June 2008
In its final report on gaps in the oversight of genetic testing, the Department of Health and Human Services (HHS) Secretarys Advisory Committee on Genetics, Health, and Society (SACGHS) has urged the Centers for Medicare & Medicaid Services (CMS) to increase proficiency testing in this rapidly expanding market. The panel also said, in the report released April 30, that the Food & Drug Administration should expand its regulation to all lab tests, including lab-developed tests (LDTs).
In its main FDA recommendation related to clinical validity, SACGHS said the agency should "address all laboratory tests in a manner that takes advantage of its current experience in evaluating lab tests." In comments on the previous draft, lab and pathology groups argued that the CMS CLIA program should have the lead oversight role for genetic testing, in particular over LDTs, while the FDA should have a consultative role.
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