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119-hr-3164119th CongressWALLET

Ensuring Community Access to Pharmacist Services Act

Sponsored By: Representative Smith, Adrian [R-NE-3]

In Committee

Summary

Creates Medicare Part B coverage for pharmacist-delivered services when pharmacists work under state-required supervision or collaboration with physicians. It would set specific payment rules, bar balance billing, and provide a full-payment carve-out for services tied to a declared public health emergency.

Show full summary
  • Medicare patients: Could get evaluation and management visits from pharmacists for testing or treatment of COVID-19, influenza, RSV, or streptococcal pharyngitis, and cannot be charged amounts above the applicable Medicare payment.
  • Pharmacists and pharmacies: Would become eligible for Part B payment when working under state-authorized collaboration. Payment is set at 80% of the lesser of the actual charge or 85% of the fee-schedule amount.
  • Public health response: Pharmacist services that address a public health need tied to a section 319 Public Health Service Act emergency receive 100% of the fee-schedule–based amount.

Effective date for covered items and services is January 1, 2026.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Medicare coverage for pharmacist care

If enacted, Medicare Part B would cover certain pharmacist services starting January 1, 2026. Covered services would include visits for testing or treatment for COVID-19, flu, RSV, or strep throat. Coverage would also include testing or treatment tied to a public health need during a section 319 emergency. Whether a service meets that public health need would be determined by the Secretary. Services must be ones pharmacists are legally allowed to do under State law. If State law requires supervision or collaboration with a physician, pharmacists would provide services in that way. Medicare would pay 80% of the lower of the pharmacist's charge or 85% of the Medicare physician fee schedule amount. For public health-need services, Medicare would use 100% of the Medicare-based amount instead of 85%. Pharmacists would be banned from billing beneficiaries more than the Medicare payment for these covered services.

Sponsors & CoSponsors

Sponsor

Smith, Adrian [R-NE-3]

NE • R

Cosponsors

  • Rep. Sorensen, Eric [D-IL-17]

    IL • D

    Sponsored 9/28/2026

  • Rep. Stansbury, Melanie A. [D-NM-1]

    NM • D

    Sponsored 10/9/2026

  • Rep. Budzinski, Nikki [D-IL-13]

    IL • D

    Sponsored 11/2/2026

  • Rep. Schneider, Bradley Scott [D-IL-10]

    IL • D

    Sponsored 5/1/2025

  • Rep. Harshbarger, Diana [R-TN-1]

    TN • R

    Sponsored 5/1/2025

  • Rep. Matsui, Doris O. [D-CA-7]

    CA • D

    Sponsored 5/1/2025

  • Rep. Kustoff, David [R-TN-8]

    TN • R

    Sponsored 5/7/2025

  • Rep. Sewell, Terri A. [D-AL-7]

    AL • D

    Sponsored 5/7/2025

  • Rep. Van Duyne, Beth [R-TX-24]

    TX • R

    Sponsored 5/7/2025

  • Rep. Doggett, Lloyd [D-TX-37]

    TX • D

    Sponsored 5/7/2025

  • Rep. Malliotakis, Nicole [R-NY-11]

    NY • R

    Sponsored 5/7/2025

  • Rep. Ciscomani, Juan [R-AZ-6]

    AZ • R

    Sponsored 5/7/2025

  • Rep. Hern, Kevin [R-OK-1]

    OK • R

    Sponsored 5/9/2025

  • Rep. Moolenaar, John R. [R-MI-2]

    MI • R

    Sponsored 5/9/2025

  • Rep. Carey, Mike [R-OH-15]

    OH • R

    Sponsored 5/9/2025

  • Rep. Tenney, Claudia [R-NY-24]

    NY • R

    Sponsored 5/20/2025

  • Rep. Davids, Sharice [D-KS-3]

    KS • D

    Sponsored 5/20/2025

  • Rep. Craig, Angie [D-MN-2]

    MN • D

    Sponsored 5/20/2025

  • Rep. Trahan, Lori [D-MA-3]

    MA • D

    Sponsored 5/20/2025

  • Del. Norton, Eleanor Holmes [D-DC-At Large]

    DC • D

    Sponsored 5/20/2025

  • Rep. Yakym, Rudy [R-IN-2]

    IN • R

    Sponsored 5/20/2025

  • Rep. Bost, Mike [R-IL-12]

    IL • R

    Sponsored 5/20/2025

  • Rep. McCormick, Richard [R-GA-7]

    GA • R

    Sponsored 5/20/2025

  • Rep. LaHood, Darin [R-IL-16]

    IL • R

    Sponsored 5/23/2025

  • Rep. Krishnamoorthi, Raja [D-IL-8]

    IL • D

    Sponsored 5/23/2025

  • Rep. Tonko, Paul [D-NY-20]

    NY • D

    Sponsored 6/3/2025

  • Rep. Johnson, Dusty [R-SD-At Large]

    SD • R

    Sponsored 6/3/2025

  • Rep. DelBene, Suzan K. [D-WA-1]

    WA • D

    Sponsored 6/3/2025

  • Rep. Moore, Blake D. [R-UT-1]

    UT • R

    Sponsored 6/3/2025

  • Rep. Vindman, Eugene Simon [D-VA-7]

    VA • D

    Sponsored 6/3/2025

  • Rep. Fischbach, Michelle [R-MN-7]

    MN • R

    Sponsored 6/12/2025

  • Rep. McClellan, Jennifer L. [D-VA-4]

    VA • D

    Sponsored 6/12/2025

  • Rep. Kelly, Robin L. [D-IL-2]

    IL • D

    Sponsored 6/12/2025

  • Rep. McGuire, John J. [R-VA-5]

    VA • R

    Sponsored 6/12/2025

  • Rep. Carter, Earl L. "Buddy" [R-GA-1]

    GA • R

    Sponsored 7/14/2025

  • Rep. Moran, Nathaniel [R-TX-1]

    TX • R

    Sponsored 7/14/2025

  • Rep. Steube, W. Gregory [R-FL-17]

    FL • R

    Sponsored 7/14/2025

  • Rep. Auchincloss, Jake [D-MA-4]

    MA • D

    Sponsored 7/14/2025

  • Rep. Gottheimer, Josh [D-NJ-5]

    NJ • D

    Sponsored 7/14/2025

  • Rep. Tran, Derek [D-CA-45]

    CA • D

    Sponsored 7/14/2025

  • Rep. Kiggans, Jennifer A. [R-VA-2]

    VA • R

    Sponsored 7/14/2025

  • Rep. Soto, Darren [D-FL-9]

    FL • D

    Sponsored 7/14/2025

  • Rep. Randall, Emily [D-WA-6]

    WA • D

    Sponsored 7/14/2025

  • Rep. Fitzpatrick, Brian K. [R-PA-1]

    PA • R

    Sponsored 7/14/2025

  • Rep. Hinson, Ashley [R-IA-2]

    IA • R

    Sponsored 7/14/2025

  • Rep. Owens, Burgess [R-UT-4]

    UT • R

    Sponsored 7/15/2025

  • Rep. Veasey, Marc A. [D-TX-33]

    TX • D

    Sponsored 7/16/2025

  • Rep. Gonzalez, Vicente [D-TX-34]

    TX • D

    Sponsored 7/29/2025

  • Rep. Miller, Carol D. [R-WV-1]

    WV • R

    Sponsored 7/29/2025

  • Rep. Mann, Tracey [R-KS-1]

    KS • R

    Sponsored 7/29/2025

  • Rep. Kim, Young [R-CA-40]

    CA • R

    Sponsored 7/29/2025

  • Rep. Flood, Mike [R-NE-1]

    NE • R

    Sponsored 9/3/2025

  • Rep. Salinas, Andrea [D-OR-6]

    OR • D

    Sponsored 9/3/2025

  • Rep. Peters, Scott H. [D-CA-50]

    CA • D

    Sponsored 9/3/2025

  • Rep. Wilson, Joe [R-SC-2]

    SC • R

    Sponsored 9/15/2025

  • Rep. Dingell, Debbie [D-MI-6]

    MI • D

    Sponsored 9/15/2025

  • Rep. Finstad, Brad [R-MN-1]

    MN • R

    Sponsored 9/19/2025

  • Rep. Bresnahan, Robert P. [R-PA-8]

    PA • R

    Sponsored 10/17/2025

  • Rep. Lee, Susie [D-NV-3]

    NV • D

    Sponsored 10/17/2025

  • Rep. Landsman, Greg [D-OH-1]

    OH • D

    Sponsored 10/17/2025

  • Rep. Begich, Nicholas J. [R-AK-At Large]

    AK • R

    Sponsored 10/17/2025

  • Rep. Allen, Rick W. [R-GA-12]

    GA • R

    Sponsored 10/17/2025

  • Rep. Rulli, Michael A. [R-OH-6]

    OH • R

    Sponsored 10/17/2025

  • Rep. Cohen, Steve [D-TN-9]

    TN • D

    Sponsored 10/17/2025

  • Rep. Tokuda, Jill N. [D-HI-2]

    HI • D

    Sponsored 10/17/2025

  • Rep. Bean, Aaron [R-FL-4]

    FL • R

    Sponsored 10/17/2025

  • Rep. Balderson, Troy [R-OH-12]

    OH • R

    Sponsored 10/17/2025

  • Rep. Perez, Marie Gluesenkamp [D-WA-3]

    WA • D

    Sponsored 10/17/2025

  • Rep. Houlahan, Chrissy [D-PA-6]

    PA • D

    Sponsored 10/21/2025

  • Rep. Bilirakis, Gus M. [R-FL-12]

    FL • R

    Sponsored 10/24/2025

  • Rep. Harder, Josh [D-CA-9]

    CA • D

    Sponsored 10/24/2025

  • Rep. Jackson, Jonathan L. [D-IL-1]

    IL • D

    Sponsored 10/28/2025

  • Rep. Nunn, Zachary [R-IA-3]

    IA • R

    Sponsored 10/28/2025

  • Rep. Weber, Randy K. Sr. [R-TX-14]

    TX • R

    Sponsored 10/31/2025

  • Rep. Feenstra, Randy [R-IA-4]

    IA • R

    Sponsored 10/31/2025

  • Rep. Dean, Madeleine [D-PA-4]

    PA • D

    Sponsored 11/4/2025

  • Rep. Quigley, Mike [D-IL-5]

    IL • D

    Sponsored 11/4/2025

  • Rep. Balint, Becca [D-VT-At Large]

    VT • D

    Sponsored 11/7/2025

  • Rep. Pingree, Chellie [D-ME-1]

    ME • D

    Sponsored 11/7/2025

  • Rep. Langworthy, Nicholas A. [R-NY-23]

    NY • R

    Sponsored 11/7/2025

  • Rep. Swalwell, Eric [D-CA-14]

    CA • D

    Sponsored 11/21/2025

  • Rep. Maloy, Celeste [R-UT-2]

    UT • R

    Sponsored 11/21/2025

  • Rep. Cline, Ben [R-VA-6]

    VA • R

    Sponsored 11/21/2025

  • Rep. Scott, Austin [R-GA-8]

    GA • R

    Sponsored 11/21/2025

  • Rep. Vasquez, Gabe [D-NM-2]

    NM • D

    Sponsored 11/21/2025

  • Rep. Neguse, Joe [D-CO-2]

    CO • D

    Sponsored 11/21/2025

  • Rep. Beatty, Joyce [D-OH-3]

    OH • D

    Sponsored 12/3/2025

  • Rep. Hill, J. French [R-AR-2]

    AR • R

    Sponsored 12/3/2025

  • Rep. Ross, Deborah K. [D-NC-2]

    NC • D

    Sponsored 12/3/2025

  • Rep. Clarke, Yvette D. [D-NY-9]

    NY • D

    Sponsored 12/3/2025

  • Rep. Aderholt, Robert B. [R-AL-4]

    AL • R

    Sponsored 12/18/2025

  • Rep. McDonald Rivet, Kristen [D-MI-8]

    MI • D

    Sponsored 12/18/2025

  • Rep. Pappas, Chris [D-NH-1]

    NH • D

    Sponsored 12/18/2025

  • Rep. Barragán, Nanette Diaz [D-CA-44]

    CA • D

    Sponsored 12/18/2025

  • Rep. Hudson, Richard [R-NC-9]

    NC • R

    Sponsored 12/18/2025

  • Rep. Bynum, Janelle S. [D-OR-5]

    OR • D

    Sponsored 12/18/2025

  • Rep. Crow, Jason [D-CO-6]

    CO • D

    Sponsored 12/18/2025

  • Rep. Rogers, Mike D. [R-AL-3]

    AL • R

    Sponsored 1/12/2026

  • Rep. Himes, James A. [D-CT-4]

    CT • D

    Sponsored 1/20/2026

  • Rep. Schweikert, David [R-AZ-1]

    AZ • R

    Sponsored 2/5/2026

  • Rep. Kelly, Mike [R-PA-16]

    PA • R

    Sponsored 2/11/2026

  • Rep. Kean, Thomas H. [R-NJ-7]

    NJ • R

    Sponsored 2/24/2026

  • Rep. Walberg, Tim [R-MI-5]

    MI • R

    Sponsored 3/9/2026

  • Rep. Fletcher, Lizzie [D-TX-7]

    TX • D

    Sponsored 3/24/2026

  • Rep. Thanedar, Shri [D-MI-13]

    MI • D

    Sponsored 4/6/2026

  • Rep. Williams, Nikema [D-GA-5]

    GA • D

    Sponsored 4/9/2026

  • Rep. Bentz, Cliff [R-OR-2]

    OR • R

    Sponsored 4/16/2026

  • Rep. Biggs, Sheri [R-SC-3]

    SC • R

    Sponsored 4/21/2026

  • Rep. Lee, Laurel M. [R-FL-15]

    FL • R

    Sponsored 4/14/2026

  • Rep. Rutherford, John H. [R-FL-5]

    FL • R

    Sponsored 4/15/2026

  • Rep. Pocan, Mark [D-WI-2]

    WI • D

    Sponsored 4/22/2026

  • Rep. Tlaib, Rashida [D-MI-12]

    MI • D

    Sponsored 4/22/2026

  • Rep. Fong, Vince [R-CA-20]

    CA • R

    Sponsored 4/28/2026

  • Rep. James, John [R-MI-10]

    MI • R

    Sponsored 5/12/2026

  • Rep. Houchin, Erin [R-IN-9]

    IN • R

    Sponsored 5/19/2026

  • Rep. Carter, Troy A. [D-LA-2]

    LA • D

    Sponsored 5/20/2026

  • Rep. Sykes, Emilia Strong [D-OH-13]

    OH • D

    Sponsored 5/22/2026

  • Rep. Womack, Steve [R-AR-3]

    AR • R

    Sponsored 6/2/2026

  • Rep. Rouzer, David [R-NC-7]

    NC • R

    Sponsored 6/3/2026

  • Rep. Westerman, Bruce [R-AR-4]

    AR • R

    Sponsored 6/3/2026

  • Rep. Pfluger, August [R-TX-11]

    TX • R

    Sponsored 6/8/2026

  • Rep. Fedorchak, Julie [R-ND-At Large]

    ND • R

    Sponsored 6/8/2026

  • Rep. Bishop, Sanford D. [D-GA-2]

    GA • D

    Sponsored 6/10/2026

  • Rep. Scanlon, Mary Gay [D-PA-5]

    PA • D

    Sponsored 6/11/2026

  • Del. Moylan, James C. [R-GU-At Large]

    GU • R

    Sponsored 6/11/2026

  • Rep. Menendez, Robert [D-NJ-8]

    NJ • D

    Sponsored 6/15/2026

  • Rep. Fitzgerald, Scott [R-WI-5]

    WI • R

    Sponsored 6/15/2026

  • Rep. Barrett, Tom [R-MI-7]

    MI • R

    Sponsored 6/15/2026

  • Rep. Schakowsky, Janice D. [D-IL-9]

    IL • D

    Sponsored 6/18/2026

  • Rep. Wittman, Robert J. [R-VA-1]

    VA • R

    Sponsored 6/22/2026

  • Rep. Evans, Gabe [R-CO-8]

    CO • R

    Sponsored 6/22/2026

  • Rep. Salazar, Maria Elvira [R-FL-27]

    FL • R

    Sponsored 6/23/2026

  • Rep. Bacon, Don [R-NE-2]

    NE • R

    Sponsored 6/23/2026

  • Rep. Mackenzie, Ryan [R-PA-7]

    PA • R

    Sponsored 6/23/2026

  • Rep. Fry, Russell [R-SC-7]

    SC • R

    Sponsored 6/24/2026

  • Rep. Stauber, Pete [R-MN-8]

    MN • R

    Sponsored 6/29/2026

  • Rep. De La Cruz, Monica [R-TX-15]

    TX • R

    Sponsored 6/29/2026

  • Rep. Thompson, Glenn [R-PA-15]

    PA • R

    Sponsored 6/30/2026

  • Rep. Edwards, Chuck [R-NC-11]

    NC • R

    Sponsored 6/30/2026

  • Rep. Fleischmann, Charles J. "Chuck" [R-TN-3]

    TN • R

    Sponsored 7/15/2026

  • Rep. Lynch, Stephen F. [D-MA-8]

    MA • D

    Sponsored 7/20/2026

  • Rep. Davis, Donald G. [D-NC-1]

    NC • D

    Sponsored 8/3/2026

  • Rep. Van Drew, Jefferson [R-NJ-2]

    NJ • R

    Sponsored 8/3/2026

  • Rep. Obernolte, Jay [R-CA-23]

    CA • R

    Sponsored 9/10/2026

Roll Call Votes

No roll call votes available for this bill.

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