ePolicy News—April 2026

April 08, 2026

ASCP Needs All Members to Advocate for Laboratory Payment Reform ASCP is urging the laboratory community to weigh in with their members of Congress about the need to enact the bipartisan RESULTS Act to secure long-term reform of Medicare laboratory payments at StopLabCuts.org. Read more. 

Bipartisan Bill Introduced to Reform Medicare PFS On March 30, a bipartisan group of U.S. House members introduced The Provider Reimbursement Stability Act (H.R. 8163) which would reform Medicare Physician Fee Schedule budget neutrality rules to reduce payment volatility and improve the accuracy and predictability of payment updates. Read more. 

Medical Laboratory Workforce Development Initiative ASCP is working to advance national workforce development through new educational resources and webinars for school districts, educators, and students designed to expand awareness of laboratory careers and strengthen career pathways. Read more. 

Apply Now: AMA Launches Inaugural Physician Entrepreneur Forum — Aug. 7–8 in Chicago The AMA is launching its first Physician Entrepreneur Forum, an in-person program focused on entrepreneurship and business leadership for physicians, trainees, and medical students. Read more. 

Microlearning Scenarios Strengthen Awareness of ETU Practices An article in the American Journal of Clinical Pathology highlights how ASCP’s case-based microlearning course significantly increased awareness and knowledge of effective test utilization practices among laboratory professionals. Read more. 

Building Bridges 2026: Professional Identity ASCP’s Building Bridges webinar series returns with a session focused on professional identity and the importance of clearly communicating the role of laboratory professionals in patient care. Register for the session before April 22. Read more. 

California Licensure Fee Update ASCP, the ASCP BOC, and our partners, inspired by the grassroots efforts of the ASCP Northern California Chapter, continue to advocate for the reversal of steep California laboratory licensure fee increases enacted in early 2026 through multiple strategies. Read more.

 

 

California Licensure Fee Update

April 08, 2026

  • ASCP, the ASCP BOC, and the ASCP Northern California Chapter are pressing the California Legislature to roll back a massive increase in state licensure fees

     

    ASCP, the ASCP Board of Certification (BOC), and the ASCP Northern California chapter are working to reverse a significant increase in licensing fees for California’s laboratory professionals.

    Last year, during the end of the 2025 legislative session, the California Legislature approved legislation that dramatically increased licensing fees for laboratory professionals. For Medical Laboratory Scientists and Technicians, renewal fees jumped from $179 for a biennial license in 2025 to $600 for the same period. Comparable increases affect all nonphysician laboratory professionals. For those licensed in two or more laboratory specialties, the increase is an even greater burden. Moreover, the legislation replaces the previous biennial license with an annual renewal cycle, creating an increased compliance burden for licensees.

    To support efforts to reverse these changes, ASCP is currently gathering signatures for a sign on letter that will be sent to members of the California Senate and Assembly Budget Committees. In addition, at the end of March, ASCP issued an action alert to its California members, urging them to contact their state legislators and advocate for reversing the fee increases. So far, individuals using the action alert have sent almost 900 letters to the Legislature urging changes.

     

     

Building Bridges 2026: Professional Identity

April 08, 2026

  • ASCP’s successful Building Bridges webinar series, supporting professional development and workplace advocacy, returns with a session on professional identity

     

    ASCP’s 2026 Building Bridges Across the Laboratory Community virtual series supports professional development and strengthens advocacy across the medical laboratory workforce. This year’s program equips laboratory professionals with communication strategies that enhance visibility and highlight the essential role of the laboratory in patient care. The second session, Professional Identity, explores the importance of clearly defining and communicating the identity of medical and public health laboratory professionals. Panelists from cytology, histotechnology, and medical laboratory science will share perspectives on how professional identity is shaped within their disciplines and why articulating these roles is vital to advancing the profession.

    Webinar Date and Time: April 22, 11:00 a.m.–12:30 p.m. (Central Time)

    If you have not registered for this year’s series, visit: https://bit.ly/BuildingBridges_2026

    For more information on our workforce resources, please visit the ASCP workforce webpage.

     

     

Microlearning Scenarios Strengthen Awareness of ETU Practices

April 08, 2026

  • The American Journal of Clinical Pathology recently published an article highlighting best practices for effective test utilization.

     

    The American Journal of Clinical Pathology (AJCP) recently published an article on the breadth and impact of education increasing awareness of best practices for effective test utilization (ETU). This article describes the results of over 8,000 learners completing ASCP’s free course, Case-Based Best Practices in Effective Test Utilization for Clinical Laboratories, bearing 1 CME/CMLE credit. The course presents real-world scenarios paired with concise, practical explanations. The cases were designed by laboratory leaders from the ASCP Quality & Patient Safety Committee as well as past ETU champions, and the course was developed with funding through the Centers for Disease Control and Prevention (CDC).

    Assessment results presented in the article confirm strong evidence of increased awareness and knowledge gain of evidence-based testing practices. While the majority of learners were identified as medical laboratory scientists, all members of the medical laboratory team are encouraged to take this course to increase their knowledge bases around various aspects of ETU. This education helps ensure that a culture of ETU becomes common practice to benefit both laboratory systems and patient care. The published study also demonstrates the value of applying microlearning-based education towards laboratory populations.

     

     

Apply Now: AMA Launches Inaugural Physician Entrepreneur Forum — Aug. 7–8 in Chicago

April 08, 2026


  • The AMA is launching a new initiative, the Physician Entrepreneur Forum, to advance entrepreneurial and business leadership within healthcare

     

    The AMA is inviting physicians, residents, fellows, and medical students to apply for its first AMA Physician Entrepreneur Forum, taking place on August 7–8, 2026 in Chicago. This selective, in-person program is designed for those interested in exploring or advancing entrepreneurial and business leadership pathways in healthcare.

    Bringing together physicians and healthcare leaders who have built and led successful practices, ventures, and organizations, the forum offers participants practical insight into how physicians create, grow and partner in health care enterprises. Attendees will also have the opportunity to build meaningful relationships with peers, collaborators, and seasoned innovators from across the country. 

    Over two focused days, participants will engage in high value discussions, learn from real world experiences, and take part in small group networking designed to spark ideas and accelerate professional growth.

    Space is limited—apply today to secure your spot in this inaugural program.

     

Medical Laboratory Workforce Development Initiative

April 08, 2026

  • ASCP is working to develop resources that can elevate awareness of laboratory careers and help stabilize the laboratory workforce

    As ASCP continues to expand its national efforts to strengthen the medical laboratory workforce supply, we are elevating awareness of laboratory careers and equipping Career and Technical Educators (CTE) in school districts across the country with the tools they need to build sustainable pathways.

    ASCP has developed two resources and two professional development webinars to support this initiative:

    Resources:

  • District Implementation Guide, a practical resource created for CTE directors and district leaders to encourage them to establish or expand their CTE program to include laboratory medicine courses.
  • Student Career Planner: A Student Guide to Medical Laboratory Careers, a comprehensive, tiered roadmap to help students understand how to build a career in laboratory medicine while “earning as they learn.”

    Webinars:

    1. Building and Implementing High School Career Pathways in Laboratory Medicine (February 10) focuses on designing structured, sustainable pathways that introduce students to lab careers and connect them with hands-on learning opportunities.
    2. Inspiring High School Students to Explore Medical Lab Careers (March 4) highlights effective strategies for engaging students, increasing awareness of laboratory professions, and integrating lab focused career exploration into school programs.

For more information on our workforce resources, please visit the ASCP workforce webpage.

 

Bipartisan Bill Introduced to Reform Medicare PFS

April 08, 2026

  • Legislation recently introduced in Congress would reform the Medicare PFS’s budget neutrality requirement.
  • ASCP believes the changes included in the bill would help minimize the negative impact that the budget neutrality requirement can have on the annual process of updating PFS payment rates


    On March 30, a bipartisan group of U.S. House members introduced the Provider Reimbursement Stability Act (H.R. 8163), aimed at updating the Medicare Physician Fee Schedule (PFS). The bill targets long‑standing “budget neutrality” rules that prevent overall PFS spending from increasing unless Congress adds new funding. Changing these requirements remains a key advocacy priority for ASCP.

    The policies outlined in H.R. 8163 would help minimize the negative impact that the budget neutrality requirement can have on the annual process of updating PFS payment rates. Reforming the budget neutrality requirement is an important advocacy goal for ASCP.

    Key provisions in H.R. 8163 include:

    • Raising the budget neutrality threshold from $20 million to $54.3 million.
    • Requiring HHS to revise spending estimates prospectively using actual claims data.
    • Mandating CMS to update direct practice expense inputs—clinical labor rates, medical supply prices, and equipment prices—at the same time and at least every five years.
    • Capping annual changes to the MPFS conversion factor at no more than ±2.5 percent, starting in 2027.
    • H.R. 8163 was introduced by Reps. Greg Murphy, MD (RNC), Tom Suozzi (DNY), John Joyce, MD (RPA), Bob Onder, MD (RMO), Brad Schneider (DIL), Jimmy Panetta (DCA), Mariannette Miller Meeks, MD (RIA), Kim Schrier, MD (DWA), and Robin Kelly (DIL).

       A joint press release from the House sponsors is available here.

    ASCP Needs All Members to Advocate for Laboratory Payment Reform

    April 08, 2026

    • ASCP is urging everyone to ask their elected officials in Congress to enact the RESULTS Act
    • The measure is critical to providing sustainable reimbursement for laboratories and to ensure they can support the needs of patients

       

      Thanks to the grassroots advocacy efforts of ASCP members, Congress took an important step earlier this year to protect patient access to clinical laboratory services by delaying a significant cut in Medicare payments for laboratory services for 2026. As a result, payment cuts of up to 15 percent affecting hundreds of diagnostic tests have once again been paused—briefly—creating an important window for policymakers to advance long-term reform.

      While the delay in payment cuts offers meaningful short-term relief, laboratories are required to resume reporting commercial market data to CMS in May, which could again result in lackluster and unrepresentative data used to set Medicare rates for laboratory services. As a result, it is essential that we all work together to secure foundational reform before the end of the year. Without reform, patients could face reduced access to timely testing, providers may see disruptions in care delivery, and communities could experience further strain on the local laboratory infrastructure.

      Momentum is building in Congress to address these challenges through the bipartisan Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act. ASCP supports the RESULTS Act and its essential reform to a flawed payment system for clinical laboratories. The RESULTS Act would provide long-term stability to the Medicare Clinical Laboratory Fee Schedule (CLFS), improve the accuracy of private payor-based CLFS rates, mitigate future payment cuts, and dramatically reduce the PAMA data reporting burden on laboratories.

      The legislation has already secured strong bipartisan support in both chambers and was the subject of a recent House Energy & Commerce Subcommittee hearing, where lawmakers and industry leaders underscored the urgent need to modernize the Medicare laboratory payment system and protect access to testing. But more support is needed to get this legislation signed into law.

      Now is a critical time to act. Lawmakers need to hear directly from everyone in the laboratory community about the importance of long-term reform. ASCP urges everyone to weigh in with their member of Congress about the need to enact RESULTS this year at StopLabCuts.org. This grassroots advocacy portal provides a draft letter you can send your legislators, and it only takes a few minutes of your time.  Take action today!

       

    PNPL Micro Highlights March 2026

    March 12, 2026

    The Panel of National Pathology Leaders (PNPL) — a think tank dedicated to advancing pathology and laboratory medicine — is committed to empowering leaders and elevating practices across the field. Through its Corporate Social Responsibility (CSR) Focus Group, PNPL provides practical guidance to help pathology practices and laboratories integrate environmental, social, and governance (ESG) principles into operations, strategy, and long-term value creation. The goal is to help organizations translate these concepts into actionable plans that strengthen both performance and stakeholder relationships.

    • Transforming Corporate Responsibility into Competitive Advantage – During a December meeting of the CSR Focus Group, Mary T. Engvall, former Senior Director of Corporate Responsibility at Cigna, provided a practical framework for understanding corporate responsibility as a strategic business function rather than a peripheral activity. Her presentation emphasized that effective CSR initiatives are rooted in stakeholder engagement, risk mitigation, and opportunity identification, enabling organizations to create “shared value” that benefits both the business and the communities it serves. For pathology practices and laboratories, this includes initiatives such as workforce development, environmental safety, and operational efficiency—strengthening organizational performance while enhancing relationships with hospitals, payers, and other partners.

    Click here for an overview of her presentation and key takeaways.

    • Sustainability in Pathology: Insights from PNPL Leadership on ASCP’s Inside the Lab – Through PNPL’s ongoing collaboration with ASCP, sustainability in laboratory medicine was recently highlighted on the Inside the Lab podcast, featuring Dr. Ilyssa Gordon, former Medical Director of Sustainability at the Cleveland Clinic and Dr. Moira Larsen, Chair of PNPL’s CSR Focus Group. The discussion explored how “green labs” are transitioning from concept to operational reality, with laboratories increasingly incorporating data-driven approaches — such as lifecycle assessments — to measure environmental impact and guide decision-making. Importantly, sustainability efforts are most effective when aligned with financial and operational priorities, often supporting cost management, supply chain optimization, and health system alignment. 

    Click here for an overview of this podcast and key takeaways.

    For more information on PNPL, including its Corporate Social Responsibility Focus Group, educational programming, and resources available through its collaboration with ASCP, visit www.pathleaders.org.

    Celebrate Careers and Heroes in Pathology and Laboratory Medicine: Nominations Open for 2026 ASCP Awards

    March 12, 2026

    The nomination period for ASCP’s annual distinguished awards for pathologists and laboratory professionals is now open. 

    Nominate yourself or a colleague who has had a profound impact on laboratory education, management, or an inspirational career journey in pathology or laboratory medicine. Nominations for ASCP’s Annual Awards close on May 1.  

    “Receiving this award feels like a full-circle journey. I began as a volunteer with ASCP. Now, to be recognized for excellence in education by an organization that helped me grow professionally and personally is both humbling and deeply meaningful,” shares Jeannie Guglielmo, MLS(ASCP)CM, the 2025 recipient of ASCP’s Member Excellence in Education Award.   “It’s an honor to be recognized by one’s peers; peer recognition is one of the most important, highest honors. When I look at my career, I wouldn’t be where I am without mentors; I have been blessed to have mentors surrounding me every day for 30 years,” notes Rodney E. Rohde, PhD, MS, SM(ASCP)CMSVCMMBCM, and a recipient of the 2025 ASCP Mentorship Award. 

     

    “I’ve been an ASCP member for many, many years – on committees and commissions, serving many aspects of the Society. I’ve always felt I got more out of my involvement with ASCP than what I’ve put into it. This recognition was truly an honor that I never expected,” reflects Karen Brown, MS, MASCP, MLS(ASCP)CM, recipient of the 2025 ASCP Member Lifetime Achievement Award. 

     

    The 2026 distinguished honorees will receive complimentary registration to the ASCP Annual Meeting in Montreal, Canada, November 17-20, a and highlight on the ASCP website and in an ASCP publication or newsletter.  Your nomination of an inspirational pathologist or laboratory professional—including yourself—provides meaningful recognition of individual skills and impact and amplifies the entire professional community.  

     

    “These honors are not just recognizing individual achievement. When we nominate a colleague or friend, it reflects the collaborative spirit of ASCP,” reflects. Ms. Guglielmo. 

    “I have nominated many individuals for awards over the years,” says Ms. Brown. “These people haven’t sought out recognition, but they have inspired me, helped ASCP, and really worked to move our entire profession forward.” 

    “I often nominate my students and alumni for awards,” Dr. Rohde notes. “It can feel a little awkward to realize you have a platform and can pull people up with you and push people forward in their careers. Everybody needs a coach or cheerleader. Dr. Rohde also notes, “Awards also build awareness and visibility for lab and pathology professions. Now, more than ever, we need people to understand that every one of us is a hero. Building respect and understanding for these professions will also help address workforce shortages.” 

    Learn more about the Annual Awards and how to apply here, or email membership@ascp.org 

     

     

    Recognize Leaders in Laboratory Science and Pathology: ASCP’s 40 Under Forty Application Is Open!

    March 12, 2026

    Nominations and applications are now open for ASCP’s 2026 40 Under Forty cohort. The nomination form closes on March 27, 2026, and the application deadline is May 8, 2026. 

    The ASCP 40 Under Forty cohorts are an inspiration to their professional communities today and to tomorrow’s laboratory science professionals and pathologists. Being selected for the 2026 ASCP 40 Under Forty cohort is a recognition of your individual skills, the impact of your career on your community, and reveals the diversity of professional roles, educational paths, and career opportunities offered by laboratory science and pathology.  

    ASCP eNews spoke with honorees from the 2025 40 Under Forty cohort to learn what the award has meant to them and what inspired them to apply on their own behalf. 

    “Being recognized as a leading professional in laboratory science means a lot to me. The recognition also reflects well on my training and the institution I graduated from,” reflected Joshua Jefferson, EdD, HTL(ASCP)CM, 40 Under Forty 2025 cohort member. 

    “The recognition was a stamp of approval on the work I’d been doing. I applied right after I started a new faculty position. So, when I was selected for 40 Under Forty during my first year in the department, it really established me as a new faculty member and highlighted the experience I brought with me,” shared Christopher Attaway, MD, MSc, FASCP.  

    When asked what inspired him to nominate himself, Dr. Jefferson shared, “The best person to represent you is you. No one else can tell your story better than you. Believe in yourself and put yourself out there.” 

    The 2026 ASCP 40 Under Forty cohort recognition provides examples for future generations of laboratory scientists, pathologists, medical students, patients, families, and community members about the career paths available to them.  

    “Being selected for the 2025 cohort was important for me because the Doctor of Clinical Laboratory Science (DCLS) is such a new degree. The recognition brings more attention to this new degree, informing MLT and MLS of an additional option to expand their careers and voices in the laboratory,” shared Jenelle Vargas Musick, DCLS, MPH, MLS(ASCP)CM, and cohort 2025 member. 

    Dr. Attaway also noted, “If you are seeing something in one of your colleagues and are thinking about nominating them, know that other people are seeing that too. Your nomination speaks for lots of people on behalf of the nominee. The person you nominate would be totally blown away by your recognition and effort.” 

    ASCP 40 Under Forty honorees join past cohorts of distinguished alumni and  including complimentary access to one of ASCP’s Certificate Programs, inclusion in ASCP’s Critical Values, and more.  

    Nominations are due on Friday, March 27, 2026. Know someone who deserves to be part of this year's 40 Under Forty program? Nominate them! 

    Questions about your application? Join past honorees on Monday, March 30th at 2 pm EDT to learn more about what to include and what to do. Register here for the webinar.  

    Applications are due on Friday, May 8, 2026. Celebrate your professional achievements and apply to become part of this prestigious program! 

     

    ePolicy News—March 2026

    March 09, 2026

    In this issue:  

    • ASCP Urges CMS to Restore Remote Review Authority for Digital Cytology Images

    • USPSTF Meeting Postponed a Third Time 

    • MPHLWC Works to Exempt Healthcare Professionals from New $100,000 H1B Fee 

    • Building Bridges 2026: Strengthening the Laboratory Community through Communication 

    • Exciting Opportunity for Medical Students: AMA Foundation Leadership Development Institute Applications Now Open 

    • ICYMI: Amplifying Others’ Voices to Improve Patient Care: A Q&A with Katerina Kearns, MD  

    ASCP Urges CMS to Restore Remote Review Authority for Digital Cytology Images 

    The new CMS policy regarding remote review of digital cytology images is scheduled to take effect March 23, 2026. ASCP continues to advocate, arguing that the CMS policy change prohibiting pathologists from remotely reviewing digital cytology images is an overly restrictive interpretation of CLIA statute. Read more.  

    USPSTF Meeting Postponed a Third Time 

    The U.S. Preventive Services Task Force has postponed its meetings for the third time, further delaying updates to critical preventive care recommendations. This includes the outcome of the review of cervical cancer screening guidelines. These delays have major implications for access to services which rely on USPSTF guidance. Read more.  

    MPHLWC Works to Exempt Healthcare Professionals from New $100,000 H-1B Fee 

    ASCP, ASCP BOC, and several members of the MPHLWC have joined a bipartisan congressional effort to exempt healthcare professionals from a newly imposed $100,000 H-1B visa fee. The initiative highlights growing concerns that the fee could worsen workforce shortages across the healthcare system. Read more.  

    Building Bridges 2026: Strengthening the Laboratory Community through Communication 

    ASCP’s Building Bridges series returns in 2026 with a robust lineup of virtual sessions focused on advocacy, leadership, and professional visibility. Designed to equip laboratory professionals with practical communication tools, the program addresses challenges ranging from misinformation to engaging policymakers and health system leaders. Read more.  

    Exciting Opportunity for Medical Students: AMA Foundation Leadership Development Institute Applications Now Open 

    Medical students have a new opportunity to build leadership skills through the AMA Foundation’s yearlong Leadership Development Institute. The program offers mentorship, national networking, and in person experiences at major AMA meetings. The application deadline is March 27, 2026. Read more.  

    ICYMI: Amplifying Others’ Voices to Improve Patient Care: A Q&A with Katerina Kearns, MD 

    In June 2025, the American Medical Association confirmed Katerina Kearns, MD, as the Resident and Fellow Section Alternate Delegate to its House of Delegates. In this role, Dr. Kearns represents trainees in national policy discussions, to elevate the voice of the medical laboratory in broader medical conversations. Read more. 

    Exciting Opportunity for Medical Students: AMA Foundation Leadership Development Institute Applications Now Open

    March 09, 2026

    • ASCP is excited to share this opportunity for medical students to apply to the AMA Foundation’s Leadership Development Institute, a yearlong program featuring virtual sessions, in-person meetings at AMA events, networking, and physician mentorship.  

    • The application deadline is Friday, March 27, 2026, at 11:59 pm CT. 

    ASCP is pleased to share an opportunity from the AMA Foundation aimed at medical students. Applications are now open for the 2026-2027 Leadership Development Institute (LDI), a yearlong program designed to support growth and professional development for future physician leaders. The application deadline is Friday, March 27, 2026, at 11:59 pm CT.  

    Program Highlights 

    • Monthly virtual leadership sessions 

    • In-person meet-up at the 2026 AMA Interim Meeting 

    • A capstone weekend at the 2027 AMA Annual Meeting 

    • Individual mentorship from a physician leader 

    • Networking opportunities with leaders across organized medicine 

    Eligibility 

    • Students enrolled in any year of an accredited U.S. MD or DO program 

    • Students who are U.S. citizens, permanent residents, or DACA recipients 

    • AMA membership is not required or considered 

    Students can learn more and begin an application at https://amafoundation.org/ldi  

    Questions may be directed to Program Manager Allison Wesel at Allison.Wesel@ama-assn.org.  

    ASCP encourages members to share this opportunity with medical students who may benefit from leadership development and engagement in organized medicine.  

    Building Bridges 2026: Strengthening the Laboratory Community through Communication

    March 09, 2026

    • ASCP is pleased to announce the continuation of its successful Building Bridges program for 2026 

    • The series seeks to build a more resilient workforce capable of navigating the complexities of the modern healthcare environment 

    • To register for the Building Bridges 2026 series, click here 

    ASCP has announced the 2026 edition of its virtual series, Building Bridges Across the Laboratory Community, an initiative designed to advance professional development and advocacy within the medical laboratory community. This program provides laboratory professionals with the communication frameworks necessary to amplify their visibility and demonstrate the value of the laboratory to external stakeholders. By focusing on practical strategies, the series aims to cultivate a more resilient workforce capable of navigating the complexities of the modern healthcare environment while ensuring the laboratory remains an influential pillar of patient care.  

    The 2026 series include seven 90-minute webinars, each offering 1.5 CMLE credits and featuring expert-led discussions on critical industry challenges. The sessions, which run from March through September, address a broad spectrum of topics including the mitigation of public misinformation, the articulation of professional identity, and direct engagement with C-suite executives and legislative bodies on Capitol Hill. Additional modules focus on inter-organizational collaboration, patient empowerment, and strategies for bridging generational gaps within the workforce. Through this comprehensive educational outreach, ASCP remains committed to supporting laboratory leaders with the tools required to advocate for their profession and improve healthcare outcomes on a global scale. To register for the Building Bridges 2026 series, click here.   

    For more information on our workforce resources, please visit the ASCP workforce webpage.  

     

    MPHLWC Works to Exempt Healthcare Professionals from New $100,000 H1B Fee

    March 09, 2026

    • Ten members of the MPHLWC, including ASCP and the ASCP BOC, joined together to support a congressional initiative focused on strengthening the healthcare workforce. 

    • The congressional effort sought to secure an exemption for healthcare professionals from the newly imposed $100,000 fee on H1B visas. 

    ASCP, the ASCP Board of Certification, and several members of the Medical and Public Health Laboratory Workforce Coalition (MPHLWC) have joined a bipartisan congressional initiative seeking to exempt healthcare professionals from the recently imposed $100,000 fee on new H1B visas. The fee, added as part of broader immigration-related policy changes, applies to temporary work visas and has raised significant concerns across the healthcare sector. 

    The effort is led by Representatives Mike Lawler (R-NY) and Yvette Clarke (D-NY), who are urging the U.S. Department of Homeland Security to carve out an exemption for healthcare workers whose roles are essential to maintaining patient care and addressing ongoing workforce shortages. As part of this initiative, MPHLWC members mobilized to help build broad support for a congressional letter to then-Secretary of Homeland Security Kristi Noem, on February 11, 2026, see here

    More than 40 healthcare organizations, including 10 MPHLWC members, endorsed the initiative, and the letter ultimately received signatures from 100 members of Congress, underscoring the widespread bipartisan recognition of the critical need to protect and strengthen the nation’s healthcare workforce. See Rep. Lawler and Clarke’s February 12, 2026, press release here

    USPSTF Meeting Postponed a Third Time

    March 09, 2026

    • HHS has postponed the last 3 USPSTF meetings 

    • ASCP is waiting on the final outcome of USPSTF’s update to its cervical cancer screening guidelines 

    A third scheduled meeting of the U.S. Preventive Services Task Force (USPSTF) has been postponed as of March 3, according to the U.S. Department of Health and Human Services (HHS).   

    In the past, the Task Force traditionally met three times a year, but the meetings in July and November last year were both cancelled. The USPSTF’s recommendations play a major role in determining access to preventive services such as breast and cervical cancer screenings, because under the Affordable Care Act, insurance plans must cover services with grade A or B recommendations at no cost to patients.  

    ASCP is waiting for the outcome of the review of cervical cancer screening guidelines (including new self- or patient-collected options) and will be keeping a close eye on the rescheduling of these important Task Force meetings.  

    ASCP Urges CMS to Restore Remote Review Authority for Digital Cytology Images

    March 09, 2026

    • In a recent meeting with CMS, ASCP urged the agency to reconsider its position that CLIA prohibits pathologists from remotely reviewing digital cytology images 

    • CMS maintains that CLIA does not allow remote review of cytology images; ASCP disagrees and is seeking legal reconsideration from the agency 

    On February 13, 2026, ASCP met with Center for Medicare & Medicaid Services (CMS), urging the agency to restore the ability of pathologists to remotely review digital cytology images.  

    CMS had amended its policy on September 23, 2025, on what services could be provided remotely. The agency’s policy, outlined in memo QSO-23-15-CLIA REVISED, rescinds the ability of pathologists and cytologists to remotely review “digital images of cytology slides” (digital cytology images). CMS maintains that the CLIA statute requires all cytology screening to be performed in the laboratory.   

    ASCP acknowledges that that the CLIA statute does state that screening must take place in the laboratory—thus preventing cytologists from performing screening of digital cytology images remotely—but it does not require interpretations to be performed within the laboratory. As part of the meeting, ASCP leaders outlined this point and clarified the differences between preliminary screening, rescreening, and interpretation. In response, the Agency urged ASCP to submit a formal request asking the Agency to revisit its position on the CLIA statute. ASCP submitted that letter to the Agency on February 19, 2026, outlining the reasons we believe the CLIA statute does not require pathologists to provide interpretations within a laboratory setting and asking the Agency to revise its memo accordingly.  

    It is unclear when CMS may rule on ASCP’s request; however, we anticipate a response could take several months at least. In the meantime, CMS’s new policy on remote review will be going into effect on March 23, 2026, meaning the remote review of digital cytology images will not be allowed under the Memo after that date (individuals may, however, seek a separate CLIA certificate to review digital images at a remote location).  

    For further details in the interim, please review CMS’s revised memo (See here). 

     

    ePolicy News—February 2026

    February 09, 2026

    Medicare Laboratory Payment Cuts Averted for 2026 

    Legislation signed on February 3 to end the partial federal government shutdown also blocks planned Medicare Clinical Laboratory Fee Schedule cuts of up to 15 percent for roughly 800 lab services through the end of 2026. This delays—but does not eliminate—requirements for laboratories to report payment data to CMS between May 1 and July 31, unless Congress enacts the RESULTS Act beforehand. ASCP asks members and their colleagues to urge Congress to enact the RESULTS Act as soon as possible. Read more. 

    California Laboratory Professionals Mobilizing to Fight Licensure Fee Increase  

    California laboratory professionals, led by ASCP’s Northern California chapter and a coalition of laboratory organizations, are mobilizing to oppose steep state licensure fee increases set to take effect in 2026. The new law shortens licensure from two years to one year and raises annual initial and renewal fees to $300—representing increases of 260 percent and higher—prompting concerns that the costs are disproportionate compared to fees for other healthcare professions. ASCP and its partners plan to lobby the legislature to reduce the fees and restore biennial licensure. Read more. 

    ASCP and Pfizer Launch Request for Proposals to Fund Quality Improvement Projects Advancing Biomarker Testing in mCRC  

    ASCP, in collaboration with Pfizer and with participation from ASCO, announced a multi-year Request for Proposals opening January 26, 2026, to fund pathology-led Quality Improvement projects of up to $250,000 each focused on improving biomarker testing for frontline treatment selection in metastatic colorectal cancer. Through multidisciplinary collaboration and use of ASCP’s Performance and Diagnostic Insights platform, the program aims to enhance efficiency, timeliness, and dissemination of best practices to improve evidence-based mCRC care nationwide. Read more.   

    California Laboratory Professionals Mobilizing to Fight Licensure Fee Increase

    February 09, 2026

    • Led by ASCP’s Northern California chapter, California’s laboratory professionals are gearing up to fight a series of massive increases in state licensure fees for 2026. 

    Last year, the California legislature massively increased licensure fees for California’s laboratory professionals. Now, led by an ad hoc coalition of laboratory organizations organized by the ASCP’s Northern California chapter, they are fighting back. So far, the coalition includes ASCP, American Society for Clinical Laboratory Scientists, California Association of Medical Laboratory Technologists, the Philippine Association of Medical Technologists, Inc., and others. 

    Prior to the legislature’s new law, the initial licensure fee for a two-year license was $230 and $179 for license renewal. Under the new law, the legislature has cut the licensure period to one year, increasing the compliance burden on licensees and the State. In addition, it increased both the initial licensure and renewal fees to $300 annually. The new fees represent increases of 260 and 335 percent, respectively, for initial licensure and licensure renewal.  

    When the legislature adopted the fee increase, it claimed that it was necessary to cover the costs of the licensure program to the State. But an analysis by ASCP reveals that licensure fees for most other non-physician level healthcare professionals are significantly lower. Licensure fees for most other health professions range from about $130-$165 on an annual basis. Registered Nurses, however, pay between $150-$179, biennially, while genetic counselors pay only $100, triennially. ASCP maintains that as the work involved for state licensure boards is relatively similar, licensing costs should be similar for most licensed professions. 

    ASCP will be working with its members in California and other laboratory and pathology organizations to lobby the state legislature to lower these fees, and to restore the biennial licensure requirement.  

    Medicare Laboratory Payment Cuts Averted for 2026

    February 09, 2026

    • Legislation recently signed into law ending the partial government shutdown also blocks cuts to the Medicare Clinical Laboratory Fee Schedule for 2026 

    • Under the new law, laboratories are required to report payment rate data to CMS between May 1 and July 31 

    • If Congress enacts the RESULTS Act before the reporting requirement begins, the reporting requirement would be canceled for most laboratories 

    • ASCP asks its membership to take action and visit the STOP LAB CUTS website to urge Congress to enact the RESULTS Act as soon as possible. 

    On February 3, the President signed into law several bills ending the partial government shutdown that began on January 31. The measures provide funding for seven federal departments, including Health and Human Services (HHS). Also signed into law was a separate two-week funding bill for the Department of Homeland Security. 

    Included in the bill funding HHS were provisions providing short term relief from a series of cuts imposed by the Protecting Access to Medicare Act (PAMA). Approximately 800 laboratory services were slated to be cut by up to 15 percent, beginning January 31. These cuts are now blocked for the remainder of 2026. In addition, the measure pushes back, but does not stop, Congress’s plan for clinical laboratories to begin reporting payment rate data. The window for reporting will begin on May 1, with applicable laboratories expected to satisfy the reporting requirement by July 30. The Centers for Medicare and Medicaid (CMS) are reportedly working on education materials intended to inform clinical laboratories of their upcoming reporting obligation. 

    While the reporting requirement will likely prove challenging for many laboratories, the recently passed legislation buys time to enact the RESULTS Act (The Reforming and Enhancing Sustainable Updates to Laboratory Testing Services Act [S. 2761 / H.R. 5269]), which would bring needed reform to PAMA. PAMA tasked CMS with revising Medicare payment rates for laboratory services. The new fee structure CMS developed created an entirely new set of payment rates for laboratory services, based on payment data submitted by clinical laboratories. The revamped fee schedule imposed severe cuts in payment to laboratories, totaling more than $4 billion in Medicare payments so far. In addition, insurers used CMS’s new rates to impose additional cuts in laboratory reimbursement. The result has caused significant economic hardship for laboratories and laboratory staff. For more on PAMA and the reporting requirement, see here

    The RESULTS Act would change PAMA’s requirements by using paid claims from a comprehensive commercial payor database, eliminating the need for most laboratories to report data for most tests (labs with tests identified in PAMA as Advanced Diagnostic Laboratory Tests would still need to report data). It would also provide CMS with more robust, reliable data for setting more sustainable payment rates. The RESULTS Act would also block further payment cuts until new rates can be set.  

    At this time, ASCP is urging its entire membership to urge Congress to enact the RESULTS Act as soon as possible. To facilitate this, ASCP members and their colleagues are asked to utilize the STOP LAB CUTS website to send Congress this important message. Click here to TAKE ACTION.  

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