summary
Introduced
07/25/2023
07/25/2023
In Committee
07/25/2023
07/25/2023
Crossed Over
Passed
Dead
01/03/2025
01/03/2025
Introduced Session
118th Congress
Bill Summary
A bill to amend title XVIII of the Social Security Act to provide pharmacy payment of certain services.
AI Summary
This bill, the Equitable Community Access to Pharmacist Services Act, aims to amend the Social Security Act to provide coverage for certain pharmacist services under Medicare Part B. The key provisions include:
1. Adding "pharmacist services" as a covered benefit under Medicare Part B, specifically for services related to the evaluation and management of patients for testing or treatment of COVID-19, influenza, respiratory syncytial virus, or streptococcal pharyngitis, as well as services that address a public health need during a public health emergency.
2. Establishing that payment for these pharmacist services will be 80% of the lesser of the actual charge or 85% (or 100% if the services are furnished pursuant to a federal emergency authority) of the amount determined under the physician fee schedule.
3. Prohibiting balance billing for these pharmacist services, by adding pharmacists to the list of providers who cannot bill Medicare beneficiaries for the difference between the provider's charge and the Medicare payment.
4. Allowing the Secretary of Health and Human Services to implement these provisions through an interim final rule or other means within 60 days of the bill's enactment, to ensure timely access to these pharmacist services for Medicare beneficiaries.
Committee Categories
Budget and Finance
Sponsors (30)
John Thune (R)*,
Michael Bennet (D),
Sherrod Brown (D),
Shelley Moore Capito (R),
Susan Collins (R),
Chris Coons (D),
Catherine Cortez Masto (D),
Kevin Cramer (R),
Steve Daines (R),
Tammy Duckworth (D),
Deb Fischer (R),
Maggie Hassan (D),
Martin Heinrich (D),
Tim Kaine (D),
Amy Klobuchar (D),
James Lankford (R),
Jeff Merkley (D),
Jerry Moran (R),
Markwayne Mullin (R),
Lisa Murkowski (R),
Gary Peters (D),
Mike Rounds (R),
Jeanne Shaheen (D),
Dan Sullivan (R),
Jon Tester (D),
Thom Tillis (R),
Mark Warner (D),
Elizabeth Warren (D),
Peter Welch (D),
Sheldon Whitehouse (D),
Last Action
Read twice and referred to the Committee on Finance. (on 07/25/2023)
Bill Topics
Health
- ‐ Communicable Diseases
- ‐ Health Insurance Reform
- ‐ Regulation of Drug Industry and Pharmacies
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location | Created |
|---|---|---|
| State Bill Page | https://www.congress.gov/bill/118th-congress/senate-bill/2477/all-info | 07/26/2023 |
| BillText | https://www.congress.gov/118/bills/s2477/BILLS-118s2477is.pdf | 08/18/2023 |
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