Recognize pharmacists as health care providers!!!
  • Petitioning U.S. House of Representatives

This petition will be delivered to:

U.S. House of Representatives
U.S. Senate

Recognize pharmacists as health care providers!!!

    1. Sandra Leal, PharmD, MPH, FAPhA, CDE
    2. Petition by

      Sandra Leal, PharmD, MPH, FAPhA, CDE

      Tucson, AZ

Please sign the White House petition first/also! to receive an official response:

Despite overwhelming evidence of the positive impact pharmacists can have on patient health, pharmacists are not recognized as healthcare providers under the Social Security Act and, therefore, cannot be paid by Medicare for therapy management and patient consultation services. The Social Security Act does recognize other healthcare professionals such as dieticians, nurse practitioners, physician assistants, nurse midwives, and clinical social workers.

By changing the compensation structure allowed under Medicare, we can ensure that patients have access to the medication expertise of pharmacists. Studies have shown that when a pharmacist is directly involved in patient care, patients have fewer adverse drug reactions, experience improved outcomes, and healthcare costs are reduced.

The perils of adverse effects from taking multiple medications affect all age groups. According to a recent survey, just over half of all Americans take at least 2 medications each day and nearly one-third take 4 or more medications each day. For the Medicare population, medication use is even higher — nearly half of Americans aged 65 and older take at least 4 medications each day.

This is a critical safety issue!!

Recent signatures


    1. H.R.4190 - Has 94 Co-sponsors.

      Sandra Leal, PharmD, MPH, FAPhA, CDE
      Petition Organizer

      Provider Status: Because Your Patients Need You

      As a pharmacist and a constituent, you have tremendous influence with your members of Congress. And as ASHP and the profession work to build support for H.R. 4190, it is more important than ever for you to reach out to your elected officials so that they understand how provider recognition will improve patient care for some of our nation’s most vulnerable patients.

    2. One down....

      Sandra Leal, PharmD, MPH, FAPhA, CDE
      Petition Organizer
      California provider status bill passes state Senate

      On May 29, the California state Senate approved its pharmacist provider status bill (SB 493) that w

    3. Decision-maker Linda Harper-Brown responds:

      Linda Harper-Brown

      Dear Constituents:

      Thank you for reaching out to me about this important issue. I respectfully support pharmacists and their responsibilities as doctors.

      It is an honor to serve you in the Texas House of Representatives. Please don'...

    4. Decision-maker Kim King responds:

      Kim King

      Thank you for sharing your petition to the President. Please stay in touch. Take care, Kim

    5. CMS references pharmacists in recent actions

      Sandra Leal, PharmD, MPH, FAPhA, CDE
      Petition Organizer

      Expansion of medical staff concept for nonphysicians, funding for Pittsburgh care transition project among several actions taken by agency.

      The most underused health professional in the United States is clearly on the minds of people working at CMS.

      In four recent actions, pharmacists figured in actions taken by or communications from the federal agency that manages the Medicare and Medicaid programs. In a final rule, CMS broadened the concept of hospital medical staff (which may already include “other practitioners”) to now include eligible nonphysician practitioners, which could include pharmacists.

      In a second action, the first set of CMS Innovation Awards included a transitions of care project in which pharmacists are among the health professionals caring for patients.

      In two other actions, CMS called on pharmacists to sign up individually for the Million Hearts initiative and ordered Part D plans to stop diverting

    6. CMS expands definition of medical staff - now can include pharmacists!!!!!

      Sandra Leal, PharmD, MPH, FAPhA, CDE
      Petition Organizer

      . CMS expands medical staff definition to include APRNs, PAs
      By Karen M. Cheung

      Among a raft of changes the Centers for Medicare & Medicaid Services issued this week, the agency controversially expanded its definition of the medical staff, allowing nonphysician practitioners to have privileges like other medical staff members. In an effort to cut some outdated requirements, CMS changed rules about medical staff oversight and roles.

      "We have broadened the concept of 'medical staff' and have allowed hospitals the flexibility to include other practitioners as eligible candidates for the medical staff with hospital privileges to practice in accordance with state law," CMS said in the final rule. The explicit change now allows hospitals to give nonphysician practitioners, such as advanced practice nurses, physician assistants and pharmacists, the power to perform duties that they are trained for and allowed to do within their scope of pra

    7. Pharmacists Aren't Health Care Providers? Really?

      Sandra Leal, PharmD, MPH, FAPhA, CDE
      Petition Organizer

      Pharmacists Aren't Health Care Providers? Really?
      Washington, D.C.—Pharmacists seeking to expand their scope of practice have some powerful allies in the U.S. Public Health Service (USPHS), but progress is likely to be limited until another branch of government, Congress, changes some laws.
      In the new report, "Improving Patient and Health System Outcomes through Advanced Pharmacy Practice," the U.S. Public Health Service wholeheartedly endorses the idea of expanded practice by pharmacists to improve quality and lower costs of health care delivery.
      The recent report was written by USPHS pharmacists with the support of the Surgeon General of the United States and argues that expanding the roles of pharmacists in the private sector, as already has occurred in government systems such as the Veterans Administration and Department of Defense, can help meet growing demands on the nation's health care system.

    8. Reached 20,000 signatures
    9. Pharmacists Declared 'Health Care Providers' By Pennsylvania Court

      Sandra Leal, PharmD, MPH, FAPhA, CDE
      Petition Organizer

      Pharmacists Declared 'Health Care Providers' By Pennsylvania Court

      A recent ruling from the Superior Court of Pennsylvania found pharmacists to be "health care providers" for purposes of the state's Medical Records Act (MRA), reversing a lower court ruling that the MRA didn't apply to pharmacists and pharmacies because a pharmacy customer was not a "patient."

      Pennsylvania's Superior Court reversed, finding that for purposes of the MRA, pharmacists are health care providers, persons to whom prescription medications are dispensed are patients, and patient pharmacy records maintained by the pharmacist are medical records. "The court's decision was based in large part on its review of the state Pharmacy Practice Act and Pennsylvania State Board of Pharmacy regulations (see State Board of Pharmacy website), demonstrating the importance of ensuring state pharmacy laws reflect the contemporary practice of pharmacy," according to Jason Hansen, MS, JD, APhA Director of Health Policy.

    10. White House Visit

      Sandra Leal, PharmD, MPH, FAPhA, CDE
      Petition Organizer

      In November, I started this petition to recognize pharmacists as health care providers to create awareness about the importance of pharmacists participating in treatment teams and being recognized for the clinical services that we provide. With over 18,000 signatures, it has resulted in an energizing dialogue that is gaining momentum. On February 24th, I was asked to attend a briefing at the White House on cardiovascular health because of this grass roots movement. I was able ask my questions and deliver the signed petition and comments that people have left to a special assistant to the President. I hope that you take the lead in engaging stakeholders to understand the importance of clinical pharmacy services. Improved patient outcomes, safety and the work that you do every day is ultimately what will make this happen.

      Please join the Million Hearts™ initiative to prevent 1 million heart attacks and strokes over five years.

    11. Pharmacist in CDTM are most efficient and cost-effective...

      Sandra Leal, PharmD, MPH, FAPhA, CDE
      Petition Organizer

      The US’s healthcare system realizes a benefit of $16.70 for each $1 invested in pharmacists who practice in hospitals and other components of health care systems (1).
      A 1995 study published in the Archives of Internal Medicine found that CDTM reduced negative therapeutic outcomes by 53-63% and avoided $45.6 billion in direct health care costs. It also showed drug-related morbidity and mortality in the ambulatory setting alone costs the nation $76.6 billion annually (2).

      (1) Schumock et al. Economic evaluations of clinical pharmacy service (1988–1995). Pharmacotherapy 1996; 16:1188–208.
      (2) Johnson and Bootman. Drug-Related Morbidity and Mortality. Archives of Internal Medicine. 1995; 155:1949-1956.

    12. Pharmacists can reduce treatment costs and improve outcomes...

      Sandra Leal, PharmD, MPH, FAPhA, CDE
      Petition Organizer

      Pharmacists can reduce treatment costs and improve outcomes if given the chance

      UB program lowered A1C levels in diabetics and cut monthly costs by $212 per patient
      The role of pharmacists hasn't received much attention in the debate on the cost of health care. But national and regional studies show that when pharmacists directly participate in patient care, they significantly reduce treatment costs and improve outcomes.

      A study on diabetic patients by the University at Buffalo School of Pharmacy and Pharmaceutical Sciences identified cost savings with improvements in a key indicator of glucose control in diabetes patients, the hemoglobin A1C measurement. The A1C provides a three-month average of the amount of excess glucose in the blood. Higher A1Cs indicate that a patient is at higher risk for developing long-term complications associated with diabetes, such as kidney disease or vision problems.

    13. Reached 17,500 signatures
    14. APhA to HHS: Include MTM in essential health benefits

      Sandra Leal, PharmD, MPH, FAPhA, CDE
      Petition Organizer

      APhA to HHS: Include MTM in essential health benefits

      Association cites Surgeon General’s endorsement of USPHS report.

      In January 31 comments to the U.S. Department of Health and Human Services (HHS) on essential health benefits, APhA encouraged HHS to direct the states to include pharmacists’ clinical services such as medication therapy management (MTM) in its upcoming proposed rule.

      “We believe that by making pharmacists’ clinical services more widely available through [essential health benefits], patients will benefit greatly through these [preventive] services, physicians and other prescribers will have improved access to collaborative work with pharmacists as part of the health care team, and [payers] will experience cost savings,” APhA wrote.

      HHS issued a bulletin December 16 that announced its intended approach to rulemaking. According to the bulletin, states will define their own essential benefits, based on an already existing “benchmark” plan within each state, during a t

    15. Reached 15,000 signatures
    16. Pharmacists Looking for a New Label

      Sandra Leal, PharmD, MPH, FAPhA, CDE
      Petition Organizer

      Please see link for new story published on the Sunday Arizona Daily Star.

    17. U.S. Public Health Service Report Calls for Pharmacists to be Recognized!

      Sandra Leal, PharmD, MPH, FAPhA, CDE
      Petition Organizer

      From: Sandra Leal
      To: Ambulatory Care Practitioners
      Posted: 01-09-2012 22:28
      Subject: U.S. Public Health Service Report Calls for Pharmacists to be Recognized as Providers

      View Profile
      Blog This
      This message has been cross posted to the following Discussions: Pharmacy Practice Managers and Ambulatory Care Practitioners .

      The U.S. Public Health Service (USPHS) released a report identifying "rationale and compelling discussion to support health reform through pharmacists delivering expanded patient care services," according to Improving Patient and Health System Outcomes Through Advanced Pharmacy Practice: A Report to the Surgeon General 2011.

      "The federal sector has already implemented and embraced such a health care delivery model through physician-pharmacist collaboration," according to the report. "This collaboration, through extensive performance data, has demonstrated that patient care services delivered by pharmacists can

    18. Reached 12,500 signatures
    19. 6158 signatures.....let's get to 10,000!

      Sandra Leal, PharmD, MPH, FAPhA, CDE
      Petition Organizer

      Send it to every stakeholder we can think of....

    20. Reached 6,000 signatures
    21. Only187 signatures to get 5,000!!!

      Sandra Leal, PharmD, MPH, FAPhA, CDE
      Petition Organizer

      Repost anywhere you can!

    22. Reached 4,000 signatures
    23. 3250!!

      Sandra Leal, PharmD, MPH, FAPhA, CDE
      Petition Organizer

      Please repost petition anywhere you can...we want to get to 10,000 or more!!

    24. !!

      Sandra Leal, PharmD, MPH, FAPhA, CDE
      Petition Organizer


    25. Reached 3,000 signatures


    Reasons for signing

    • Lynn Johnson ROYAL OAK, MI
      • 2 days ago

      Pharmacists are key to the healthcare team and should be recognized as the other team members are.

    • Craig Merrill JACKSON, MI
      • 5 days ago

      to be able to provide care for patients that are under served

    • Yale Mendelson MORGANTOWN, WV
      • about 1 month ago

      Pharmacy student. Support and believe this change is necessary for the good of our patients.

    • Luis Solano EL PASO, TX
      • about 1 month ago

      This is important in many aspects. I have tenured a 14 year career as a pharmacy technician and currently applying to pharmacy school. My pharmacy experience spans many pharmacy settings and have first hand realization how physicians and mid-level practitioners rely on a pharmacist for their patients care. The industry is complex and is in need of a fair playing field. Not all pharmacist have the opportunity to own their own pharmacy to gain reimbursement; however clinical positions need help!

    • Joyce Hatfield PENNINGTON GAP, VA
      • about 1 month ago

      My daughter will be a pharmacist


    Develop your own tools to win.

    Use the API to develop your own organizing tools. Find out how to get started.