Access to Genetic Counselor Services Act of 2026

This bill requires Medicare to cover genetic counseling services provided by licensed or certified genetic counselors starting January 2027. It defines covered services and sets payment at 80% of the lower of the actual charge or 85% of the physician fee schedule. Medicare beneficiaries seeking genetic counseling and genetic counselors practicing in licensed or certified states will directly benefit from this expanded coverage. The bill also prohibits balance billing for these services and updates Medicare rules to clarify that physicians may still bill for genetic counseling if covered under existing rules.