,,ii  #aai? ,,congress  #a/ ,session    
,s4 #bdbf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #bd1 #bjbe ,mr4  
,?une 7= himself1 ,mr4 ,w>n]1 ,mr4      
,tillis1 ,mr4 ,da9es1 ,ms4 ,hassan1 ,ms4
 ,w>r51 ,mr4 ,wel*1 & ,ms4 ,cortez      
,ma/o7 introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide ph>macy paym5t ( c]ta9 s]vices4 
#a4  ,%ort title  ,?is ,act may be cit$ 
z ! ,equitable ,community ,access to    
,ph>maci/ ,s]vices ,act4  #b4  ,cov]age 
( ph>maci/ s]vices "u m$ic>e "p ,b  7a7 
,cov]age  ,section #ahfa ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #aciex7 is
 am5d$-- 7#a7 9 subsection 7s77#b7--    
7,a7 9 subp>agraph 7,,jj71 by add+ & at 
! end2 &  7,b7 by add+ at ! end ! foll[+
 new subp>agraph3  7,,kk7 ph>maci/      
s]vices 7z def9$ 9 subsection 7nnn772  2
 &  7#b7 by add+ at ! end ! foll[+ new  
subsection3  7nnn7 ,ph>maci/ s]vices    
7#a7 ,9 g5]al ,! t]m ph>maci/ s]vices   

means su* s]vices furni%$ by a ph>maci/1
 & su* s]vices & supplies furni%$ z an  
incid5t to ! ph>maci/'s s]vice1 :i* !   
ph>maci/ is legally au?oriz$ to p]=m "u 
,/ate law z w\ld o!rwise be cov]$ if    
furni%$ by a physician or z an incid5t  
to a physicians' s]vice :i*--  7,a7 9 ! 
case su* ,/ate law requires su* s]vices 
to be furni%$ "u ! sup]vision (1 or     
work+ 9 collaboration )1 a physician or 
practition] 7z def9$ 9 section          
#ahdb7;b77#ah77;,c77i771 are s furni%$  
"u ! sup]vision (1 or work+ 9           
collaboration )1 su* physician or       
practition] 9 ! mann] & to ! ext5t z s  
requir$ by su* ,/ate law2 &  7,b7 are-- 
7i7 = visits = ! evaluation & managem5t 
( individuals = te/+ or treatm5t =      
,,covid-#ai1 influ5za1 respiratory      
syncytial virus1 or /reptococcal        
ph>yngitis2 or  7ii7 te/+ or treatm5t   
s]vices t address a public heal? ne$    
relat$ to a public heal? em]g5cy decl>$ 
"u section #cai ( ! ,public ,heal?      
,s]vice ,act 7z det]m9$ by ! ,secret>y74

  7#b7  ,collaboration  ,= purposes (   
?is subsection1 ! t]m collaboration     
means a process 9 :i* a ph>maci/ works )
 a physician or practition] 7z def9$ 9  
section #ahdb7;b77#ah77;,c77i771 z      
applicable1 to deliv] heal? c>e s]vices 
)9 ! scope ( ! ph>maci/'s pr(essional   
exp]tise1 ) m$ical direction &          
appropriate sup]vision z provid$ = 9    
jo9tly develop$ guidel9es or o!r        
me*anisms z def9$ by ! law ( ! ,/ate 9  
:i* ! s]vices are p]=m$4  4  7b7        
,paym5t  ,section #ahcc7;a77#a7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#aciel7a77#a77 is am5d$--  7#a7 by /rik+
 & 7,,hh7 & ins]t+ 7,,hh72 &  7#b7 by   
ins]t+ be=e ! semicolon at ! end !      
foll[+3 1 & 7,,ii7 ) respect to ph>maci/
 s]vices 7z def9$ 9 section #ahfa7nnn771
 ! am\nts paid %all be equal to #hj     
p]c5t ( ! less] ( 7i7 ! actual *>ge = ! 
s]vices or 7ii7 #he p]c5t 7or #ajj      
p]c5t1 9 ! case ( su* s]vices t address 
a public heal? ne$ describ$ 9 p>agraph  
7#b77;,b7 ( su* section7 ( ! am\nt      

det]m9$ "u ! paym5t basis "u section    
#ahdh = su* s]vices44  7c7  ,prohibition
 on balance bill+ = ph>maci/ s]vices    
,section #ahdb7;b77#ah7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acieu7b77#ah77 is am5d$--  7#a7 9      
subp>agraph 7,a71 by ins]t+ or a        
ph>maci/ aft] a practition] describ$ 9  
subp>agraph 7,c72 &  7#b7 9 subp>agraph 
7,b7-- 7,a7 9 ! fir/ s5t5ce1 by ins]t+ 1
 a ph>maci/1 aft] a practition] describ$
 9 subp>agraph 7,c72 &  7,b7 9 ! ?ird   
s5t5ce-- 7i7 by ins]t+ 1 a ph>maci/1    
aft] a practition]2 &  7ii7 by ins]t+ 1 
! ph>maci/1 aft] ! practition]4  7d7    
,application  ,! am5dm5ts made by ?is   
section %all apply to items & s]vices   
furni%$ on or aft] ,janu>y #a1 #bjbf4