HHS And Medicare Asked To Expand Coverage For Genetic Tests

Fifteen members of Congress have asked the Department of Health and Human Services (HHS) and the Medicare Payment Advisory Commission (Medicare) to examine how the federal government can help improve patient access to genetic testing. In a March 7, 2017 letter to Secretary Price of HHS and Dr. Crosson, Chairman of Medicare, the congressmen seek a resolution to an important issue challenging precision medicine - who will pay for genetic tests that are necessary to develop and deliver personalized health care?

Referencing the 21st Century Cures, the Precision Medicine Initiative, and Cancer Moonshot, the congressmen ask the federal government's support of personalized medicine by extending insurance coverage under Medicare and Medicaid to genetic testing. The congressman argue that enhanced coverage would benefit the patients and would expand the pool of data that could be used to further validate genetic markers, genetic tests, and their interpretation.

With these goals in mind, HHS in coordination with the National Academy of Medicine were asked to conduct a study to:

Examine how genetic testing can improve preventative medicine and support precision medicine initiatives; Analyze how the use of genetic testing can reduce health care expenditures; and Make recommendations to the federal government on how it can: Encourage the expansion of health insurance coverage of genetic testing for...