There is growing concern in our community about this gap in genetic testing, as indicated by recent Nevada legislation (Senate Bill 251 [SB251])20 requiring counseling and payer coverage of BRCA1/2 testing for women who meet US Preventive Services Task Force (USPSTF) guidelines.21 The USPSTF guidelines recommend that women with either a personal or family history of certain cancers be assessed with one of several simple family history tools, such as the Seven-Question Family History Questionnaire (FHS7),22 to determine whether they should be referred for genetic services. Here, BRCA1 is linked to cancer.