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H.R. 4190 Medicare Patient Access To Pharmacist Services in Medically Underserved Communities H.R. 4190 - Background Millions of Americans lack adequate access to primary health care in U.S. Forty- three (43) of South Carolinas


  1. H.R. 4190 – Medicare Patient Access To Pharmacist Services in Medically Underserved Communities

  2. H.R. 4190 - Background  Millions of Americans lack adequate access to primary health care in U.S.  Forty- three (43) of South Carolina’s forty - six (46) counties have been designated as “medically underserved”  Over 7,700 registered pharmacists in SC  Most South Carolina residents on Medicare do not have access to important services provided by pharmacists

  3. H.R. 4190 - Background Pharmacist Services include:  Chronic Disease Management  Drug Therapy Management  Preventive Screenings & Related Counseling and Education  Glucose Testing  Blood Pressure  Cholesterol

  4. H.R. 4190 - Background According to the Association of American Medical Colleges:  By 2020, there will be 91,000 FEWER doctors than needed to meet demand  The impact will be most severe in medically underserved communities  In view of this anticipated shortage, pharmacists are in a position to play a greater role in the delivery of health care services

  5. Underserved Community Defined According to the U.S. Department of Health & Human Services’ Health Resources Services Administration (HRSA), a medically underserved area is:  Those geographic areas that have too few primary care providers, high infant mortality rates, high poverty, and high elderly populations

  6. Federal Legislation • Provider Status for Pharmacists: • HR 4190 – Brett Guthrie (R-KY); G.K. Butterfield (D-NC) and Todd Young (R-IN) • Authorizes a licensed pharmacist to bill for Medicare Part B services as long as the provision of those services are within your scope of practice • Does not supersede state practice act laws

  7. Provider Status for Pharmacists  There are 116 cosponsors of H.R. 4190 in the U.S. House of Representatives  62 are Democrats; 54 are Republicans  South Carolina has 7 Congressmen  Only 1 is a cosponsor: Rep. Joe Wilson (R-2 nd Dist.)  Those who need to be contacted and asked:  Rep. Mark Sanford (R-1 st – Charleston area)  Rep. Jeff Duncan (R-3 rd – Anderson/Laurens area)  Rep. Trey Gowdy (R-4 th – Greenville/Spartanburg area)  Rep. Mick Mulvanie (R-5 th – Rock Hill/Gaffney/Sumter area)  Rep. James Clyburn (D-6 th – Columbia/Florence/Santee area)  Rep. Tom Rice (R-7 th – Myrtle Beach area)

  8. For More Information  Craig Burridge, CEO. SCPhA craig@scrx.org  (803) 354-9977 (O); (803) 463-4788 (C)  www.SCRX.org  Go onto SCPhA web site and register for text Legislative Action Alerts TODAY!

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