,,ii  #aahth ,,congress  #ast ,session  
,s4 #bdgg  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,july #be1     
#bjbc,mr4 ,thune 7for himself and ,mr4  
,warner7 introduced the following bill2 
which was read twice and referred to the
 ,committee on ,finance  ,a ,,bill  ,to 
amend title ,,xviii of the ,social      
,security ,act to provide pharmacy      
payment of certain 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
 #ahfa7s7 of the ,social ,security ,act 
7#db ,u4,s4,c4 #aciex7s77 is amended--  
7#a7 in paragraph 7#b7-- 7,a7 in        
subparagraph 7,,ii71 by striking and at 
the end2  7,b7 in subparagraph 7,,jj71  
by inserting and after the semicolon at 
the end2 and  7,c7 by adding at the end 
the following new subparagraph3  7,,kk7 
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 pharmacist--    
7,i7 as licensed under ,state law2 or   
7,,ii7 pursuant to a ,federal emergency 
authority described 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 physician2 and  7iii7 are
 services-- 7,i7 for encounters for the 
evaluation and management of patients   
for testing or treatment for            
,,covid-#ai1 influenza1 respiratory     
syncytial virus1 or streptococcal       
pharyngitis2 or  7,,ii7 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 law4  2 and  7#b7 in   
paragraph 7#aj71 in each of             

subparagraphs 7,a7 and 7,b71 by         
inserting 1 including when furnished by 
a pharmacist before the semicolon in    
each such subparagraph4  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,,hh7 and inserting       
7,,hh72 and  7#b7 by inserting before   
the semicolon at the end the following3 
and 7,,ii7 with respect to pharmacist   
services described in section           
#ahfa7s77#b77,,kk71 the amounts paid    
shall be equal to #hj percent of the    
lesser of 7i7 the actual charge for the 
services or 7ii7 #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 the amount
 determined under the payment basis     
under section #ahdh for such services44 
7c7 ,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  7ix7  
,a pharmacist4  4  7d7 ,rule of         
construction ,nothing in this section   
shall be construed 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
 payment as mass immunizers4  7e7       
,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