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HR9365FEDERALIN_COMMITTEE
High Impact

Pharmacy and Medically Underserved Areas Enhancement Act

December 17, 2024

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Where This Stands

Introduced
Committee
Floor Vote
Passed
Signed

Currently IN_COMMITTEE. The next step in the legislative lifecycle is Floor Vote.

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

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The Frame

What this does

This legislation would change how Medicare beneficiaries in underserved regions access care by allowing them to receive and seek reimbursement for services from pharmacists that were previously only covered when performed by physicians.

Who is mentioned in the record

Potentially affected actors named in the source documents. Mention is not a position.

Medicare beneficiaries

They gain access to Medicare-covered services provided by pharmacists in specific underserved areas.

Pharmacists

They become eligible to be reimbursed by Medicare for services provided in designated underserved areas.

What changed

Current stage: IN_COMMITTEE.

What's next

Floor Vote.

Summary

This bill expands Medicare coverage to include services provided by pharmacists in s or s. It establishes a payment structure for these services, setting reimbursement rates at 80 percent of the lesser of the actual charge or 85 percent of the .

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What services can a pharmacist provide under this bill?
Pharmacists can provide services that they are legally authorized to perform under state law, provided those services would normally be covered by Medicare if performed by a physician.
Where must the pharmacist be located to qualify for this coverage?
The services must be provided in a designated , a , or for a medically underserved population.
How much will Medicare pay for these services?
Medicare will pay 80 percent of the lesser of the actual charge or 85 percent of the standard amount.

Why It Matters

This legislation would change how Medicare beneficiaries in underserved regions access care by allowing them to receive and seek reimbursement for services from pharmacists that were previously only covered when performed by physicians.

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Sponsors

Discoveries

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift90% confidence

Expansion of Medicare Provider Scope

The bill represents a shift toward integrating pharmacists into the primary care reimbursement model for underserved populations.

Connected Entities

bill_numberH.R. 9365The number of the introduced billMap →
organizationCommittee on Energy and CommerceReferred to for considerationMap →
organizationCommittee on Ways and MeansReferred to for considerationMap →
organizationSecretary of Health and Human ServicesResponsible for developing pharmacist specific codesMap →
personMr. Davis of North CarolinaIntroduced the billMap →
dateJanuary 1, 2024When the amendments will applyMap →
personMr. Nunn of IowaCo-sponsored the billMap →
dateAugust 16, 2024When the bill was introducedMap →

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy20
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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