Mike Crapo (R-ID)
Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
A Republican bill with 35 Democratic cosponsors · See all 68 cosponsors
Last activity — Read twice and referred to the Committee on Finance.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- Introduced
- In Committee
What this bill would do
This bill, known as the ``Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act,'' aims to amend the Social Security Act. It seeks to provide Medicare coverage for multi-cancer early detection screening tests. These tests are defined as those used for the concurrent detection of multiple cancer types across multiple organ sites. The coverage would apply to specific tests, such as genomic sequencing blood or blood product tests. The bill also establishes specific payment amounts and time-based limitations for these screenings.
Yes· 3 of 9
- Scored +5
Does this make health care easier to get in general?
The bill provides coverage for advanced multi-cancer early detection screenings through Medicare.
- Scored +4
Would people in middle age be better off under this?
Middle-aged individuals benefit from expanded cancer screening coverage before reaching the age limits.
- Scored +3
Would people over 65 be better off under this?
The bill expands Medicare benefits for early cancer detection, though benefits are phased out by age.
The opposite
- Scored -1
Does this reduce what the federal government spends?
The bill implements age-based limitations and frequency restrictions on Medicare payments for these tests.
Who it would affect, and how
Potential Positive Impacts for People
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Coverage for early cancer detection: The bill would allow Medicare to cover tests used for the concurrent detection of multiple cancer types across multiple organ sites, provided the Secretary determines they are reasonable and necessary (Section 2(a)(2)(1)).
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Specific test types included: Coverage would apply to genomic sequencing blood or blood product tests that include the analysis of cell-free nucleic acids, or similar biological material tests (Section 2(a)(2)(1)(B)).
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Protection of existing screenings: The bill ensures that undergoing these new multi-cancer tests will not affect coverage for other traditional cancer screenings, such as those for breast, cervical, colorectal, lung, or prostate cancer (Section 2(c)(1)).
Potential Negative Impacts for People
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Age-based limitations on coverage: Medicare payments for these tests may be prohibited if the individual has attained a certain age, which starts at 68 years of age in 2028 and increases by one year every subsequent year (Section 2(b)(1)(2)(A)).
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Frequency limitations: Payment may not be made if the individual has already been furnished such a test during the previous 11 months (Section 2(b)(1)(2)(A)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would people in middle age be better off under this? — Middle-aged individuals benefit from expanded cancer screening coverage before reaching the age limits. Would households on low incomes be better off under this? — Expanding Medicare coverage reduces out-of-pocket costs for preventative cancer screenings. Would middle-income households be better off under this? — The bill increases access to advanced medical screenings through Medicare coverage. Would people over 65 be better off under this? — The bill expands Medicare benefits for early cancer detection, though benefits are phased out by age. Would retired people be better off under this? — The bill provides new preventative health benefits through Medicare for those qualifying before the age limit. Would people in their twenties and thirties be better off under this? — The bill provides coverage for multi-cancer screenings that are not restricted by the age-based phase-out.
- Healthcare
- Does this make health care easier to get in general? — The bill provides coverage for advanced multi-cancer early detection screenings through Medicare. Does this put more money into Medicare, the health coverage for people over 65? — The bill expands Medicare coverage to include multi-cancer early detection screening tests.
- Economy And Finance
- Does this reduce what the federal government spends? — The bill implements age-based limitations and frequency restrictions on Medicare payments for these tests.
- Social Issues And Justice
- Is this likely to lift people out of poverty? — Early cancer detection can mitigate the catastrophic financial impact of late-stage cancer treatments.
- 3/2/2026
- 1 Cosponsor added.
- 12/15/2025
- 1 Cosponsor added.
- 10/23/2025
- 1 Cosponsor added.
- 10/21/2025
- 1 Cosponsor added.
- 10/15/2025
- 1 Cosponsor added.
- 10/14/2025
- 1 Cosponsor added.
- 10/8/2025
- 1 Cosponsor added.
- 9/8/2025
- 1 Cosponsor added.
- 9/4/2025
- 1 Cosponsor added.
- 9/2/2025
- 2 Cosponsors added.
- 7/31/2025
- 1 Cosponsor added.
- 7/29/2025
- 1 Cosponsor added.
- 7/14/2025
- 1 Cosponsor added.
- 7/9/2025
- 2 Cosponsors added.
- 6/24/2025
- 1 Cosponsor added.
- 6/11/2025
- 1 Cosponsor added.
- 6/3/2025
- 2 Cosponsors added.
- 5/20/2025
- 1 Cosponsor added.
- 5/5/2025
- 1 Cosponsor added.
- 4/28/2025
- 2 Cosponsors added.
- 4/10/2025
- 2 Cosponsors added.
- 4/9/2025
- 1 Cosponsor added.
- 4/7/2025
- 1 Cosponsor added.
- 4/4/2025
- 1 Cosponsor added.
- 4/3/2025
- 1 Cosponsor added.
- 4/2/2025
- 1 Cosponsor added.
- 3/31/2025
- 1 Cosponsor added.
- 3/26/2025
- 4 Cosponsors added.
- 3/25/2025
- 1 Cosponsor added.
- 3/24/2025
- 3 Cosponsors added.
- 3/14/2025
- 2 Cosponsors added.
- 3/13/2025
- 3 Cosponsors added.
- 3/12/2025
- 2 Cosponsors added.
- 3/11/2025
- 3 Cosponsors added.
- 3/10/2025
- 2 Cosponsors added.
- 3/6/2025
- 1 Cosponsor added.
- 3/4/2025
- 2 Cosponsors added.
- 2/25/2025
- 1 Cosponsor added.
- 2/24/2025
- 1 Cosponsor added.
- 2/20/2025
- 1 Cosponsor added.
- 2/18/2025
- 1 Cosponsor added.
- 2/11/2025
- 1 Cosponsor added.
- 2/10/2025
- 1 Cosponsor added.
- 2/5/2025
- 2 Cosponsors added.
- 2/4/2025
- 2 Cosponsors added.
- 1/30/2025
- Read twice and referred to the Committee on Finance.
- 3 Cosponsors added.
- Introduced in Senate
4 bills Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Angela AlsobrooksDemocrat · Maryland
Tammy BaldwinDemocrat · Wisconsin
John BoozmanRepublican · Arkansas
John BarrassoRepublican · Wyoming
Michael BennetDemocrat · Colorado
Richard BlumenthalDemocrat · Connecticut
Cory BookerDemocrat · New Jersey
Jim BanksRepublican · Indiana
Lisa Blunt RochesterDemocrat · Delaware
Ted BuddRepublican · North Carolina
Katie BrittRepublican · Alabama
Maria CantwellDemocrat · Washington
Susan CollinsRepublican · Maine
Shelley CapitoRepublican · West Virginia
John CornynRepublican · Texas
Bill CassidyRepublican · Louisiana
Christopher CoonsDemocrat · Delaware
Kevin CramerRepublican · North Dakota
Catherine Cortez MastoDemocrat · Nevada
Steve DainesRepublican · Montana
John FettermanDemocrat · Pennsylvania
Lindsey GrahamRepublican · South Carolina
Chuck GrassleyRepublican · Iowa
Kirsten GillibrandDemocrat · New York
Ruben GallegoDemocrat · Arizona
John HickenlooperDemocrat · Colorado
Mazie HironoDemocrat · Hawaii
Martin HeinrichDemocrat · New Mexico
Maggie HassanDemocrat · New Hampshire
Cindy Hyde-SmithRepublican · Mississippi
Jon HustedRepublican · Ohio
James JusticeRepublican · West Virginia
Amy KlobucharDemocrat · Minnesota
Mark KellyDemocrat · Arizona
Angus KingIndependent · Maine
John KennedyRepublican · Louisiana
Andy KimDemocrat · New Jersey
James LankfordRepublican · Oklahoma
Mitch McConnellRepublican · Kentucky
Patty MurrayDemocrat · Washington
Lisa MurkowskiRepublican · Alaska
Jeff MerkleyDemocrat · Oregon
Markwayne MullinRepublican · Oklahoma
Roger MarshallRepublican · Kansas
Bernie MorenoRepublican · Ohio
David McCormickRepublican · Pennsylvania
Jon OssoffDemocrat · Georgia
Alex PadillaDemocrat · California
Gary PetersDemocrat · Michigan
John ReedDemocrat · Rhode Island
James RischRepublican · Idaho
Mike RoundsRepublican · South Dakota
Jacky RosenDemocrat · Nevada
Adam SchiffDemocrat · California
Jeanne ShaheenDemocrat · New Hampshire
Tim ScottRepublican · South Carolina
Dan SullivanRepublican · Alaska
Tina SmithDemocrat · Minnesota
Elissa SlotkinDemocrat · Michigan
Rick ScottRepublican · Florida
Thomas TillisRepublican · North Carolina
Chris Van HollenDemocrat · Maryland
Roger WickerRepublican · Mississippi
Ron WydenDemocrat · Oregon
Peter WelchDemocrat · Vermont
Sheldon WhitehouseDemocrat · Rhode Island
Mark WarnerDemocrat · Virginia
Todd YoungRepublican · Indiana