I 
115TH CONGRESS 
1ST SESSION 
H. R. 592 
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 
JANUARY 20, 2017 
Mr. GUTHRIE (for himself, Mr. KIND, Mr. REED, Mr. BUTTERFIELD, Mrs. 
BLACKBURN, Mr. KING of Iowa, Ms. KUSTER of New Hampshire, Mr. 
BOST, Mr. FOSTER, Mr. RYAN of Ohio, Mr. SWALWELL of California, Mr. 
SHUSTER, Mr. THOMAS J. ROONEY of Florida, Mr. TIPTON, Mr. BROOKS 
of Alabama, Mr. FARENTHOLD, Mr. YOUNG of Alaska, Mrs. MCMORRIS 
RODGERS, Ms. NORTON, Mr. LANGEVIN, Mr. STEWART, Mr. CUMMINGS, 
Mr. BILIRAKIS, Mr. CONNOLLY, Mr. LIPINSKI, Ms. DELAURO, Mr. MEE-
HAN, Mr. COLLINS of Georgia, Mr. LONG, Mr. MASSIE, Mr. DUNCAN of 
Tennessee, Mr. WALBERG, Mr. HILL, Ms. SPEIER, Ms. DELBENE, Mrs. 
WALORSKI, Ms. PINGREE, Mr. CARTER of Texas, Mr. BLUM, Ms. 
SLAUGHTER, Mr. ROGERS of Kentucky, Mr. PETERSON, Mr. LOBIONDO, 
Mr. SMITH of Texas, Mr. TIBERI, Mr. WEBSTER of Florida, Ms. TSON-
GAS, Mr. DELANEY, Mr. STIVERS, Mr. HUNTER, Mr. MESSER, Mr. 
YOHO, Mr. JONES, Mr. KNIGHT, Mrs. COMSTOCK, Mr. CARTER of Geor-
gia, Mr. LARSON of Connecticut, Mr. COLLINS of New York, Mr. ROYCE 
of California, Mr. PITTENGER, Mr. HASTINGS, Mr. THOMPSON of Penn-
sylvania, Mr. AUSTIN SCOTT of Georgia, Mr. COHEN, Mr. RODNEY DAVIS 
of Illinois, Mr. MULLIN, Mr. HENSARLING, Mr. GIBBS, Mr. JOYCE of 
Ohio, Ms. STEFANIK, Mr. PRICE of North Carolina, Mr. BARLETTA, Mr. 
TURNER, Mr. OLSON, Mr. CRAMER, Mr. BYRNE, Mr. JOHNSON of Ohio, 
Mr. WALZ, Mr. VEASEY, Mr. KATKO, Mr. HURD, Mr. HUDSON, Mr. 
POCAN, Ms. MCSALLY, Mr. MARINO, Mr. DEFAZIO, Mr. HARPER, Mr. 
DESJARLAIS, Mrs. BUSTOS, Mr. HECK, Mr. SHIMKUS, Mr. PAULSEN, 
Ms. MICHELLE LUJAN GRISHAM of New Mexico, Mr. WELCH, Mr. 
LOEBSACK, Mr. GRAVES of Missouri, Mr. ABRAHAM, Mr. BISHOP of 
Michigan, Ms. MOORE, Mr. LANCE, Mr. LUCAS, Mr. KINZINGER, Mr. 
LUETKEMEYER, Ms. GABBARD, Ms. KELLY of Illinois, Mr. DENT, Mr. 
POLIQUIN, and Mr. EMMER) introduced the following bill; which was re-
ferred to the Committee on Energy and Commerce, and in addition to 
the Committee on Ways and Means, for a period to be subsequently de-
termined by the Speaker, in each case for consideration of such provisions 
as fall within the jurisdiction of the committee concerned 
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A BILL 
To amend title XVIII of the Social Security Act to provide 
for coverage under the Medicare program of pharmacist 
services. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Pharmacy and Medi-
cally Underserved Areas Enhancement Act’’. 
SEC. 2. MEDICARE COVERAGE OF PHARMACIST SERVICES. 
(a) COVERAGE.—Section 1861(s)(2) of the Social Se-
curity Act (42 U.S.C. 1395x(s)(2)) is amended— 
(1) by striking ‘‘and’’ at the end of subpara-
graph (FF); 
(2) by adding ‘‘and’’ at the end of subpara-
graph (GG); and 
(3) by inserting after subparagraph (GG) the 
following new subparagraph: 
‘‘(HH) pharmacist services furnished by a 
pharmacist, as licensed by State law, individ-
ually or on behalf of a pharmacy provider— 
‘‘(i) which the pharmacist is legally 
authorized to perform in the State in 
which the individual performs such serv-
ices; 
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