Access to Genetic Counselor Services Act of 2025
Term Dictionary
If you come across any unfamiliar words while reading, these resources can help make everything clearer. Pick whichever one works best for you!
- Congress.gov Legislative Glossary - Comprehensive congressional terms
- NVFC Congressional Terms Glossary - Concise, easy-to-understand definitions
The gist
Medicare would directly cover genetic counseling services starting January 1, 2027, letting licensed counselors bill Part B instead of routing everything through doctors.
Who wins, who loses
- Wins: Medicare patients facing cancer or rare disease risk, licensed genetic counselors gaining billing rights.
- Loses: physicians who currently bill for these services and may see reduced referrals.
What it does
- Adds genetic counseling to Medicare Part B covered services starting January 1, 2027.
- Pays counselors 80% of the lesser of actual charge or 85% of the physician fee schedule.
- Defines eligible counselors as state-licensed or American Board of Genetic Counseling certified.
- Lets Health and Human Services (HHS) implement the rules through an interim final rule.
Why should I care?
Genetic testing shapes decisions about cancer screening, pregnancy, and rare diseases that affect families across generations. Supporters say direct Medicare billing expands access, especially in rural areas with few specialists. Critics argue paying non-physicians at 85% rates raises costs and quality concerns. Where do you land? Vote below and use "Tell Your Rep" to make sure your voice reaches Congress.