Ensuring Seniors Access to Local Pharmacies Act of 2014 - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act to direct any prescription drug plan that has in its network one or more pharmacies located in a health professional shortage area, in a medically underserved area, or among a medically underserved population, and that provides a reduction in coinsurance or copayments for covered part D drugs, to extend to any pharmacy located in that area, or among that population, the option to be an in-network pharmacy under terms and conditions comparable to those the plan has agreed upon with other in-network pharmacies located in the area or among that population.
[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4577 Introduced in House (IH)]
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 network
pharmacies.--For'' and inserting the following: ``Discounts
allowed for network pharmacies.--
``(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.
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Introduced in House
Introduced in House
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.
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.
Referred to the Subcommittee on Health.
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