omit this coverage for the specified enrollees. Coverage would apply to medical assistance furnished 180 days after enactment.
Free heart-risk tests for Medicare
If enacted, Medicare would cover lipoprotein(a) and apolipoprotein B tests for beneficiaries with certain heart‑risk factors. Medicare would not charge cost sharing for those tests when given to eligible beneficiaries. Coverage would apply to items and services furnished 180 days after enactment.
Sponsors & CoSponsors
Sponsor
Cherfilus-McCormick, Sheila [D-FL-20]
FL • D
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov