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U.S. Updates Cervical Screening: Self-Collected HPV Tests Endorsed, Insurer Coverage Set for 2027

A coverage mandate targets access barriers as guidance pivots to more sensitive HPV testing for people overdue for screening.

Overview

  • HRSA’s January 5 update recommends primary high‑risk HPV screening every five years for ages 30–65, with Pap testing every three years for ages 21–29.
  • People 30–65 at average risk may self‑collect vaginal samples either in clinics or at home when using FDA‑authorized tests.
  • The Teal Wand is currently the only FDA‑cleared device for true at‑home collection, with samples mailed to a laboratory for analysis.
  • Most private insurers must cover self‑collection kits and any needed follow‑up testing without cost sharing beginning January 1, 2027.
  • Evidence‑based patient navigation for screening and follow‑up became a covered service on January 1, 2026 to help boost participation among under‑screened groups.