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Proposed bill to remove mandate requiring Part D prescribing providers to enroll in Medicare

November 19, 2015

By Jennifer Garvin

Washington — A bill introduced Nov. 18 calls for removing the mandate that Part D prescribing health care providers be enrolled in Medicare in order for pharmacists to be reimbursed.

U.S. Reps. Kenny Marchant (R-Texas) and Earl Blumenauer (D-Ore.) introduced H.R. 4062, the Protecting Seniors Access to Proper Care Act, which if passed into law, would exempt dentists from the current provision of the Affordable Care Act that requires all health care providers who prescribe to a Part D beneficiary be enrolled in the Medicare program in order for the pharmacist to be reimbursed for the prescription. The three other original cosponsors of H.R. 4062 are Diane Black (R-Tenn.), Devin Nunes (R-Calif.), and Mike Thompson (D-Calif.).

"This bill corrects an unnecessary intrusion into the patient-dentist relationship and the professional relationship between the dentist and the pharmacist," said ADA President Carol Gomez Summerhays.

"Seniors' access to dental treatments and care shouldn't be compromised by unnecessary compliance burdens for providers," said Rep. Blumenauer. "This legislation will lift needless requirements so providers can better focus their time on improving patient care and outcomes."  

The new bill would eliminate the requirement for dentists as well as chiropractors, optometrists and podiatrists.

"This is a patient-focused solution that shows Congress is serious about restoring individual choice in health care, improving outcomes, and lowering costs," said Rep. Marchant.

Unless the new legislation passes, enforcement of the mandate will go into effect until June 1, 2016.

For ADA resources on Medicare, visit the Center for Professional Success at Success.ADA.org and search for Medicare. There is also an FAQ and video