H.R. 3164 · 119th Congress

Ensuring Community Access to Pharmacist Services Act

Introduced on May 1, 2025 by Adrian Smith (R-NE-3). 142 cosponsors, 62 of them from another party. Latest action (May 21, 2026): Ordered to be Reported in the Nature of a Substitute by Voice Vote.

Stage
Introduced
Introduced
May 1, 2025
Cosponsors
142
62 from the other party
Policy area
Health
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Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. 2Reported by committee
  3. 3Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

Official title

To amend title XVIII of the Social Security Act to provide pharmacy payment of certain services.

Subjects

  • Health care costs and insurance
  • Health care coverage and access
  • Medicare
  • Prescription drugs

Summary

By the Congressional Research Service (Introduced in House, May 1, 2025). Public domain.

Ensuring Community Access to Pharmacist Services Act

This bill provides for permanent coverage under Medicare of certain pharmacist services.

Specifically, the bill provides for permanent coverage of testing and treatment services provided by pharmacists relating to (1) COVID-19, influenza, respiratory syncytial virus (RSV), and streptococcal pharyngitis (strep throat); and (2) other public health needs in relation to a declared public health emergency. (Similar authorities were temporarily granted during the COVID-19 public health emergency.) Such services must be provided in accordance with the applicable state laws governing pharmacists' scope of practice.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

Adrian SmithR-NE-3Sponsor

Democrats · 62

Republicans · 80

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. May 1, 2025Introduced in House
  2. May 1, 2025Introduced in House
  3. May 1, 2025 · HouseReferred 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.
  4. May 1, 2025 · HouseReferred 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.
  5. May 21, 2026 · HouseCommittee Consideration and Mark-up Session Held
  6. May 21, 2026 · HouseOrdered to be Reported in the Nature of a Substitute by Voice Vote.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. American Medical Association11 reports
    $28.2M reported (all issues)Federal contractor: AMERICAN MEDICAL ASSOCIATION$371K in contracts, FY2026AI match · 99%
  2. NATIONAL ASSOCIATION OF CHAIN DRUG STORES, INC.10 reports
    $2M reported (all issues)
  3. CVS HEALTH7 reports
    $13.1M reported (all issues)
  4. AMERICAN COLLEGE OF EMERGENCY PHYSICIANS5 reports
    $2.3M reported (all issues)Federal contractor: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS$92K in contracts, FY2026AI match · 100%
  5. CENCORA, INC.5 reports
    $5M reported (all issues)
  6. Cencora Inc. (formerly AmerisourceBergen Corporation)5 reports
    $270K reported (all issues)
  7. FOOD MARKETPLACE INC.5 reports
    $2.6M reported (all issues)
  8. McKesson Corporation & affiliates U.S. Oncology and Rx Savings Solutions5 reports
    $3.6M reported (all issues)
  9. McKesson Corporation & affiliates U.S. Oncology and Rx Savings Solutions (Former5 reports
    $150K reported (all issues)
  10. NATIONAL COMMUNITY PHARMACISTS ASSOCIATION5 reports
    $1.5M reported (all issues)Federal contractor: NATIONAL COMMUNITY PHARMACISTS ASSOCIATIONAI match · 100%
  11. PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION5 reports
    $15.8M reported (all issues)
  12. WALGREEN CO5 reports
    $2.6M reported (all issues)Federal contractor: WALGREEN CO.AI match · 99%
  13. WALMART INC.5 reports
    $11.2M reported (all issues)
  14. AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION4 reports
    $2.8M reported (all issues)
  15. AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY4 reports
    $1.2M reported (all issues)
  16. AMERICAN PSYCHIATRIC ASSOCIATION4 reports
    $956.5K reported (all issues)Federal contractor: AMERICAN PSYCHIATRIC ASSOCIATION$645K in contracts, FY2026AI match · 100%
  17. AMERICAN SOCIETY OF ANESTHESIOLOGISTS4 reports
    $1M reported (all issues)
  18. American Society of Health-System Pharmacists4 reports
    $980K reported (all issues)Federal contractor: AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS INC$350.5K in contracts, FY2026AI match · 100%
  19. CARDINAL HEALTH INC.4 reports
    $2.9M reported (all issues)Federal contractor: CARDINAL HEALTH 200, LLC$276.6M in contracts, FY2026AI match · 100%
  20. Healthcare Leadership Council4 reports
    $780K reported (all issues)
  21. INDEPENDENT PHARMACY COOPERATIVE4 reports
    $140K reported (all issues)Federal contractor: INDEPENDENT PHARMACY COOPERATIVEAI match · 99%
  22. MASSACHUSETTS MEDICAL SOCIETY4 reports
    $200K reported (all issues)
  23. MCKESSON CORPORATION4 reports
    $240K reported (all issues)Federal contractor: MCKESSON CORPORATION$12.3B in contracts, FY2026AI match · 100%
  24. ABBOTT LABORATORIES3 reports
    $1.2M reported (all issues)Federal contractor: ABBOTT LABORATORIES INC.$90M in contracts, FY2026AI match · 100%
  25. AMERICAN PHARMACIES, INC.3 reports
    $180K reported (all issues)
  26. SURESCRIPTS3 reports
  27. Sutter Health3 reports
    $240K reported (all issues)
  28. THE KROGER CO.3 reports
    $750K reported (all issues)
  29. COLLEGE OF AMERICAN PATHOLOGISTS2 reports
    $279.2K reported (all issues)Federal contractor: COLLEGE OF AMERICAN PATHOLOGISTS$18M in contracts, FY2026AI match · 99%
  30. California Medical Association Inc.2 reports
    $141.9K reported (all issues)
  31. Cencora fka AmerisourceBergen Corporation2 reports
    $100K reported (all issues)
  32. ACADEMY OF MANAGED CARE PHARMACY1 report
  33. AMERICAN SOCIETY OF CATARACT & REFRACTIVE SURGERY1 report
    $167.8K reported (all issues)
  34. Alliance for Aging Research1 report
    $120K reported (all issues)
  35. BIOMERIEUX1 report
    Federal contractor: BIOMERIEUX INC$49.4M in contracts, FY2026AI match · 100%
  36. BLUE CROSS BLUE SHIELD OF MICHIGAN1 report
    $276.3K reported (all issues)
  37. Blue Cross and Blue Shield Association1 report
    $990K reported (all issues)
  38. Blue Cross and Blue Shield of Florida, Inc.1 report
    $80K reported (all issues)
  39. Future of Pharmacy Coalition LLC1 report
    $80K reported (all issues)
  40. GUIDEWELL MUTUAL HOLDING CORPORATION1 report
    $20K reported (all issues)

Reports filed in 2025, 2026.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 5, 2026 · loaded Oct 5, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.