H.R. 2407House118th Congress (2023-2025)In Committee

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

To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests.

AI-Generated Summary

Updated January 20, 2026 at 6:00 AM UTC

The bill amends the Social Security Act to make multi‑cancer early detection screening tests a Medicare‑covered benefit. It defines these tests—such as FDA‑approved blood‑based genomic sequencing that can detect many cancers—and requires coverage once the tests are cleared. The legislation also sets payment rules, limiting how often a beneficiary can receive the test, and clarifies that coverage of these new tests does not affect existing cancer‑screening benefits.

Key Provisions

Adds "multi‑cancer early detection screening tests" to the list of services covered under Medicare Part B.
Defines the term to include FDA‑approved blood, urine, or other biological‑sample tests that detect many cancers, for example genomic sequencing of cell‑free nucleic acids.
Allows Medicare to pay for these tests under the fee schedule but prohibits payment if the same test was provided to the individual in the previous 11 months.
Specifies that coverage of multi‑cancer tests does not affect coverage of other Medicare‑covered cancer screenings (e.g., mammograms, colonoscopies) and vice versa.

Legislative Activity

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5 earlier actions

HouseCommittee Latest Action

Reported (Amended) by the Committee on Ways and Means. H. Rept. 118-893, Part I.

Ways and Means Committee

December 17, 2024

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HouseIntro Referral

Introduced in House

March 30, 2023

HouseIntro Referral

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.

Energy and Commerce Committee

March 30, 2023

HouseCommittee

Referred to the Subcommittee on Health.

Health Subcommittee

April 7, 2023

HouseCommittee

Committee Consideration and Mark-up Session Held

Ways and Means Committee

June 27, 2024

HouseCommittee

Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 38 - 0.

Ways and Means Committee

June 27, 2024

HouseCommittee

Reported (Amended) by the Committee on Ways and Means. H. Rept. 118-893, Part I.

Ways and Means Committee

December 17, 2024

Floor Debate

2 members

What members said about H.R. 2407 on the floor

1 Republican1 Democrat

Rep. Monica De La CruzR-TX-15 · Sep 12, 2023

Under clause 7 of rule XII, sponsors were added to public bills and resolutions, as follows: H.R. 16: Ms. Tokuda, Mr. Magaziner, Mr. Casten, Mr. Casar, Mr. Sherman, Ms. Caraveo, and Mr. Sablan. H.R.…

Under clause 7 of rule XII, sponsors were added to public bills and resolutions, as follows:

H.R. 16: Ms. Tokuda, Mr. Magaziner, Mr. Casten, Mr. Casar,

Mr. Sherman, Ms. Caraveo, and Mr. Sablan.

H.R. 33: Ms. Ross and Ms. Bonamici.

H.R. 34: Ms. Escobar, Mr. Tonko, and Mr. Nadler.

H.R. 56: Ms. Crockett.

H.R. 231: Mr. Cline.

H.R. 253: Ms. McCollum, Mr. Jackson of Illinois, and Mr.

Cleaver.

H.R. 303: Mr. Kilmer.

H.R. 459: Ms. Castor of Florida.

H.R. 549: Mr. Gallego, Mr. Cartwright, Mr. Mrvan, Ms.

Escobar, Ms. Titus, Mr. Evans, Ms. Stansbury, Mr. Espaillat,

Mrs. Lesko, Mr. Joyce of Ohio, Ms. Adams, Ms. Balint, Mr.

Owens, and Mrs. Sykes.

H.R. 620: Mrs. Peltola.

H.R. 666: Mr. Bowman.

H.R. 679: Mr. Lawler.

H.R. 681: Ms. Wild, Mr. Swalwell, Ms. Kamlager-Dove, Ms.

Balint, Ms.Crockett, and Mrs. Cherfilus-McCormick.

H.R. 700: Mr. Krishnamoorthi, Mr. Latta, Mr. Kelly of

Mississippi, Mr. Kim of New Jersey, Mrs. Chavez-DeRemer, Mr.

Harder of California, and Mrs. Steel.

H.R. 722: Mr. Barr.

H.R. 770: Ms. Kuster.

H.R. 795: Mr. Crow.

H.R. 807: Mr. Miller of Ohio, Mr. Fitzgerald, Mr. Bucshon,

and Mr. Soto.

H.R. 809: Mr. Posey and Mr. Huizenga.

H.R. 866: Mr. Vasquez.

H.R. 873: Mr. Nehls.

H.R. 906: Mr. Steube and Ms. Caraveo.

H.R. 972: Ms. Kelly of Illinois.

H.R. 1073: Mr. Lawler.

H.R. 1088: Mr. Neguse.

H.R. 1118: Ms. Balint.

H.R. 1138: Mr. Lawler.

H.R. 1139: Mr. Newhouse, Mr. DesJarlais, and Ms. Craig.

H.R. 1150: Ms. Jayapal and Mr. Moylan.

H.R. 1191: Mr. Swalwell, Mr. Thompson of California, Mr.

Jackson of Illinois, and Ms. Crockett.

H.R. 1200: Ms. Van Duyne and Mr. McCormick.

H.R. 1235: Mr. Sherman.

H.R. 1250: Mr. Costa.

H.R. 1259: Mr. Lieu.

H.R. 1277: Mr. Krishnamoorthi, Mr. Green of Texas, Ms.

Porter, Ms. Leger Fernandez, Mr. Schiff, Mr. Casten, Mrs.

Cherfilus-McCormick, Ms. Eshoo, Mr. DesJarlais, Ms. Norton,

Mr. Grijalva, Ms. Craig, Mr. Castro of Texas, Mrs. Dingell,

Mr. Morelle, Ms. Lee of California, Ms. Wasserman Schultz,

Mr. Espaillat, Ms. Barragan, and Mr. Huffman.

H.R. 1278: Mr. Moulton.

H.R. 1290: Mr. Feenstra.

H.R. 1295: Mr. Schiff.

H.R. 1318: Ms. Titus and Ms. Craig.

H.R. 1385: Ms. Pingree and Mr. LaHood.

H.R. 1432: Mr. Davis of Illinois.

H.R. 1437: Mr. Sessions.

H.R. 1447: Ms. Budzinski.

H.R. 1483: Mr. Raskin.

H.R. 1488: Mr. Tonko and Mr. Horsford.

H.R. 1503: Mr. Tonko.

H.R. 1517: Ms. Kuster.

H.R. 1535: Mr. Davis of North Carolina and Mr. Ciscomani.

H.R. 1555: Mr. Cardenas.

H.R. 1572: Mr. Jackson of Illinois, Mr. Cuellar, Mr. Harder

of California, Mr. Raskin, Mrs. Gonzalez-Colon, Mr. Posey,

and Mr. Owens.

H.R. 1614: Mr. Costa.

H.R. 1623: Mr. Feenstra.

H.R. 1637: Mr. Ciscomani, Mrs. Kiggans of Virginia, and Mr.

Ryan.

H.R. 1638: Mr. Bacon.

H.R. 1643: Mr. Gomez.

H.R. 1679: Mr. Lawler.

H.R. 1721: Ms. Crockett and Ms. Kuster.

H.R. 1728: Ms. Mace.

H.R. 1740: Mr. Allred.

H.R. 1758: Mr. Donalds.

H.R. 1763: Mr. Harder of California and Mr. Moskowitz.

H.R. 1770: Mrs. Kiggans of Virginia.

H.R. 1777: Mr. Tony Gonzales of Texas, Mr. Grothman, Mr.

Fleischmann, Mr. Sherman, and Mr. Ciscomani.

H.R. 1788: Mr. Phillips, Ms. Scholten, Ms. Spanberger, Ms.

McCollum, and Mr. Beyer.

H.R. 1831: Mr. Burgess and Mr. Grijalva.

H.R. 1841: Mr. Rouzer.

H.R. 1842: Mr. Gallego.

H.R. 2365: Mr. Levin, Mr. Balderson, Ms. Caraveo, Ms.

Salinas, Mr. Larsen of Washington, Mr. Magaziner, Mr. Trone,

Mr. Cleaver, Ms. Brownley, Ms. Leger Fernandez, and Mr.

Veasey.

H.R. 2367: Ms. Lee of Nevada, Mr. Joyce of Pennsylvania,

Mr. Guest, Mr. Pappas, and Mrs. Houchin.

H.R. 2370: Ms. Caraveo.

H.R. 2389: Mr. Moulton, Mr. Trone, Ms. Sherrill, Mr.

Horsford, Ms. Ross, Mrs. McBath, Mr. Mrvan, Ms. McCollum, and

Mr. Vicente Gonzalez of Texas.

H.R. 2406: Mr. Barr, Mrs. Harshbarger, and Mrs. Lesko.

H.R. 2407: Mr. Burgess, Ms. Hoyle of Oregon, Mr. Mooney,

Mrs. Fletcher, Mr. Morelle, Mr. Nickel, and Mr. Castro of

Texas.

H.R. 2410: Mr. Nickel.

H.R. 2412: Mr. Harder of California, Mr. Landsman, and Mr.

Cleaver.

H.R. 2431: Mrs. Chavez-DeRemer and Ms. Lee of Nevada.

H.R. 2510: Mr. Harder of California and Ms. Salinas.

H.R. 2550: Ms. Leger Fernandez.

H.R. 2583: Mr. Doggett, Mr. Pocan, Mr. Quigley, Ms. Sewell,

and Ms. Pingree.

H.R. 2630: Ms. Malliotakis, Mr. Steube, Mr. Fitzpatrick,

and Mr. Austin Scott of Georgia.

H.R. 2667: Mrs. Miller of West Virginia and Mr. Aderholt.

H.R. 2697: Mr. Vargas and Ms. Tlaib.

H.R. 2700: Mr. McCormick.

H.R. 2718: Ms. Blunt Rochester.

H.R. 2720: Mr. Carbajal, Ms. Kuster, Mr. Blumenauer, and

Mr. Lawler.

H.R. 2723: Mr. Moulton and Mr. Ryan.

H.R. 2736: Ms. Caraveo.

H.R. 2739: Mrs. Kim of California.

H.R. 2743: Mrs. Miller of West Virginia, Mr. C. Scott

Franklin of Florida, Mr. Simpson, and Mr. Newhouse.

H.R. 2814: Mr. Moore of Utah.

H.R. 2855: Mr. Harder of California.

H.R. 2869: Mr. Mfume.

H.R. 2871: Ms. Jayapal.

H.R. 2891: Mr. Tonko.

H.R. 2929: Mr. Pappas.

H.R. 2955: Mr. Burgess, Mr. Cleaver, Mr. Raskin, and Mr.

Goldman of New York.

H.R. 2957: Mr. Morelle and Mr. Allred.

H.R. 2987: Ms. Bush.

H.R. 3007: Mr. McGarvey.

H.R. 3029: Mr. Kelly of Pennsylvania and Mrs. Miller of

West Virginia.

H.R. 3074: Mr. Carter of Louisiana and Ms. Scanlon.

H.R. 3108: Mr. Fitzpatrick.

H.R. 3137: Mr. Newhouse.

H.R. 3139: Mr. Ryan and Ms. Foxx.

H.R. 3145: Ms. Omar.

H.R. 3152: Mr. Simpson, Mr. Tony Gonzales of Texas, Mr. C.

Scott Franklin of Florida, Mr. Cline, Mr. Santos, Mr. Golden

of Maine, Mrs. Foushee, and Mr. Rouzer.

H.R. 3170: Mr. Pallone and Ms. Dean of Pennsylvania.

H.R. 3184: Mr. Norcross.

H.R. 3192: Ms. Slotkin.

H.R. 3206: Mr. Gooden of Texas.

H.R. 3235: Mr. Huffman.

H.R. 3251: Mr. McGovern.

H.R. 3272: Mr. Lawler.

H.R. 3378: Mr. Bacon.

H.R. 3380: Ms. Kuster and Mr. Landsman.

H.R. 3381: Mr. Gottheimer, Mr. Norman, Mr. Babin, Ms.

Malliotakis, Mr. Soto, Mr. Ryan, Mr. Crenshaw, Mr. Trone, Ms.

Manning, Mr. Ciscomani, Ms. Caraveo, Mr. Carey, and Ms.

Salazar.

H.R. 3394: Mr. Pallone, Mr. Cohen, Ms. Scanlon, Ms.

Brownley, Ms. Ross, Mr. Carbajal, Mr. Deluzio, Ms. Tlaib, and

Mr. Trone.

H.R. 3410: Mr. Lawler.

H.R. 3413: Ms. Chu, Ms. Greene of Georgia, and Ms. Ross.

H.R. 3424: Mr. Tonko and Mr. Harder of California.

H.R. 3425: Mr. Tiffany and Ms. Manning.

H.R. 3448: Ms. Spanberger.

H.R. 3464: Mrs. Houchin.

H.R. 3468: Mr. Schiff, Mr. Vargas, Ms. Salinas, and Mr.

Goldman of New York.

H.R. 3473: Ms. Ocasio-Cortez.

H.R. 3488: Mr. Grijalva and Ms. Velazquez.

H.R. 3492: Mr. C. Scott Franklin of Florida.

H.R. 3503: Mr. Lieu and Mr. Pocan.

H.R. 3518: Ms. Norton.

H.R. 3519: Mr. Gomez.

H.R. 3530: Mr. Krishnamoorthi, Ms. DelBene, Mr. Swalwell,

Mr. Lieu, Ms. Ross, Mr. Neguse, and Mr. Schneider.

H.R. 3539: Mr. Crow and Mr. Molinaro.

H.R. 3549: Mrs. Miller-Meeks.

H.R. 3576: Mr. Smith of Washington and Mr. Vargas.

H.R. 3585: Ms. Mace.

H.R. 3589: Ms. Tokuda.

H.R. 3600: Mr. Larsen of Washington and Mr. Harder of

California.

H.R. 3601: Mr. Vargas, Mr. Moulton, and Ms. Sherrill.

H.R. 3608: Mr. Ruiz.

H.R. 3618: Mr. Fitzpatrick and Ms. Wilson of Florida.

H.R. 3662: Ms. Pingree.

H.R. 3679: Mr. Lawler.

H.R. 3681: Mr. Levin.

H.R. 3730: Mr. Ciscomani.

H.R. 3755: Mr. Smucker.

H.R. 3774: Mr. Fleischmann, Mr. McClintock, Mr. Soto, Mr.

Sherman, Ms.

Craig, and Mr. Bilirakis.

H.R. 3782: Mr. Fry and Mr. Phillips.

H.R. 3792: Mr. Lieu, Ms. Castor of Florida, Mr. Tony

Gonzales of Texas, Mr. Ryan, Mr. Grothman, Mr. Sherman, and

Mr. Robert Garcia of California.

H.R. 3838: Mr. Cohen.

H.R. 3843: Mr. Pocan and Ms. Tlaib.

H.R. 3851: Ms. Van Duyne and Ms. Sherrill.

H.R. 3859: Ms. Lofgren, Ms. McCollum, and Mr. Fitzpatrick.

H.R. 3867: Mr. LaLota.

H.R. 3875: Mr. Quigley and Mr. Mullin.

H.R. 3876: Mr. Crow.

H.R. 3879: Ms. Craig.

H.R. 3882: Mr. Deluzio and Mr. Joyce of Ohio.

H.R. 3916: Ms. Dean of Pennsylvania, Mrs. Bice, Ms.

McClellan, Mrs. Miller-Meeks, and Ms. Sherrill.

H.R. 3923: Mr. McGarvey.

H.R. 3949: Mr. Fry and Mr. Latta.

H.R. 3965: Mr. Robert Garcia of California.

H.R. 3988: Mr. Good of Virginia.

H.R. 3990: Mr. Lawler.

H.R. 4007: Mr. Lawler.

H.R. 4024: Ms. Matsui.

H.R. 4034: Ms. DelBene.

H.R. 4035: Mrs. Miller-Meeks.

H.R. 4040: Ms. DeGette.

H.R. 4059: Ms. Budzinski.

H.R. 4061: Mr. Kildee.

H.R. 4076: Mr. Peters.

H.R. 4118: Ms. Crockett, Ms. Norton, Mr. Carson, and Ms.

Jackson Lee.

H.R. 4144: Mr. Yakym.

H.R. 4149: Mr. Carson.

H.R. 4157: Mr. Moskowitz, Mr. Gottheimer, Mr. Flood, and

Ms. Wild.

H.R. 4170: Ms. Ross and Ms. Balint.

H.R. 4174: Ms. Budzinski.

H.R. 4175: Mr. Hill.

H.R. 4183: Ms. Castor of Florida.

H.R. 4198: Mr. Hill.

H.R. 4202: Mr. Gottheimer, Ms. Wilson of Florida, Ms.

Spanberger, Ms. Scanlon, Ms. Crockett, Mr. Torres of New

York, Mr. Swalwell, Ms. Lee of California, Mr. Trone, Mr.

Garcia of Illinois, and Mr. Lynch.

H.R. 4238: Mr. Timmons.

H.R. 4241: Ms. Davids of Kansas.

H.R. 4249: Ms. Craig.

H.R. 4259: Mrs. Houchin.

H.R. 4262: Ms. Mace.

H.R. 4273: Mr. Phillips.

H.R. 4274: Mr. McGovern.

H.R. 4295: Mr. Carter of Louisiana and Mr. Mullin.

H.R. 4314: Ms. DeGette.

H.R. 4328: Mrs. Kiggans of Virginia.

H.R. 4334: Mr. Bacon and Mr. Bergman.

H.R. 4384: Ms. Manning.

H.R. 4395: Mr. Baird.

H.R. 4432: Ms. Davids of Kansas.

H.R. 4438: Mr. Owens.

H.R. 4466: Mr. McGarvey and Ms. Wilson of Florida.

H.R. 4475: Mrs. Watson Coleman.

H.R. 4478: Mr. Mills.

H.R. 4514: Ms. Greene of Georgia.

H.R. 4534: Ms. Dean of Pennsylvania, Mr. Connolly, Ms.

Clarke of New York, and Ms. Wild.

H.R. 4561: Mr. McGovern and Ms. DeGette.

H.R. 4562: Mr. Moulton and Mr. Lawler.

H.R. 4563: Mr. McCormick.

H.R. 4566: Ms. Lofgren.

H.R. 4577: Ms. Sherrill and Mr. Guest.

H.R. 4581: Mr. Feenstra.

H.R. 4587: Ms. Salazar and Ms. Lee of Florida.

H.R. 4598: Mr. Lieu.

H.R. 4602: Ms. Kuster.

H.R. 4612: Mr. Duarte and Ms. Caraveo.

H.R. 4624: Mr. Carson, Ms. Eshoo, Mr. Grijalva, and Ms.

Jackson Lee.

H.R. 4663: Mrs. Lesko.

H.R. 4702: Mr. Lieu.

H.R. 4728: Ms. Schakowsky.

H.R. 4729: Ms. De La Cruz and Mr. Fry.

H.R. 4733: Mr. Neguse.

H.R. 4745: Mrs. Kim of California.

H.R. 4750: Ms. Jayapal.

H.R. 4758: Ms. Wexton, Mr. McCaul, Mr. Smucker, and Ms.

Barragan.

H.R. 4769: Ms. Scholten, Mr. Schiff, Mr. Garbarino, Mr.

Smith of New Jersey, Mr. Lawler, Mr. Goldman of New York, Mr.

LaLota, and Mr. Carter of Louisiana.

H.R. 4779: Mr. Doggett, Mr. Payne, and Mr. McGovern.

H.R. 4782: Mr. Blumenauer.

H.R. 4817: Mr. Robert Garcia of California.

H.R. 4844: Mr. Harder of California.

H.R. 4886: Mr. Kildee.

H.R. 4895: Mr. Connolly, Mr. Kildee, Ms. Escobar, Mr.

Larsen of Washington, and Ms. Porter.

H.R. 4904: Mrs. Miller-Meeks.

H.R. 4914: Ms. Barragan.

H.R. 4919: Ms. Schakowsky, Ms. Dean of Pennsylvania, and

Mr. Frost.

H.R. 4921: Mrs. Miller of Illinois.

H.R. 4965: Ms. Garcia of Texas, Mr. Norcross, Ms. Ocasio-

Cortez, and Ms. Lofgren.

H.R. 4970: Mrs. Chavez-DeRemer.

H.R. 5006: Ms. Stefanik.

H.R. 5008: Ms. Kamlager-Dove and Ms. Balint.

H.R. 5012: Ms. Clarke of New York, Ms. Williams of Georgia,

and Ms. Craig.

H.R. 5013: Mr. Fitzpatrick.

H.R. 5041: Mr. Ruiz.

H.R. 5094: Mr. Langworthy.

H.R. 5106: Mr. Womack.

H.R. 5107: Mr. Grothman.

H.R. 5110: Mrs. McClain, Ms. Foxx, Ms. Perez, Mr. Walberg,

Mrs. Houchin, Mrs. Wagner, Mr. Bost, Mr. Williams of New

York, Mr. DesJarlais, and Mr. LaHood.

H.R. 5113: Mr. Vasquez.

H.R. 5130: Mr. Graves of Missouri.

H.R. 5136: Ms. Caraveo.

H.R. 5145: Mr. Bowman.

H.R. 5159: Ms. Clarke of New York, Mr. LaHood, Mr.

Fitzpatrick, Mr. Bacon, Mr. Ferguson, Mr. Larson of

Connecticut, Mr. Comer, Mr. Graves of Louisiana, Mr. Boyle of

Pennsylvania, Mr. Gottheimer, and Mr. Phillips.

H.R. 5169: Mr. Ruppersberger, Mr. Bergman, Mr. Thompson of

California, and Mr. Ciscomani.

H.R. 5171: Mr. Swalwell.

H.R. 5175: Ms. Norton, Mr. Grijalva, Mr. Bilirakis, and Mr.

Moskowitz.

H.R. 5182: Mr. Fry and Mr. Owens.

H.R. 5184: Mr. Fallon, Mr. Crenshaw, and Mr. Meuser.

H.R. 5203: Mr. Mooney.

H.R. 5221: Ms. Eshoo.

H.R. 5233: Ms. Davids of Kansas.

H.R. 5239: Ms. Lee of Florida.

H.R. 5242: Ms. Bonamici and Mr. Fitzpatrick.

H.R. 5245: Mr. Issa and Ms. Stefanik.

H.R. 5247: Mr. Sablan.

H.R. 5249: Mr. Moulton, Mr. Fitzpatrick, Mr. Carson, Ms.

Tokuda, Mr. Davis of North Carolina, and Mr. Case.

H.R. 5250: Mr. Lawler.

H.R. 5252: Ms. Sherrill, Mr. Payne, and Mr. Blumenauer.

H.R. 5265: Mr. Stauber.

H.R. 5283: Mr. Smith of New Jersey.

H.R. 5290: Mr. Tonko and Ms. Bush.

H.R. 5291: Ms. Bush.

H.R. 5292: Mr. Tonko, Ms. Bush, Ms. Chu, and Ms. Jayapal.

H.R. 5293: Ms. Bush.

H.R. 5294: Ms. Bush and Ms. Jayapal.

H.R. 5295: Mr. Tonko and Ms. Bush.

H.R. 5302: Mr. Waltz.

H.R. 5308: Mr. Costa and Mr. Ryan.

H.R. 5318: Mr. Davis of North Carolina.

H.R. 5323: Mr. Sessions.

H.R. 5329: Mr. Takano.

H.R. 5342: Mr. Williams of Texas, Mr. Gooden of Texas, and

Ms. De La Cruz.

H.R. 5349: Mr. Owens.

H.R. 5351: Ms. Schakowsky, Mr. Cohen, and Mr. Veasey.

H.R. 5361: Mrs. Foushee.

H.R. 5368: Mr. Fry, Mrs. Harshbarger, Mr. Van Drew, Mr.

Johnson of Louisiana, Mr. Bost, and Mr. Mills.

H.R. 5369: Ms. Barragan.

H.R. 5377: Mr. Davis of North Carolina.

H.R. 5379: Mr. Norman.

H.J. Res. 88: Mr. Babin, Mr. Good of Virginia, Mrs. Miller-

Meeks, Mrs. Houchin, Mr. Yakym, and Ms. Hageman.

H. Con. Res. 31: Mr. Huffman.

H. Con. Res. 44: Mr. Casar.

H. Con. Res. 59: Ms. Sanchez.

H. Con. Res. 61: Ms. Waters, Mr. Moulton, Ms. DeGette, Mr.

Casten, Mr. Levin, Ms. Moore of Wisconsin, Ms. Clarke of New

York, Ms. McClellan, Mr. DeSaulnier, Mr. Casar, Ms. Balint,

Ms. Salinas, and Mr. Pocan.

H. Res. 50: Mr. Mooney, Mr. Sessions, Mr. Cloud, and Ms.

Van Duyne.

H. Res. 77: Mr. Lynch.

H. Res. 100: Mr. Walberg.

H. Res. 108: Mr. Mike Garcia of California.

H. Res. 154: Mr. Khanna.

H. Res. 198: Mrs. Fletcher.

H. Res. 339: Mr. Donalds.

H. Res. 345: Mr. Nadler.

H. Res. 374: Mr. Frost.

H. Res. 451: Mr. Kelly of Mississippi, Mrs. Miller of

Illinois, Mrs. Chavez-DeRemer, Ms. Budzinski, Mr. Davis of

North Carolina, Mr. Bost, and Mr. Sorensen.

H. Res. 492: Mr. Van Drew, Mr. Schiff, Mr. Vasquez, Ms.

Stevens, Mrs. Gonzalez-Colon, Mr. Vicente Gonzalez of Texas,

Mr. Buchanan, Mr. Davis of Illinois, and Mr. Allred.

H. Res. 509: Mr. Goldman of New York.

H. Res. 585: Mrs. Torres of California, Ms. Lee of

California, and Ms. Dean of Pennsylvania.

H. Res. 615: Mr. Carter of Louisiana.

H. Res. 616: Mr. Peters, Mr. Keating, and Ms. Ross.

H. Res. 623: Mr. Moskowitz and Mr. Trone.

H. Res. 625: Mrs. Trahan, Mr. Costa, and Mr. Torres of New

York.

H. Res. 627: Mr. Ruppersberger, Mrs. Miller of Illinois,

Mr. Langworthy, Ms. Stefanik, Mr. Schiff, and Ms. Craig.

H. Res. 634: Ms. Schakowsky.

H. Res. 651: Mr. DesJarlais.

H. Res. 674: Mr. Moylan, Ms. Crockett, Ms. Norton, Mr.

Posey, Mrs. Peltola, Mr. Nunn of Iowa, Mr. Van Drew, Mr.

Donalds, Mr. Westerman, Mr. Kelly of Pennsylvania, and Mr.

Crenshaw.

Rep. Joyce BeattyD-OH-3 · Sep 18, 2024

Mr. Speaker, I rise today to express my gratitude to the many volunteers from Ohio's Third Congressional District who are here this week representing the American Cancer Society Cancer Action…

Mr. Speaker, I rise today to express my gratitude to the many volunteers from Ohio's Third Congressional District who are here this week representing the American Cancer Society Cancer Action Network.

They are working tirelessly to help end cancer for everyone. There are over 750 volunteers, advocates, and patients from across the country here, representing almost every congressional district, including constituents from my Third Congressional District of Ohio. They are selflessly donating their time and energy to fight to end cancer.

Mr. Speaker, approximately 1,680 Americans die every day from cancer. In Ohio alone, there will be almost 24,000 cancer-related deaths this year, putting Ohio at the sixth highest mortality rate in the country. These numbers are staggering, and they serve as a sobering reminder that nearly all of us have had a friend or family member fight this disease.

Just 2 months ago, in this very Chamber, we grieved the loss of my dear friend, our colleague, Congresswoman Sheila Jackson Lee, who sadly passed after her courageous battle with pancreatic cancer.

One of the biggest existing hurdles to beating cancer is our limited ability to detect it early. That is why the American Cancer Society Cancer Action Network volunteers from Ohio are here, advocating for increased funding for cancer prevention and research and for the passage of H.R. 2407, the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act. This bill is led by my friend and our colleague, Congresswoman Terri Sewell. She would like to increase access to earlier and simpler cancer screening.

Early detection delivers hope, especially for Black Americans, who face the highest cancer death rate and shortest survival rate of any racial or ethnic group in the United States.

We must do better to understand cancer and to serve our underserved communities. We must work together because working together will ensure that all Americans have equitable access to new cancer detection tools.

Mr. Speaker, we have had many spirited debates on this floor, but with the over 2 million new cancer cases expected in 2024, I think we can all agree on a shared goal to fight and beat cancer. One way of starting this would be for us to pass H.R. 2407.

That is why I thank the American Cancer Society Cancer Action Network, the advocacy arm of the American Cancer Society. They are the leading organization urging increased funding for cancer research and cancer prevention.

Also, I thank and commend ACS CAN's board of directors chair, Dr. Kimberly Jeffries Leonard. Dr. Jeffries Leonard is a trailblazer with over 40 years of experience in applied health and behavioral medicine research. She made history in becoming ACS CAN's first Black chairwoman. I congratulate her.

This exemplary organization has made it possible for us to meet our constituents, to hear their stories, and to understand better how cancer burdens far too many families.

Lastly, Mr. Speaker, I would like to say that it is important for us as Members of Congress to support investments in cancer research and innovation that will help prevent, detect, and treat the families and individuals with this disease.

Mr. Speaker, let me once again thank ACS CAN and their volunteers for their tireless dedication and diligence in the fight against cancer.

Bill Text

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Introduced in HouseIssued March 30, 2023

118th CONGRESS

1st Session

H. R. 2407

IN THE HOUSE OF REPRESENTATIVES

March 30, 2023

Mr. Arrington (for himself, Ms. Sewell, Mr. Hudson, and Mr. Ruiz) introduced the following bill; which was 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

A BILL

To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests.

Short title

This Act may be cited as the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act .

Findings; purpose

(a)

Findings

Congress finds the following:

(1)

Detecting cancer early, before it has spread throughout the body, saves lives. Cancers detected when still localized can be treated more effectively and have a 4 times greater survival rate compared to cancers found after metastasis has occurred. Existing Medicare-covered early detection tests, such as mammograms and colonoscopies, have led to a substantial reduction in age-adjusted mortality.

(2)

Diagnosing and treating cancer earlier often results in less invasive treatments for patients, which are also less expensive. According to peer reviewed literature, treatment of early stage cancer is half the cost of metastatic cancer.

(3)

Driving national strategies to broadly detect cancer earlier will help reduce pervasive health disparities since racial, ethnic, and geographic groups experience later stages of diagnosis, along with higher cancer incidence and mortality.

(4)

The benefits of early cancer detection to Medicare beneficiaries have been limited to five cancers. According to the National Cancer Institute’s Surveillance, Epidemiology, and End Results program, 71 percent of the 600,000 cancer deaths each year are from types of cancer without a Medicare-covered early detection test.

(5)

Age is the leading risk factor for cancer, placing Medicare beneficiaries at elevated risk. About 1,000,000 Medicare beneficiaries will be diagnosed with cancer this year, as the median age for cancer diagnosis is 66 years of age.

(6)

Several innovative private and academic efforts are engaged in research, including advanced clinical trials to develop multi-cancer early detection blood-based tests. Published data indicate that these tests can screen for many cancers at the same time, including rare cancers, with one example currently able to screen for more than 50 cancers.

(7)

Multi-cancer early detection tests can complement the covered early detection tests enacted by Congress and extend the benefits of early detection to more cancers and more Americans. Medicare coverage of comprehensive multi-cancer early detection screening tests could substantially transform cancer care for Americans, and the Medicare law needs modernizing to provide timely coverage and keep pace with medical innovation.

(b)

Purpose

The purpose of this Act is to create a covered benefit for multi-cancer early detection screening tests to ensure Medicare beneficiary access to these tests without unnecessary delay once approved under the Federal Food, Drug, and Cosmetic Act.

Medicare coverage of multi-cancer early detection screening tests

(a)

Coverage

Section 1861 of the Social Security Act (42 U.S.C. 1395x) is amended—

(1)

in subsection (s)(2)—

(A)

by striking the semicolon at the end of subparagraph (JJ) and inserting ; and; and

(B)

by adding at the end the following new subparagraph:

(KK)

multi-cancer early detection screening tests (as defined in subsection (nnn));

; and

(2)

by adding at the end the following new subsection:

(nnn)

Multi-Cancer early detection screening tests

The term multi-cancer early detection screening test means any of the following tests, approved or cleared by the Food and Drug Administration, insofar as the Secretary determines coverage of such tests is appropriate, furnished to an individual for the purpose of earlier detection of cancer across many cancer types (such as described in the National Cancer Institute’s Annual Report to the Nation on the Status of Cancer):

(2)

A genomic sequencing blood or blood product test that includes the analysis of cell-free nucleic acids.

(3)

Such other equivalent tests (which are based on blood, blood products, urine or other sample of biological material) as the Secretary determines appropriate in providing results comparable to those obtained with a test described in paragraph (1).

(b)

Payment and frequency limit

(1)

Payment under fee schedule

Section 1833(h) of the Social Security Act (42 U.S.C. 1395l(h)) is amended—

(A)

in paragraph (1)(A), by inserting after (including the following: multi-cancer early detection screening tests under section 1861(nnn), and including; and

(B)

by adding at the end the following new paragraph:

(10)

No payment may be made under this part for a multi-cancer early detection screening test (as defined in section 1861(nnn)) for an individual if such a test was furnished to the individual during the previous 11 months.

(2)

Conforming amendment

Section 1862(a) of the Social Security Act (42 U.S.C. 1395y(a)) is amended—

(A)

in paragraph (1)—

(i)

in subparagraph (O), by striking and at the end;

(ii)

in subparagraph (P), by striking the semicolon at the end and inserting , and; and

(iii)

by adding at the end the following new subparagraph:

(Q)

in the case of multi-cancer early detection screening tests (as defined in section 1861(lll)), which are performed more frequently than is covered under section 1833(h)(10);

; and

(B)

in paragraph (7), by striking or (P) and inserting (P), or (Q).

(c)

Rule of construction relating to other cancer screening tests

Nothing in this section, including the amendments made by this section, shall be construed—

(1)

in the case of an individual who undergoes a multi-cancer early detection screening test, to affect coverage under part B of title XVIII of the Social Security Act for other cancer screening tests covered under such title, such as screening tests for breast, cervical, colorectal, lung, or prostate cancer; or

(2)

in the case of an individual who undergoes another cancer screening test, to affect coverage under such part for a multi-cancer early detection screening test or the use of such a test as a diagnostic or confirmatory test for a result of the other cancer screening test.