II 119th CONGRESS 1st Session S. 3267 IN THE SENATE OF THE UNITED STATES November 20, 2025 Ms. Collins (for herself, Ms. Cortez Masto , Mrs. Capito , and Mr. Warner ) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To amend title XVIII of the Social Security Act to provide for Medicare coverage of blood-based dementia screening tests. 1. Short title This Act may be cited as the “Alzheimer's Screening and Prevention Act” or the “ASAP Act”. 2. Medicare coverage of Alzheimer’s disease and related dementias early detection screening tests (a) Coverage Section 1861 of the Social Security Act (42 U.S.C. 1395x) is amended— (1) in subsection (s)(2)— (A) in subparagraph (JJ), by striking the semicolon at the end and inserting “; and”; and (B) by adding at the end the following new subparagraph: (KK) Alzheimer’s disease and related dementias early detection screening tests (as defined in subsection (nnn)); and (2) by adding at the end the following new subsection: (nnn) Alzheimer’s disease and related dementias early detection screening tests The term Alzheimer’s disease and related dementias early detection screening test means a test furnished to an individual for the detection of the pre-symptomatic and early stage of Alzheimer’s disease or related dementias on or after January 1, 2028, that— (1) is cleared under section 510(k), classified under section 513(f)(2), or approved under section 515 of the Federal Food, Drug, and Cosmetic Act; and (2) is— (A) a genomic sequencing blood or blood product test; or (B) such other equivalent test, including a single-analyte test, blood test analysis of cell-free nucleic acids, multiplex panel test, whole genome sequencing, protein expression, whole exome, whole transcriptome, and medical imaging (which are based on blood, blood products, tissue, urine or other biospecimen), as the Secretary determines appropriate in providing results comparable to those obtained with a test described in subparagraph (A). . (b) Payment Section 1833(h)(1)(A) of the Social Security Act (42 U.S.C. 1395l(h)(1)(A)) is amended by inserting “Alzheimer’s disease and related dementias early detection screening tests under section 1861(nnn) and” after “including”.