Provider Status

Pharmacy provider status: Improving Americans’ access life-changing health care

Pharmacists are trained and qualified to provide a wide range of patient care services, are easily accessible, and often have longstanding relationships with the communities they serve. They are dedicated to serving patients using the full extent of their capabilities as allowed by law. That’s why APhA is fighting to gain provider status recognition – to be eligible providers of pharmacists’ patient care services and appropriately reimbursed for providing these services.

Federal Legislation

NEW! Equitable Community Access to Pharmacist Services Act (ECAPS), H.R. 7213

This law recognizes the heroic efforts of pharmacists during the pandemic. It makes permanent certain pharmacists’ services for Medicare Part B beneficiaries and establishes reimbursement pathways. It also helps prepare for pharmacists’ services for future emergencies and public health needs and addresses gaps in health equity. It was introduced in the U.S. House of Representatives on March 24, 2022.

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Pharmacy and Medically Underserved Areas Enhancement Act, H.R. 2759/S. 1362

This law adds pharmacists as eligible providers of pharmacists’ services for Medicare Part B beneficiaries, specifically in medically underserved areas and those with health professional shortages. It was introduced in the U.S. House of Representatives on April 22, 2021 and the U.S. Senate on April 26, 2021.

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State-by-State Provider Status

The Future of Pharmacy Care Coalition

The Future of Pharmacy Care Coalition comprises APhA and other American healthcare companies and professional associations that together provide care for hundreds of millions of patients and represent pharmacists and community pharmacies across the country.

The Future of Pharmacy Care Coalition believes Congress should act to ensure patients can continue to receive treatment from pharmacists for pandemic and pandemic-related health conditions.

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Take Action Now: Be A Provider Status Advocate

Support the LDF

The APhA Pharmacy Advancement Legal Defense Fund (LDF) supports APhA’s advocacy efforts and amplifies our legal, legislative, and regulatory actions on behalf of pharmacy and the patients who rely on pharmacists’ care.

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Contact Congress

Use APhA’s pre-written, editable advocacy alert to ask your U.S. Senators and Representative to cosponsor the Pharmacy and Medically Underserved Areas Enhancement Act, H.R. 2759/S. 1362 , or thank them if they have already signed on.

Contact Congress

Meet With Your Legislators

Ask to meet virtually with your representative to explain the impact the bill can make on their constituents and why this issue is important to you.

How to Schedule an Appointment

Spread the Word

Use these Quick Facts to explain how authorizing pharmacists to bill for patient care services under Medicare Part B improves access to health care and improves outcomes in underserved communities.

Explore the Fact Sheet