,i  #aagth ,,congress  #b;d ,session    
,h4 ,r4 #gbac  ,,in ,,the ,,house ,,of  
,,representatives  ,march #bd1 #bjbb,mr4
 ,kind 7for himself1 ,mr4 ,mc,kinley1   
,ms4 ,barragn1 and ,mr4 ,carter of      
,georgia7 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     
amend title ,,xviii of the ,social      
,security ,act to provide pharmacy      
reimbursement for ,,covid-#ai-related   
and future emergency services4  #a4     
,short title ,this ,act may be cited as 
the ,equitable ,community ,access to    
,pharmacist ,services ,act4  #b4        
,coverage of pharmacist services under  
medicare part ,b  7a7 ,coverage ,section
 #ahfa7s77#b7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #aciex7s77#b77 is   

amended-- 7#a7 in subparagraph 7,,gg71  
by striking and at the end2  7#b7 in    
subparagraph 7,,hh71 by striking the    
period at the end and inserting 2 and2  
and  7#c7 by adding at the end the      
following new subparagraph3  7,,ii7     
pharmacist services and such services   
and supplies furnished as an incident to
 the pharmacist's service as would      
otherwise be covered under part ,b if   
furnished by a physician or as an       
incident to a physician's service that--
 7i7 are furnished by a pharmacist1 as  
licensed or otherwise authorized-- 7,i7 
under ,state law2 or  7,,ii7 under      
section #cai;,f-#c or section #cfa of   
the ,public ,health ,service ,act1 or   
other similar ,federal law2  7ii7 would 
otherwise be covered under part ,b if   
furnished by a physician1 or as incident
 to a physician's service2 and  7iii7   
are services-- 7,i7 for testing and     
testing-related services for            
,,covid-#ai1 influenza1 respiratory     
syncytial virus1 or streptococcal       

pharyngitis2  7,,ii7 for the initiation 
of a drug regimen for ,,covid-#ai1      
influenza1 or streptococcal pharyngitis2
  7,,iii7 for the administration of a   
vaccine and related services for        
,,covid-#ai or influenza2  7,,iv7 that  
address a public health need related to 
a public health emergency under section 
#cai;,f-#c or section #cfa of the       
,public ,health ,service ,act1 or other 
similar ,federal law2 or  7,v7 as       
determined by the ,secretary by program 
instruction or otherwise1 including the 
closing of gaps in health equity4  4    
7b7 ,payment ,section #ahcc7;a77#a7 of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #aciel7a77#a77 is amended--   
7#a7 by striking and 7,,dd7 and         
inserting 7,,dd72 and  7#b7 by inserting
 before the semicolon at the end the    
following3 7,,ee7 with respect to       
pharmacist services described in section
 #ahfa7s77#b77;,,ii7 for which payment  
may be made under section #ahdh1 the    
amounts paid shall be equal to #he      

percent 7or #ajj percent1 in the case of
 such services furnished pursuant to a  
,federal emergency authority described  
in clause 7i77,,ii7 of such section7 of 
an amount determined by the ,secretary  
or the lesser of the actual charge for  
the services or the physician fee       
schedule amount provided under section  
#ahdh if such services had been         
furnished by a physician4  7c7          
,reassignment of payment ,section #ahcc 
of the ,social ,security ,act 7#db      
,u4,s4,c4 #aciel7 is amended by adding  
at the end the new subsection3  7ee7    
,with respect to pharmacist services    
described in section #ahfa7s77#b77;,,ii7
 payment may be made on the basis of a  
claim or request for payment presented  
by the pharmacist furnishing such       
services1 or by a pharmacy1 hospital1   
critical access hospital1 skilled       
nursing facility or nursing facility 7as
 defined in section #aiai7;a771         
physician1 group practice1 or ambulatory
 surgical center with which the         

pharmacist has an employment or         
contractual relationship that provides  
for payment to be made under this part  
for such services to such pharmacy1     
hospital1 critical access hospital1     
skilled nursing facility or nursing     
facility1 physician1 group practice1 or 
ambulatory surgical center4  4  7d7     
,prohibition on balance billing for     
pharmacist services ,section            
#ahdb7;b77#ah77;,c7 of the ,social      
,security ,act 7#db ,u4,s4,c4           
#acieu7b77#ah77;,c77 is amended by      
adding at the end the following3  7vii7 
,a pharmacist4  4  7e7 ,rule of         
construction ,nothing in this section   
shall be construed-- 7#a7 to limit      
flexibilities provided under section    
#daj4cb of title #db1 ,code of ,federal 
,regulations 7or any successor          
regulation7 in response to ,,covid-#ai2 
or  7#b7 to restrict the ability of     
pharmacies and pharmacists to enroll and
 obtain reimbursement under existing    
pathways under title ,,xviii of the     

,social ,security ,act 7#db ,u4,s4,c4   
#acie et seq47 as of the date of the    
enactment of this ,act1 including       
reimbursement as mass immunizers4  7f7  
,implementation authority               
,notwithstanding any other provision of 
law1 the ,secretary of ,health and      
,human ,services shall implement the    
provisions of1 and the amendments made  
by1 this section by interim final rule1 
program instruction1 or otherwise not   
later than the date that is #fj days    
after the date of the enactment of this 
,act4