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US SB2426

Bill

Status

Introduced

7/24/2025

Primary Sponsor

John Thune

Click for details

Origin

Senate

119th Congress

AI Summary

  • Adds "pharmacist services" as a covered benefit under Medicare Part B, allowing Medicare to pay for services pharmacists are legally authorized to perform under state law that would otherwise be covered if furnished by a physician

  • Covers evaluation, testing, and treatment visits for COVID-19, influenza, respiratory syncytial virus (RSV), and strep throat, as well as services addressing public health emergencies declared under section 319 of the Public Health Service Act

  • Sets Medicare payment at 80% of the lesser of actual charges or 85% of the physician fee schedule rate (100% for public health emergency-related services)

  • Prohibits pharmacists from balance billing Medicare patients above the approved payment amounts

  • Applies to services furnished on or after January 1, 2026

Legislative Description

Equitable Community Access to Pharmacist Services Act

Health

Last Action

Read twice and referred to the Committee on Finance.

7/24/2025

Committee Referrals

Finance7/24/2025

Full Bill Text

No bill text available