Sara Zoran MS, CGC; Jessica Scott Schwoerer, MD
WMJ. 2025;124(5):467-470.
ABSTRACT
Background: In the absence of a state-led initiative to monitor and address medical genetics issues affecting Wisconsin, a collaborative approach among stakeholders was implemented to identify and address service needs.
Methods: Surveys and consensus-building tools were employed to identify priority service-access needs and establish strategies to address these needs.
Results: Four statewide medical genetics priorities were identified: (1) improved coordination and collaboration, (2) increased funding for the Newborn Screening Program, (3) Medicaid policy changes regarding inpatient genomic testing and reimbursement for outpatient genetic counseling services, and (4) educational opportunities for nongenetic providers to incorporate genomic medicine into practice. Three workgroups were formed and remain active in advanced efforts in these areas.
Discussion: A stakeholder-driven process supported engagement, shared communication, and collaboration within the Wisconsin medical genetics community. Workgroups facilitated measurable progress, including increased newborn screening funding, advancement of administrative rules, expanded educational opportunities, and ongoing policy advocacy. Survey findings underscore the need for improved statewide communication and continued attention to funding and telehealth policy.
Conclusions: This initiative demonstrates an efficient and effective approach to advancing statewide collaboration and policy change in medical genetics. Sustained engagement will be critical to ensure equitable access to genetic services across Wisconsin.