S3267119th CongressWALLET

ASAP Act

Sponsored By: Senator Collins, Susan M. [R-ME]

Introduced

Summary

This bill would create Medicare coverage and payment for early detection screening tests for Alzheimer’s disease and related dementias. Tests must meet FDA clearance or approval standards and would be covered for tests furnished on or after January 1, 2028.

Show full summary
  • Families and older adults: Medicare beneficiaries could access tests aimed at detecting pre-symptomatic or early-stage Alzheimer’s, which may support earlier diagnosis and planning.
  • Clinicians and providers: Providers could bill Medicare for covered early detection screening tests under the program’s payment rules, helping integrate testing into clinical care.
  • Test developers and labs: Covered tests must meet FDA thresholds (cleared under 510(k), classified under 513(f)(2), or approved under 515) and can include genomic blood sequencing or other equivalent blood, tissue, urine, or imaging-based assays; the Secretary may identify which non-genomic tests qualify.
  • Medicare program: Establishes a new statutory coverage category defining eligible early detection screening tests and ensures reimbursement under Medicare payment determinations for tests furnished on or after January 1, 2028.

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Bill Overview

Analyzed Economic Effects

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

Medicare coverage for early Alzheimer's tests

If enacted, Medicare recipients would be able to get Medicare coverage for certain early-detection Alzheimer's and related-dementia screening tests received on or after January 1, 2028. Qualifying tests would need FDA clearance under section 510(k), classification under section 513(f)(2), or approval under section 515 of the Federal Food, Drug, and Cosmetic Act. Tests would include a genomic sequencing blood or blood product test, or other equivalent tests (for example, single-analyte tests; cell-free nucleic acid blood analysis; multiplex panels; whole genome, whole exome, or whole transcriptome sequencing; protein expression; and related imaging based on biospecimens) when the Secretary finds them comparable. Tests that meet these conditions and are furnished on or after January 1, 2028 would be included in Medicare payment determinations and paid under Medicare.

Sponsors & CoSponsors

Sponsor

Collins, Susan M. [R-ME]

ME • R

Cosponsors

  • Sen. Cortez Masto, Catherine [D-NV]

    NV • D

    Sponsored 11/20/2025

  • Sen. Capito, Shelley Moore [R-WV]

    WV • R

    Sponsored 11/20/2025

  • Sen. Warner, Mark R. [D-VA]

    VA • D

    Sponsored 11/20/2025

  • Sen. Banks, Jim [R-IN]

    IN • R

    Sponsored 12/10/2025

  • Sen. Lankford, James [R-OK]

    OK • R

    Sponsored 12/16/2025

  • Sen. Kennedy, John [R-LA]

    LA • R

    Sponsored 1/12/2026

  • Sen. Duckworth, Tammy [D-IL]

    IL • D

    Sponsored 1/12/2026

  • Sen. Booker, Cory A. [D-NJ]

    NJ • D

    Sponsored 1/27/2026

  • Sen. Moran, Jerry [R-KS]

    KS • R

    Sponsored 1/28/2026

  • Sen. Tillis, Thomas [R-NC]

    NC • R

    Sponsored 2/11/2026

  • Sen. Daines, Steve [R-MT]

    MT • R

    Sponsored 2/11/2026

  • Sen. Fischer, Deb [R-NE]

    NE • R

    Sponsored 2/12/2026

  • Sen. Murkowski, Lisa [R-AK]

    AK • R

    Sponsored 2/24/2026

  • Sen. Scott, Rick [R-FL]

    FL • R

    Sponsored 2/24/2026

  • Sen. Cramer, Kevin [R-ND]

    ND • R

    Sponsored 2/26/2026

  • Sen. Hyde-Smith, Cindy [R-MS]

    MS • R

    Sponsored 3/4/2026

  • Sen. Rounds, Mike [R-SD]

    SD • R

    Sponsored 3/4/2026

  • Sen. Britt, Katie Boyd [R-AL]

    AL • R

    Sponsored 3/10/2026

  • Sen. Klobuchar, Amy [D-MN]

    MN • D

    Sponsored 4/21/2026

  • Sen. Coons, Christopher A. [D-DE]

    DE • D

    Sponsored 5/11/2026

  • Sen. Gillibrand, Kirsten E. [D-NY]

    NY • D

    Sponsored 5/11/2026

  • Sen. Armstrong, Alan [R-OK]

    OK • R

    Sponsored 5/12/2026

  • Sen. Wicker, Roger F. [R-MS]

    MS • R

    Sponsored 5/14/2026

  • Sen. Kelly, Mark [D-AZ]

    AZ • D

    Sponsored 5/14/2026

  • Sen. Hoeven, John [R-ND]

    ND • R

    Sponsored 5/21/2026

  • Sen. Hirono, Mazie K. [D-HI]

    HI • D

    Sponsored 6/1/2026

  • Sen. Smith, Tina [D-MN]

    MN • D

    Sponsored 6/2/2026

  • Sen. Van Hollen, Chris [D-MD]

    MD • D

    Sponsored 6/2/2026

  • Sen. Cantwell, Maria [D-WA]

    WA • D

    Sponsored 6/2/2026

  • Sen. Shaheen, Jeanne [D-NH]

    NH • D

    Sponsored 6/2/2026

  • Sen. Reed, Jack [D-RI]

    RI • D

    Sponsored 6/3/2026

  • Sen. Kim, Andy [D-NJ]

    NJ • D

    Sponsored 6/3/2026

  • Sen. Slotkin, Elissa [D-MI]

    MI • D

    Sponsored 6/3/2026

  • Sen. Blunt Rochester, Lisa [D-DE]

    DE • D

    Sponsored 6/8/2026

  • Sen. Gallego, Ruben [D-AZ]

    AZ • D

    Sponsored 6/8/2026

  • Sen. Risch, James E. [R-ID]

    ID • R

    Sponsored 6/9/2026

  • Sen. Welch, Peter [D-VT]

    VT • D

    Sponsored 6/11/2026

  • Sen. Padilla, Alex [D-CA]

    CA • D

    Sponsored 6/15/2026

  • Sen. Heinrich, Martin [D-NM]

    NM • D

    Sponsored 6/17/2026

  • Sen. McCormick, David [R-PA]

    PA • R

    Sponsored 6/23/2026

  • Sen. Peters, Gary C. [D-MI]

    MI • D

    Sponsored 7/16/2026

  • Sen. Bennet, Michael F. [D-CO]

    CO • D

    Sponsored 7/22/2026

  • Sen. Hassan, Margaret Wood [D-NH]

    NH • D

    Sponsored 7/23/2026

  • Sen. Boozman, John [R-AR]

    AR • R

    Sponsored 7/28/2026

  • Sen. Justice, James C. [R-WV]

    WV • R

    Sponsored 7/28/2026

  • Sen. Tuberville, Tommy [R-AL]

    AL • R

    Sponsored 7/29/2026

  • Sen. Whitehouse, Sheldon [D-RI]

    RI • D

    Sponsored 8/7/2026

  • Sen. Luján, Ben Ray [D-NM]

    NM • D

    Sponsored 8/7/2026

  • Sen. Blumenthal, Richard [D-CT]

    CT • D

    Sponsored 9/14/2026

  • Sen. Hickenlooper, John W. [D-CO]

    CO • D

    Sponsored 9/23/2026

  • Sen. Cornyn, John [R-TX]

    TX • R

    Sponsored 9/23/2026

  • Sen. Rosen, Jacky [D-NV]

    NV • D

    Sponsored 9/24/2026

  • Sen. Fetterman, John [D-PA]

    PA • D

    Sponsored 9/24/2026

  • Sen. Young, Todd [R-IN]

    IN • R

    Sponsored 9/24/2026

  • Sen. Cassidy, Bill [R-LA]

    LA • R

    Sponsored 9/28/2026

  • Sen. Baldwin, Tammy [D-WI]

    WI • D

    Sponsored 9/29/2026

  • Sen. Schiff, Adam B. [D-CA]

    CA • D

    Sponsored 9/30/2026

Roll Call Votes

No roll call votes available for this bill.

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