,,ii #aaith ,,congress #ast ,session ,s4 #cci ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,january #cj1 #bjbe,mr4 ,crapo 7for himself1 ,mr4 ,bennet1 ,mr4 ,scott of ,south ,carolina1 and ,mr4 ,wyden7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to amend title ,,xviii of the ,social ,security ,act to provide for ,medicare coverage of multi-cancer early detection screening tests4 #a4 ,short title ,this ,act may be cited as the ,nancy ,gardner ,sewell ,medicare ,multi-,cancer ,early ,detection ,screening ,coverage ,act4 #b4 ,medicare coverage of multi-cancer early detection screening tests 7a7 ,coverage ,section #ahfa of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is amended-- 7#a7 in subsection 7s77#b7-- 7,a7 by striking the semicolon at the end of subparagraph 7,,jj7 and inserting 2 and2 and 7,b7 by adding at the end the following new subparagraph3 7,,kk7 multi-cancer early detection screening tests 7as defined in subsection 7nnn772 2 and 7#b7 by adding at the end the following new subsection3 7nnn7 ,multi-,cancer early detection screening tests 7#a7 ,in general ,the term multi-cancer early detection screening test means a test furnished to an individual for the concurrent detection of multiple cancer types across multiple organ sites on or after ,january #a1 #bjbh1 that-- 7,a7 is cleared under section #eaj7k71 classified under section #eac7;f77#b71 or approved under section #eae of the ,federal ,food1 ,drug1 and ,cosmetic ,act2 7,b7 is-- 7i7 a genomic sequencing blood or blood product test that includes the analysis of cell-free nucleic acids2 or 7ii7 a test based on samples of biological material that provides results comparable to those obtained with a test described in clause 7i71 as determined by the ,secretary2 and 7,c7 the ,secretary determines is-- 7i7 reasonable and necessary for the prevention or early detection of an illness or disability2 and 7ii7 appropriate for individuals entitled to benefits under part ,a or enrolled under part ,b4 7#b7 ,,ncd process ,in making determinations under paragraph 7#a77;,c7 regarding the coverage of a new test1 the ,secretary shall use the process for making national coverage determinations 7as defined in section #ahfi7;f77#a77;,b77 under this title4 4 7b7 ,payment and standards for multi-,cancer early detection screening tests 7#a7 ,in general ,section #ahcd of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7 is amended by adding at the end the following new subsection3 7aa7 ,payment and standards for multi-,cancer early detection screening tests 7#a7 ,payment amount ,the payment amount for a multi-cancer early detection screening test 7as defined in section #ahfa7nnn77 is-- 7,a7 with respect to such a test furnished before ,january #a1 #bjca1 equal to the payment amount in effect on the date of the enactment of this subsection for a multi-target stool screening ,,dna test covered pursuant to section #ahfa7pp77#a77;,d72 and 7,b7 with respect to such a test furnished on or after ,january #a1 #bjca1 equal to the lesser of-- 7i7 the amount described in subparagraph 7,a72 or 7ii7 the payment amount determined for such test under section #ahcd;,a4 7#b7 ,limitations 7,a7 ,in general ,no payment may be made under this part for a multi-cancer early detection screening test furnished during a year to an individual if-- 7i7 as of ,january #a of such year1 such individual has attained the age specified in subparagraph 7,b7 for such year2 or 7ii7 such a test was furnished to the individual during the previous #aa months4 7,b7 ,age specified ,for purposes of subparagraph 7,a77i71 the age specified in this subparagraph is-- 7i7 for #bjbh1 #fh years of age2 and 7ii7 for a succeeding year1 the age specified in this subparagraph for the preceding year1 increased by #a year4 7#c7 ,standards following ,,uspstf rating ,in the case of a multi-cancer early detection screening test that is recommended with a grade of ,a or ,b by the ,united ,states ,preventive ,services ,task ,force1 beginning on the date on which coverage for such test is provided pursuant to section #ahfa7;ddd77#a71 the preceding provisions of this subsection shall not apply4 4 7#b7 ,conforming amendments 7,a7 ,section #ahcc of the ,social ,security ,act 7#db ,u4,s4,c4 #aciel7 is amended-- 7i7 in subsection 7a7-- 7,i7 in paragraph 7#a77;,d77i77,i71 by striking section #ahcd7;d77#a7 and inserting subsection 7d77#a7 or 7aa7 of section #ahcd2 and 7,,ii7 in paragraph 7#b77;,d77i77,i71 by striking section #ahcd7;d77#a7 and inserting subsection 7d77#a7 or 7aa7 of section #ahcd2 and 7ii7 in subsection 7h71 by striking section #ahcd7;d77#a7 and inserting subsections 7d77#a7 and 7aa7 of section #ahcd4 7,b7 ,section #ahfb7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciey7a77 is amended-- 7i7 in paragraph 7#a7-- 7,i7 in subparagraph 7,o71 by striking and at the end2 7,,ii7 in subparagraph 7,p71 by striking the semicolon at the end and inserting 1 and2 and 7,,iii7 by adding at the end the following new subparagraph3 7,q7 in the case of multi-cancer early detection screening tests 7as defined in section #ahfa7nnn771 which are not reasonable and necessary for the concurrent detection of multiple cancer types across multiple organ sites2 2 and 7ii7 in paragraph 7#g71 by striking or 7,p7 and inserting 7,p71 or 7,q74 7c7 ,rule of construction relating to other cancer screening tests ,nothing in this section1 including the amendments made by this section1 shall be construed-- 7#a7 in the case of an individual who undergoes a multi-cancer early detection screening test1 to affect coverage under part ,b of title ,,xviii of the ,social ,security ,act for other cancer screening tests covered under such title1 such as screening tests for breast1 cervical1 colorectal1 lung1 or prostate cancer2 or 7#b7 in the case of an individual who undergoes another cancer screening test1 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 test4