# 119-s-339: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act

119-s-339, Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act, is a 119th Congress bill sponsored by Sen. Crapo, Mike [R-ID] (R-ID); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-s-339
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-339
- Congress: 119
- Title: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- Status: introduced
- Introduced: 2025-01-30
- Sponsor: Sen. Crapo, Mike [R-ID] (R-ID)
- Cosponsors: 68
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Medicare coverage for multi-cancer early detection screening tests.** This bill would let the Secretary of Health and Human Services set who is eligible, define which tests qualify, and set payment amounts and standards while limiting tests by age and frequency. - Older Medicare beneficiaries: People would be eligible starting at age 68 in 2028, with the age limit rising by one year each year. Each person could get one test every 11 months. - Patients and clinicians: Covered tests must be FDA-cleared, classified, or approved and must be genomic blood tests that analyze cell-free nucleic acids or provide comparable results. The Secretary must determine a test is reasonable and necessary before Medicare pays. - Medicare program and providers: Coverage decisions would use the national coverage determination process and follow a defined, phased payment schedule. The bill also includes an exception tied to U.S. Preventive Services Task Force recommendations when they endorse broader preventive screening.

## Cosponsors (68)

- Sen. Hassan, Margaret Wood [D-NH] (D-NH), 2025-06-24T00:00:00.000Z
- Sen. Bennet, Michael F. [D-CO] (D-CO), 2025-01-30T00:00:00.000Z
- Sen. Scott, Tim [R-SC] (R-SC), 2025-01-30T00:00:00.000Z
- Sen. Wyden, Ron [D-OR] (D-OR), 2025-01-30T00:00:00.000Z
- Sen. Lankford, James [R-OK] (R-OK), 2025-02-04T00:00:00.000Z
- Sen. Rounds, Mike [R-SD] (R-SD), 2025-02-04T00:00:00.000Z
- Sen. Tillis, Thomas [R-NC] (R-NC), 2025-02-05T00:00:00.000Z
- Sen. Budd, Ted [R-NC] (R-NC), 2025-02-05T00:00:00.000Z
- Sen. Klobuchar, Amy [D-MN] (D-MN), 2025-02-10T00:00:00.000Z
- Sen. Marshall, Roger [R-KS] (R-KS), 2025-02-11T00:00:00.000Z
- Sen. Ossoff, Jon [D-GA] (D-GA), 2025-02-18T00:00:00.000Z
- Sen. Risch, James E. [R-ID] (R-ID), 2025-02-20T00:00:00.000Z
- Sen. Merkley, Jeff [D-OR] (D-OR), 2025-02-24T00:00:00.000Z
- Sen. Barrasso, John [R-WY] (R-WY), 2025-02-25T00:00:00.000Z
- Sen. Kelly, Mark [D-AZ] (D-AZ), 2025-03-04T00:00:00.000Z
- Sen. Capito, Shelley Moore [R-WV] (R-WV), 2025-03-04T00:00:00.000Z
- Sen. Rosen, Jacky [D-NV] (D-NV), 2025-03-06T00:00:00.000Z
- Sen. Coons, Christopher A. [D-DE] (D-DE), 2025-03-10T00:00:00.000Z
- Sen. Fetterman, John [D-PA] (D-PA), 2025-03-10T00:00:00.000Z
- Sen. Blumenthal, Richard [D-CT] (D-CT), 2025-03-11T00:00:00.000Z
- Sen. Reed, Jack [D-RI] (D-RI), 2025-03-11T00:00:00.000Z
- Sen. Hickenlooper, John W. [D-CO] (D-CO), 2025-03-11T00:00:00.000Z
- Sen. Shaheen, Jeanne [D-NH] (D-NH), 2025-03-12T00:00:00.000Z
- Sen. Whitehouse, Sheldon [D-RI] (D-RI), 2025-03-12T00:00:00.000Z
- Sen. Grassley, Chuck [R-IA] (R-IA), 2025-03-13T00:00:00.000Z
- Sen. Cantwell, Maria [D-WA] (D-WA), 2025-03-13T00:00:00.000Z
- Sen. Cramer, Kevin [R-ND] (R-ND), 2025-03-13T00:00:00.000Z
- Sen. Boozman, John [R-AR] (R-AR), 2025-03-14T00:00:00.000Z
- Sen. Gallego, Ruben [D-AZ] (D-AZ), 2025-03-14T00:00:00.000Z
- Sen. Graham, Lindsey [R-SC] (R-SC), 2025-03-24T00:00:00.000Z
- Sen. Cassidy, Bill [R-LA] (R-LA), 2025-03-24T00:00:00.000Z
- Rep. Mullin, Markwayne [R-OK-2] (R-OK), 2025-03-24T00:00:00.000Z
- Sen. Collins, Susan M. [R-ME] (R-ME), 2025-03-25T00:00:00.000Z
- Sen. Gillibrand, Kirsten E. [D-NY] (D-NY), 2025-03-26T00:00:00.000Z
- Sen. Scott, Rick [R-FL] (R-FL), 2025-03-26T00:00:00.000Z
- Sen. Cortez Masto, Catherine [D-NV] (D-NV), 2025-03-26T00:00:00.000Z
- Sen. Slotkin, Elissa [D-MI] (D-MI), 2025-03-26T00:00:00.000Z
- Sen. Daines, Steve [R-MT] (R-MT), 2025-03-31T00:00:00.000Z
- Sen. Cornyn, John [R-TX] (R-TX), 2025-04-02T00:00:00.000Z
- Sen. Justice, James C. [R-WV] (R-WV), 2025-04-03T00:00:00.000Z
- Sen. Moreno, Bernie [R-OH] (R-OH), 2025-04-04T00:00:00.000Z
- Sen. Heinrich, Martin [D-NM] (D-NM), 2025-04-07T00:00:00.000Z
- Sen. McConnell, Mitch [R-KY] (R-KY), 2025-04-09T00:00:00.000Z
- Sen. Warner, Mark R. [D-VA] (D-VA), 2025-04-10T00:00:00.000Z
- Sen. Baldwin, Tammy [D-WI] (D-WI), 2025-04-10T00:00:00.000Z
- Sen. Booker, Cory A. [D-NJ] (D-NJ), 2025-04-28T00:00:00.000Z
- Sen. Murray, Patty [D-WA] (D-WA), 2025-04-28T00:00:00.000Z
- Sen. Hyde-Smith, Cindy [R-MS] (R-MS), 2025-05-05T00:00:00.000Z
- Sen. King, Angus S., Jr. [I-ME] (I-ME), 2025-05-20T00:00:00.000Z
- Sen. Welch, Peter [D-VT] (D-VT), 2025-06-03T00:00:00.000Z
- Sen. Padilla, Alex [D-CA] (D-CA), 2025-06-03T00:00:00.000Z
- Sen. Banks, Jim [R-IN] (R-IN), 2025-06-11T00:00:00.000Z
- Sen. Husted, Jon [R-OH] (R-OH), 2025-07-09T00:00:00.000Z
- Sen. Alsobrooks, Angela D. [D-MD] (D-MD), 2025-07-09T00:00:00.000Z
- Sen. Young, Todd [R-IN] (R-IN), 2025-07-14T00:00:00.000Z
- Sen. Kennedy, John [R-LA] (R-LA), 2025-07-29T00:00:00.000Z
- Sen. Smith, Tina [D-MN] (D-MN), 2025-07-31T00:00:00.000Z
- Sen. Peters, Gary C. [D-MI] (D-MI), 2025-09-02T00:00:00.000Z
- Sen. Blunt Rochester, Lisa [D-DE] (D-DE), 2025-09-02T00:00:00.000Z
- Sen. Schiff, Adam B. [D-CA] (D-CA), 2025-09-04T00:00:00.000Z
- Sen. Kim, Andy [D-NJ] (D-NJ), 2025-09-08T00:00:00.000Z
- Sen. Murkowski, Lisa [R-AK] (R-AK), 2025-10-08T00:00:00.000Z
- Sen. Van Hollen, Chris [D-MD] (D-MD), 2025-10-14T00:00:00.000Z
- Sen. Britt, Katie Boyd [R-AL] (R-AL), 2025-10-15T00:00:00.000Z
- Sen. Wicker, Roger F. [R-MS] (R-MS), 2025-10-21T00:00:00.000Z
- Sen. Sullivan, Dan [R-AK] (R-AK), 2025-10-23T00:00:00.000Z
- Sen. Hirono, Mazie K. [D-HI] (D-HI), 2025-12-15T00:00:00.000Z
- Sen. McCormick, David [R-PA] (R-PA), 2026-03-02T00:00:00.000Z

## Provisions PRIA read

- Medicare age and frequency limits: mixed, medium. This bill would limit Medicare payment for a multi-cancer screening test if, on January 1 of the year, the person has reached the specified age (68 in 2028, and the age goes up by one year each later year). It would also bar payment if the person had a qualifying test in the prior 11 months. If the…
- Medicare payment rules for tests: mixed, medium. This bill would set how Medicare pays for multi-cancer screening tests. Tests given before January 1, 2031 would be paid at the same dollar amount that applied on the date of enactment for a specific multi-target stool DNA test. For tests on or after January 1, 2031, payment would be the lower of t…
- New Medicare multi-cancer coverage: mixed, medium. This bill would create a new Medicare coverage category for multi-cancer early detection screening tests starting January 1, 2028. Tests would have to meet certain FDA clearance or approval rules and be genomic blood-based tests (or comparable samples) and be judged reasonable and necessary by the…

## Related bills

- 119-sres-585: A resolution honoring the life, achievements, and legacy of Ben Nighthorse Campbell.
- 119-sres-255: A resolution honoring the life, achievements, and legacy of former United States Senator Christopher "Kit" Bond of Missouri.
- 119-sres-159: A resolution honoring the life of the Honorable John Bennett Johnston, Jr., former Senator for the State of Louisiana.
- 119-sres-148: A resolution honoring the life of the Honorable Alan K. Simpson, former Senator for the State of Wyoming.
- 119-sres-755: A resolution honoring the life of the Honorable Donald W. Riegle, Jr., former Senator for the State of Michigan.
- 119-sres-739: A resolution honoring the life and legacy of John Seymour, the late Senator for the State of California.

## Sources
- [119-s-339 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/339)

## Related
- [119-sres-585: A resolution honoring the life, achievements, and legacy of Ben Nighthorse Camp…](https://policyrisk.com/legislation/119-sres-585)
- [119-sres-255: A resolution honoring the life, achievements, and legacy of former United State…](https://policyrisk.com/legislation/119-sres-255)
- [119-sres-159: A resolution honoring the life of the Honorable John Bennett Johnston, Jr., for…](https://policyrisk.com/legislation/119-sres-159)
- [119-sres-148: A resolution honoring the life of the Honorable Alan K. Simpson, former Senator…](https://policyrisk.com/legislation/119-sres-148)
- [119-sres-755: A resolution honoring the life of the Honorable Donald W. Riegle, Jr., former S…](https://policyrisk.com/legislation/119-sres-755)
- [119-sres-739: A resolution honoring the life and legacy of John Seymour, the late Senator for…](https://policyrisk.com/legislation/119-sres-739)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-339 (as of 2026-04-21).