S3267119th CongressWALLET

ASAP Act

Sponsored By: Senator Susan Collins

Introduced

Summary

Creates a Medicare coverage pathway for Alzheimer’s early detection screening tests. This bill would define which tests qualify and tie Medicare coverage and payment to FDA clearance or approval for tests furnished on or after January 1, 2028.

Show full summary
  • Families and Medicare beneficiaries: Could gain covered access to tests meant to detect pre-symptomatic and early-stage Alzheimer’s disease and related dementias, with coverage tied to tests furnished on or after Jan 1, 2028.
  • Test developers and labs: Would need FDA clearance or approval under pathways such as 510(k), 513(f)(2), or 515 to qualify. The bill explicitly allows a wide set of test types, including genomic sequencing blood tests, single-analyte tests, cell-free nucleic acids, multiplex panels, whole genome or exome sequencing, protein expression assays, and medical imaging based on biospecimens.
  • Medicare program and providers: Adds a new covered category to the Social Security Act and updates Medicare payment rules so qualifying ADRD early detection screening tests are eligible for Medicare payment.

Bill Overview

Analyzed Economic Effects

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

Medicare coverage for early dementia tests

If enacted, Medicare would cover certain early Alzheimer's and dementia screening tests starting on or after January 1, 2028. Tests would qualify only if cleared under FDA 510(k), classified under 513(f)(2), or approved under 515. Covered tests would include genomic sequencing blood or blood-product tests and other equivalent tests based on blood, tissue, urine, or other biospecimens. The bill would add these tests to Medicare payment rules, which could lower out-of-pocket costs for beneficiaries who receive them.

Sponsors & CoSponsors

Sponsor

Susan Collins

ME • R

Cosponsors

  • Catherine Cortez Masto

    NV • D

    Sponsored 11/20/2025

  • Shelley Capito

    WV • R

    Sponsored 11/20/2025

  • Mark Warner

    VA • D

    Sponsored 11/20/2025

  • Jim Banks

    IN • R

    Sponsored 12/10/2025

  • James Lankford

    OK • R

    Sponsored 12/16/2025

  • John Kennedy

    LA • R

    Sponsored 1/12/2026

  • Tammy Duckworth

    IL • D

    Sponsored 1/12/2026

  • Cory Booker

    NJ • D

    Sponsored 1/27/2026

  • Jerry Moran

    KS • R

    Sponsored 1/28/2026

  • Thomas Tillis

    NC • R

    Sponsored 2/11/2026

  • Steve Daines

    MT • R

    Sponsored 2/11/2026

  • Deb Fischer

    NE • R

    Sponsored 2/12/2026

  • Lisa Murkowski

    AK • R

    Sponsored 2/24/2026

  • Rick Scott

    FL • R

    Sponsored 2/24/2026

  • Kevin Cramer

    ND • R

    Sponsored 2/26/2026

Roll Call Votes

No roll call votes available for this bill.

View on Congress.gov

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