NSGC 2025 incoming presidential address: The power of choices: Your butterfly effect

The 2025 incoming presidential address outlines reflections on a personal leadership journey that positions the incoming president for success in this particular era, and presents a vision for advancing the genetic counseling profession. The development of leadership values in the journey were grounded in resilience, collaboration, and the integration of diverse perspectives. Building on this foundation, the address highlights forthcoming milestones that will shape the field. The achievement of Medicare recognition for genetic counselors is described as a pivotal step toward expanding patient access, promoting equity in genomic healthcare, and ensuring the sustainability of practice. Beyond reimbursement, the importance of securing representation at decision-making tables is emphasized, with the goal of positioning genetic counselors to influence healthcare policy, genomic professional strategy, and clinical innovation. The vision also includes efforts to elevate public awareness, advancing the visibility of genetic counselors to establish the profession as widely recognized and valued across healthcare and society. Modernization of clinical practice is discussed as an essential priority to adapt to rapidly evolving genomic technologies, emerging care models with increasing patient demand, and better integration and sustainability throughout the national healthcare system. The address also underscores the organizational responsibility to create and sustain an environment of inclusion and belonging, fostering professional growth and engagement for all members. Together, these themes articulate a comprehensive framework for leadership and organizational action, aimed at strengthening the profession's role in delivering equitable, innovative, and patient-centered genomic care in any setting of practice.