Despite advances in recent years, genetic testing for Parkinson disease (PD) is still underutilized in clinical practice. A 2019 questionnaire of movement disorder specialists found low rates of genetic testing in PD and barriers such as cost and insurance coverage. Since that time, PD GENEration, as well as several international programs, have broadly increased access to genetic testing and counseling for people with PD. A repeat survey sent out in 2024 examined how attitudes to genetic testing for PD in clinical practice have changed over the past 5 years.