H.R.3164

Ensuring Community Access to Pharmacist Services Act

Introduced·5/1/25

The Ensuring Community Access to Pharmacist Services Act amends Medicare Part B to cover certain pharmacist services.

The Ensuring Community Access to Pharmacist Services Act amends title XVIII of the Social Security Act to provide coverage for certain pharmacist services under Medicare Part B. These services include evaluations and management for COVID-19, influenza, respiratory syncytial virus, or streptococcal pharyngitis, and other testing or treatment services addressing public health needs. The bill also prohibits balance billing for these pharmacist services and sets the payment rate at 80% of the lesser of the actual charge or 85% (or 100% for public health needs) of the Medicare payment basis.

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  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Where it stands

Current
In committee
Next
Committee decision

Sponsors

Calendar

May 21

9:00 AM

House Committee on Ways and Means Hearing

History

May 21

House

Committee Consideration and Mark-up Session Held

May 21

House

Ordered to be Reported in the Nature of a Substitute by Voice Vote.

May 1, 2025

House

Introduced in House