Access to Genetic Counselor Services Act of 2026

Key Provisions

• Adds genetic counseling services provided by genetic counselors to Medicare Part B coverage, starting January 1, 2027.
• Defines who counts as a "genetic counselor" for Medicare, requiring state licensure or national certification.
• Sets a specific payment rate for genetic counseling services under Medicare Part B, paying 80 percent of the lesser of the actual charge or 85 percent of the physician fee schedule amount.
• Applies existing Medicare rules about extra charges (balance billing) to genetic counselors.
• Clarifies that doctors and other healthcare providers can still bill for genetic counseling services already covered by Medicare.