Pharmacy and Medically Underserved Areas Enhancement Act

This bill would add pharmacist services to the services covered by Medicare Part B. Coverage would apply to services a licensed pharmacist is legally allowed to perform under state law, that Medicare would cover if a physician provided them, and that are provided in a health professional shortage area, medically underserved area, or to a medically underserved population. Medicare would pay 80 percent of the lesser of the actual charge or 85 percent of what the physician fee schedule would pay a physician. The changes would apply to services provided on or after January 1, 2027, and the Secretary of Health and Human Services would create pharmacist-specific billing codes as needed.

Full text and official record on Congress.gov

Sponsors

• Chuck Grassley Republican sponsor
• 1 cosponsors