,,ii  #aaith ,,congress  #ast ,session  
,s4 #bhjj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #ae1
 #bjbe ,mr4 ,grassley 7for himself and  
,mr4 ,lujn7 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 for coverage 
under the ,medicare program of          
pharmacist services4  #a4  ,short title 
,this ,act may be cited as the ,pharmacy
 and ,medically ,underserved ,areas     
,enhancement ,act4  #b4  ,medicare      
coverage of pharmacist services  7a7    
,coverage  ,section #ahfa7s77#b7 of the 
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7s77#b77 is amended--  7#a7 in    
subparagraph 7,,jj71 by inserting and at
 the end2 and  7#b7 by adding at the end
 the following new subparagraph3  7,,kk7
 pharmacist services furnished by a     
pharmacist1 as licensed by ,state law1  
individually or on behalf of a pharmacy 
provider--  7i7 which the pharmacist is 

legally authorized to perform in the    
,state in which the individual performs 
such services2  7ii7 as would otherwise 
be covered under this part if furnished 
by a physician1 or as an incident to a  
physician's service2 and  7iii7 in a    
setting located in a health professional
 shortage area 7as defined in section   
#ccb7;a77#a77;,a7 of the ,public ,health
 ,service ,act71 medically underserved  
area1 or medically underserved          
population 7as defined in section       
#ccj7;b77#c7 of such ,act72  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         
#ahfa7s77#b77,,kk771 the amounts paid   
shall be equal to #hj percent of the    
lesser of the actual charge or #he      
percent of the fee schedule amount      

provided under section #ahdh if such    
services had been furnished by a        
physician4  7c7  ,effective date2       
,pharmacist specific codes  7#a7        
,effective date  ,the amendments made by
 subsections 7a7 and 7b7 shall apply    
with respect to services furnished on or
 after ,january #a1 #bjbg4  7#b7        
,pharmacist specific codes  ,the        
,secretary of ,health and ,human        
,services shall develop pharmacist      
specific codes1 as necessary1 under the 
physician fee schedule under section    
#ahdh of the ,social ,security ,act 7#db
 ,u4,s4,c4 #aciew-#d74