Text: H.R.4577 — 113th Congress (2013-2014)All Bill Information (Except Text)

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Introduced in House (05/06/2014)


113th CONGRESS
2d Session
H. R. 4577


To amend title XVIII of the Social Security Act to ensure equal access of Medicare beneficiaries to community pharmacies in underserved areas as network pharmacies under Medicare prescription drug coverage, and for other purposes.


IN THE HOUSE OF REPRESENTATIVES

May 6, 2014

Mr. Griffith of Virginia (for himself and Mr. Welch) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned


A BILL

To amend title XVIII of the Social Security Act to ensure equal access of Medicare beneficiaries to community pharmacies in underserved areas as network pharmacies under Medicare prescription drug coverage, and for other purposes.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. Short title.

This Act may be cited as the “Ensuring Seniors Access to Local Pharmacies Act of 2014”.

SEC. 2. Allowing any willing pharmacy serving an underserved area to become a network pharmacy under Medicare prescription drug coverage.

(a) In general.—Section 1860D–4(b)(1)(B) of the Social Security Act (42 U.S.C. 1395w–104(b)(1)(B)) is amended—

(1) by striking “Discounts allowed for networkpharmacies.—For” and inserting the following: “Discounts allowed for networkpharmacies.

“(i) IN GENERAL.—For”; and

(2) by adding at the end the following new clause:

“(ii) INCLUSION OF PHARMACIES LOCATED IN UNDERSERVED AREAS IN NETWORKS.—In the case of a prescription drug plan that has, in its network of pharmacies, one or more pharmacies located in a health professional shortage area (as defined in section 332(a)(1)(A) of the Public Health Service Act), in a medically underserved area (according to a designation under section 330(b)(3)(A) of the Public Health Service Act), or among a medically underserved population (as defined in such section 330(b)(3)(A) of such Act), and that provides a reduction in coinsurance or copayments described in clause (i) for covered part D drugs dispensed through such pharmacies, such plan shall extend to any pharmacy located in such area or among such population the option to be an in-network pharmacy with respect to such plan under terms and conditions (including the reductions described in clause (i)) comparable to those the plan has agreed upon with other in-network pharmacies located in such area or among such population.”.

(b) Effective date.—The amendments made by this section shall apply to plan years beginning on or after January 1, 2016.