summary
Introduced
03/24/2022
03/24/2022
In Committee
03/25/2022
03/25/2022
Crossed Over
Passed
Dead
01/03/2023
01/03/2023
Introduced Session
117th Congress
Bill Summary
A BILL To amend title XVIII of the Social Security Act to provide pharmacy reimbursement for COVID-19-related and fu- ture emergency services.
AI Summary
This bill, the Equitable Community Access to Pharmacist Services Act, aims to amend Medicare Part B to provide coverage for certain pharmacist services. The key provisions of the bill include:
1. Expanding Medicare Part B coverage to include pharmacist services, such as COVID-19, influenza, and streptococcal pharyngitis testing and treatment, as well as vaccine administration and other public health services determined by the Secretary of Health and Human Services.
2. Establishing payment rates for these pharmacist services at 85% of the physician fee schedule, or 100% if the services are provided pursuant to a federal emergency authority.
3. Allowing payment for these pharmacist services to be made directly to the pharmacist, pharmacy, or other healthcare facility where the pharmacist is employed or has a contractual relationship.
4. Prohibiting balance billing for these pharmacist services, meaning patients cannot be charged the difference between the Medicare-approved amount and the actual charge.
The bill also provides the Secretary of Health and Human Services with the authority to implement these changes through interim final rules or program instructions within 60 days of the bill's enactment.
Committee Categories
Business and Industry, Health and Social Services
Sponsors (60)
Ron Kind (D)*,
Pete Aguilar (D),
Kelly Armstrong (R),
Cindy Axne (D),
Don Bacon (R),
Nanette Barragán (D),
Gus Bilirakis (R),
Sanford Bishop (D),
Earl Blumenauer (D),
Mike Bost (R),
Shontel Brown (D),
Larry Bucshon (R),
Salud Carbajal (D),
Tony Cárdenas (D),
Jerry Carl (R),
Buddy Carter (R),
Sean Casten (D),
David Cicilline (D),
Emanuel Cleaver (D),
Jim Cooper (D),
Angie Craig (D),
John Curtis (R),
Madeleine Dean (D),
Michael Doyle (D),
Tom Emmer (R),
Dwight Evans (D),
Brian Fitzpatrick (R),
Josh Gottheimer (D),
Diana Harshbarger (R),
Jim Himes (D),
John Katko (R),
Fred Keller (R),
Robin Kelly (D),
Young Kim (R),
Ann Kuster (D),
Debbie Lesko (R),
Nancy Mace (R),
Doris Matsui (D),
David McKinley (R),
Markwayne Mullin (R),
Marie Newman (D),
Eleanor Holmes Norton (D),
Tom O'Halleran (D),
Scott Peters (D),
Mike Quigley (D),
Deborah Ross (D),
John Rutherford (R),
Mary Gay Scanlon (D),
Jan Schakowsky (D),
Brad Schneider (D),
Kurt Schrader (D),
Terri Sewell (D),
Adrian Smith (R),
Chris Smith (R),
Darren Soto (D),
David Trone (D),
David Valadao (R),
Marc Veasey (D),
Peter Welch (D),
Susan Wild (D),
Last Action
Referred to the Subcommittee on Health. (on 03/25/2022)
Official Document
bill text
bill summary
Loading...
bill summary
Loading...
bill summary
| Document Type | Source Location | Created |
|---|---|---|
| State Bill Page | https://www.congress.gov/bill/117th-congress/house-bill/7213/all-info | 03/25/2022 |
| BillText | https://www.congress.gov/117/bills/hr7213/BILLS-117hr7213ih.pdf | 03/30/2022 |
| Bill | https://www.congress.gov/117/bills/hr7213/BILLS-117hr7213ih.pdf.pdf | 03/30/2022 |
Loading...