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Home , Alex Mooney, Dan Coats, Dave Brat, David Joyce (politician), Gus Bilirakis, Lynn Westmoreland

OCTOBER • 2016 NCPA PAC UPDATE National Community Pharmacists Association Political Action Committee

P1. NCPA Political Action P3. 2016 Pharmacy Visits. P7. NCPA PAC Supports a P8. Pharmacy Bills Continue Committee (NCPA PAC) News. Bipartisan Roster of Candidates. to Gain Support in Congress

ELECTION GUIDE

NCPA Political Action Committee (NCPA PAC) News

THE PRESIDENCY IS UP FOR GRABS, and one-third of the Senate and every member of the House of Representatives are on the campaign trail preparing for the upcoming election. Though all eyes are on the presidential race, there are hundreds of races that will impact community pharmacy. All of the results may have substantial implications for the future of , Medicaid, and health care.

Presidential Update Source: The Cook Political Report The race for President is close! Either candidate needs 270 electoral votes to win. The map outlines current electoral vote ratings.

100 Daingerfield Road 100 Daingerfield Road Alexandria, VA 22314-2888 Alexandria, VA 22314-2888 ELECTION GUIDE

Senate Races Update Source: The Cook Political Report

Current Senate Lineup: 44 Democrats, 54 Republicans, 2 Independents/Other Parties With the Republicans holding a 54-44 ma- jority in the chamber, Democrats would need to gain a net of at least five seats, or four if they retain the White House. Re- publicans are defending 24 seats to just 10 for Democrats.

House Races Update Source: The Cook Political Report

Current House Lineup: 186 Democrats, 247 Republicans, 2 Vacancies With Republicans holding a 186-247 ma- jority, Democrats would need a net gain of 30 seats to take the majority. Currently, political pundits are predicting a Demo- cratic gain of 5-15 seats with substantially larger gains possible if the top of the GOP ticket appears headed for a landside defeat in November. ELECTION GUIDE

2016 Pharmacy Visits The NCPA Government Affairs Department works with members of Congress on Capitol Hill every day to educate them on issues im- portant to us. Throughout the year, we hold pharmacy visits with our members and their elected official(s). During these visits, the elected official gets a “behind the scenes” look at daily pharmacy operations. Also, we are able to highlight the important role independent pharmacies play in their communities. When visiting a pharmacy, each member of Congress has a hands-on opportunity to speak with the hosting pharmacies, the staff, and his or her constituents who visit the pharmacy. If you are interested in hosting your member of Congress for a pharmacy visit, please contact Kendal Ann Miller in the Government Affairs Rep. (R-Fl-8) spoke with 17 independent Department at [email protected] or pharmacists during a roundtable in Sebastian, Fla. 703-838-2695.

2016 Pharmacy Visits Member of Congress Pharmacy Visit/Roundtable City State Rep. Brad Ashford (NE-3) Kohll's Pharmacy & Homecare Omaha NE Rep. (FL-12) Hoyes Pharmacy Tampa FL Rep. Rod Blum (IA-1) Hartig Drug Dubuque IA Rep. Dave Brat (VA-7) South River Compounding Pharmacy Richmond VA Rep. Jim Bridenstine (OK-1) Spoon Drugstore Sand Springs OK Sen. (OH) Discount Drug Mart Grove City OH Rep. Michael Burgess (TX-26) Roundtable Dallas TX Rep. Bradley Byrne (AL-1) Roundtable Mobile AL Rep. (GA-1) Brunswick Pharmacy Brunswick GA Rep. Jason Chaffetz (UT-3) Jolley's Compounding Pharmacy Salt Lake City UT Sen. Dan Coats (IN) Custom Plus Pharmacy West Lafayette IN Rep. Doug Collins (GA-9) Madden's Pharmacy Elberton GA Rep. Chris Collins (NY-27) Roundtable Geneseo NY Rep. Barbara Comstock (VA-10) Rotz Pharmacy Winchester VA Sen. John Cornyn (TX) Shatiff Pharmacy Mansfield TX Rep. Kevin Cramer (ND-At Large) Roundtable Bismarck ND Rep. Rick Crawford (AR-1) Soo's West End Pharmacy Jonesboro AR Rep. Charlie Dent (PA-15) Walter's Pharmacy Allentown PA Rep. (FL-21) Diabetic Solutions, Inc. Coral Springs FL Sen. (IN) Custom Plus Pharmacy West Lafayette IN Rep. Renee Ellmers (NC-2) Roundtable Dunn NC ELECTION GUIDE

Rep. (R-TX-32) meets with pharmacists in Dallas, during the August recess.

Rep. (D-AL-7) interacts with Rep. Roger Williams (R-TX-25) meets with Ed Horton and his staff at Tanglewood independent community pharmacists Medical Supplies Pharmacy in Stephenville, Texas during the August recess. during a roundtable in Bessemer, Ala.

Member of Congress Pharmacy Visit/Roundtable City State Rep. (TN-3) Clinton Drug Store Clinton TN Rep. (OH-11) Discount Drug Mart Grove City OH Rep. Tulsi Gabbard (HI-2) Lihue Pharmacy Group Lihue HI Rep. (OH-7) Discount Drug Mart Grove City OH Rep. Bob Goodlatte (VA-6) Broadway Drug Center Broadway VA Sen. Heidi Heitkamp (ND) Roundtable Bismarck ND Rep. Jeb Hensarling (TX-5) Kemp Family Pharmacy Kemp TX Sen. John Hoeven (ND) Roundtable Bismarck ND Rep. Lynn Jenkins (KS-2) Roundtable Topeka KS Rep. Evan Jenkins (WV-3) Fruth Pharmacy Nitro WV Rep. (GA-4) Reagan's Pharmacy Conyers GA Rep. Bill Johnson (OH-6) MediWise Pharmacy Newcomerstown OH Rep. (OH-14) Kleins Rx Southington OH Rep. (OH-3) Discount Drug Mart Grove City OH Rep. Steve Knight (CA-25) Total Care Pharmacy Santa Clarita CA Rep. Darin LaHood (IL-18) Alwan Pharmacy Peoria IL Sen. James Lankford (OK) Inola Drug Inola OK Rep. Blaine Leutkemyer (MO-3) Whaley's East End Drug Jefferson City MO Rep. Dave Loebsack (IA-2) Towncrest Pharmacy Iowa City IA Rep. Tom Marino (PA-10) Roundtable Williamsport PA Rep. Cathy McMorris-Rodgers (WA-5) Republic Drug Republic WA Rep. (WV-2) Jefferson Pharmacy Ranson WV Rep. Patrick Murphy (FL-18) Palm Beach Compounding Jupiter FL Rep. Pete Olson (TX-22) Roundtable Sugarland TX Rep. (AL-6) Sniders Discount Pharmacy Chelsea AL Rep. (NJ-6) Boyt Drugs Metuchen NJ Rep. Bill Posey (FL-8) Roundtable Sebastian FL Rep. David Price (NC-3) Roundtable Roswell NC ELECTION GUIDE

Member of Congress Pharmacy Visit/Roundtable City State Rep. (NY-23) Roundtable Olean NY Rep. Phil Roe (TN-1) Roller Pharmacy Erwin TN Rep. C.A. Ruppersberger (MD-1) Northeast Pharmacy and Medical Supply North East MD Rep. (MD-3) Roundtable Towson MD Rep. Austin Scott (GA-8) Chancy Drug Hahira GA Rep. Pete Sessions (TX-32) Roundtable Dallas TX Rep. Terri Sewell (AL-7) Roundtable Bessemer AL Rep. Chris Stewart (UT-2) Jolley's Compounding Pharmacy Salt Lake City UT Rep. (OH-15) Discount Drug Mart Grove City OH Rep. Glenn Thompson (PA-5) Plumbs Drug Bellefonte PA Rep. Scott Tipton (CO-3) Rivergate Pharmacy Durango CO Rep. Daniel Webster (FL-10) Brashears Pharmacy Inverness FL Rep. Ed Whitfield (KY-1) Strawberry Hills Paducah KY Sen. (OR) Roundtable Portland OR Rep. (KS-3) Gardner Pharmacy Gardner KS

Thank you to all of our NCPA PAC supporters this election cycle. As a distinguished PAC member, you should hold your head high. Without your support, independent community pharmacy would go unnoticed.

2016 PAC MVP Donors 2016 PAC Champion Donors ($5,000 in Personal Funds Annually) ($2,500 Personal Funds Annually) Bradley Arthur, Black Rock Pharmacy Michael Butler, Village Health Mart Drug Shelley Bailey, Central Drugs Jeff Harrell, Illwaco Drugs Jay Blackburn, Compliant Pharmacy Alliance Sherwood Klein, Ellicottville Pharmacy, Inc. Jeffrey Carson, Oakdell Pharmacy Lonnie Meredith, The Drug Store John Carson, Oakdell Pharmacy William Moore, Moore’s Pharmacy Brian Caswell, Wolkar Drug Inc. Anthony Ortiz, Atlas Drug and Nutrition Hugh Chancy, Chancy Drugs Steve Pfister, National Community Pharmacists Association Charles Cottrell, Medical Center Pharmacy Darrin Silbaugh, Harrisburg Pharmacy Arthur Ennis, Jr., Payless Drugs Troy Simons, Foster Corner Drug Stephen Giroux, Middleport Family Health Center Dave Smith Robert Greenwood, Greenwood Drug, Inc. Mike Vinson, Adams Drug Edmund Heckman, PAAS National Lonny Wilson, Pharmacy Providers of Oklahoma B. Douglas Hoey, National Community Pharmacists Association Edmund Horton, Tanglewood Pharmacy Tony Ogden, Groveway Pharmacy Bill Osborn, Osborn Drugs, Inc.

Joe Harmison, Harmison Pharmacies, presents Rep. Pete Sessions (TX-32) with a NCPA PAC contribution. ELECTION GUIDE

Independent community pharmacies are facing many challenges. The Government Affairs staff is busy promoting a pro-pharmacy agenda: creating transparency for generic prescription drug reimbursements in government programs, requiring Medicare Part D and PBMs to report pharmacy price concessions when prescription drugs are dispensed (DIR fees), pushing to include an any will- ing pharmacy provision in federal programs, and recognizing pharmacists as health care providers under Medicare Part B. While the NCPA team will continue promoting these issues on Capitol Hill, next year will bring with a new President and Administration with their own policy priorities. See how everything from prescription drugs benefits to health care reform to Medicare/Medicaid may be impacted by positions taken by the two major party presidential candidates:

Prescription Drug Costs Clinton/Kaine Trump/Pence Prescription Drug Benefits Cap monthly and annual out-of-pocket costs for prescrip- Nothing specific tion drugs; require plans to place a monthly limit of $250 on covered out-of-pocket costs Reimportation of Rx Drugs Yes Yes

Medicare Proposals Clinton/Kaine Trump/Pence Eligibility Age Allow retirees age 55 and over to buy into Medicare No change, but Republican platform calls for “setting a more realistic age for eligibility in light of today’s longer life span” Allow CMS to Negotiate Yes Yes Drug Prices in Part D Rebates Require drug makers to provide higher rebates in the Medi- No change care low-income subsidy program, closer to Medicaid levels

Medicaid Proposals Clinton/Kaine Trump/Pence Medicaid Expansion Yes, and provide incentives to states that have not expand- No ed their state programs as envisioned by the ACA Structure of Medicaid No change Block-grant Medicaid to the states Fraud, Waste and Abuse No change Provide states incentives to seek out and eliminate fraud, waste and abuse

Health Care Reform Clinton/Kaine Trump/Pence ACA Repeal No, but expand the law with a government administered Yes, and replace with an undefined plan to broaden access “public option” in the insurance exchanges to care/insurance, make health care more affordable and improve quality Affordability Calls for a new, progressive refundable tax credit of up to Calls for full deductibility of insurance premiums, and for in- $5,000 per family for excessive out-of-pocket costs creased access to Health Savings Accounts by decoupling from high-deductible health plans. Increased Price Transparency Yes Yes ELECTION GUIDE

NCPA PAC Supports a Bipartisan Roster of Candidates

The NCPA PAC is proud to support the following candidates who have demonstrated their commitment to our profession, our busi¬nesses, and our patients. These candidates understand the importance of community pharmacy and together they form the foun- dation of a “Community Pharmacy Majority,” which is necessary for legislative success in Congress. We are encouraging pharmacists, their employees, and patients to support these candidates on or before Nov. 8, and to get involved in their campaigns.

2016 Election Disbursements: Jan. 2015—Sep. 2016 Rep. Ralph Abraham (R-LA-5) Rep. Kevin Cramer (R-ND-At Large) Rep. Ronald Kind (D-WI-3) Rep. Richard Allen (R-GA-12) Sen. Michael Crapo (R-ID) Rep. (R-IL-16) Rep. (R-NV-2) Rep. Eric Crawford (R-AR-1) Sen. Mark Kirk (R-IL) Rep. Brad Ashford (D-NE-2) Rep. Elijah Cummings (D-MD-7) Rep. Stephen Knight (R-CA-25) Sen. Kelly Ayotte (R-NH) Rep. (R-FL-26) Rep. Darin LaHood (R-IL-18) Rep. (R-TX-36) Rep. Rodney Davis (R-IL-13) Rep. Leonard Lance (R-NJ-7) Rep. Louis Barletta (R-PA-11) Rep. Diana DeGette (D-CO-1) Sen. James Lankford (R-OK) Rep. Xavier Becerra (D-CA-34) Rep. Robert Dold (R-IL-10) Rep. (D-WA-2) Rep. Donald Beyer (D-VA-8) (R-FL-2) Rep. Robert Latta (R-OH-5) Rep. (D-GA-2) Anderson Ferguson (R-GA-3) Rep. Sander Levin (D-MI-9) Rep. Marsha Blackburn (R-TN-7) Rep. Charles Fleischmann (R-TN-3) Rep. Daniel Lipinski (D-IL-3) Rep. Rodney Blum (R-IA-1) Rep. James Forbes (R-VA-2) Rep. David Loebsack (D-IA-2) Sen. Roy Blunt (R-MO) Rep. Jeffrey Fortenberry (R-NE-1) Rep. (R-GA-11) Sen. John Boozman (R-AR) Rep. Foxx (R-NC-5) Rep. Mia Love (R-UT-4) Rep. Michael Bost (R-IL-12) Michael Gallagher (R-WI-8) Rep. Ben Lujan (D-NM-3) Rep. Charles Boustany (R-LA) Rep. (D-AZ-7) Rep. Michelle Lujan Grishman (D-NM-1) Rep. (D-PA-13) Rep. Robert Goodlatte (R-VA-6) Rep. Thomas Marino (R-PA-10) Rep. (R-TX-8) Rep. (R-TX-12) Roger Marshall (R-KS-1) Rep. James Bridenstine (R-OK-1) Sen. Charles Grassley (R-IA) Sen. John McCain (R-AZ) Rep. (R-IN-5) Rep. (R-VA-9) Rep. Cathy McMorris Rodgers (R-WA-5) Rep. Vernon Buchanan (R-FL-16) Rep. (R-KY-2) Rep. Martha McSally (R-AZ-2) Rep. (R-IN-8) Rep. Richard Hanna (R-NY-22) Rep. (D-NY-6) Rep. Michael Burgess (R-TX-26) Rep. Gregg Harper (R-MS-3) Rep. Allan Messer (R-IN-6) Sen. Richard Burr (R-NC) Rep. Joseph Heck (R-NV-3) Rep. (R-FL-7) Rep. Cheryl Bustos (D-IL-17) Rep. (R-WA-3) Sen. Jerry Moran (R-KS) Rep. G. K. Butterfield (D-NC-1) Rep. (R-AR-2) Rep. (R-OK-2) Rep. Bradley Byrne (R-AL-1) Sen. John Hoeven (R-ND) Sen. Patricia Murray (D-WA) Rep. Earl Carter (R-GA-1) Rep. (D-MD-5) Rep. (D-MA-1) Rep. John Carter (R-TX-31) Rep. William Hurd (R-TX-23) Rep. Daniel Newhouse (R-WA-4) (R-WY-At Large) Sen. (R-GA) Rep. Kristi Noem (R-SD-1) Rep. (D-CA-27) Rep. Evan Jenkins (R-WV-3) Rep. Richard Nugent (R-FL-11) Rep. (D-NY-9) Rep. Lynn Jenkins (R-KS-2) Rep. Peter Olson (R-TX-22) Rep. James Clyburn (D-SC-6) Rep. Henry Johnson (R-GA-4) Rep. Frank Pallone (D-NJ-6) Rep. Michael Coffman (R-CO-6) Rep. William Johnson (R-OH-6) Rep. Erik Paulsen (R-MN-3) Rep. Thomas Cole (R-OK-4) Sen. Ronald Johnson (R-WI) Rep. Edwin Perlmutter (D-CO-7) Rep. Douglas Collins (R-GA-9) Rep. Walter Jones (R-NC-3) Rep. Collin Peterson (D-MN-7) Rep. Barbara Comstock (R-VA-10) Rep. David Joyce (R-OH-14) Rep. (D-WI-2) Rep. Gerald Connolly (D-VA-11) Rep. (R-NY-24) Rep. Bruce Poliquin (R-ME-2) Rep. John Conyers (D-MI-13) Rep. (D-IL-2) Rep. Michael Pompeo (R-KS-4) Rep. Ryan Costello (R-PA-6) Rep. Daniel Kildee (D-MI-5) Sen. (R-OH) ELECTION GUIDE

Rep. William Posey (R-FL-8) Rep. (R-MO-8) Rep. Mimi Walters (R-CA-45) Rep. John Ratcliffe (R-TX-4) (R-PA-16) Rep. Timothy Walz (D-MN-1) Rep. Thomas Reed (R-NY-23) Rep. (R-NY-22) Rep. (D-NJ-12) Rep. Martha Roby (R-AL-2) Rep. Christopher Stewart (R-UT-2) Rep. (D-VT-At Large) Rep. Ileana Ros-Lehtinen (R-FL-27) Rep. Steve Stivers (R-OH-15) Rep. Lynn Westmoreland (R-GA-3) Rep. (R-WI-1) Jeff Stone (R-CA-36) Rep. Edward Whitfield (R-KY-1) Rep. Matthew Salmon (R-AZ-5) Rep. Michael Thompson (D-CA-5) Rep. Roger Williams (R-TX-25) Rep. Janice Schakowsky (D-IL-9) Sen. John Thune (R-SD) Rep. Addison Wilson (R-SC-2) Sen. Charles Schumer (D-NY) Rep. Patrick Tiberi (R-OH-12) Rep. Robert Wittman (R-VA-1) Rep. Austin Scott (R-GA-8) Rep. Scott Tipton (R-CO-3) Rep. Robert Woodall (R-GA-7) Sen. Timothy Scott (R-SC) Rep. (D-NY-20) Sen. Ron Wyden (D-OR) Rep. Peter Sessions (R-TX-32) Sen. Patrick Toomey (R-PA) Rep. Kevin Yoder (R-KS-3) Rep. Terri Sewell (D-AL-7) Rep. Fredrick Upton (R-MI-6) Rep. David Young (R-IA-3) Rep. John Shimkus (R-IL-15) Rep. (R-CA-21) Rep. (R-IN-9) Rep. William Shuster (R-PA-9) Rep. Gregory Walden (R-OR-2) Rep. (D-NY-25) Rep. Bradley Walker (R-NC-6) Rep. Adrian Smith (R-NE-3) Rep. Jacqueline Walorski (R-IN-2)

Pharmacy Bills Continue to Gain Support in Congress NCPA has continued to educate members of Congress and their staffs about NCPA’s legislative priorities and bills. A list of members who have signed on to each bill is below. Please support these members of Congress who support community pharmacy.

DIR Fees and Medicare Drug Pricing Transparency (H.R. 5951/ S. 3308) These companion bills will prohibit Medicare Part D plan sponsors/PBMs from retroactively reducing payment on clean claims submitted by pharmacies under Medicare Part D, therefore eliminating retroactive pharmacy fees.

H.R. 5951 Lead Sponsors: Rep. Williams, Roger [R-TX-25] S. 3308 Lead Sponsors: Rep. Griffith, H. Morgan [R-VA-9]* Rep. Vela, Filemon [D-TX-34] Sen. Capito, Shelley Moore [R-WV]* Rep. Welch, Peter [D-VT-At Large]* Rep. Peterson, Collin C. [D-MN-7] Sen. Tester, Jon [D-MT]* Rep. Sessions, Pete [R-TX-32]* Rep. Massie, Thomas [R-KY-4] Sen. Boozman, John [R-AR]* Rep. Carter, Earl L. “Buddy” [R-GA-1]* Rep. Rogers, Mike D. [R-AL-3] Sen. Cotton, Tom [R-AR]* Rep. Jones, Walter B., Jr. [R-NC-3]* Rep. Loebsack, David [D-IA-2] Sen. Lankford, James [R-OK] Rep. Barletta, Lou [R-PA-11]* Rep. Fleischmann, Charles J. “Chuck” [R-TN-3] Sen. Grassley, Chuck [R-IA] Rep. Crawford, Eric A. “Rick” [R-AR-1]* Rep. Roe, David P. [R-TN-1] Sen. Wicker, Roger F. [R-MS] Rep. Blum, Rod [R-IA-1]* Rep. Allen, Rick W. [R-GA-12] Sen. Moran, Jerry [R-KS] Rep. McMorris Rodgers, Cathy [R-WA-5]* Rep. LoBiondo, Frank A. [R-NJ-2] Rep. Scott, Austin [R-GA-8] Rep. Sarbanes, John P. [D-MD-3] Rep. Collins, Doug [R-GA-9]

MAC Transparency Act (H.R. 244) Provides transparency and fairness to community pharmacies regarding their reimbursements for generic drugs. This bill would require pharmacy benefit managers (PBMs) to disclose the rate of reimbursement and to update that rate at least once every seven days to reflect fluctuations in the market.

H.R. 244 Lead Sponsors: Rep. Abraham, Ralph Lee [R-LA-5] Rep. Amodei, Mark E. [R-NV-2] Rep. Collins, Doug [R-GA-9]* Rep. Aderholt, Robert B. [R-AL-4] Rep. Babin, Brian [R-TX-36] Rep. Loebsack, David [D-IA-2]* Rep. Allen, Rick W. [R-GA-12] Rep. Barletta, Lou [R-PA-11] ELECTION GUIDE

Rep. Blum, Rod [R-IA-1] Rep. Graves, Tom [R-GA-14] Rep. Roby, Martha [R-AL-2] Rep. Boustany, Charles W., Jr. [R-LA-3] Rep. Griffith, H. Morgan [R-VA-9] Rep. Rogers, Mike D. [R-AL-3] Rep. Bridenstine, Jim [R-OK-1] Rep. Harper, Gregg [R-MS-3] Rep. Rouzer, David [R-NC-7] Rep. Brooks, Mo [R-AL-5] Rep. Herrera Beutler, Jaime [R-WA-3] Rep. Sarbanes, John P. [D-MD-3] Rep. Carter, Earl L. “Buddy” [R-GA-1] Rep. Jones, Walter B., Jr. [R-NC-3] Rep. Scott, Austin [R-GA-8] Rep. Coffman, Mike [R-CO-6] Rep. Joyce, David P. [R-OH-14] Rep. Thompson, Bennie G. [D-MS-2] Rep. Conaway, K. Michael [R-TX-11] Rep. McMorris Rodgers, Cathy [R-WA-5] Rep. Vela, Filemon [D-TX-34] Rep. Cramer, Kevin [R-ND-At Large] Rep. Miller, Candice S. [R-MI-10] Rep. Welch, Peter [D-VT-At Large] Rep. Crawford, Eric A. “Rick” [R-AR-1] Rep. Mooney, Alexander X. [R-WV-2] Rep. Westmoreland, Lynn A. [R-GA-3] Rep. Cummings, Elijah E. [D-MD-7] Rep. Newhouse, Dan [R-WA-4] Rep. Williams, Roger [R-TX-25] Rep. Davis, Rodney [R-IL-13] Rep. Olson, Pete [R-TX-22] Rep. Wittman, Robert J. [R-VA-1] Rep. Ellmers, Renee L. [R-NC-2] Rep. Palazzo, Steven M. [R-MS-4] Rep. Young, David [R-IA-3] Rep. Forbes, J. Randy [R-VA-4] Rep. Peterson, Collin C. [D-MN-7] Rep. Fortenberry, Jeff [R-NE-1] Rep. Pittenger, Robert [R-NC-9]

Rep. Chuck Fleischmann (R-TN-3) visits Maryland pharmacy stakeholders and NCPA staff meet Clinton Drug Store in Clint, Tenn. with Rep. John Sarbanes (D-MD-3) in Townson, Md.

Ensuring Seniors Access to Local Pharmacies Act (H.R. 793/S. 1190)

These companion bills address any willing pharmacy in Medicare Part D and would allow independent pharmacies the ability to participate in preferred networks if: one or more of their stores is located in a health professional shortage area; one or more of their stores is located in a medically underserved population; and if they can meet the terms and conditions that are offered to other in-network pharmacies.

H.R. 793 Lead Sponsors: Rep. Bishop, Rob [R-UT-1] Rep. Coffman, Mike [R-CO-6] Rep. Griffith, H. Morgan [R-VA-9]* Rep. Bishop, Sanford D., Jr. [D-GA-2] Rep. Cohen, Steve [D-TN-9] Rep. Welch, Peter [D-VT-At Large]* Rep. Blum, Rod [R-IA-1] Rep. Collins, Doug [R-GA-9] Rep. Abraham, Ralph Lee [R-LA-5] Rep. Boustany, Charles W., Jr. [R-LA-3] Rep. Comstock, Barbara [R-VA-10] Rep. Allen, Rick W. [R-GA-12] Rep. Bridenstine, Jim [R-OK-1] Rep. Conaway, K. Michael [R-TX-11] Rep. Amodei, Mark E. [R-NV-2] Rep. Bustos, Cheri [D-IL-17] Rep. Conyers, John, Jr. [D-MI-13] Rep. Babin, Brian [R-TX-36] Rep. Carter, Earl L. “Buddy” [R-GA-1] Rep. Cramer, Kevin [R-ND-At Large] Rep. Barletta, Lou [R-PA-11] Rep. Chu, Judy [D-CA-27] Rep. Crawford, Eric A. “Rick” [R-AR-1] Rep. Beatty, Joyce [D-OH-3] Rep. Clarke, Yvette D. [D-NY-9] Rep. Cummings, Elijah E. [D-MD-7] ELECTION GUIDE

Rep. Pearce, Stevan [R-NM-2] Rep. Peterson, Collin C. [D-MN-7] Rep. Pocan, Mark [D-WI-2] Rep. Price, David E. [D-NC-4] Rep. Reed, Tom [R-NY-23] Rep. Ribble, Reid J. [R-WI-8] Rep. Roe, David P. [R-TN-1] Rep. Rogers, Harold [R-KY-5] Rep. Rogers, Mike D. [R-AL-3] Rep. Ruiz, Raul [D-CA-36] Rep. Ruppersberger, C. A. Dutch [D-MD-2] Rep. Rush, Bobby L. [D-IL-1] Rep. Ryan, Tim [D-OH-13] Rep. Sarbanes, John P. [D-MD-3] Rep. Schakowsky, Janice D. [D-IL-9] Rep. Scott, Austin [R-GA-8] Rep. Scott, David [D-GA-13] Rep. Sessions, Pete [R-TX-32] Rep. Sewell, Terri A. [D-AL-7] Rep. Slaughter, Louise McIntosh [D-NY-25] Rep. Stefanik, Elise M. [R-NY-21] Rep. Swalwell, Eric [D-CA-15] Rep. Thompson, Bennie G. [D-MS-2] Rep. Tonko, Paul [D-NY-20] Rep. David Loebsack (D-IA-2) meets with pharmacists at Rep. Walz, Timothy J. [D-MN-1] Towncrest Pharmacyin Iowa City, Iowa. Rep. Westerman, Bruce [R-AR-4] Rep. Westmoreland, Lynn A. [R-GA-3] Rep. Whitfield, Ed [R-KY-1] Rep. Davis, Rodney [R-IL-13] Rep. Hurt, Robert [R-VA-5] Rep. Williams, Roger [R-TX-25] Rep. DeFazio, Peter A. [D-OR-4] Rep. Jenkins, Evan H. [R-WV-3] Rep. Wittman, Robert J. [R-VA-1] Rep. Deutch, Theodore E. [D-FL-21] Rep. Jones, Walter B., Jr. [R-NC-3] Rep. Young, David [R-IA-3] Rep. Duncan, John J., Jr. [R-TN-2] Rep. Joyce, David P. [R-OH-14] Rep. Engel, Eliot L. [D-NY-16] Rep. Kaptur, Marcy [D-OH-9] S. 1190 Lead Sponsors: Rep. Farenthold, Blake [R-TX-27] Rep. Kildee, Daniel T. [D-MI-5] Sen. Brown, Sherrod [D-OH]* Rep. Farr, Sam [D-CA-20] Rep. King, Steve [R-IA-4] Sen. Capito, Shelley Moore [R-WV]* Rep. Fleischmann, Charles J. “Chuck” [R-TN-3] Rep. Kirkpatrick, Ann [D-AZ-1] Sen. Cotton, Tom [R-AR]* Rep. Forbes, J. Randy [R-VA-4] Rep. Lamborn, Doug [R-CO-5] Sen. Manchin, Joe, III [D-WV]* Rep. Fortenberry, Jeff [R-NE-1] Rep. Langevin, James R. [D-RI-2] Sen. Boozman, John [R-AR] Rep. Gibson, Christopher P. [R-NY-19] Rep. Lipinski, Daniel [D-IL-3] Sen. Cochran, Thad [R-MS] Rep. Goodlatte, Bob [R-VA-6] Rep. Loebsack, David [D-IA-2] Sen. Gardner, Cory [R-CO] Rep. Gosar, Paul A. [R-AZ-4] Rep. Maloney, Sean Patrick [D-NY-18] Sen. Moran, Jerry [R-KS] Rep. Guthrie, Brett [R-KY-2] Rep. Marino, Tom [R-PA-10] Sen. Udall, Tom [D-NM] Rep. Harper, Gregg [R-MS-3] Rep. Massie, Thomas [R-KY-4] Sen. Vitter, David [R-LA] Rep. Harris, Andy [R-MD-1] Rep. McKinley, David B. [R-WV-1] Sen. Wicker, Roger F. [R-MS] Rep. Herrera Beutler, Jaime [R-WA-3] Rep. McMorris Rodgers, Cathy [R-WA-5] Rep. Hice, Jody B. [R-GA-10] Rep. Nolan, Richard M. [D-MN-8] Rep. Hinojosa, Ruben [D-TX-15] Rep. Norton, Eleanor Holmes [D-DC-At Large] Rep. Huelskamp, Tim [R-KS-1] Rep. Olson, Pete [R-TX-22] Rep. Huizenga, Bill [R-MI-2] Rep. Palazzo, Steven M. [R-MS-4] ELECTION GUIDE

Provider Status (H.R. 592/S. 314) These companion bills would recognize pharmacists as providers under the Medicare Part B program. If enacted, pharmacists would be able to perform services for patients consistent with their state’s scope of practice if their pharmacy is located in a medically underserved area, health professional shortage area, or medically underserved population.

H.R. 592 Lead Sponsors: Rep. Castro, Joaquin [D-TX-20] Rep. Forbes, J. Randy [R-VA-4] Rep. Butterfield, G. K. [D-NC-1]* Rep. Chu, Judy [D-CA-27] Rep. Fortenberry, Jeff [R-NE-1] Rep. Guthrie, Brett [R-KY-2]* Rep. Cicilline, David N. [D-RI-1] Rep. Foster, Bill [D-IL-11] Rep. Kind, Ron [D-WI-3]* Rep. Clarke, Yvette D. [D-NY-9] Rep. Frankel, Lois [D-FL-22] Rep. Young, Todd C. [R-IN-9]* Rep. Clawson, Curt [R-FL-19] Rep. Frelinghuysen, Rodney P. [R-NJ-11] Rep. Abraham, Ralph Lee [R-LA-5] Rep. Coffman, Mike [R-CO-6] Rep. Fudge, Marcia L. [D-OH-11] Rep. Adams, Alma S. [D-NC-12] Rep. Cohen, Steve [D-TN-9] Rep. Gabbard, Tulsi [D-HI-2] Rep. Aderholt, Robert B. [R-AL-4] Rep. Cole, Tom [R-OK-4] Rep. Gallego, Ruben [D-AZ-7] Rep. Aguilar, Pete [D-CA-31] Rep. Collins, Chris [R-NY-27] Rep. Gibbs, Bob [R-OH-7] Rep. Allen, Rick W. [R-GA-12] Rep. Collins, Doug [R-GA-9] Rep. Gibson, Christopher P. [R-NY-19] Rep. Amodei, Mark E. [R-NV-2] Rep. Comstock, Barbara [R-VA-10] Rep. Goodlatte, Bob [R-VA-6] Rep. Ashford, Brad [D-NE-2] Rep. Conaway, K. Michael [R-TX-11] Rep. Graham, Gwen [D-FL-2] Rep. Barletta, Lou [R-PA-11] Rep. Connolly, Gerald E. [D-VA-11] Rep. Graves, Garret [R-LA-6] Rep. Barr, Andy [R-KY-6] Rep. Conyers, John, Jr. [D-MI-13] Rep. Graves, Sam [R-MO-6] Rep. Barton, Joe [R-TX-6] Rep. Cook, Paul [R-CA-8] Rep. Grayson, Alan [D-FL-9] Rep. Bass, Karen [D-CA-37] Rep. Costello, Ryan A. [R-PA-6] Rep. Griffith, H. Morgan [R-VA-9] Rep. Beatty, Joyce [D-OH-3] Rep. Courtney, Joe [D-CT-2] Rep. Grijalva, Raul M. [D-AZ-3] Rep. Bera, Ami [D-CA-7] Rep. Cramer, Kevin [R-ND-At Large] Rep. Guinta, Frank C. [R-NH-1] Rep. Bilirakis, Gus M. [R-FL-12] Rep. Cummings, Elijah E. [D-MD-7] Rep. Gutierrez, Luis V. [D-IL-4] Rep. Bishop, Mike [R-MI-8] Rep. Curbelo, Carlos [R-FL-26] Rep. Hanna, Richard L. [R-NY-22] Rep. Bishop, Rob [R-UT-1] Rep. Davis, Danny K. [D-IL-7] Rep. Hardy, Cresent [R-NV-4] Rep. Bishop, Sanford D., Jr. [D-GA-2] Rep. Davis, Rodney [R-IL-13] Rep. Harper, Gregg [R-MS-3] Rep. Blackburn, Marsha [R-TN-7] Rep. DeFazio, Peter A. [D-OR-4] Rep. Hartzler, Vicky [R-MO-4] Rep. Blum, Rod [R-IA-1] Rep. Delaney, John K. [D-MD-6] Rep. Hastings, Alcee L. [D-FL-20] Rep. Blumenauer, Earl [D-OR-3] Rep. DeLauro, Rosa L. [D-CT-3] Rep. Heck, Denny [D-WA-10] Rep. Bost, Mike [R-IL-12] Rep. DelBene, Suzan K. [D-WA-1] Rep. Heck, Joseph J. [R-NV-3] Rep. Boustany, Charles W., Jr. [R-LA-3] Rep. Dent, Charles W. [R-PA-15] Rep. Hensarling, Jeb [R-TX-5] Rep. Boyle, Brendan F. [D-PA-13] Rep. DeSantis, Ron [R-FL-6] Rep. Higgins, Brian [D-NY-26] Rep. Brady, Robert A. [D-PA-1] Rep. DeSaulnier, Mark [D-CA-11] Rep. Hill, J. French [R-AR-2] Rep. Brat, Dave [R-VA-7] Rep. DesJarlais, Scott [R-TN-4] Rep. Hinojosa, Ruben [D-TX-15] Rep. Bridenstine, Jim [R-OK-1] Rep. Deutch, Theodore E. [D-FL-21] Rep. Holding, George [R-NC-13] Rep. Brooks, Mo [R-AL-5] Rep. Dingell, Debbie [D-MI-12] Rep. Hudson, Richard [R-NC-8] Rep. Brooks, Susan W. [R-IN-5] Rep. Dold, Robert J. [R-IL-10] Rep. Huelskamp, Tim [R-KS-1] Rep. Brown, Corrine [D-FL-5] Rep. Doyle, Michael F. [D-PA-14] Rep. Huffman, Jared [D-CA-2] Rep. Brownley, Julia [D-CA-26] Rep. Duckworth, Tammy [D-IL-8] Rep. Hunter, Duncan D. [R-CA-50] Rep. Bucshon, Larry [R-IN-8] Rep. Duncan, John J., Jr. [R-TN-2] Rep. Hurd, Will [R-TX-23] Rep. Bustos, Cheri [D-IL-17] Rep. Ellmers, Renee L. [R-NC-2] Rep. Jackson Lee, Sheila [D-TX-18] Rep. Byrne, Bradley [R-AL-1] Rep. Emmer, Tom [R-MN-6] Rep. Jeffries, Hakeem S. [D-NY-8] Rep. Cardenas, Tony [D-CA-29] Rep. Engel, Eliot L. [D-NY-16] Rep. Jenkins, Evan H. [R-WV-3] Rep. Carson, Andre [D-IN-7] Rep. Eshoo, Anna G. [D-CA-18] Rep. Jenkins, Lynn [R-KS-2] Rep. Carter, Earl L. “Buddy” [R-GA-1] Rep. Farenthold, Blake [R-TX-27] Rep. Johnson, Bill [R-OH-6] Rep. Carter, John R. [R-TX-31] Rep. Farr, Sam [D-CA-20] Rep. Johnson, Henry C. “Hank,” Jr. [D-GA-4] Rep. Cartwright, Matt [D-PA-17] Rep. Fitzpatrick, Michael G. [R-PA-8] Rep. Jolly, David W. [R-FL-13] Rep. Castor, Kathy [D-FL-14] Rep. Fleischmann, Charles J. “Chuck” [R-TN-3] Rep. Jones, Walter B., Jr. [R-NC-3] ELECTION GUIDE

Rep. Joyce, David P. [R-OH-14] Rep. Miller, Jeff [R-FL-1] Rep. Ross, Dennis A. [R-FL-15] Rep. Kaptur, Marcy [D-OH-9] Rep. Mooney, Alexander X. [R-WV-2] Rep. Rouzer, David [R-NC-7] Rep. Katko, John [R-NY-24] Rep. Moore, Gwen [D-WI-4] Rep. Roybal-Allard, Lucille [D-CA-40] Rep. Keating, William R. [D-MA-9] Rep. Mullin, Markwayne [R-OK-2] Rep. Ruiz, Raul [D-CA-36] Rep. Kelly, Mike [R-PA-3] Rep. Murphy, Patrick [D-FL-18] Rep. Ruppersberger, C. A. Dutch [D-MD-2] Rep. Kelly, Robin L. [D-IL-2] Rep. Murphy, Tim [R-PA-18] Rep. Rush, Bobby L. [D-IL-1] Rep. Kelly, Trent [R-MS-1] Rep. Napolitano, Grace F. [D-CA-32] Rep. Ryan, Tim [D-OH-13] Rep. Kennedy, Joseph P., III [D-MA-4] Rep. Neugebauer, Randy [R-TX-19] Rep. Sanchez, Linda T. [D-CA-38] Rep. Kildee, Daniel T. [D-MI-5] Rep. Newhouse, Dan [R-WA-4] Rep. Schakowsky, Janice D. [D-IL-9] Rep. Kilmer, Derek [D-WA-6] Rep. Noem, Kristi L. [R-SD-At Large] Rep. Schiff, Adam B. [D-CA-28] Rep. King, Steve [R-IA-4] Rep. Nolan, Richard M. [D-MN-8] Rep. Schock, Aaron [R-IL-18] Rep. Kinzinger, Adam [R-IL-16] Rep. Norcross, Donald [D-NJ-1] Rep. Scott, Austin [R-GA-8] Rep. Kirkpatrick, Ann [D-AZ-1] Rep. Norton, Eleanor Holmes [D-DC-At Large] Rep. Scott, David [D-GA-13] Rep. Knight, Stephen [R-CA-25] Rep. Nugent, Richard B. [R-FL-11] Rep. Scott, Robert C. “Bobby” [D-VA-3] Rep. LaHood, Darin [R-IL-18] Rep. Nunes, Devin [R-CA-22] Rep. Sessions, Pete [R-TX-32] Rep. LaMalfa, Doug [R-CA-1] Rep. Olson, Pete [R-TX-22] Rep. Sewell, Terri A. [D-AL-7] Rep. Lance, Leonard [R-NJ-7] Rep. O’Rourke, Beto [D-TX-16] Rep. Shimkus, John [R-IL-15] Rep. Langevin, James R. [D-RI-2] Rep. Palazzo, Steven M. [R-MS-4] Rep. Shuster, Bill [R-PA-9] Rep. Larson, John B. [D-CT-1] Rep. Palmer, Gary J. [R-AL-6] Rep. Slaughter, Louise McIntosh [D-NY-25] Rep. Latta, Robert E. [R-OH-5] Rep. Pascrell, Bill, Jr. [D-NJ-9] Rep. Smith, Adam [D-WA-9] Rep. Lawrence, Brenda L. [D-MI-14] Rep. Paulsen, Erik [R-MN-3] Rep. Smith, Christopher H. [R-NJ-4] Rep. Lee, Barbara [D-CA-13] Rep. Pearce, Stevan [R-NM-2] Rep. Smith, Jason [R-MO-8] Rep. Lewis, John [D-GA-5] Rep. Perlmutter, Ed [D-CO-7] Rep. Smith, Lamar [R-TX-21] Rep. Lieu, Ted [D-CA-33] Rep. Perry, Scott [R-PA-4] Rep. Speier, Jackie [D-CA-14] Rep. Lipinski, Daniel [D-IL-3] Rep. Peters, Scott H. [D-CA-52] Rep. Stefanik, Elise M. [R-NY-21] Rep. LoBiondo, Frank A. [R-NJ-2] Rep. Peterson, Collin C. [D-MN-7] Rep. Stewart, Chris [R-UT-2] Rep. Loebsack, David [D-IA-2] Rep. Pingree, Chellie [D-ME-1] Rep. Stivers, Steve [R-OH-15] Rep. Lofgren, Zoe [D-CA-19] Rep. Pocan, Mark [D-WI-2] Rep. Swalwell, Eric [D-CA-15] Rep. Long, Billy [R-MO-7] Rep. Poe, Ted [R-TX-2] Rep. Takai, Mark [D-HI-1] Rep. Lowenthal, Alan S. [D-CA-47] Rep. Poliquin, Bruce [R-ME-2] Rep. Takano, Mark [D-CA-41] Rep. Lucas, Frank D. [R-OK-3] Rep. Polis, Jared [D-CO-2] Rep. Thompson, Bennie G. [D-MS-2] Rep. Luetkemeyer, Blaine [R-MO-3] Rep. Pompeo, Mike [R-KS-4] Rep. Thompson, Glenn [R-PA-5] Rep. Lujan Grisham, Michelle [D-NM-1] Rep. Price, David E. [D-NC-4] Rep. Thompson, Mike [D-CA-5] Rep. Lujan, Ben Ray [D-NM-3] Rep. Quigley, Mike [D-IL-5] Rep. Tiberi, Patrick J. [R-OH-12] Rep. Lynch, Stephen F. [D-MA-8] Rep. Rangel, Charles B. [D-NY-13] Rep. Tipton, Scott R. [R-CO-3] Rep. Maloney, Sean Patrick [D-NY-18] Rep. Reed, Tom [R-NY-23] Rep. Tonko, Paul [D-NY-20] Rep. Massie, Thomas [R-KY-4] Rep. Reichert, David G. [R-WA-8] Rep. Torres, Norma J. [D-CA-35] Rep. Matsui, Doris O. [D-CA-6] Rep. Ribble, Reid J. [R-WI-8] Rep. Tsongas, Niki [D-MA-3] Rep. McGovern, James P. [D-MA-2] Rep. Rice, Kathleen M. [D-NY-4] Rep. Turner, Michael R. [R-OH-10] Rep. McMorris Rodgers, Cathy [R-WA-5] Rep. Rice, Tom [R-SC-7] Rep. Valadao, David G. [R-CA-21] Rep. McNerney, Jerry [D-CA-9] Rep. Richmond, Cedric L. [D-LA-2] Rep. Veasey, Marc A. [D-TX-33] Rep. McSally, Martha [R-AZ-2] Rep. Rigell, E. Scott [R-VA-2] Rep. Vela, Filemon [D-TX-34] Rep. Meadows, Mark [R-NC-11] Rep. Roby, Martha [R-AL-2] Rep. Walberg, Tim [R-MI-7] Rep. Meehan, Patrick [R-PA-7] Rep. Roe, David P. [R-TN-1] Rep. Walden, Greg [R-OR-2] Rep. Meng, Grace [D-NY-6] Rep. Rogers, Harold [R-KY-5] Rep. Walker, Mark [R-NC-6] Rep. Messer, Luke [R-IN-6] Rep. Rogers, Mike D. [R-AL-3] Rep. Walorski, Jackie [R-IN-2] Rep. Mica, John L. [R-FL-7] Rep. Rokita, Todd [R-IN-4] Rep. Walters, Mimi [R-CA-45] Rep. Miller, Candice S. [R-MI-10] Rep. Rooney, Thomas J. [R-FL-17] Rep. Walz, Timothy J. [D-MN-1] ELECTION GUIDE

Rep. Wasserman Schultz, Debbie [D-FL-23] Sen. Collins, Susan M. [R-ME] Sen. Shaheen, Jeanne [D-NH] Rep. Watson Coleman, Bonnie [D-NJ-12] Sen. Coons, Christopher A. [D-DE] Sen. Stabenow, Debbie [D-MI] Rep. Webster, Daniel [R-FL-10] Sen. Cotton, Tom [R-AR] Sen. Tester, Jon [D-MT] Rep. Welch, Peter [D-VT-At Large] Sen. Daines, Steve [R-MT] Sen. Thune, John [R-SD] Rep. Wenstrup, Brad R. [R-OH-2] Sen. Donnelly, Joe [D-IN] Sen. Udall, Tom [D-NM] Rep. Westerman, Bruce [R-AR-4] Sen. Durbin, Richard [D-IL] Sen. Vitter, David [R-LA] Rep. Whitfield, Ed [R-KY-1] Sen. Enzi, Michael B. [R-WY] Sen. Wicker, Roger F. [R-MS] Rep. Williams, Roger [R-TX-25] Sen. Ernst, Joni [R-IA] Rep. Wilson, Joe [R-SC-2] Sen. Franken, Al [D-MN] Rep. Wittman, Robert J. [R-VA-1] Sen. Gardner, Cory [R-CO] Rep. Womack, Steve [R-AR-3] Sen. Gillibrand, Kirsten E. [D-NY] Rep. Yarmuth, John A. [D-KY-3] Sen. Heinrich, Martin [D-NM] Rep. Yoder, Kevin [R-KS-3] Sen. Heitkamp, Heidi [D-ND] Sen. Hirono, Mazie K. [D-HI] S. 314 Lead Sponsors: Sen. Hoeven, John [R-ND] Sen. Brown, Sherrod [D-OH]* Sen. King, Angus S., Jr. [I-ME] Sen. Casey, Robert P., Jr. [D-PA]* Sen. Klobuchar, Amy [D-MN] Sen. Grassley, Chuck [R-IA]* Sen. Manchin, Joe, III [D-WV] Sen. Kirk, Mark Steven [R-IL]* Sen. Markey, Edward J. [D-MA] Sen. Ayotte, Kelly [R-NH] Sen. Merkley, Jeff [D-OR] Sen. Barrasso, John [R-WY] Sen. Mikulski, Barbara A. [D-MD] Sen. Bennet, Michael F. [D-CO] Sen. Moran, Jerry [R-KS] Sen. Blunt, Roy [R-MO] Sen. Murphy, Christopher S. [D-CT] Sen. Boozman, John [R-AR] Sen. Peters, Gary C. [D-MI] Sen. Boxer, Barbara [D-CA] Sen. Roberts, Pat [R-KS] Sen. Cantwell, Maria [D-WA] Sen. Rounds, Mike [R-SD] Sen. Capito, Shelley Moore [R-WV] Sen. Schatz, Brian [D-HI] Sen. Cardin, Benjamin L. [D-MD] Sen. Schumer, Charles E. [D-NY] Sen. Cochran, Thad [R-MS] Sen. Scott, Tim [R-SC]

VOTE We’ve been fighting for you in the halls of Congress, the courts, and state legislatures across the country. Many of you have made sacri- fices to run for elected office, spent hours volunteering for local cam- paigns or have contributed to candidates. Even if you don’t have the resources or time to donate, the most important thing you can do is vote on or before November 8. CONTINUED SUPPORT OF NCPA PAC RAISES THE PROFILE OF INDEPENDENT COMMUNITY PHARMACY! To learn more about NCPA PAC, please contact Karry LaViolette at [email protected] or 703-600-1180.

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