The bill
Ensuring Community Access to Pharmacist Services Act
HR. 3164, 119th Congress — read as touching Hospitals & Health Systems.
Ensuring Community Access to Pharmacist Services Act
Download PDFBill ID: 119/hr/3164
Last Updated: July 20, 2026
Sponsored by
Rep. Smith, Adrian [R-NE-3]
ID: S001172
Follow the money
The sponsor
Rep. Smith, Adrian [R-NE-3]
Every bill has someone who introduced it. That name is where the paper trail starts.
The money
$128,800 raised
21 itemised contributions to this sponsor, pulled from FEC filings.
Bill's Journey to Becoming a Law
Track this bill's progress through the legislative process
Latest Action
Ordered to be Reported in the Nature of a Substitute by Voice Vote.
May 20, 2026
Introduced
📍 Current Status
Next: The bill will be reviewed by relevant committees who will debate, amend, and vote on it.
🏛️
Committee Review
🗳️
Floor Action
✅
Passed House
🏛️
Senate Review
🎉
Passed Congress
🖊️
Presidential Action
⚖️
Became Law
📚 How does a bill become a law?
1. Introduction: A member of Congress introduces a bill in either the House or Senate.
2. Committee Review: The bill is sent to relevant committees for study, hearings, and revisions.
3. Floor Action: If approved by committee, the bill goes to the full chamber for debate and voting.
4. Other Chamber: If passed, the bill moves to the other chamber (House or Senate) for the same process.
5. Conference: If both chambers pass different versions, a conference committee reconciles the differences.
6. Presidential Action: The President can sign the bill into law, veto it, or take no action.
7. Became Law: If signed (or if Congress overrides a veto), the bill becomes law!
Bill Summary
[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 3164 Introduced in House (IH)]
<DOC>
119th CONGRESS 1st Session H. R. 3164
To amend title XVIII of the Social Security Act to provide pharmacy payment of certain services.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 1, 2025
...
Related Topics
Healthcare & Insurance ReformPublic Health & Pandemic ResponseCongressional Rules & Procedures
Generated using Llama 3.1 70B (Dr. Haus personality)
💰 Campaign Finance Network
Rep. Smith, Adrian [R-NE-3]
Congress 119 • 2024 Election Cycle
Total Contributions
$128,800
19 donors
PACs
$0
Organizations
$3,300
Committees
$0
Individuals
$125,500
No PAC contributions found
1
PECHANGA BAND OF LUISENO INDIANS
$3,300
No committee contributions found
1
PARKER, SEAN
$13,200
2
ANDERSON, S MICKEY MR.
$13,200
3
STINSON, KENNETH E. MR.
$13,200
4
CASSLING, MICHAEL MR.
$13,200
5
HAWKINS, FRED H. MR. JR.
$6,600
6
KORALESKI, JACK MR.
$6,600
7
SCHWARZMAN, STEPHEN
$6,600
8
SCHWARZMAN, CHRISTINE
$6,600
9
DUGAN, VINCENT J. MR.
$6,600
10
PEED, RHONDA MRS.
$6,600
11
PEED, TOM MR.
$6,600
12
HAUSMANN, JOEY MR.
$5,000
13
DUHAMEL, WILLIAM
$5,000
14
RICKETTS, MARLENE MRS.
$3,300
15
VECCHIARELLI, DANIEL
$3,300
16
LEGERE, SYLVIE
$3,300
17
FRITZ, LANCE
$3,300
18
DITTMAN, JOHN F. MR.
$3,300
Cosponsors & Their Campaign Finance
This bill has 10 cosponsors. Below are their top campaign contributors.
Rep. Schneider, Bradley Scott [D-IL-10]
ID: S001190
Top Contributors
10
1
WEITMAN, AARON
CASTLE KNIGHT • FINANCE
IndividualHOBOKEN, NJ
$5,000
Mar 18, 2024
2
SHWACHMAN, KIMBERLY
RETIRED • RETIRED
IndividualNORTHBROOK, IL
$3,700
Feb 27, 2024
3
SHWACHMAN, PERRY J
SIDLEY AUSTIN LLP • LAWYER
IndividualNORTHBROOK, IL
$3,700
Mar 19, 2024
4
POWELL, JESSE
RETIRED • RETIRED
IndividualSAN FRANCISCO, CA
$3,300
Nov 5, 2024
5
RAYMAN, STEVE
SELF EMPLOYED • HOTEL BUSINESS
IndividualBIG ROCK, IL
$3,300
Oct 22, 2024
6
CHUDACOFF, MARK R
RETIRED • RETIRED
IndividualPALM BEACH GARDENS, FL
$3,300
Oct 28, 2024
7
KADEN, DAVID
BLACKSTONE • SENIOR MANAGING DIRECTOR
IndividualNEW YORK, NY
$3,300
Oct 30, 2024
8
CUSHMAN, LINDA
RETIRED • RETIRED
IndividualCHICAGO, IL
$3,300
Oct 24, 2024
9
HECKTMAN, JEFFREY B.
HILCO GLOBAL • CEO
IndividualHIGHLAND PARK, IL
$3,300
Oct 28, 2024
10
GRAY, JON
BLACKSTONE • PRESIDENT
IndividualNEW YORK, NY
$3,300
Nov 1, 2024
Rep. Harshbarger, Diana [R-TN-1]
ID: H001086
Top Contributors
10
1
BROWN, NANCY I.
RETIRED • RETIRED
IndividualPALM BEACH, FL
$6,600
Mar 7, 2024
2
NANCY, BROWN
RETIRED • RETIRED
IndividualPALM BEACH, FL
$6,600
Mar 31, 2024
3
GREGORY, LUCINDA
RETIRED • RETIRED
IndividualPINEY FLATS, TN
$6,600
May 21, 2024
4
BANKE, BARBARA R
IndividualGEYSERVILLE, CA
$6,600
Nov 30, 2023
5
MORRIS, GLENN
IndividualSTUART, FL
$6,600
Sep 30, 2024
6
TAYLOR, MARGARETTA J MISS
RETIRED • RETIRED
IndividualNEW YORK, NY
$6,600
Jul 16, 2024
7
EGER, MORDECHI
HLU SALES INC • OWNER
IndividualAIRMONT, NY
$5,000
Dec 28, 2023
8
BORDEAU, BRAD
BORDEAU METALS • CEO
IndividualDICKSON, TN
$5,000
Sep 11, 2024
9
BENTZ, KAREN
IndividualGATLINBURG, TN
$5,000
Sep 30, 2023
10
MOUNTAIN, MONICA
RETIRED • RETIRED
IndividualNEW TAZEWELL, TN
$3,600
Sep 30, 2024
Rep. Matsui, Doris O. [D-CA-7]
ID: M001163
Top Contributors
10
1
SOCIETY OF INTERVENTIONAL RADIOLOGY POLITICAL ACTION COMMITTEE
PACFAIRFAX, VA
$2,500
Feb 7, 2023
2
MORONGO BAND OF MISSION INDIANS
OrganizationBANNING, CA
$2,000
Mar 10, 2023
3
KINNEY, MARY
MGK STYLE • STYLIST/CEO
IndividualSACRAMENTO, CA
$3,300
Oct 30, 2024
4
KONG, MINDY
N/A • HOMEMAKER
IndividualSACRAMENTO, CA
$3,300
Oct 25, 2024
5
TSAKOPOULOS, KATINA
SELF-EMPLOYED • SOMATIC EXPERIENCING PRACTITIONER
IndividualRANCHO SANTA FE, CA
$3,300
Nov 1, 2024
6
TSAKOPOULOS, SOFIA
N/A • HOMEMAKER
IndividualSACRAMENTO, CA
$3,300
Nov 1, 2024
7
VISMARA, LOUIS A.
IndividualSACRAMENTO, CA
$3,300
Nov 1, 2024
8
WAGNER, BELAN KIRK
WAGNER KIRKMAN BLAINE KLOMPARENS • ATTORNEY
IndividualMATHER, CA
$3,300
May 30, 2023
9
KELLEY, LARRY D.
MCCLELLAN PARK • REAL ESTATE
IndividualMCCLELLAN, CA
$3,300
May 11, 2023
10
FRIEDMAN, MARK L.
FULCRUM PROPERTY GROUP • REAL ESTATE DEVELOPER
IndividualSACRAMENTO, CA
$3,300
Jun 14, 2023
Rep. Kustoff, David [R-TN-8]
ID: K000392
Top Contributors
10
1
TENNESSEE SAFARI PARK
OrganizationALAMO, TN
$3,000
Aug 28, 2023
2
GERMAN FARMS
OrganizationSOMERVILLE, TN
$350
Aug 12, 2023
3
GROWING ACRES
OrganizationSAVANNAH, TN
$300
Aug 12, 2023
4
WALLY CHILDRESS FARMS
OrganizationBOGOTA, TN
$250
Aug 12, 2023
5
LONG, CHRISTOPHER MR.
SELF • ENTREPRENEUR
IndividualMEMPHIS, TN
$6,600
Nov 7, 2023
6
SMITH, STEFAN M. MR.
LEXUS OF MEMPHIS • AUTO DEALER
IndividualGERMANTOWN, TN
$6,600
Nov 7, 2023
7
AYERS, JANET MRS.
THE AYERS FOUNDATION • PRESIDENT
IndividualNASHVILLE, TN
$6,600
Jul 22, 2024
8
AYERS, JAMES W. MR.
FIRST BANK • CHAIRMAN
IndividualNASHVILLE, TN
$6,600
Jul 24, 2024
9
WEISS, CATHY MRS.
HOMEMAKER • HOMEMAKER
IndividualMEMPHIS, TN
$6,600
Mar 25, 2024
10
HASLAM, WILLIAM MR.
KNOXVILLE MUSEUM OF ART • MANAGER
IndividualKNOXVILLE, TN
$6,000
Oct 12, 2023
Rep. Sewell, Terri A. [D-AL-7]
ID: S001185
Top Contributors
10
1
BUFFALO ROCK COMPANY
OrganizationBIRMINGHAM, AL
$5,000
Oct 15, 2024
2
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Mar 26, 2024
3
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Sep 21, 2023
4
BUFFALO ROCK COMPANY
OrganizationBIRMINGHAM, AL
$2,500
Sep 10, 2024
5
BUFFALO ROCK COMPANY
OrganizationBIRMINGHAM, AL
$2,500
Sep 30, 2024
6
LAW OFFICES OF FREDERICK GRAEFE LLC
OrganizationWASHINGTON, DC
$500
Sep 30, 2023
7
CHIROPRACTIC CARE INC.
OrganizationGULF SHORES, AL
$250
Feb 26, 2024
8
BROWN, CANDACE P.
NONE • RETIRED
IndividualFLORENCE, SC
$4,500
Sep 6, 2024
9
BROWN, JAMES A.
SMS COMPANY • VICE PRESIDENT
IndividualFLORENCE, SC
$4,500
Sep 6, 2024
10
LEHMAN, WILLIAM
NOT EMPLOYED • NOT EMPLOYED
IndividualAVENTURA, FL
$3,300
Dec 9, 2024
Rep. Van Duyne, Beth [R-TX-24]
ID: V000134
Top Contributors
10
1
DEMOCRACY ENGINE (EARMARK)
OrganizationWASHINGTON, DC
$2,500
Aug 10, 2023
2
SYCUAN BAND OF THE KUMEYAAY NATION
OrganizationEL CAJON, CA
$1,000
Aug 2, 2024
3
ALABAMA-COUSHATTA TRIBE
OrganizationLIVINGSTON, TX
$1,000
Oct 24, 2024
4
ALSH, DENNIS
RETIRED • RETIRED
IndividualSOUTHLAKE, TX
$6,600
Sep 30, 2024
5
SCHWARZMAN, CHRISTINE
RETIRED • RETIRED
IndividualNEW YORK, NY
$6,600
Dec 1, 2023
6
ADAIR, AARON
COPART INC. • CEO
IndividualDALLAS, TX
$6,600
Feb 12, 2024
7
ADAIR, AARON
COPART INC. • CEO
IndividualDALLAS, TX
$6,600
Feb 12, 2024
8
GRIFFIN, KENNETH C. MR.
CITADEL LLC • FOUNDER CEO
IndividualMIAMI BEACH, FL
$6,600
Apr 10, 2023
9
FISHER, KENNETH
FISHER INVESTMENTS • EXECUTIVE CHAIRMAN
IndividualPLANO, TX
$6,600
May 23, 2024
10
FISHER, SHERRILYN
PLANO 6500 LLC • MEMBER
IndividualPLANO, TX
$6,600
May 23, 2024
Rep. Doggett, Lloyd [D-TX-37]
ID: D000399
Top Contributors
10
1
ALABAMA-COUSHATTA TRIBE OF TEXAS
OrganizationLIVINGSTON, TX
$1,000
Oct 1, 2024
2
DENNISON, ROBERT A. III
SELF-EMPLOYED • ATTORNEY
IndividualAUSTIN, TX
$3,300
Jun 28, 2024
3
WEBER, THOMAS M
MCELROY, SULLIVAN, MILLER, & WEBER LLP • ATTORNEY
IndividualWEST LAKE HILLS, TX
$3,300
Apr 19, 2024
4
CONYNGHAM, JIM
N/A • NOT EMPLOYED
IndividualAUSTIN, TX
$3,300
Jun 28, 2024
5
BARNES, BEN F.
BEN BARNES GROUP • CONSULTANT
IndividualAUSTIN, TX
$3,300
Apr 24, 2024
6
LOOK JAMESON, MARION
N/A • RETIRED
IndividualAUSTIN, TX
$3,300
Sep 1, 2023
7
MOK, AMY WONG
ASIAN AMERICAN CULTURAL CENTER • EDUCATION
IndividualAUSTIN, TX
$3,300
Aug 29, 2023
8
LINEBARGER, DALE
N/A • RETIRED
IndividualAUSTIN, TX
$3,300
Sep 18, 2023
9
VARNEY, LANA K.
KING & SPALDING • ATTORNEY
IndividualAUSTIN, TX
$3,300
Sep 17, 2023
10
YANCY, HOWARD CHARLES
ZYDECO DEVELOPMENT • REAL ESTATE DEVELOPER
IndividualAUSTIN, TX
$3,300
Aug 28, 2023
Rep. Malliotakis, Nicole [R-NY-11]
ID: M000317
Top Contributors
10
1
M&T BANK
OrganizationMOUNT KISCO, NY
$118
Sep 21, 2024
2
M&T BANK
OrganizationMOUNT KISCO, NY
$101
Sep 21, 2024
3
SIDIROPOULOS, JIM MR.
DELPHI PH • CONTRACTOR
IndividualSTATEN ISLAND, NY
$5,600
Jul 23, 2024
4
BERGER, RICHARD MR.
RETIRED • RETIRED
IndividualHOBOKEN, NJ
$5,000
May 17, 2024
5
LOEB, JOHN L. MR. JR
RETIRED • RETIRED
IndividualPURCHASE, NY
$5,000
Apr 22, 2024
6
BAUMRIND, MARTIN M. MR.
SELF • LANDLORD
IndividualBROOKLYN, NY
$5,000
Sep 16, 2024
7
DUIT, JAMES A
CONTRIBUTION OF CONCEPTION LLC • EXEC
IndividualEDMOND, OK
$3,300
Nov 5, 2024
8
DUIT, PAMELA A
CONTRIBUTION OF CONCEPTION LLC • EXEC
IndividualEDMOND, OK
$3,300
Nov 5, 2024
9
LAUDER, RONALD S.
SELF EMPLOYED • BUSINESSMAN
IndividualNEW YORK, NY
$3,300
Oct 28, 2024
10
BANKE, BARBARA R. MS.
CHAIRMAN • JACKSON FAMILY WINES
IndividualGEYSERVILLE, CA
$3,300
Nov 17, 2023
Rep. Ciscomani, Juan [R-AZ-6]
ID: C001133
Top Contributors
10
1
SALT RIVER PIMA MARICOPA INDIAN COMMUNITY
PACSCOTTSDALE, AZ
$1,000
Jun 14, 2024
2
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$3,300
Oct 31, 2024
3
EASTERN BAND OF CHEROKEE INDIANS
OrganizationCHEROKEE, NC
$3,300
Nov 5, 2024
4
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Jun 30, 2024
5
DELTA AIRLINES
OrganizationATLANTA, GA
$2,500
Jul 30, 2024
6
THE CHICKASAW NATION
OrganizationADA, OK
$2,000
Oct 8, 2024
7
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$1,834
Jun 30, 2024
8
MS BAND OF CHOCTAW INDIANS
OrganizationCHOCTAW, MS
$1,000
Nov 5, 2024
9
COLORADO RIVER INDIAN TRIBES
OrganizationPARKER, AZ
$1,000
Jun 30, 2023
10
THE CHICKASAW NATION
OrganizationADA, OK
$1,000
Jun 30, 2023
Rep. Hern, Kevin [R-OK-1]
ID: H001082
Top Contributors
10
1
MORONGO BAND OF MISSION INDIANS
PACBANNING, CA
$2,000
Jun 15, 2024
2
MORONGO BAND OF MISSION INDIANS
PACBANNING, CA
$1,000
May 26, 2023
3
CHEROKEE NATION
OrganizationTABLEQUAIL, OK
$3,300
Nov 14, 2023
4
CHICKASAW NATION
OrganizationADA, OK
$3,300
Feb 10, 2023
5
CHICKASAW NATION
OrganizationADA, OK
$3,300
Jun 15, 2024
6
OSAGE NATION
OrganizationPAWHUSKA, OK
$3,300
Jun 18, 2024
7
UNITED KEETOOWAH BAND OF CHEROKEE INDIANS
OrganizationTAHLEQUAH, OK
$3,000
Sep 30, 2023
8
SYCUAN BAND OF THE KYMEYAAY NATION
OrganizationEL CAJON, CA
$2,500
Oct 13, 2023
9
SYCUAN BAN OF THE KUMEYAAY NATION
OrganizationEL CAJON, CA
$2,500
Jul 15, 2024
10
MARSH POINTE MANAGEMENT LLC
OrganizationTAHLEOUAH, OK
$2,000
Aug 29, 2023
Donor Network - Rep. Smith, Adrian [R-NE-3]
PACs
Organizations
Individuals
Politicians
Hub layout: Politicians in center, donors arranged by type in rings around them.
Loading...
Showing 61 nodes and 36 connections (38 secondary connections hidden)
Total contributions: $184,050
Top Donors - Rep. Smith, Adrian [R-NE-3]
Showing top 19 donors by contribution amount
1 Org18 Individuals
Industry Impact
Which industries are materially affected by specific provisions in this bill. 3 helped.
- +Hospitals & Health Systemsconfidence 0.90
Section 2(a) adds pharmacist services to Medicare Part B coverage, and Section 2(b) sets payment rates for such services, which could increase utilization of pharmacy-based care and potentially reduce burden on hospitals for certain services like testing/treatment for COVID-19, flu, RSV, or strep throat.
- +Pharmaceuticalsconfidence 0.85
Section 2 defines pharmacist services to include testing and treatment for COVID-19, influenza, RSV, and streptococcal pharyngitis, and Section 2(b) establishes Medicare payment for these services at 80-100% of physician fee schedule amounts, which could increase demand for related pharmaceuticals administered or prescribed by pharmacists.
- +Medical Devicesconfidence 0.70
Section 2(a)(1)(B)(ii) includes testing or treatment services addressing public health needs from emergencies declared under PHS Act section 319, which may involve use of diagnostic tests (medical devices) that pharmacists could administer, increasing device utilization.
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119/hr/6280
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