H.R. 6280 — Access to Genetic Counselor Services Act of 2025

This section establishes Medicare Part B coverage for genetic counseling services furnished on or after January 1, 2027, by a genetic counselor—defined as a state-licensed individual or, absent state licensure, one certified by the American Board of Genetic Counseling who meets Secretary criteria—along with incident services and supplies otherwise covered if furnished by a physician. It (1) prohibits balance billing by genetic counselors; (2) sets payment at 80% of the lesser of the actual charge or 85% of the physician fee schedule amount under Medicare physician fee schedule (MFPS); (3) makes a conforming amendment to exclude such services from certain coverage limitations; (4) clarifies that physicians and other providers may continue billing Medicare for otherwise covered genetic counseling services; and (5) authorizes the Secretary of Health and Human Services to implement by interim final rule with comment period.