H.R.3164 - Ensuring Community Access to Pharmacist Services Act (119th Congress)
Summary
H.R.3164, the "Ensuring Community Access to Pharmacist Services Act," aims to amend Title XVIII of the Social Security Act to allow Medicare Part B to cover certain pharmacist services. This includes services related to the evaluation, management, testing, and treatment of conditions like COVID-19, influenza, RSV, and strep throat, as well as services addressing public health emergencies. The bill also addresses payment structures and balance billing for these services.
Expected Effects
The bill would expand access to healthcare services by allowing pharmacists to provide and be reimbursed for services currently only covered when provided by physicians. This could lead to more accessible and convenient care, particularly in underserved areas. The changes would take effect on or after January 1, 2026.
Potential Benefits
- Increased access to healthcare services, especially in rural or underserved areas.
- Pharmacists can provide convenient testing and treatment for common illnesses.
- Potentially lower healthcare costs due to increased competition and accessibility.
- Addresses public health needs during declared emergencies.
- Improved management of conditions like COVID-19, influenza, and RSV.
Potential Disadvantages
- Potential for increased healthcare costs if not managed effectively.
- Possible overlap or conflict with existing physician services.
- Variability in the scope of pharmacist services based on state laws.
- Risk of over-utilization of services if not properly regulated.
- Potential strain on the Medicare Part B system.
Constitutional Alignment
The bill's alignment with the Constitution is primarily through the General Welfare Clause (Preamble). Congress has broad authority to enact laws that promote the general welfare of the United States, which includes ensuring access to healthcare. The bill does not appear to infringe upon any specific individual rights or liberties protected by the Constitution or its amendments.
Impact Assessment: Things You Care About ⓘ
This action has been evaluated across 19 key areas that matter to you. Scores range from 1 (highly disadvantageous) to 5 (highly beneficial).