Comment on CMS-2026-2081-0001
The Coalition for 21st Century MedicineSupportAdvocacy
Summary: The Coalition for 21st Century Medicine (C21) argues that biomarker tests should be classified as Essential Health Benefits (EHB) because they fall under the statutory laboratory services category. They contend that CMS should not allow these tests to be excluded from EHB for the purposes of state defrayal requirements or annual cost-sharing limitations, as doing so would hinder patient access to precision medicine.
On behalf of the Coalition for 21st Century Medicine (C21), please see attached comments in response to CMS’s Request for Information; Comprehensive Review of the Essential Health Benefits Framework and Typical Employer Plan Standard (CMS-9874-NC).