Advances in genetics research have fueled public debate over the use of gen
etic information about individuals and families by health insurers. Fears o
f discrimination based on one's genetic inheritance have prompted various p
rivate and public sector groups to press for restrictions on access to and
use of genetic information in health insurance decisions. As a result, the
U.S. Congress has considered several pieces of legislation that would impos
e such restrictions. This paper discusses the merging of several factors th
at are responsible for placing and maintaining this issue on the congressio
nal policy agenda.