I 
117TH CONGRESS 
1ST SESSION H. R. 5632 
To codify a statutory definition for long-term care pharmacies. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 19, 2021 
Mr. SCHRADER (for himself and Mr. MULLIN) 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 subse-
quently determined by the Speaker, in each case for consideration of such 
provisions as fall within the jurisdiction of the committee concerned 
A BILL 
To codify a statutory definition for long-term care 
pharmacies. 
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 ‘‘Long-Term Care Phar-
macy Definition Act of 2021’’. 
SEC. 2. DEFINITION. 
Section 1860D–2 of the Social Security Act (42 
U.S.C. 1395w–102) is amended by adding at the end the 
following new subsection: 
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‘‘(f) LONG-TERM CARE PHARMACY DEFINED.— 
‘‘(1) IN GENERAL.—The term ‘long-term care 
pharmacy’ means a pharmacy licensed under appli-
cable State law that is able to provide enhanced 
pharmacy and clinical services to individuals who re-
quire enhanced medication services and reside in a 
facility (as defined in paragraph (4)). 
‘‘(2) ENHANCED
PHARMACY
AND
CLINICAL 
SERVICES.—As used in this subsection, the term ‘en-
hanced pharmacy and clinical services’ includes— 
‘‘(A) medications dispensed pursuant to a 
prescription or chart order in specialized pack-
aging which shall include unit of use packaging, 
unit dose packaging, single use containers, 
packaging from remote automated dispensing 
technology, or other packaging required; 
‘‘(B) drug utilization review to identify po-
tential adverse drug reactions and inappropriate 
drug usage; 
‘‘(C) medication reconciliation services at 
the transition of care and other necessary clin-
ical management and medication services; 
‘‘(D) timely medication delivery 24 hours a 
day, 7 days a week; 
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‘‘(E) pharmacist on-call availability to pro-
vider dispensing and clinical services 24 hours 
a day, 7 days a week; 
‘‘(F) emergency supplies of medication as 
permitted by law and as required, including 
emergency kits or remote automated dispensing 
technology at a facility; and 
‘‘(G) such other services as the Secretary 
determines appropriate. 
‘‘(3) 
INDIVIDUALS
REQUIRING
ENHANCED 
MEDICATION SERVICES.—As used in this subsection, 
the term ‘individual who requires enhanced medica-
tion services’ means an individual who has one or 
more comorbid and medically complex chronic condi-
tions that are life-threatening or significantly limit 
overall health or function, pose a high risk of hos-
pitalization or other adverse health outcomes, and 
require enhanced pharmacy and clinical services. 
‘‘(4) FACILITY.—As used in this subsection, the 
term ‘facility’ includes a facility described in section 
1819(a), 1919(a), or 1905(d), or any other setting 
in which individuals who require enhanced medica-
tion services reside as determined by the Sec-
retary.’’. 
Æ 
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