SAN FRANCISCO — Last year Congress reformed the clinical lab fee schedule for the first time in 30 years and now, beginning in 2017, the Medicare program will actually peg reimbursement rates to the private-pay rates. The passage of the Protecting Access to Medicare Act (PAMA) of 2014 called for both an extensive reform of the clinical lab fee schedule, as well as provisions affecting coding, coverage, and oversight of advanced diagnostic tests.