by a physician, or as incident to a physician’s professional 
service. 
‘‘(2) The terms ‘pharmacist clinician’ and ‘clinical 
pharmacist practitioner’ mean a pharmacist who— 
‘‘(A) is certified by a State as a pharmacist cli-
nician or clinical pharmacist practitioner as a result 
of completing training in physical assessment and 
clinical hours of experience, as required by State law 
and the rules of State Boards of Pharmacy, in addi-
tion to any requirements of such State to be a li-
censed pharmacist; 
‘‘(B) has prescriptive authority, as established 
by State statute; and 
‘‘(C) is involved in the application of the sci-
entific principles of pharmacology, toxicology, thera-
peutics, 
clinical 
pharmacokinetics, 
pharmacoeconomics, and other life sciences for the 
direct care of patients’’. 
(c) PAYMENT.— 
(1) IN GENERAL.—Section 1833(a)(1) of such 
Act (42 U.S.C. 1395l(a)(1)) is amended— 
(A) by striking ‘‘and (Z)’’ and inserting 
‘‘(Z)’’; and 
(B) by striking the semicolon at the end 
and inserting the following: ‘‘, and (AA) with 
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respect to clinical pharmacist practitioner serv-
ices (as defined in section 1861(iii)(1)), the 
amounts paid shall be 85 percent of the 
amounts provided for such services under sec-
tion 1834(p)(1);’’. 
(2) ESTABLISHMENT
OF
FEE
SCHEDULES.— 
Section 1834 of such Act (42 U.S.C. 1395m) is 
amended by adding at the end the following new 
subsection: 
‘‘(p) FEE SCHEDULES FOR CLINICAL PHARMACIST 
PRACTITIONER SERVICES.— 
‘‘(1) DEVELOPMENT.—The Secretary shall de-
velop and implement, for services furnished on or 
after January 1, 2011— 
‘‘(A) a relative value scale to serve as the 
basis for the payment of clinical pharmacist 
practitioner services (as defined in section 
1861(iii)(1)) under this part; and 
‘‘(B) using such scale and appropriate con-
version factors, fee schedules (on a regional, 
statewide, locality, or carrier service area basis) 
for payment for clinical pharmacist practitioner 
services under this part. 
‘‘(2) PAYMENTS
PRIOR
TO
IMPLEMENTATION 
OF FEE SCHEDULES.—In the case of clinical phar-
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macist practitioner services which are furnished be-
fore the implementation of fee schedules under para-
graph (1)(B) and after July 1, 2010, the amount of 
payment made under this part shall be based on 85 
percent of the fee schedule amount applicable under 
section 1848 if the services were furnished by a phy-
sician.’’. 
(3) REPORT
TO
CONGRESS.—Not later than 
September 30, 2011, the Secretary of Health and 
Human Services shall submit to Congress a report 
on the fee schedules (including relative value scale 
and appropriate conversion factors) developed pursu-
ant to section 1834(p)(1) of the Social Security Act 
(as added by paragraph (2)) for clinical pharmacist 
practitioner services under part B of title XVIII of 
such Act. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply to services furnished on or after 
July 1, 2010. 
Æ 
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