summary
Introduced
05/01/2025
05/01/2025
In Committee
05/01/2025
05/01/2025
Crossed Over
Passed
Dead
Introduced Session
119th 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, known as the "Ensuring Community Access to Pharmacist Services Act," aims to expand Medicare Part B coverage to include certain pharmacist services during public health emergencies and for specific infectious disease testing and treatment. Under the proposed legislation, pharmacists would be able to provide services that they are legally authorized to perform under state law, such as evaluation and management visits for COVID-19, influenza, respiratory syncytial virus, and streptococcal pharyngitis. The services must be performed under the supervision or collaboration of a physician, following state-specific guidelines. Medicare would cover 80% of these services, with the payment rate set at 85% (or 100% for public health emergency services) of the standard physician payment rate. The bill prohibits balance billing for these pharmacist services, meaning patients cannot be charged additional fees beyond the Medicare-covered amount. These provisions would take effect on January 1, 2026, potentially expanding healthcare access by allowing pharmacists to play a more direct role in patient care during public health situations.
Committee Categories
Business and Industry
Sponsors (101)
Adrian Smith (R)*,
Robert Aderholt (R),
Rick Allen (R),
Jake Auchincloss (D),
Troy Balderson (R),
Becca Balint (D),
Nanette Barragán (D),
Aaron Bean (R),
Joyce Beatty (D),
Nicholas Begich (R),
Gus Bilirakis (R),
Mike Bost (R),
Robert Bresnahan (R),
Janelle Bynum (D),
Mike Carey (R),
Buddy Carter (R),
Juan Ciscomani (R),
Yvette Clarke (D),
Ben Cline (R),
Steve Cohen (D),
Angie Craig (D),
Jason Crow (D),
Sharice Davids (D),
Madeleine Dean (D),
Suzan DelBene (D),
Debbie Dingell (D),
Lloyd Doggett (D),
Randy Feenstra (R),
Brad Finstad (R),
Michelle Fischbach (R),
Brian Fitzpatrick (R),
Mike Flood (R),
Marie Gluesenkamp Pérez (D),
Vicente Gonzalez (D),
Josh Gottheimer (D),
Josh Harder (D),
Diana Harshbarger (R),
Kevin Hern (R),
French Hill (R),
Jim Himes (D),
Ashley Hinson (R),
Chrissy Houlahan (D),
Richard Hudson (R),
Jonathan Jackson (D),
Dusty Johnson (R),
Tom Kean (R),
Mike Kelly (R),
Robin Kelly (D),
Jen Kiggans (R),
Young Kim (R),
Raja Krishnamoorthi (D),
David Kustoff (R),
Darin LaHood (R),
Greg Landsman (D),
Nick Langworthy (R),
Susie Lee (D),
Nicole Malliotakis (R),
Celeste Maloy (R),
Tracey Mann (R),
Doris Matsui (D),
Jenn McClellan (D),
Richard McCormick (R),
Kristen McDonald Rivet (D),
John McGuire (R),
Carol Miller (R),
John Moolenaar (R),
Blake Moore (R),
Nathaniel Moran (R),
Joe Neguse (D),
Eleanor Holmes Norton (D),
Zach Nunn (R),
Burgess Owens (R),
Chris Pappas (D),
Scott Peters (D),
Chellie Pingree (D),
Mike Quigley (D),
Emily Randall (D),
Mike Rogers (R),
Deborah Ross (D),
Michael Rulli (R),
Andrea Salinas (D),
Brad Schneider (D),
David Schweikert (R),
Austin Scott (R),
Terri Sewell (D),
Darren Soto (D),
Greg Steube (R),
Eric Swalwell (D),
Claudia Tenney (R),
Jill Tokuda (D),
Paul Tonko (D),
Lori Trahan (D),
Derek Tran (D),
Beth Van Duyne (R),
Gabe Vasquez (D),
Marc Veasey (D),
Eugene Vindman (D),
Tim Walberg (R),
Randy Weber (R),
Joe Wilson (R),
Rudy Yakym (R),
Last Action
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. (on 05/01/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.congress.gov/bill/119th-congress/house-bill/3164/all-info |
| BillText | https://www.congress.gov/119/bills/hr3164/BILLS-119hr3164ih.pdf |
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