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H.R. 6280119th CongressIn committeeLatest action Nov 21, 2025Decoded by AI · checked against the record
Official title: Access to Genetic Counselor Services Act of 2025
Introduced:
Read the official bill on Congress.govThe plain-language version leads. The official text is always the reference.
HR 6280 lets Medicare pay genetic counselors directly under Part B at 80% coverage, beginning January 1, 2027.
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HR 6280 would recognize genetic counselors as their own provider type under Medicare Part B, allowing Medicare to pay them directly for services starting January 1, 2027. Currently, Medicare only covers genetic counseling when billed through a doctor. The bill also limits how much a genetic counselor can charge a patient beyond what Medicare pays.
The bill primarily affects Medicare beneficiaries, mostly people 65 and older and certain people with disabilities, who currently must go through a doctor to have genetic counseling covered. It also affects genetic counselors, who cannot bill Medicare independently under current rules.
Genetic counselors help patients understand their risk for inherited conditions such as cancer or heart disease, and removing the requirement to bill through a doctor could change how patients access those services. Doctors and other providers would still be able to bill Medicare for genetic counseling as they do today.
AI-drafted summary. Verify it against the official text before you act on it. Read the official bill on Congress.gov
Right now: a House committee is reviewing it. If the Senate changes it, it goes back to the House before reaching the President.
Latest action: — 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.