Reducing Hereditary Cancer Act (H.R.4110 / S.3656)
Tigerlily Foundation has joined our partners at FORCE (Facing Our Risk of Cancer Empowered) to support the Reducing Hereditary Cancer Act. Currently, Medicare patients face barriers to genetic testing and recommended preventive care for those who carry genetic mutations. Those with Medicare coverage have access to cancer screening services such as clinical breast exams, mammograms and pelvic exams, however critical genetic testing is only covered for those already diagnosed with cancer, regardless of family cancer history or a known genetic mutation in the family. Genetic testing for a hereditary predisposition to breast and other cancers is the standard-of-care and widely recognized as medically necessary for individuals with certain personal or family histories of the disease, yet if an individual who is eligible and recommended to have genetic testing has Medicare and has not already been diagnosed with cancer, they do not have access to this test. Knowledge of an inherited genetic mutation (i.e. BRCA1, BRCA2, ATM, CHK2, PTEN, etc.) can be life-saving for an individual and their family members. Furthermore, if an individual pays out-of-pocket for testing and is found to have an inherited genetic mutation associated with increased breast cancer risk, the medically necessary high-risk cancer screenings and/or risk-reducing interventions are NOT covered either.
The Reducing Hereditary Cancer Act aims to modify the current Medicare statutes to close this gap in access by providing coverage for genetic testing for those with a known hereditary cancer mutation in their family and those with a personal or family history suspicious for hereditary cancer as well as provide access to increased cancer screening and risk-reducing surgeries as recommended for those with inherited genetic mutations (for example, preventative removal of breasts or ovaries).
Closing these gaps in coverage is especially important for Patients of Color as an abundance of research shows disparities in access to genetic counseling and testing among underserved racial and ethnic minorities. These inequities in access lead to disparities in cancer screening, prevention and early detection, which in turn can contribute to the existing disparities in breast cancer mortality rates for Black women. Implementation of the Reducing Hereditary Cancer Act would bring us one step closer to achieving health equity and would save the lives of many living with increased risk of breast cancer due to inherited genetic mutations.