Download these resources to learn more about H.R. 2377 / S. 1000, the Saving Access to Laboratory Services Act (SALSA).

SALSA Fact Sheet

Saving Access to Laboratory Services Act Fact Sheet

SALSA Legislative Tracker

Saving Access to Laboratory Services Act House and Senate Co-sponsors


Frequently Asked Questions about the Saving Access to Laboratory Services Act

ACLA’s Legal Challenge of PAMA

Explainer on ACLA’s lawsuit

Provider Letter in Support of SALSA


Patient Letter in Support of SALSA


SALSA Support Document

Share these graphics and messages on social media and help spread the word.

Impending Medicare payment cuts to lab tests threaten patient access to care. Congress must take action by passing #SALSA before the end of this year: #StopLabCuts

New #PAMA cuts could undermine laboratory infrastructure essential for day-to-day care and responding to public health emergencies while stifling investments in innovative new screening and diagnostic tests. Tell Congress to enact #SALSA now:

Screening and diagnostic tests performed by clinical laboratories inform life’s most important health care decisions. That’s why we’re urging Congress to #StopLabCuts by enacting the Saving Access to Laboratory Services Act this year:

Scheduled #Medicare reimbursement cuts could compromise access to clinical laboratory tests used to diagnose, monitor, and manage chronic conditions for America’s seniors. To protect patient care, Congress must #StopLabCuts and pass #SALSA this year:

Unless Congress intervenes, reimbursement for lab tests used to diagnose & monitor serious chronic conditions will face significant cuts in January. Tell Congress to #StopLabCuts and enact #SALSA before the end of this year:

#ThankYou to @RepHudsonNC, Rep. @BillPascrell, @RepGusBilirakis, @RepScottPeters, @RepBrianFitz, @SenSherrodBrown & @SenThomTillis for introducing #SALSA, a bipartisan solution to protect patient access to laboratory services and ensure a robust health care infrastructure.

Informational videos about how medicare payment cuts threaten access to clinical lab services and undermine our nation’s laboratory infrastructure.



Tell Congress to stop Medicare cuts to clinical laboratory testing.

Stop Lab Cuts Campaign Update

One-Year Delay to Clinical Laboratory Payment Cuts Included in Congressional Spending Package

The American Clinical Laboratory Association (ACLA) commends the inclusion of critically needed relief from looming Medicare payment cuts to clinical laboratory services in the short-term spending package passed by Congress on Wednesday, November 15.

The bill provides a one-year reprieve from Medicare cuts of up to 15 percent for approximately 800 laboratory services that would have gone into effect in January 2024. ACLA remains focused on securing a long-term solution to years of reductions that will resume in 2025 through the enactment of the Saving Access to Laboratory Services Act (SALSA) in 2024.

“ACLA is grateful to Congress for including a short-term reprieve from Medicare laboratory payment cuts and data reporting as part of the stopgap funding bill. Resumption of year-over-year cuts would threaten patient access to quality clinical laboratory services, reduce investment in innovation for the next generation of diagnostics, and weaken the nation’s clinical laboratory infrastructure,” said ACLA President Susan Van Meter. “We are thankful to Senators Sherrod Brown (D-OH) and Thom Tillis (R-NC), and Representatives Richard Hudson (R-NC), Bill Pascrell, Jr. (D-NJ), Gus Bilirakis (R-FL), Scott Peters (D-CA), Brian Fitzpatrick (R-PA), Larry Bucshon (R-IN), Ann Kuster (D-NH), and Dan Crenshaw (R-TX), the bipartisan champions of the Saving Access to Laboratory Services Act (SALSA), and the dozens of co-sponsors across both chambers for ensuring cuts will not resume in January. The one-year delay is essential and in 2024 we will continue partnering with the 70 patient and provider organizations and the bipartisan and bicameral SALSA champions in Congress to advance SALSA as a sustainable, long-term solution to this problem.”

Medicare reimbursement for clinical laboratory services has been set on an unsustainable path of multi-year, double-digit reimbursement cuts resulting from the Protecting Access to Medicare Act of 2014 (PAMA), which relied on a narrow and unrepresentative sample to set Medicare reimbursement rates for hundreds of common laboratory tests. Since the enactment of PAMA, there have been three rounds of payment cuts of up to 10 percent that have impacted 72 percent of tests on Medicare’s Clinical Laboratory Fee Schedule.


Thank you for your support of the Stop Lab Cuts Campaign.  We look forward to working with you in 2024!

This will close in 0 seconds