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High Impact

Pharmacy and Medically Underserved Areas Enhancement Act

Record date · December 17, 2024

Introduced
Committee
Floor Vote
Passed
Law

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Public stanceCommunity reactions are separate from the official record and reporting.

What This Bill Would Do

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 .

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.

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Medicare beneficiaries

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

Directly affected

Pharmacists

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

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.

What else do you want to know?

News Coverage

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

Where This Stands

Currently filed. The next step in the legislative lifecycle is Committee.

Version history

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

View official text →

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Discoveries

1 pattern noticed across the record

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

H.R. 9365, House Ways and Means Committee, Secretary of Health and Human Services and 5 more
bill numberH.R. 9365“The number of the introduced bill”Map →
OrganizationHouse Ways and Means Committee“Referred to for consideration”Map →
OrganizationSecretary of Health and Human Services“Responsible for developing pharmacist specific codes”Map →
OrganizationHouse Energy and Commerce Committee“Referred to for consideration”Map →
PersonMr. Davis of North Carolina“Introduced the bill”Map →
dateJanuary 1, 2024“When the amendments will apply”Map →
PersonMr. Nunn of Iowa“Co-sponsored the bill”Map →
dateAugust 16, 2024“When the bill was introduced”Map →

Sources

Open source document

www.congress.gov

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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