H.R. 842 · 119th Congress

Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act

Introduced on Jan 31, 2025 by Jodey C. Arrington (R-TX-19). 338 cosponsors, 185 of them from another party. Latest action (Oct 3, 2025): Reported (Amended) by the Committee on Ways and Means. H. Rept. 119-333, Part I.

Stage
Reported by committee
Introduced
Jan 31, 2025
Cosponsors
338
185 from the other party
Policy area
Health
Open in the Congress explorerCongress.govAlert me

Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. Reported by committee
  3. 3Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

Official title

To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests.

Subjects

  • Cancer
  • Health care costs and insurance
  • Health care coverage and access
  • Health promotion and preventive care
  • Medical tests and diagnostic methods
  • Medicare

Summary

By the Congressional Research Service (Introduced in House, Jan 31, 2025). Public domain.

Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act

This bill allows, beginning in 2028, for Medicare coverage and payment for multi-cancer early detection screening tests that are approved by the Food and Drug Administration and that are used to screen for cancer across many cancer types, if the Centers for Medicare & Medicaid Services determines such coverage is appropriate. Coverage is limited to those under a certain age (age 68 in 2028, increased by one year every year thereafter) and to one test every 11 months.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

Jodey C. ArringtonR-TX-19Sponsor

Democrats · 185

Independents · 1

Republicans · 152

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. Jan 31, 2025Introduced in House
  2. Jan 31, 2025Introduced in House
  3. Jan 31, 2025 · HouseReferred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  4. Jan 31, 2025 · HouseReferred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  5. Sep 17, 2025 · HouseCommittee Consideration and Mark-up Session Held
  6. Sep 17, 2025 · HouseOrdered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 43 - 0.
  7. Oct 3, 2025Reported (Amended) by the Committee on Ways and Means. H. Rept. 119-333, Part I.
  8. Oct 3, 2025 · HouseReported (Amended) by the Committee on Ways and Means. H. Rept. 119-333, Part I.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. GRAIL, INC.30 reports
    $1.3M reported (all issues)
  2. EXACT SCIENCES CORPORATION13 reports
    $2.2M reported (all issues)Federal contractor: EXACT SCIENCES CORPORATION$443.6K in contracts, FY2026AI match · 99%
  3. GRAIL, Inc. (formerly GRAIL, LLC)12 reports
    $3.6M reported (all issues)
  4. John Hancock Life Insurance Company (U.S.A)8 reports
    $1.6M reported (all issues)Federal contractor: JOHN HANCOCK LIFE INSURANCE CO.AI match · 100%
  5. AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)6 reports
    $25.6M reported (all issues)
  6. AMERICAN ASSOCIATION OF NURSE PRACTITIONERS6 reports
    $2.5M reported (all issues)
  7. ASSOCIATION OF CANCER CARE CENTERS (FKA ASSOCIATION OF COMMUNITY CANCER CENTERS)5 reports
    $130K reported (all issues)
  8. ILLUMINA, INC.5 reports
    Federal contractor: ILLUMINA, INC.$21.9M in contracts, FY2026AI match · 100%
  9. INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS5 reports
    $973.3K reported (all issues)Federal contractor: INTERNATIONAL ASSOCIATION OF FIREFIGHTERS$5,280 in contracts, FY2026AI match · 100%
  10. The Susan G. Komen Breast Cancer Foundation, Inc. dba Susan G. Komen5 reports
    $570K reported (all issues)
  11. American Cancer Society Cancer Action Network, Inc.4 reports
    $9.1M reported (all issues)
  12. Deadliest Cancers Coalition4 reports
  13. John Hancock Life Insurance Company (USA) (fka John Hancock Fin. Services, Inc.)4 reports
    $230K reported (all issues)
  14. National Minority Quality Forum Action Network4 reports
    $190K reported (all issues)
  15. BOEHRINGER INGELHEIM USA CORPORATION3 reports
    $2.5M reported (all issues)Federal contractor: BOEHRINGER INGELHEIM ANIMAL HEALTH USA INC$3.5M in contracts, FY2026AI match · 99%
  16. Curing Stomach Cancer: Debbie's Dream Foundation3 reports
    $65K reported (all issues)
  17. Alliance for Aging Research2 reports
    $230K reported (all issues)
  18. BLUECROSS BLUESHIELD OF TENNESSEE2 reports
    $360K reported (all issues)
  19. Blue Cross and Blue Shield Association2 reports
    $3M reported (all issues)
  20. Blue Cross and Blue Shield of Florida, Inc.2 reports
    $220K reported (all issues)
  21. CHRONIC CARE POLICY ALLIANCE2 reports
    $40K reported (all issues)
  22. GUIDEWELL MUTUAL HOLDING CORPORATION2 reports
    $10K reported (all issues)
  23. IPSEN BIOPHARMACEUTICALS INC.2 reports
    $40K reported (all issues)
  24. LANTHEUS HOLDINGS INC2 reports
    $662K reported (all issues)
  25. American Clinical Laboratory Assn1 report
    $660K reported (all issues)
  26. American Medical Association1 report
    $4.6M reported (all issues)Federal contractor: AMERICAN MEDICAL ASSOCIATION$371K in contracts, FY2026AI match · 99%
  27. BLUE CROSS AND BLUE SHIELD OF KANSAS, INC.1 report
    $10K reported (all issues)
  28. BLUE CROSS BLUE SHIELD OF MICHIGAN1 report
    $266K reported (all issues)
  29. SIEMENS MEDICAL SOLUTIONS USA INC.1 report
    $700K reported (all issues)Federal contractor: SIEMENS MEDICAL SOLUTIONS USA, INC.AI match · 100%
  30. THE NEW ENGLAND COUNCIL1 report
    $10K reported (all issues)

Reports filed in 2025, 2026.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 6, 2026 · loaded Oct 6, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 6, 2026 · loaded Oct 6, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.