US Policy Pulse

CMS proposes major cuts to clinical-lab payment rates

CMS proposes major cuts to clinical-lab payment rates

CMS's preliminary 2027 clinical-laboratory rates project an average payment reduction of about 16%, with large variation by test category and phased implementation through 2029. The October 21 comment deadline makes this an actionable payment-policy development, while competing CMS and industry claims require review of the underlying rate data and potential access effects.

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Updated Sep 24, 2026