HR3164119th CongressWALLET

Ensuring Community Access to Pharmacist Services Act

Sponsored By: Representative Smith (NE)

Introduced

Summary

Covers pharmacist services under Medicare Part B. This bill would add pharmacist services to the Medicare definition of covered items when state law allows pharmacists to perform services in collaboration with a physician and when the services address COVID-19, influenza, respiratory syncytial virus, streptococcal pharyngitis, or other public health needs tied to a declared emergency.

Show full summary
  • Families and patients: People could get testing and treatment for COVID-19, flu, RSV, and strep from pharmacists and have those services billed to Medicare Part B. Coverage would apply to items and services furnished on or after January 1, 2026.
  • Pharmacists and providers: Pharmacists who meet state collaboration or supervision rules could bill Medicare. Payment would be 80% of the lesser of the actual charge or 85% of the physician fee schedule rate, and 80% of the lesser of the actual charge or 100% of that rate for services addressing a public health need. The bill would bar balance billing for pharmacist services.
  • Public health response: The bill prioritizes pharmacist testing and treatment tied to declared public health emergencies to expand access during outbreaks.

Bill Overview

Analyzed Economic Effects

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

Medicare would cover pharmacist care

If enacted, Medicare Part B would cover some pharmacist services starting January 1, 2026. Coverage would include visits to evaluate, test, or treat COVID-19, flu, RSV, or strep, and services tied to a declared public health emergency. Services would only be covered if the pharmacist is allowed under state law and follows any required doctor supervision or collaboration. Medicare would pay 80% of the lower of the pharmacist’s charge or 85% of the usual Medicare amount (100% used for emergency‑related services). Pharmacists would not be allowed to bill you more than Medicare allows for these covered services.

Sponsors & CoSponsors

Sponsor

Smith (NE)

NE • R

Cosponsors

  • Schneider

    IL • D

    Sponsored 5/1/2025

  • Harshbarger

    TN • R

    Sponsored 5/1/2025

  • Matsui

    CA • D

    Sponsored 5/1/2025

  • Kustoff

    TN • R

    Sponsored 5/7/2025

  • Sewell

    AL • D

    Sponsored 5/7/2025

  • Van Duyne

    TX • R

    Sponsored 5/7/2025

  • Doggett

    TX • D

    Sponsored 5/7/2025

  • Malliotakis

    NY • R

    Sponsored 5/7/2025

  • Ciscomani

    AZ • R

    Sponsored 5/7/2025

  • Hern (OK)

    OK • R

    Sponsored 5/9/2025

  • Moolenaar

    MI • R

    Sponsored 5/9/2025

  • Carey

    OH • R

    Sponsored 5/9/2025

  • Tenney

    NY • R

    Sponsored 5/20/2025

  • Davids (KS)

    KS • D

    Sponsored 5/20/2025

  • Craig

    MN • D

    Sponsored 5/20/2025

  • Trahan

    MA • D

    Sponsored 5/20/2025

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

    DC • D

    Sponsored 5/20/2025

  • Yakym

    IN • R

    Sponsored 5/20/2025

  • Bost

    IL • R

    Sponsored 5/20/2025

  • McCormick

    GA • R

    Sponsored 5/20/2025

  • LaHood

    IL • R

    Sponsored 5/23/2025

  • Krishnamoorthi

    IL • D

    Sponsored 5/23/2025

  • Tonko

    NY • D

    Sponsored 6/3/2025

  • Johnson (SD)

    SD • R

    Sponsored 6/3/2025

  • DelBene

    WA • D

    Sponsored 6/3/2025

  • Moore (UT)

    UT • R

    Sponsored 6/3/2025

  • Vindman

    VA • D

    Sponsored 6/3/2025

  • Fischbach

    MN • R

    Sponsored 6/12/2025

  • McClellan

    VA • D

    Sponsored 6/12/2025

  • Kelly (IL)

    IL • D

    Sponsored 6/12/2025

  • McGuire

    VA • R

    Sponsored 6/12/2025

  • Carter (GA)

    GA • R

    Sponsored 7/14/2025

  • Moran

    TX • R

    Sponsored 7/14/2025

  • Steube

    FL • R

    Sponsored 7/14/2025

  • Auchincloss

    MA • D

    Sponsored 7/14/2025

  • Gottheimer

    NJ • D

    Sponsored 7/14/2025

  • Tran

    CA • D

    Sponsored 7/14/2025

  • Kiggans (VA)

    VA • R

    Sponsored 7/14/2025

  • Soto

    FL • D

    Sponsored 7/14/2025

  • Randall

    WA • D

    Sponsored 7/14/2025

  • Fitzpatrick

    PA • R

    Sponsored 7/14/2025

  • Hinson

    IA • R

    Sponsored 7/14/2025

  • Owens

    UT • R

    Sponsored 7/15/2025

  • Veasey

    TX • D

    Sponsored 7/16/2025

  • Gonzalez, V.

    TX • D

    Sponsored 7/29/2025

  • Miller (WV)

    WV • R

    Sponsored 7/29/2025

  • Mann

    KS • R

    Sponsored 7/29/2025

  • Kim

    CA • R

    Sponsored 7/29/2025

  • Flood

    NE • R

    Sponsored 9/3/2025

  • Salinas

    OR • D

    Sponsored 9/3/2025

  • Peters

    CA • D

    Sponsored 9/3/2025

  • Wilson (SC)

    SC • R

    Sponsored 9/15/2025

  • Dingell

    MI • D

    Sponsored 9/15/2025

  • Finstad

    MN • R

    Sponsored 9/19/2025

  • Bresnahan

    PA • R

    Sponsored 10/17/2025

  • Lee (NV)

    NV • D

    Sponsored 10/17/2025

  • Landsman

    OH • D

    Sponsored 10/17/2025

  • Begich

    AK • R

    Sponsored 10/17/2025

  • Allen

    GA • R

    Sponsored 10/17/2025

  • Rulli

    OH • R

    Sponsored 10/17/2025

  • Cohen

    TN • D

    Sponsored 10/17/2025

  • Tokuda

    HI • D

    Sponsored 10/17/2025

  • Bean (FL)

    FL • R

    Sponsored 10/17/2025

  • Balderson

    OH • R

    Sponsored 10/17/2025

  • Perez

    WA • D

    Sponsored 10/17/2025

  • Houlahan

    PA • D

    Sponsored 10/21/2025

  • Bilirakis

    FL • R

    Sponsored 10/24/2025

  • Harder (CA)

    CA • D

    Sponsored 10/24/2025

  • Jackson (IL)

    IL • D

    Sponsored 10/28/2025

  • Nunn (IA)

    IA • R

    Sponsored 10/28/2025

  • Weber (TX)

    TX • R

    Sponsored 10/31/2025

  • Feenstra

    IA • R

    Sponsored 10/31/2025

  • Dean (PA)

    PA • D

    Sponsored 11/4/2025

  • Quigley

    IL • D

    Sponsored 11/4/2025

  • Balint

    VT • D

    Sponsored 11/7/2025

  • Pingree

    ME • D

    Sponsored 11/7/2025

  • Langworthy

    NY • R

    Sponsored 11/7/2025

  • Swalwell

    CA • D

    Sponsored 11/21/2025

  • Maloy

    UT • R

    Sponsored 11/21/2025

  • Cline

    VA • R

    Sponsored 11/21/2025

  • Scott, Austin

    GA • R

    Sponsored 11/21/2025

  • Vasquez

    NM • D

    Sponsored 11/21/2025

  • Neguse

    CO • D

    Sponsored 11/21/2025

  • Beatty

    OH • D

    Sponsored 12/3/2025

  • Hill (AR)

    AR • R

    Sponsored 12/3/2025

  • Ross

    NC • D

    Sponsored 12/3/2025

  • Clarke (NY)

    NY • D

    Sponsored 12/3/2025

  • Aderholt

    AL • R

    Sponsored 12/18/2025

  • McDonald Rivet

    MI • D

    Sponsored 12/18/2025

  • Pappas

    NH • D

    Sponsored 12/18/2025

  • Barragan

    CA • D

    Sponsored 12/18/2025

  • Hudson

    NC • R

    Sponsored 12/18/2025

  • Bynum

    OR • D

    Sponsored 12/18/2025

  • Crow

    CO • D

    Sponsored 12/18/2025

  • Rogers (AL)

    AL • R

    Sponsored 1/12/2026

  • Himes

    CT • D

    Sponsored 1/20/2026

  • Schweikert

    AZ • R

    Sponsored 2/5/2026

  • Kelly (PA)

    PA • R

    Sponsored 2/11/2026

  • Kean

    NJ • R

    Sponsored 2/24/2026

Roll Call Votes

No roll call votes available for this bill.

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