Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
Sponsored By: Representative Arrington
In Committee
Summary
Would expand Medicare to cover multi-cancer early detection screening tests. It defines eligible tests as certain FDA-cleared or approved genomic blood tests or comparable biological-sample tests and directs the Secretary to use the national coverage determinations process to decide when they are covered.
Bill Overview
Analyzed Economic Effects
4 provisions identified: 2 benefits, 1 costs, 1 mixed.
Medicare could cover multi-cancer screening
If enacted, Medicare would cover certain multi-cancer early detection tests starting January 1, 2028. The tests would need FDA clearance or approval. They must be genomic blood tests or similar tests the Secretary finds comparable. The Secretary would use a national coverage decision to judge if a test is reasonable and necessary for people on Medicare. If covered, many beneficiaries could pay less out of pocket for these tests.
Medicare could deny some multi-cancer tests
If enacted, Medicare would not pay for multi-cancer tests that the Secretary finds are not reasonable and necessary to detect multiple cancers at once. If Medicare denies coverage, you could owe the full cost of the test.
Medicare pay and age caps for multi-cancer tests
If enacted, the bill would set how Medicare pays for these tests. For tests before January 1, 2031, payment would equal the amount in effect on the date this bill becomes law for a multi-target stool DNA screening test. For tests on or after January 1, 2031, Medicare would pay the lower of that amount or the rate set under section 1834A. Medicare would not pay in a year if, on January 1, you meet the age cutoff (68 in 2028, rising by 1 each year) or if you had the test in the last 11 months. If the U.S. Preventive Services Task Force gives a test an A or B grade and preventive coverage begins, these limits would not apply for that test. The bill would also update Medicare billing references so these new payment rules apply.
Other cancer screenings stay covered
If enacted, this would not change Medicare Part B coverage for other cancer screenings. Breast, cervical, colorectal, lung, and prostate screening would stay covered as before. It would also not reclassify multi-cancer tests as diagnostic when you get other screenings.
Sponsors & CoSponsors
Sponsor
Arrington
TX • R
Cosponsors
Miller (WV)
WV • R
Sponsored 2/5/2025
Turner (TX)
TX • D
Sponsored 2/5/2025
Pfluger
TX • R
Sponsored 2/5/2025
McGarvey
KY • D
Sponsored 2/5/2025
Carey
OH • R
Sponsored 2/5/2025
Moskowitz
FL • D
Sponsored 2/5/2025
Crenshaw
TX • R
Sponsored 2/5/2025
Bishop
GA • D
Sponsored 2/5/2025
Fitzpatrick
PA • R
Sponsored 2/5/2025
Cohen
TN • D
Sponsored 2/5/2025
Balderson
OH • R
Sponsored 2/5/2025
Sewell
AL • D
Sponsored 1/31/2025
Hudson
NC • R
Sponsored 1/31/2025
Ruiz
CA • D
Sponsored 1/31/2025
Miller-Meeks
IA • R
Sponsored 1/31/2025
Kelly (IL)
IL • D
Sponsored 1/31/2025
Wittman
VA • R
Sponsored 2/5/2025
LaHood
IL • R
Sponsored 2/7/2025
Scholten
MI • D
Sponsored 2/7/2025
Schweikert
AZ • R
Sponsored 2/7/2025
McIver
NJ • D
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Tenney
NY • R
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Kennedy (NY)
NY • D
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Yakym
IN • R
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Watson Coleman
NJ • D
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Graves
MO • R
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Adams
NC • D
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Van Duyne
TX • R
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Boyle (PA)
PA • D
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Bost
IL • R
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Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
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Hern (OK)
OK • R
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Williams (GA)
GA • D
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Bilirakis
FL • R
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Jackson (IL)
IL • D
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Feenstra
IA • R
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Brown
OH • D
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Murphy
NC • R
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Sykes
OH • D
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Dunn (FL)
FL • R
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Crockett
TX • D
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Langworthy
NY • R
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Malliotakis
NY • R
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McClellan
VA • D
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Fry
SC • R
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Thompson (MS)
MS • D
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Bacon
NE • R
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Kamlager-Dove
CA • D
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Kelly (PA)
PA • R
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Deluzio
PA • D
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Clarke (NY)
NY • D
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Fischbach
MN • R
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Castro (TX)
TX • D
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Moolenaar
MI • R
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Underwood
IL • D
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Zinke
MT • R
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Beatty
OH • D
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Higgins (LA)
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Soto
FL • D
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Mullin
CA • D
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Estes
KS • R
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DelBene
WA • D
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Allen
GA • R
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Wasserman Schultz
FL • D
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Garbarino
NY • R
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Ryan
NY • D
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Harder (CA)
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Cline
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Lee (FL)
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Quigley
IL • D
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Issa
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Scanlon
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LaLota
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Doggett
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Moore (NC)
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Davis (IL)
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Lawler
NY • R
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Sanchez
CA • D
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Sessions
TX • R
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Clyburn
SC • D
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Finstad
MN • R
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Del. Plaskett, Stacey E. [D-VI-At Large]
VI • D
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Van Drew
NJ • R
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Barragan
CA • D
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Smith (NE)
NE • R
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Horsford
NV • D
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Hill (AR)
AR • R
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Schneider
IL • D
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Simpson
ID • R
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McGovern
MA • D
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Calvert
CA • R
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Smith (WA)
WA • D
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Fallon
TX • R
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Torres (CA)
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Mann
KS • R
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Bonamici
OR • D
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Timmons
SC • R
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Tokuda
HI • D
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Rutherford
FL • R
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Baumgartner
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Haridopolos
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Bean (FL)
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Rogers (AL)
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Fleischmann
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Bentz
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Panetta
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Obernolte
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Ezell
MS • R
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Del. King-Hinds, Kimberlyn [R-MP-At Large]
MP • R
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Ciscomani
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Luttrell
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Wilson (SC)
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Collins
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Messmer
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Kim
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Kiggans (VA)
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Steube
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Nadler
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Landsman
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Veasey
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Trahan
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Hayes
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Peters
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Scott, Austin
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Budzinski
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Guest
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Letlow
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Tlaib
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Norcross
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Pingree
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Foushee
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Fitzgerald
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Leger Fernandez
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Thompson (PA)
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Nunn (IA)
IA • R
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McBride
DE • D
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Salazar
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Cammack
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Lucas
OK • R
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Hamadeh (AZ)
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Hinson
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Rouzer
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McDonald Rivet
MI • D
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Gomez
CA • D
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Mrvan
IN • D
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Dingell
MI • D
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Cherfilus-McCormick
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Larson (CT)
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Morrison
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Womack
AR • R
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Fields
LA • D
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Liccardo
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Goldman (TX)
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Davids (KS)
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Griffith
VA • R
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Stefanik
NY • R
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Craig
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Miller (OH)
OH • R
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Riley (NY)
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Rose
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Huizenga
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Wagner
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Cloud
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Conaway
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Golden (ME)
ME • D
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Pocan
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Figures
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Strickland
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Johnson (GA)
GA • D
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Torres (NY)
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Ross
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Moulton
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Dean (PA)
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Lynch
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Sherman
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Carson
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Salinas
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Waters
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Swalwell
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McBath
GA • D
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Thanedar
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Gottheimer
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Johnson (TX)
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Subramanyam
VA • D
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Latimer
NY • D
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Houlahan
PA • D
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Lieu
CA • D
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McClain Delaney
MD • D
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Garamendi
CA • D
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Cisneros
CA • D
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Morelle
NY • D
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Mannion
NY • D
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Balint
VT • D
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Stanton
AZ • D
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Cole
OK • R
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Kiley (CA)
CA • R
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Stansbury
NM • D
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Mills
FL • R
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De La Cruz
TX • R
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Webster (FL)
FL • R
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Crow
CO • D
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Ansari
AZ • D
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McCaul
TX • R
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Smucker
PA • R
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Pettersen
CO • D
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Moran
TX • R
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Joyce (PA)
PA • R
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Ellzey
TX • R
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Stevens
MI • D
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Bera
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Jayapal
WA • D
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Amo
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Keating
MA • D
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Kaptur
OH • D
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Jackson (TX)
TX • R
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Vindman
VA • D
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Bergman
MI • R
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McGuire
VA • R
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Kustoff
TN • R
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Gimenez
FL • R
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Fong
CA • R
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Sherrill
NJ • D
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Aderholt
AL • R
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Schmidt
KS • R
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Knott
NC • R
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Carter (GA)
GA • R
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Meuser
PA • R
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Davis (NC)
NC • D
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Krishnamoorthi
IL • D
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Foster
IL • D
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Chu
CA • D
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Crawford
AR • R
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Loudermilk
GA • R
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Walberg
MI • R
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Ogles
TN • R
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Rescom. Hernández, Pablo Jose [D-PR-At Large]
PR • D
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Pou
NJ • D
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Gillen
NY • D
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Fletcher
TX • D
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Ivey
MD • D
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Hoyle (OR)
OR • D
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Hurd (CO)
CO • R
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Larsen (WA)
WA • D
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Franklin, Scott
FL • R
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Magaziner
RI • D
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Vasquez
NM • D
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Houchin
IN • R
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Del. Radewagen, Aumua Amata Coleman [R-AS-At Large]
AS • R
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Amodei (NV)
NV • R
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Gonzalez, V.
TX • D
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LaMalfa
CA • R
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James
MI • R
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Van Orden
WI • R
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Gooden
TX • R
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Titus
NV • D
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Lee (PA)
PA • D
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Dexter
OR • D
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Meng
NY • D
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Fulcher
ID • R
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Donalds
FL • R
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Escobar
TX • D
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Elfreth
MD • D
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Harrigan
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McDowell
NC • R
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Scott, David
GA • D
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Goldman (NY)
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Courtney
CT • D
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Flood
NE • R
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Bynum
OR • D
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Wilson (FL)
FL • D
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Luna
FL • R
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Cuellar
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Babin
TX • R
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Del. Moylan, James C. [R-GU-At Large]
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Shreve
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Levin
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Moore (UT)
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Turner (OH)
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Kean
NJ • R
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Gray
CA • D
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Westerman
AR • R
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Simon
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Whitesides
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Lee (NV)
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Neguse
CO • D
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Raskin
MD • D
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DeSaulnier
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Walkinshaw
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Rulli
OH • R
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Mackenzie
PA • R
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Vargas
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McCollum
MN • D
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Khanna
CA • D
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Min
CA • D
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Newhouse
WA • R
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Gill (TX)
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Kelly (MS)
MS • R
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Huffman
CA • D
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Diaz-Balart
FL • R
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Goodlander
NH • D
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Himes
CT • D
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Wied
WI • R
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Mast
FL • R
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Pappas
NH • D
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Hunt
TX • R
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Randall
WA • D
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Owens
UT • R
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Garcia (TX)
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Castor (FL)
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Green, Al (TX)
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Joyce (OH)
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Tran
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Williams (TX)
TX • R
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Roll Call Votes
No roll call votes available for this bill.
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Speeds and strengthens pediatric cancer drug development. It expands which cancer products companies must study in children, reshapes organ transplant network governance and fees, and adds new FDA international and transparency steps. - Children with cancer and researchers: Requires pediatric studies that produce clinically meaningful data on dosing, safety, and early effectiveness and widens the kinds of drug combinations studied. It also sets aside $25 million for pediatric drug studies in each of fiscal years 2026, 2027, and 2028. - Transplant patients and transplant network members: Changes Organ Procurement and Transplantation Network governance and financing by allowing quarterly registration fees, requiring those fees fund OPTN operations, improving electronic health record integration, and calling for a GAO review within two years. - FDA partners and drug makers: Creates an Abraham Accords Office to boost regulatory coordination and technical assistance abroad, and forces more transparency during generic (ANDA) reviews about whether generics are qualitatively and quantitatively the same as listed drugs. It also raises the Medicare Improvement Fund amount from $1.4 billion to $2.6 billion. Increases federal outlays by roughly $1.3 billion, driven by a $1.2 billion boost to the Medicare Improvement Fund and $75 million for pediatric studies, adding to federal spending.
HR909 — Crime Victims Fund Stabilization Act of 2025
Would make the False Claims Act apply to deposits to the Crime Victims Fund through FY2029. It would also require an Inspector General audit that sets the audit's scope, timing, and recipients, and the measure is titled the Crime Victims Fund Stabilization Act of 2025. - Entities that make deposits to the Crime Victims Fund would be subject to the False Claims Act (31 U.S.C. 3729–3731) for deposits from enactment through FY2029. - An Inspector General audit would examine the Crime Victims Fund and the bill would set the audit's scope, timing, and who receives the report.
HR2102 — Major Richard Star Act
Establishes concurrent receipt for retirees with combat-related disabilities. This bill would let eligible retirees receive both military retired pay and veterans' disability compensation for the same months without the offset rules that currently reduce payments. - Families of disabled retirees: Veterans with combat-related disabilities would receive both retired pay and VA disability compensation for the same months, increasing their monthly household income. - Defense and VA payment rules: The bill would amend 10 U.S.C. 1413a and 10 U.S.C. 1414 to exempt retired pay from reductions under 38 U.S.C. 5304 and 5305 and add a clear monthly no-offset rule. - Implementation and technical changes: It renames and updates chapter sections, adjusts cross-references, and applies to payments beginning the first month after enactment.
HR979 — AM Radio for Every Vehicle Act of 2025
This bill would require AM broadcast capability to be installed as standard equipment in passenger motor vehicles. It focuses on driver-accessible AM reception, allows digital AM audio to count for compliance, and links vehicle AM capability to emergency alerting through IPAWS. - Drivers and households: Built-in, driver-accessible AM reception would make it easier for people to get local AM stations and emergency alerts from their vehicles. The bill allows devices that receive digital AM to meet the requirement. - Vehicle manufacturers: The Department of Transportation would need to issue a rule within 1 year, with a general compliance deadline no later than 2 years after the rule is issued. Small manufacturers that produced no more than 40,000 passenger vehicles in 2022 would get at least 4 years to comply. - Oversight and emergency systems: States would be barred from imposing their own AM-access rules. The bill mandates interim labels and pricing protections for cars without AM, authorizes civil penalties and DOJ injunctions for violations, requires a GAO study and a congressional briefing within 1 year, and includes an 8-year sunset for the authority.
HR1422 — Enhanced Iran Sanctions Act of 2025
Targets Iran's energy revenue through global sanctions. This bill would create a broad sanctions framework to punish foreign persons who process, export, or sell Iran-origin oil, condensates, gas, LNG, or petrochemical products. It pairs blocking of assets and visa bans with ownership-based triggers, waivers, humanitarian carve-outs, and new reporting to limit Iran's access to energy markets and finance for weapons and terrorism. - Foreign energy firms and financial institutions would face blocking of property and bans on transactions if they knowingly handle Iran-origin energy or are 50% or more owned by such actors. Associated aliens could become inadmissible and have visas revoked. - Maritime operators, insurers, flag registries, and LNG pipeline facilities would be exposed to sanctions risk when linked to Iran-origin shipments, though safety-of-crew rules and specific exemptions for imports remain. - Humanitarian organizations would keep explicit exemptions for agricultural commodities, food, medicine, medical devices, and humanitarian assistance to avoid disrupting aid. - U.S. agencies and private companies would see new duties: an interagency working group and multilateral contact group would coordinate enforcement, and private-sector reporting would be required to flag evasion and proceeds from intercepted Iran-origin energy sales.
HR3514 — Improving Seniors’ Timely Access to Care Act of 2025
Standardize prior authorization in Medicare Advantage plans to make approvals faster and more transparent for beneficiaries and providers. The bill would require plans that use prior authorization to adopt a secure electronic PA program, publish plan-level PA data, and follow federal timeframes and enrollee protections.
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