In a compelling push for healthcare reform, Chelsea Kois, a genetic counselor at Nemours Children's Hospital, addressed the Senate Health & Social Services Committee, advocating for a bill that would empower genetic counselors to order genetic tests independently. Kois highlighted a widespread misconception: many believe that genetic counselors already possess this authority, given their extensive training and expertise in genetics.

Kois emphasized that genetic counselors are highly qualified professionals, equipped with master's level education in genetics, risk assessment, and test coordination. Yet, current regulations require that a physician, physician assistant, or nurse practitioner—often lacking genetics training—must approve test orders, even if they have no direct interaction with the patient. This outdated requirement not only creates unnecessary delays but also complicates the healthcare process.

At Nemours, Kois noted that they have identified nearly 70 healthcare providers who are involved in this cumbersome approval process. By allowing genetic counselors to order tests directly, the healthcare system could see reduced costs, improved accuracy, and enhanced patient understanding of genetic testing.

The discussion at the meeting underscored the urgent need for legislative change to streamline genetic testing processes and better utilize the skills of genetic counselors, ultimately benefiting patient care in Delaware.