Medicare eliminates patient costs for colorectal cancer screening
S. 2949 — Colorectal Cancer Payment Fairness Act · Filed by Cory Booker (D-NJ) · 2 cosponsors · Introduced Sep 30, 2025 · Referred to committee
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What it does
This bill eliminates the coinsurance (patient cost-sharing) requirement for colorectal cancer screening tests covered by Medicare, making them fully covered at no out-of-pocket cost to beneficiaries. Currently, Medicare covers these screenings but requires patients to pay a percentage of the cost; this bill removes that requirement permanently starting in 2026.
Why we flagged it
The bill directly expands Medicare coverage by eliminating patient cost-sharing for a specific preventive health service, making it a straightforward public-health measure that reduces financial barriers to early cancer detection.
What the text implies
- Permanent elimination of coinsurance (striking the 2030 sunset) locks in full coverage indefinitely, increasing long-term Medicare spending on colorectal screening without a future review trigger.
- By removing cost-sharing, the bill may increase screening utilization rates among Medicare beneficiaries, potentially improving early cancer detection but also increasing volume-based costs to the program.
- The bill does not specify which colorectal cancer screening modalities (colonoscopy, FIT, CT colonography, etc.) are covered at 100%, leaving implementation details to CMS guidance under the existing statute.
Section numbers refer to the bill text the analysis read — linked under Primary records below.
Who it affects
Medicare beneficiaries gain free access to colorectal cancer screening without cost-sharing, removing a financial barrier to preventive care that can detect cancer early. The elimination of coinsurance reduces out-of-pocket spending for seniors and disabled individuals on a high-value preventive service.
Who stands to gain
- Medicare beneficiaries (seniors and disabled individuals)
- Healthcare providers and facilities performing colorectal cancer screening
Named in the bill
Medicare, Social Security Act, Centers for Medicare & Medicaid Services (CMS), colorectal cancer screening
Where it stands
2 cosponsors: 2 Democrats.
- Sep 30, 2025 — Introduced · Congress.gov: “Introduced in Senate”
- Sep 30, 2025 — Referred to Senate Committee on Environment and Public Works · Congress.gov: “Read twice and referred to the Committee on Environment and Public Works”
Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.
How this was measured
Analysis — Quorum's AI read the bill text published by Congress.gov (552 characters) on Apr 14, 2026. Section numbers in the findings refer to that text, linked below; transparency and hidden-provision scores are compared against the median of 16,222 analysed bills.
Status and sponsors — Congress.gov's bill record — actions, committee referrals and cosponsors — loaded nightly. The timeline shows status changes, not every procedural action.
As of — page rendered 2026-10-20.
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