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HR6130119th CongressWALLET

ASAP Act

Sponsored By: Representative Buchanan

Introduced

Summary

Creates Medicare coverage for early Alzheimer's and related dementias screening tests. This bill would add a new Medicare benefit category for tests that detect pre-symptomatic and early-stage disease and require FDA clearance or approval.

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  • Medicare beneficiaries could access covered screening tests for pre-symptomatic and early-stage Alzheimer's beginning January 1, 2028.
  • Test developers must have FDA 510(k) clearance, fall under FDA classification 513(f)(2), or be approved under FDA section 515. Covered test types include genomic blood sequencing and other blood, tissue, urine or imaging-based assays.
  • Medicare payment rules would be expanded to include these screening tests and the Secretary would determine which specific tests meet the law's comparability standard and how coverage is implemented.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Medicare would cover early Alzheimer's tests

If enacted, Medicare would start covering certain early Alzheimer’s and dementia screening tests on January 1, 2028. To qualify, a test would need FDA clearance or approval and fit the bill’s test types. This includes blood-based genomic tests or similar lab or imaging tests using blood or other samples, as allowed by the Secretary. If you get a qualifying test, Medicare would pay, so you could owe less out of pocket. The bill does not set payment amounts or patient cost-sharing rules.

Sponsors & CoSponsors

Sponsor

Buchanan

FL • R

Cosponsors

  • Rep. Tonko, Paul [D-NY-20]

    NY • D

    Sponsored 11/19/2025

  • Kennedy (NY)

    NY • D

    Sponsored 11/20/2025

  • Rep. Kiggans, Jennifer A. [R-VA-2]

    VA • R

    Sponsored 12/1/2025

  • Rep. Torres, Ritchie [D-NY-15]

    NY • D

    Sponsored 12/1/2025

  • Bilirakis

    FL • R

    Sponsored 12/5/2025

  • Rep. Fitzpatrick, Brian K. [R-PA-1]

    PA • R

    Sponsored 12/5/2025

  • Kelly (PA)

    PA • R

    Sponsored 12/5/2025

  • Rep. Ezell, Mike [R-MS-4]

    MS • R

    Sponsored 12/5/2025

  • Rep. Vindman, Eugene Simon [D-VA-7]

    VA • D

    Sponsored 12/9/2025

  • Rep. Kim, Young [R-CA-40]

    CA • R

    Sponsored 12/9/2025

  • Rep. Malliotakis, Nicole [R-NY-11]

    NY • R

    Sponsored 12/15/2025

  • Rep. Latimer, George [D-NY-16]

    NY • D

    Sponsored 12/15/2025

  • Soto

    FL • D

    Sponsored 12/16/2025

  • Rep. Neguse, Joe [D-CO-2]

    CO • D

    Sponsored 12/16/2025

  • Rep. Hayes, Jahana [D-CT-5]

    CT • D

    Sponsored 12/16/2025

  • Thompson (CA)

    CA • D

    Sponsored 12/17/2025

  • Gonzalez, V.

    TX • D

    Sponsored 12/18/2025

  • Rep. Subramanyam, Suhas [D-VA-10]

    VA • D

    Sponsored 12/19/2025

  • Carson

    IN • D

    Sponsored 1/7/2026

  • Wittman

    VA • R

    Sponsored 1/12/2026

  • Cole

    OK • R

    Sponsored 1/12/2026

  • Rep. Balint, Becca [D-VT-At Large]

    VT • D

    Sponsored 1/20/2026

  • Rep. Gottheimer, Josh [D-NJ-5]

    NJ • D

    Sponsored 1/20/2026

  • Rep. Lawler, Michael [R-NY-17]

    NY • R

    Sponsored 1/30/2026

  • Salazar

    FL • R

    Sponsored 1/30/2026

  • Rep. Sorensen, Eric [D-IL-17]

    IL • D

    Sponsored 1/30/2026

  • Del. Norton, Eleanor Holmes [D-DC-At Large]

    DC • D

    Sponsored 1/30/2026

  • Rep. Morrison, Kelly [D-MN-3]

    MN • D

    Sponsored 1/30/2026

  • Rep. Dingell, Debbie [D-MI-6]

    MI • D

    Sponsored 1/30/2026

  • Rutherford

    FL • R

    Sponsored 1/30/2026

  • Rep. Smith, Christopher H. [R-NJ-4]

    NJ • R

    Sponsored 2/2/2026

  • Craig

    MN • D

    Sponsored 2/2/2026

  • Cisneros

    CA • D

    Sponsored 2/2/2026

  • Rep. Davids, Sharice [D-KS-3]

    KS • D

    Sponsored 2/10/2026

  • Rep. Huizenga, Bill [R-MI-4]

    MI • R

    Sponsored 2/10/2026

  • Rep. Lieu, Ted [D-CA-36]

    CA • D

    Sponsored 2/17/2026

  • Rep. Mackenzie, Ryan [R-PA-7]

    PA • R

    Sponsored 2/17/2026

  • Rep. Tlaib, Rashida [D-MI-12]

    MI • D

    Sponsored 2/23/2026

  • Rep. Pocan, Mark [D-WI-2]

    WI • D

    Sponsored 3/3/2026

  • Langworthy

    NY • R

    Sponsored 3/3/2026

  • LaLota

    NY • R

    Sponsored 3/3/2026

  • Rep. Ryan, Patrick [D-NY-18]

    NY • D

    Sponsored 3/3/2026

  • McDowell

    NC • R

    Sponsored 3/16/2026

  • Norcross

    NJ • D

    Sponsored 3/16/2026

  • McBride

    DE • D

    Sponsored 3/16/2026

  • Rep. Miller, Carol D. [R-WV-1]

    WV • R

    Sponsored 3/16/2026

  • Ciscomani

    AZ • R

    Sponsored 3/24/2026

  • Crow

    CO • D

    Sponsored 3/24/2026

  • Mullin

    CA • D

    Sponsored 3/24/2026

  • Pfluger

    TX • R

    Sponsored 3/24/2026

  • Rep. Larsen, Rick [D-WA-2]

    WA • D

    Sponsored 3/24/2026

  • Rep. Walkinshaw, James R. [D-VA-11]

    VA • D

    Sponsored 3/24/2026

  • Rep. Omar, Ilhan [D-MN-5]

    MN • D

    Sponsored 3/24/2026

  • Rep. Krishnamoorthi, Raja [D-IL-8]

    IL • D

    Sponsored 3/26/2026

  • Rep. McDonald Rivet, Kristen [D-MI-8]

    MI • D

    Sponsored 4/9/2026

  • Budzinski

    IL • D

    Sponsored 4/9/2026

  • Auchincloss

    MA • D

    Sponsored 4/9/2026

  • Jackson (IL)

    IL • D

    Sponsored 4/9/2026

  • Pingree

    ME • D

    Sponsored 4/9/2026

  • Rep. Vasquez, Gabe [D-NM-2]

    NM • D

    Sponsored 4/9/2026

  • Rep. Johnson, Julie [D-TX-32]

    TX • D

    Sponsored 4/9/2026

  • McCollum

    MN • D

    Sponsored 4/9/2026

  • Khanna

    CA • D

    Sponsored 4/14/2026

  • Adams

    NC • D

    Sponsored 4/14/2026

  • Rep. Garamendi, John [D-CA-8]

    CA • D

    Sponsored 4/14/2026

  • Rep. McClain Delaney, April [D-MD-6]

    MD • D

    Sponsored 4/14/2026

  • Rep. Meng, Grace [D-NY-6]

    NY • D

    Sponsored 4/20/2026

  • Johnson (GA)

    GA • D

    Sponsored 4/20/2026

  • Rep. Van Orden, Derrick [R-WI-3]

    WI • R

    Sponsored 4/20/2026

  • Rep. Huffman, Jared [D-CA-2]

    CA • D

    Sponsored 4/20/2026

  • Rep. Frankel, Lois [D-FL-22]

    FL • D

    Sponsored 4/20/2026

  • Rep. Owens, Burgess [R-UT-4]

    UT • R

    Sponsored 4/20/2026

  • Trahan

    MA • D

    Sponsored 4/27/2026

  • Rep. Pettersen, Brittany [D-CO-7]

    CO • D

    Sponsored 4/27/2026

  • Rep. Figures, Shomari [D-AL-2]

    AL • D

    Sponsored 4/27/2026

  • Barragan

    CA • D

    Sponsored 4/27/2026

  • Fitzgerald

    WI • R

    Sponsored 4/27/2026

  • LaHood

    IL • R

    Sponsored 4/27/2026

  • Rep. Moulton, Seth [D-MA-6]

    MA • D

    Sponsored 4/27/2026

  • Rep. Sykes, Emilia Strong [D-OH-13]

    OH • D

    Sponsored 4/27/2026

  • Kiley (CA)

    CA • I

    Sponsored 4/29/2026

  • Rep. Jayapal, Pramila [D-WA-7]

    WA • D

    Sponsored 4/29/2026

  • Rep. Mann, Tracey [R-KS-1]

    KS • R

    Sponsored 5/4/2026

  • Rep. Wilson, Joe [R-SC-2]

    SC • R

    Sponsored 5/4/2026

  • Rep. Morelle, Joseph D. [D-NY-25]

    NY • D

    Sponsored 5/4/2026

  • Rep. Smucker, Lloyd [R-PA-11]

    PA • R

    Sponsored 5/11/2026

  • Rep. Landsman, Greg [D-OH-1]

    OH • D

    Sponsored 5/11/2026

  • Rep. Lynch, Stephen F. [D-MA-8]

    MA • D

    Sponsored 5/11/2026

  • Rep. Tenney, Claudia [R-NY-24]

    NY • R

    Sponsored 5/11/2026

  • Rep. Case, Ed [D-HI-1]

    HI • D

    Sponsored 5/11/2026

  • Rep. Goodlander, Maggie [D-NH-2]

    NH • D

    Sponsored 5/13/2026

  • Rep. Grothman, Glenn [R-WI-6]

    WI • R

    Sponsored 5/13/2026

Roll Call Votes

No roll call votes available for this bill.

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