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New federal screening guidance expands cervical cancer testing with an at-home HPV option

HRSA's updated guidance endorses FDA-approved at-home HPV self-testing covered by private insurers from 2027 to increase screening access and early cervical cancer detection.

  • On Monday, the Department of Health and Human Services updated HRSA guidance to allow at-home HPV testing by prescription, with private insurers required to cover it starting January 1, 2027.
  • Amid falling screening rates since 2021, HRSA aims to reach people missed by screening and build on the last 50 years' progress where incidence and deaths fell by more than 50%.
  • Regulatory clearances now permit self-collection both in clinics and, for one device, at home; HRSA recommends only FDA-approved self-collection tests, which can be clinician- or patient-collected.
  • Engels said the updates will improve screening rates and save lives, requiring private insurers to cover follow-up testing without cost-sharing, while CDC data show over 90% five-year survival with early detection.
  • The American Cancer Society's updated guidance notes recommend primary HPV testing from age 25 and at-home testing every three years, while rising rates in women in their 30s and 40s and about 13,000 annual U.S. cases highlight ongoing risks.
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New federal screening guidance expands cervical cancer testing with an at-home HPV option

The new option will be covered by private insurance beginning in January 2027.

·United States
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Healio broke the news in on Monday, January 5, 2026.
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