adlm pushes for advances in clinical test regulations with congress 2544

Science and Technology

ADLM Pushes for Advances in Clinical Test Regulations with Congress


Lauren Miller

April 2, 2024 - 19:52 pm


ADLM Engages with Congress on Clinical Test Regulation Reforms

WASHINGTON, April 2, 2024 /PRNewswire/ -- Dr. Octavia Peck Palmer, the esteemed President of the Association for Diagnostics & Laboratory Medicine (ADLM), formerly known as AACC, has taken a pivotal step by providing crucial input to Senator Bill Cassidy, the influential Ranking Member of the U.S. Senate Health, Education, Labor, and Pensions (HELP) Committee, concerning potential reforms to the regulation of clinical tests. This development marks a concerted effort by the ADLM to shape the legislative framework that has immense implications for patient care and the diagnostic industry.

Recognizing the significant role Congress plays in understanding and shaping healthcare policy, ADLM has expressed its support for the modernization of the Clinical Laboratory Improvement Amendments (CLIA). The current statutes that govern regulatory processes for laboratory developed tests (LDTs) administered by the Centers for Medicare & Medicaid Services (CMS) are in dire need of an update, a sentiment echoed by the ADLM. With nearly four decades since the historic legislation was passed, the call for reevaluation is becoming ever more pressing.

Senator Cassidy's initiative to gather information on the topic of clinical test regulation comes on the back of recent actions by the Food and Drug Administration (FDA). The FDA's attempt to unilaterally implement regulatory reforms through rulemaking has overstepped its statutory authority, according to the ADLM. The contention hinges on the FDA's interest in assuming oversight over LDTs which the association deems would be both unnecessary and costly, considering the existing stringent oversight under CLIA protocols. Additional FDA involvement could potentially compel numerous clinical labs to cease performing these indispensable tests, which are integral to patient diagnosis and treatment.

Instead of redundant FDA oversight, ADLM recommends the refinement of CLIA standards through the Clinical Laboratory Improvement Advisory Committee (CLIAC), which hosts a diverse array of stakeholders and provides a robust platform for discussing amendments to the extant laboratory standards.

The ADLM's commitment to a stakeholder-driven process is demonstrated by its historical collaborative effort. In November 2021, the ADLM joined forces with 17 other groups including the American Medical Association and Children's Hospital Association in a letter to CLIAC, reinforcing the position that such a representative advisory committee is the most appropriate avenue for addressing regulation concerns of LDTs.

Clinical tests hold paramount public interest, necessitating discourse by adept experts who are well-versed with the subject matter and capable of managing any arising issues meticulously. Ensuring the right forum for discussion is critical for fostering an environment where knowledge is shared, debated, and ultimately translated into regulations that serve the interests of the general public.

Once the regulatory process enacts modifications, ADLM advocates for a subsequent legislative review and update of the governing statute of CLIA. Such an initiative would not only reinforce the legitimacy of the revisions but also bring the legislation in line with contemporary standards, technology, and practices.

ADLM's vision for regulatory changes to LDTs is rooted in a dual emphasis on the precision of testing and the fostering of innovation. It's imperative that any adjustments made not only maintain but elevate the accuracy in laboratory diagnostics while simultaneously spurring advancements and ongoing enhancements vital to delivering timely, high-quality care to patients. The organization looks forward to a collaborative effort with Congress to realize these objectives, ensuring the beneficial evolution of laboratory medicine.

For insights from Dr. Octavia Peck Palmer on this pressing issue, interested parties are invited to contact Molly Polen, ADLM's Senior Director of Communications & PR. Communications can be directed via email to [email protected] or by phone at 202-420-7612.

About the Association for Diagnostics & Laboratory Medicine (ADLM)

The ADLM, a beacon for laboratory medicine since 1948, is an organization committed to the improvement of health through the field of laboratory science. With a robust membership comprising over 70,000 professionals spanning clinical laboratory fields, physicians, research scientists, and business leaders, the association is dedicated to clinical chemistry, molecular diagnostics, mass spectrometry, translational medicine, lab management, and other areas integral to the advancement of laboratory science.

The mission of ADLM is to cultivate the common interests of the laboratory medicine community, fostering scientific collaboration and the exchange of knowledge and expertise. The organization has stood as an innovator in the field, pushing the envelope in research and applying that research to forge better health outcomes for all.

For more details regarding the Association for Diagnostics & Laboratory Medicine, please visit ADLM's official website.

Media Outreach Contacts

For any media inquiries or further information, the association provides contact details for respective communication directors. Christine DeLong, the Associate Director of Communications & PR for ADLM, can be reached at 202.835.8722 or via email at [email protected]

Additionally, Molly Polen, who also serves as the Senior Director of Communications & PR for ADLM, is available at 202.420.7612 for phone communications and can also be contacted on her mobile at 703.598.0472 or by email ([email protected]).


The Association for Diagnostics & Laboratory Medicine is at the forefront of advocating for the rights and needs of clinical laboratories amidst an evolving regulatory landscape. Keeping sight of the delicate balance between strict quality control and the encouragement of scientific progress, the ADLM remains a pivotal voice in the discourse about the future of laboratory developed tests.

With its finger on the pulse of the industry's needs, its expertise is sure to play a fundamental role in ensuring that U.S. healthcare continues to provide state-of-the-art lab testing that is both efficient and effective for the benefit of patients across the nation. The challenges of modern medicine are many, but with organizations like ADLM in active dialogue with policymakers, the roadmap to enhanced patient care through superior diagnostic testing is being diligently charted.

The Path Forward

The engagement between ADLM and Congress signifies a landmark stride toward a more systematic and modernized approach to laboratory test regulation. It underscores a commitment to adapt to technological advancements while maintaining rigorous standards to ensure utmost patient safety.

As the discussions continue and the proposals are vetted, there is cautious optimism that the resulting reforms will reflect a harmonious balance between the need for innovation and the imperative of protecting patient health. The outcomes of these deliberations have the potential to impact the very foundations of diagnostics and laboratory medicine, discernibly affecting healthcare delivery for the foreseeable future.

The dialogue initiated by ADLM with legislative bodies is not only timely but also critical in shaping the policies that will govern the complex ecosystem of laboratory testing. Their perspective and counsel are instrumental as the healthcare community stands at a crossroads, with the choices made today likely to reverberate through the lives of countless individuals who depend on accurate and timely laboratory results for their medical care.

In essence, the ongoing conversations and collaborative efforts orchestrated by the ADLM bear the mark of an organization deeply entrenched in its commitment to elevate laboratory medicine to new heights. As the Association engages with key stakeholders and policymakers, they forge a path toward regulatory excellence that benefits both the medical community and the patients it serves.

The pursuit of such a noble cause is a testament to the ADLM's dedication to its founding principles and its unwavering resolve to pursue better health outcomes through superior laboratory science.

The principles espoused by Dr. Octavia Peck Palmer and the ADLM highlight a future where laboratory medicine continues to be an indispensable pillar of modern healthcare, constantly evolving, innovating, and improving. As the healthcare landscape changes, the ADLM's role in cultivating an environment of excellence in laboratory diagnostics will no doubt be a beacon for others to follow.

In conclusion, the Association for Diagnostics & Laboratory Medicine's advocacy for prudent reforms and the continued partnership with congressional members is essential for the enhancement of clinical test regulation. The outcome of these collaborative efforts will shape the future of healthcare delivery and ensure that the legacy of high-quality laboratory diagnostics continues to play a crucial role in patient care. With the expertise and commitment of the ADLM, the healthcare community looks toward a future that holds promises of innovation, precision, and transformative patient outcomes.

(Source: Association for Diagnostics & Laboratory Medicine (ADLM))