The American College of Medical Genetics and Genomics (ACMG) appreciates the continuing debate about genomic screening by way of the opportunistic screening and reporting of pathogenic variations in secondary findings genes in asymptomatic individuals and the opportunity to respond to the letter from Gomy et al.1 that comments on our secondary findings recommendations.2,3,4,5,6 We stand by our prior statements that secondary findings for a subset of cardiovascular, cancer, and other genes with evidence of medical actionability offer the opportunity to provide potentially useful information to individuals having their genomes sequenced for clinical indications. This data can provide the evidence needed to inform the questions of clinical utility of broad genomic screening in unselected populations.