Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
H.R. 6280 would expand Medicare coverage to include genetic counseling services provided by licensed genetic counselors starting January 1, 2027. The bill defines covered genetic counselors as individuals licensed by their state or, in states without licensing, certified by the American Board of Genetic Counseling. Under this legislation, Medicare would pay genetic counselors 80 percent of the lesser of either their actual charge or 85 percent of the physician fee schedule amount, and the bill includes protections against balance billing to patients. The law affects Medicare beneficiaries seeking genetic counseling services and the genetic counseling profession, while requiring the Department of Health and Human Services to implement the changes through expedited rulemaking rather than the standard lengthy regulatory process.
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