Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act

Key Provisions

• Lets Medicare cover new multi-cancer early detection screening tests starting January 1, 2028.
• Sets rules for what kinds of tests qualify, requiring FDA approval and a review by the Secretary of Health and Human Services.
• Establishes how much Medicare would pay for these tests, with one payment rate until 2031, then a potentially lower rate.
• Limits how often Medicare beneficiaries can get these tests and sets an age limit above which Medicare would not pay for the test, starting at 68 in 2028 and increasing yearly.
• Requires the Secretary of Health and Human Services to use a public process to decide which new tests Medicare will cover.
• Specifies that if a test gets a high recommendation from the United States Preventive Services Task Force, the payment and age limits would change.