II 

116TH CONGRESS 

2D SESSION S. 4259 

To codify a statutory definition for long-term care pharmacies. 

IN THE SENATE OF THE UNITED STATES 

JULY 22, 2020 

Mr. SCOTT of South Carolina (for himself and Mr. WARNER) introduced the 

following bill; which was read twice and referred to the Committee on Finance 

A BILL 

To codify a statutory definition for long-term care 

pharmacies. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Long-Term Care Phar5 macy Definition Act of 2020’’. 

6 SEC. 2. DEFINITION. 

7 Section 1860D–2 of the Social Security Act (42 

8 U.S.C. 1395w–102) is amended by adding at the end the 

9 following new subsection: 

10 ‘‘(f) LONG-TERM CARE PHARMACY DEFINED.— 


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•S 4259 IS

1 ‘‘(1) IN GENERAL.—The term ‘long-term care 

2 pharmacy’ means a pharmacy licensed under appli3 cable State law that is able to provide enhanced 

4 pharmacy and clinical services to individuals who re5 quire enhanced medication services and reside in a 

6 facility (as defined in paragraph (4)). 

7 ‘‘(2) ENHANCED PHARMACY AND CLINICAL

8 SERVICES.—As used in this subsection, the term ‘en9 hanced pharmacy and clinical services’ includes— 

10 ‘‘(A) medications dispensed pursuant to a 

11 prescription or chart order in specialized pack12 aging which shall include unit of use packaging, 

13 unit dose packaging, single use containers, 

14 packaging from remote automated dispensing 

15 technology, or other packaging required; 

16 ‘‘(B) drug utilization review to identify po17 tential adverse drug reactions and inappropriate 

18 drug usage; 

19 ‘‘(C) medication reconciliation services at 

20 the transition of care and other necessary clin21 ical management and medication services; 

22 ‘‘(D) timely medication delivery 24 hours a 

23 day, 7 days a week; 


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•S 4259 IS

1 ‘‘(E) pharmacist on-call availability to pro2 vider dispensing and clinical services 24 hours 

3 a day, 7 days a week; 

4 ‘‘(F) emergency supplies of medication as 

5 permitted by law and as required, including 

6 emergency kits or remote automated dispensing 

7 technology at a facility; and 

8 ‘‘(G) such other services as the Secretary 

9 determines appropriate. 

10 ‘‘(3) INDIVIDUALS REQUIRING ENHANCED

11 MEDICATION SERVICES.—As used in this subsection, 

12 the term ‘individual who requires enhanced medica13 tion services’ means an individual who has one or 

14 more comorbid and medically complex chronic condi15 tions that are life-threatening or significantly limit 

16 overall health or function, pose a high risk of hos17 pitalization or other adverse health outcomes, and 

18 require enhanced pharmacy and clinical services. 

19 ‘‘(4) FACILITY.—As used in this subsection, the 

20 term ‘facility’ includes a facility described in section 

21 1819(a), 1919(a), or 1905(d), or any other setting 

22 in which individuals who require enhanced medica23 tion services reside as determined by the Sec24 retary.’’. 

Æ 


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