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US SB2800
Bill
AI Summary
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Amends Medicare Part B to cover pharmacist services when performed in health professional shortage areas, medically underserved areas, or medically underserved populations
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Pharmacists may bill Medicare for services they are legally authorized to perform under state law that would otherwise be covered if furnished by a physician
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Medicare will pay 80% of the lesser of the actual charge or 85% of the physician fee schedule amount for covered pharmacist services
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Secretary of Health and Human Services must develop pharmacist-specific billing codes under the physician fee schedule
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Effective date for coverage is January 1, 2027
Legislative Description
Pharmacy and Medically Underserved Areas Enhancement Act
Health
Last Action
Read twice and referred to the Committee on Finance.
9/15/2025