I 

117TH CONGRESS 

1ST SESSION H. R. 2759 

To amend title XVIII of the Social Security Act to provide for coverage 

under the Medicare program of pharmacist services. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 22, 2021 

Mr. BUTTERFIELD (for himself, Mr. MCKINLEY, Mr. BILIRAKIS, Mr. CARTER

of Georgia, Mr. CICILLINE, Ms. CLARKE of New York, Mr. COHEN, Mr. 

CRAWFORD, Ms. DEGETTE, Mrs. DEMINGS, Mr. FITZPATRICK, Mr. FOSTER, Mr. GOHMERT, Mr. LYNCH, Ms. MOORE of Wisconsin, Mr. 

O’HALLERAN, Ms. PINGREE, Mr. PRICE of North Carolina, Ms. ROSS, 

Mr. SMITH of Missouri, Mr. TONKO, Mr. WESTERMAN, and Mr. GUEST) 

introduced the following bill; which was 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 

A BILL 

To amend title XVIII of the Social Security Act to provide 

for coverage under the Medicare program of pharmacist 

services. 

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 ‘‘Pharmacy and Medi5 cally Underserved Areas Enhancement Act’’. 


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•HR 2759 IH

1 SEC. 2. MEDICARE COVERAGE OF PHARMACIST SERVICES. 

2 (a) COVERAGE.—Section 1861(s)(2) of the Social Se3 curity Act (42 U.S.C. 1395x(s)(2)) is amended— 

4 (1) by striking ‘‘and’’ at the end of subpara5 graph (GG); 

6 (2) by striking the period at the end and insert7 ing ‘‘; and’’ at the end of subparagraph (HH); and 

8 (3) by inserting after subparagraph (HH) the 

9 following new subparagraph at the end: 

10 ‘‘(II) pharmacist services furnished by a 

11 pharmacist, as licensed by State law, individ12 ually or on behalf of a pharmacy provider— 

13 ‘‘(i) which the pharmacist is legally 

14 authorized to perform in the State in 

15 which the individual performs such serv16 ices; 

17 ‘‘(ii) as would otherwise be covered 

18 under this part if furnished by a physician, 

19 or as an incident to a physician’s service; 

20 and 

21 ‘‘(iii) in a setting located in a health 

22 professional shortage area (as defined in 

23 section 332(a)(1)(A) of the Public Health 

24 Service Act), medically underserved area, 

25 or medically underserved population (as 

26 defined in section 330(b)(3) of such Act).’’. 


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•HR 2759 IH

1 (b) PAYMENT.—Section 1833(a)(1) of the Social Se2 curity Act (42 U.S.C. 1395l(a)(1)) is amended— 

3 (1) by striking ‘‘and (DD)’’ and inserting 

4 ‘‘(DD)’’; and 

5 (2) by inserting before the semicolon at the end 

6 the following: ‘‘and (EE) with respect to pharmacist 

7 services (as defined in section 1861(s)(2)(II)), the 

8 amounts paid shall be equal to 80 percent of the 

9 lesser of the actual charge or 85 percent of the fee 

10 schedule amount provided under section 1848 if 

11 such services had been furnished by a physician’’. 

12 (c) EFFECTIVE DATE; PHARMACIST SPECIFIC

13 CODES.— 

14 (1) EFFECTIVE DATE.—The amendments made 

15 by subsections (a) and (b) shall apply with respect 

16 to services furnished on or after January 1, 2022. 

17 (2) PHARMACIST SPECIFIC CODES.—The Sec18 retary of Health and Human Services shall develop 

19 pharmacist specific codes, as necessary, under the 

20 physician fee schedule under section 1848 of the So21 cial Security Act (42 U.S.C. 1395w–4). 

Æ 


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