,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #ggeg  ,,in ,,the ,,house ,,of  
,,representatives  ,july #bc1 #bjbj,mr4 
,schrader 7for himself and ,mr4 ,mullin7
 introduced the following bill2 which   
was referred to the ,committee on       
,energy and ,commerce1 and in addition  
to the ,committee on ,ways and ,means1  
for a period to be subsequently         
determined by the ,speaker1 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 pharmacies4  #a4 ,short  
title ,this ,act may be cited as the    
,long-,term ,care ,pharmacy ,definition 
,act of #bjbj4  #b4 ,definition ,section
 #ahfj;,d-#b of the ,social ,security   
,act 7#db ,u4,s4,c4 #aciew-#ajb7 is     
amended by adding at the end the        
following new subsection3  7f7          
,long-,term care pharmacy defined  7#a7 
,in general ,the term long-term care    
pharmacy means a pharmacy licensed under

 applicable ,state law that is able to  
provide enhanced pharmacy and clinical  
services to individuals who require     
enhanced medication services and reside 
in a facility 7as defined in paragraph  
7#d774  7#b7 ,enhanced pharmacy and     
clinical services ,as used in this      
subsection1 the term enhanced pharmacy  
and clinical services includes-- 7,a7   
medications dispensed pursuant to a     
prescription or chart order in          
specialized packaging which shall       
include unit of use packaging1 unit dose
 packaging1 single use containers1      
packaging from remote automated         
dispensing technology1 or other         
packaging required2  7,b7 drug          
utilization review to identify potential
 adverse drug reactions and             
inappropriate drug usage2  7,c7         
medication reconciliation services at   
the transition of care and other        
necessary clinical management and       
medication services2  7,d7 timely       
medication delivery #bd hours a day1 #g 

days a week2  7,e7 pharmacist on-call   
availability to provider dispensing and 
clinical services #bd hours a day1 #g   
days a week2  7,f7 emergency supplies of
 medication as permitted by law and as  
required1 including emergency kits or   
remote automated dispensing technology  
at a facility2 and  7,g7 such other     
services as the ,secretary determines   
appropriate4  7#c7 ,individuals         
requiring enhanced medication services  
,as used in this subsection1 the term   
individual who requires enhanced        
medication services means an individual 
who has one or more comorbid and        
medically complex chronic conditions    
that are life-threatening or            
significantly limit overall health or   
function1 pose a high risk of           
hospitalization or other adverse health 
outcomes1 and require enhanced pharmacy 
and clinical services4  7#d7 ,facility  
,as used in this subsection1 the term   
facility includes a facility described  
in section #ahai7;a71 #aiai7;a71 or     

#aije7;d71 or any other setting in which
 individuals who require enhanced       
medication services reside as determined
 by the ,secretary4  4