,,ii  #aaith ,,congress  #ast ,session  
,s4 #bdbf  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,july #bd1     
#bjbe ,mr4 ,thune 7for himself1 ,mr4    
,warner1 ,mr4 ,tillis1 ,mr4 ,daines1    
,ms4 ,hassan1 ,ms4 ,warren1 ,mr4 ,welch1
 and ,ms4 ,cortez ,masto7 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 #ahfa of   
the ,social ,security ,act 7#db         
,u4,s4,c4 #aciex7 is amended-- 7#a7 in  
subsection 7s77#b7--  7,a7 in           
subparagraph 7,,jj71 by adding and at   
the end2 and  7,b7 by adding at the end 
the following new subparagraph3  7,,kk7 
pharmacist services 7as defined in      

subsection 7nnn772  2 and  7#b7 by      
adding at the end the following new     
subsection3  7nnn7 ,pharmacist services 
7#a7 ,in general ,the term pharmacist   
services means such services furnished  
by a pharmacist1 and such services and  
supplies furnished as an incident to the
 pharmacist's service1 which the        
pharmacist is legally authorized to     
perform under ,state law as would       
otherwise be covered if furnished by a  
physician or as an incident to a        
physicians' service which--  7,a7 in the
 case such ,state law requires such     
services to be furnished under the      
supervision of1 or working in           
collaboration with1 a physician or      
practitioner 7as defined in section     
#ahdb7;b77#ah77;,c77i771 are so         
furnished under the supervision of1 or  
working in collaboration with1 such     
physician or practitioner in the manner 
and to the extent as so required by such
 ,state law2 and  7,b7 are-- 7i7 for    
visits for the evaluation and management

 of individuals for testing or treatment
 for ,,covid-#ai1 influenza1 respiratory
 syncytial virus1 or streptococcal      
pharyngitis2 or  7ii7 testing or        
treatment services that address a public
 health need related to a public health 
emergency declared under section #cai of
 the ,public ,health ,service ,act 7as  
determined by the ,secretary74  7#b7    
,collaboration  ,for purposes of this   
subsection1 the term collaboration means
 a process in which a pharmacist works  
with a physician or practitioner 7as    
defined in section                      
#ahdb7;b77#ah77;,c77i771 as applicable1 
to deliver health care services within  
the scope of the pharmacist's           
professional expertise1 with medical    
direction and appropriate supervision as
 provided for in jointly developed      
guidelines or other mechanisms as       
defined by the law of the ,state in     
which the services are performed4  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,,hh7 and         
inserting 7,,hh72 and  7#b7 by inserting
 before the semicolon at the end the    
following3 1 and 7,,ii7 with respect to 
pharmacist services 7as defined in      
section #ahfa7nnn771 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   
that address a public health need       
described in paragraph 7#b77;,b7 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#ah7 of the
 ,social ,security ,act 7#db ,u4,s4,c4  
#acieu7b77#ah77 is amended--  7#a7 in   
subparagraph 7,a71 by inserting or a    
pharmacist after a practitioner         
described in subparagraph 7,c72 and     
7#b7 in subparagraph 7,b7-- 7,a7 in the 
first sentence1 by inserting 1 a        

pharmacist1 after a practitioner        
described in subparagraph 7,c72 and     
7,b7 in the third sentence-- 7i7 by     
inserting 1 a pharmacist1 after a       
practitioner2 and  7ii7 by inserting 1  
the pharmacist1 after the practitioner4 
7d7  ,application  ,the amendments made 
by this section shall apply to items and
 services furnished on or after ,january
 #a1 #bjbf4