Title: Pharmacy and Medically Underserved Areas Enhancement Act
Policy area: Health

Summary:
Pharmacy and Medically Underserved Areas Enhancement Act
This bill amends title XVIII (Medicare) of the Social Security Act to provide for Medicare coverage and payment with respect to certain pharmacist services that: (1) are furnished by a pharmacist in a health-professional shortage area, and (2) would otherwise be covered under Medicare if furnished by a physician.

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 592 Introduced in House (IH)]

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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. Meehan, 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. Tsongas, Mr. 
Delaney, Mr. Stivers, Mr. Hunter, Mr. Messer, Mr. Yoho, Mr. Jones, Mr. 
      Knight, Mrs. Comstock, Mr. Carter of Georgia, Mr. Larson of 
  Connecticut, Mr. Collins of New York, Mr. Royce of California, Mr. 
Pittenger, Mr. Hastings, Mr. Thompson of Pennsylvania, 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 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.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Pharmacy and Medically Underserved 
Areas Enhancement Act''.

SEC. 2. MEDICARE COVERAGE OF PHARMACIST SERVICES.

    (a) Coverage.--Section 1861(s)(2) of the Social Security Act (42 
U.S.C. 1395x(s)(2)) is amended--
            (1) by striking ``and'' at the end of subparagraph (FF);
            (2) by adding ``and'' at the end of subparagraph (GG); and
            (3) by inserting after subparagraph (GG) the following new 
        subparagraph:
                    ``(HH) pharmacist services furnished by a 
                pharmacist, as licensed by State law, individually 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 services;
                            ``(ii) as would otherwise be covered under 
                        this part if furnished by a physician, or as an 
                        incident to a physician's service; and
                            ``(iii) in a setting located in a health 
                        professional shortage area (as defined in 
                        section 332(a)(1)(A) of the Public Health 
                        Service Act), medically underserved area, or 
                        medically underserved population (as defined in 
                        section 330(b)(3) of such Act);''.
    (b) Payment.--Section 1833(a)(1) of the Social Security Act (42 
U.S.C. 1395l(a)(1)) is amended--
            (1) by striking ``and (BB)'' and inserting ``(BB)''; and
            (2) by inserting before the semicolon at the end the 
        following: ``, and (CC) with respect to pharmacist services (as 
        defined in section 1861(s)(2)(HH)), the amounts paid shall be 
        equal to 80 percent of the lesser of the actual charge or 85 
        percent of the fee schedule amount provided under section 1848 
        if such services had been furnished by a physician''.
    (c) Effective Date; Pharmacist Specific Codes.--
            (1) Effective date.--The amendments made by subsections (a) 
        and (b) shall apply with respect to services furnished on or 
        after January 1, 2018.
            (2) Pharmacist specific codes.--The Secretary of Health and 
        Human Services shall develop pharmacist specific codes, as 
        necessary, under the physician fee schedule under section 1848 
        of the Social Security Act (42 U.S.C. 1395w-4).
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