OCTOBER • 2016

NCPA PAC UPDATE

National Community Pharmacists Association Political Action Committee P1. NCPA Political Action

Committee (NCPA PAC) News.

P3. 2016 Pharmacy Visits.

P7. NCPA PAC Supports a

P8. Pharmacy Bills Continue

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 Medicare, 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 Alexandria, VA 22314-2888

100 Daingerfield Road Alexandria, VA 22314-

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 majority in the chamber, Democrats would need to gain a net of at least five seats, or four if they retain the White House. Republicans 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 majority, Democrats would need a net gain of 30 seats to take the majority. Currently, political pundits are predicting a Democratic 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 important 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 Department at [email protected] or 703-838-2695.

Rep. Bill Posey (R-Fl-8) spoke with 17 independent pharmacists during a roundtable in Sebastian, Fla.

2016 Pharmacy Visits Member of Congress

Pharmacy Visit/Roundtable

City

State

Rep. Brad Ashford (NE-3)

Kohll's Pharmacy & Homecare

Omaha

NE

Rep. Gus Bilirakis (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. Sherrod Brown (OH)

Discount Drug Mart

Grove City

OH

Rep. Michael Burgess (TX-26)

Roundtable

Dallas

TX

Rep. Bradley Byrne (AL-1)

Roundtable

Mobile

AL

Rep. Buddy Carter (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. Ted Deutch (FL-21)

Diabetic Solutions, Inc.

Coral Springs

FL

Sen. Joe Donnelly (IN)

Custom Plus Pharmacy

West Lafayette

IN

Rep. Renee Ellmers (NC-2)

Roundtable

Dunn

NC

ELECTION GUIDE

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

Rep. Roger Williams (R-TX-25) meets with Ed Horton and his staff at Tanglewood Medical Supplies Pharmacy in Stephenville, Texas during the August recess.

Rep. Terri Sewell (D-AL-7) interacts with independent community pharmacists during a roundtable in Bessemer, Ala.

Member of Congress

Pharmacy Visit/Roundtable

City

State

Rep. Chuck Fleischmann (TN-3)

Clinton Drug Store

Clinton

TN

Rep. Marcia Fudge (OH-11)

Discount Drug Mart

Grove City

OH

Rep. Tulsi Gabbard (HI-2)

Lihue Pharmacy Group

Lihue

HI

Rep. Bob Gibbs (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. Hank Johnson (GA-4)

Reagan's Pharmacy

Conyers

GA

Rep. Bill Johnson (OH-6)

MediWise Pharmacy

Newcomerstown

OH

Rep. David Joyce (OH-14)

Kleins Rx

Southington

OH

Rep. Marcy Kaptur (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. Alex Mooney (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. Gary Palmer (AL-6)

Sniders Discount Pharmacy

Chelsea

AL

Rep. Frank Pallone (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. Tom Reed (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. John Sarbanes (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. Steve Stivers (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. Ron Wyden (OR)

Roundtable

Portland

OR

Rep. Kevin Yoder (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 ($5,000 in Personal Funds Annually)

2016 PAC Champion Donors ($2,500 Personal Funds Annually)

Bradley Arthur, Black Rock Pharmacy Shelley Bailey, Central Drugs Jay Blackburn, Compliant Pharmacy Alliance Jeffrey Carson, Oakdell Pharmacy John Carson, Oakdell Pharmacy Brian Caswell, Wolkar Drug Inc. Hugh Chancy, Chancy Drugs Charles Cottrell, Medical Center Pharmacy Arthur Ennis, Jr., Payless Drugs Stephen Giroux, Middleport Family Health Center Robert Greenwood, Greenwood Drug, Inc. Edmund Heckman, PAAS National B. Douglas Hoey, National Community Pharmacists Association Edmund Horton, Tanglewood Pharmacy Tony Ogden, Groveway Pharmacy Bill Osborn, Osborn Drugs, Inc.

Michael Butler, Village Health Mart Drug Jeff Harrell, Illwaco Drugs Sherwood Klein, Ellicottville Pharmacy, Inc. Lonnie Meredith, The Drug Store William Moore, Moore’s Pharmacy Anthony Ortiz, Atlas Drug and Nutrition Steve Pfister, National Community Pharmacists Association Darrin Silbaugh, Harrisburg Pharmacy Troy Simons, Foster Corner Drug Dave Smith Mike Vinson, Adams Drug Lonny Wilson, Pharmacy Providers of Oklahoma

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 willing 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 prescription drugs; require plans to place a monthly limit of $250 on covered out-of-pocket costs

Nothing specific

Reimportation of Rx Drugs

Yes

Yes

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 Drug Prices in Part D

Yes

Yes

Rebates

Require drug makers to provide higher rebates in the Medicare low-income subsidy program, closer to Medicaid levels

No change

Clinton/Kaine

Trump/Pence

Medicaid Expansion

Yes, and provide incentives to states that have not expanded their state programs as envisioned by the ACA

No

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

Clinton/Kaine

Trump/Pence

ACA Repeal

No, but expand the law with a government administered “public option” in the insurance exchanges

Yes, and replace with an undefined plan to broaden access to care/insurance, make health care more affordable and improve quality

Affordability

Calls for a new, progressive refundable tax credit of up to $5,000 per family for excessive out-of-pocket costs

Calls for full deductibility of insurance premiums, and for increased access to Health Savings Accounts by decoupling from high-deductible health plans.

Increased Price Transparency

Yes

Yes

Medicare Proposals

Medicaid Proposals

Health Care Reform

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 foundation 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. Richard Allen (R-GA-12) Rep. Mark Amodei (R-NV-2) Rep. Brad Ashford (D-NE-2) Sen. Kelly Ayotte (R-NH) Rep. Brian Babin (R-TX-36) Rep. Louis Barletta (R-PA-11) Rep. Xavier Becerra (D-CA-34) Rep. Donald Beyer (D-VA-8) Rep. Sanford Bishop (D-GA-2) Rep. Marsha Blackburn (R-TN-7) Rep. Rodney Blum (R-IA-1) Sen. Roy Blunt (R-MO) Sen. John Boozman (R-AR) Rep. Michael Bost (R-IL-12) Rep. Charles Boustany (R-LA) Rep. Brendan Boyle (D-PA-13) Rep. Kevin Brady (R-TX-8) Rep. James Bridenstine (R-OK-1) Rep. Susan Brooks (R-IN-5) Rep. Vernon Buchanan (R-FL-16) Rep. Larry Bucshon (R-IN-8) Rep. Michael Burgess (R-TX-26) Sen. Richard Burr (R-NC) Rep. Cheryl Bustos (D-IL-17) Rep. G. K. Butterfield (D-NC-1) Rep. Bradley Byrne (R-AL-1) Rep. Earl Carter (R-GA-1) Rep. John Carter (R-TX-31) Liz Cheney (R-WY-At Large) Rep. Judy Chu (D-CA-27) Rep. Yvette Clarke (D-NY-9) Rep. James Clyburn (D-SC-6) Rep. Michael Coffman (R-CO-6) Rep. Thomas Cole (R-OK-4) Rep. Douglas Collins (R-GA-9) Rep. Barbara Comstock (R-VA-10) Rep. Gerald Connolly (D-VA-11) Rep. John Conyers (D-MI-13) Rep. Ryan Costello (R-PA-6)

Rep. Kevin Cramer (R-ND-At Large) Sen. Michael Crapo (R-ID) Rep. Eric Crawford (R-AR-1) Rep. Elijah Cummings (D-MD-7) Rep. Carlos Curbelo (R-FL-26) Rep. Rodney Davis (R-IL-13) Rep. Diana DeGette (D-CO-1) Rep. Robert Dold (R-IL-10) Neal Dunn (R-FL-2) Anderson Ferguson (R-GA-3) Rep. Charles Fleischmann (R-TN-3) Rep. James Forbes (R-VA-2) Rep. Jeffrey Fortenberry (R-NE-1) Rep. Virginia Foxx (R-NC-5) Michael Gallagher (R-WI-8) Rep. Ruben Gallego (D-AZ-7) Rep. Robert Goodlatte (R-VA-6) Rep. Kay Granger (R-TX-12) Sen. Charles Grassley (R-IA) Rep. Morgan Griffith (R-VA-9) Rep. Brett Guthrie (R-KY-2) Rep. Richard Hanna (R-NY-22) Rep. Gregg Harper (R-MS-3) Rep. Joseph Heck (R-NV-3) Rep. Jaime Herrera Beutler (R-WA-3) Rep. French Hill (R-AR-2) Sen. John Hoeven (R-ND) Rep. Steny Hoyer (D-MD-5) Rep. William Hurd (R-TX-23) Sen. Johnny Isakson (R-GA) Rep. Evan Jenkins (R-WV-3) Rep. Lynn Jenkins (R-KS-2) Rep. Henry Johnson (R-GA-4) Rep. William Johnson (R-OH-6) Sen. Ronald Johnson (R-WI) Rep. Walter Jones (R-NC-3) Rep. David Joyce (R-OH-14) Rep. John Katko (R-NY-24) Rep. Robin Kelly (D-IL-2) Rep. Daniel Kildee (D-MI-5)

Rep. Ronald Kind (D-WI-3) Rep. Adam Kinzinger (R-IL-16) Sen. Mark Kirk (R-IL) Rep. Stephen Knight (R-CA-25) Rep. Darin LaHood (R-IL-18) Rep. Leonard Lance (R-NJ-7) Sen. James Lankford (R-OK) Rep. Rick Larsen (D-WA-2) Rep. Robert Latta (R-OH-5) Rep. Sander Levin (D-MI-9) Rep. Daniel Lipinski (D-IL-3) Rep. David Loebsack (D-IA-2) Rep. Barry Loudermilk (R-GA-11) Rep. Mia Love (R-UT-4) Rep. Ben Lujan (D-NM-3) Rep. Michelle Lujan Grishman (D-NM-1) Rep. Thomas Marino (R-PA-10) Roger Marshall (R-KS-1) Sen. John McCain (R-AZ) Rep. Cathy McMorris Rodgers (R-WA-5) Rep. Martha McSally (R-AZ-2) Rep. Grace Meng (D-NY-6) Rep. Allan Messer (R-IN-6) Rep. John Mica (R-FL-7) Sen. Jerry Moran (R-KS) Rep. Markwayne Mullin (R-OK-2) Sen. Patricia Murray (D-WA) Rep. Richard Neal (D-MA-1) Rep. Daniel Newhouse (R-WA-4) Rep. Kristi Noem (R-SD-1) Rep. Richard Nugent (R-FL-11) Rep. Peter Olson (R-TX-22) Rep. Frank Pallone (D-NJ-6) Rep. Erik Paulsen (R-MN-3) Rep. Edwin Perlmutter (D-CO-7) Rep. Collin Peterson (D-MN-7) Rep. Mark Pocan (D-WI-2) Rep. Bruce Poliquin (R-ME-2) Rep. Michael Pompeo (R-KS-4) Sen. Rob Portman (R-OH)

ELECTION GUIDE

Rep. William Posey (R-FL-8) Rep. John Ratcliffe (R-TX-4) Rep. Thomas Reed (R-NY-23) Rep. Martha Roby (R-AL-2) Rep. Ileana Ros-Lehtinen (R-FL-27) Rep. Paul Ryan (R-WI-1) Rep. Matthew Salmon (R-AZ-5) Rep. Janice Schakowsky (D-IL-9) Sen. Charles Schumer (D-NY) Rep. Austin Scott (R-GA-8) Sen. Timothy Scott (R-SC) Rep. Peter Sessions (R-TX-32) Rep. Terri Sewell (D-AL-7) Rep. John Shimkus (R-IL-15) Rep. William Shuster (R-PA-9) Rep. Louise Slaughter (D-NY-25) Rep. Adrian Smith (R-NE-3)

Rep. Jason Smith (R-MO-8) Lloyd Smucker (R-PA-16) Rep. Elise Stefanik (R-NY-22) Rep. Christopher Stewart (R-UT-2) Rep. Steve Stivers (R-OH-15) Jeff Stone (R-CA-36) Rep. Michael Thompson (D-CA-5) Sen. John Thune (R-SD) Rep. Patrick Tiberi (R-OH-12) Rep. Scott Tipton (R-CO-3) Rep. Paul Tonko (D-NY-20) Sen. Patrick Toomey (R-PA) Rep. Fredrick Upton (R-MI-6) Rep. David Valadao (R-CA-21) Rep. Gregory Walden (R-OR-2) Rep. Bradley Walker (R-NC-6) Rep. Jacqueline Walorski (R-IN-2)

Rep. Mimi Walters (R-CA-45) Rep. Timothy Walz (D-MN-1) Rep. Bonnie Watson Coleman (D-NJ-12) Rep. Peter Welch (D-VT-At Large) Rep. Lynn Westmoreland (R-GA-3) Rep. Edward Whitfield (R-KY-1) Rep. Roger Williams (R-TX-25) Rep. Addison Wilson (R-SC-2) Rep. Robert Wittman (R-VA-1) Rep. Robert Woodall (R-GA-7) Sen. Ron Wyden (D-OR) Rep. Kevin Yoder (R-KS-3) Rep. David Young (R-IA-3) Rep. Todd Young (R-IN-9)

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. Griffith, H. Morgan [R-VA-9]* Rep. Welch, Peter [D-VT-At Large]* Rep. Sessions, Pete [R-TX-32]* Rep. Carter, Earl L. “Buddy” [R-GA-1]* Rep. Jones, Walter B., Jr. [R-NC-3]* Rep. Barletta, Lou [R-PA-11]* Rep. Crawford, Eric A. “Rick” [R-AR-1]* Rep. Blum, Rod [R-IA-1]* Rep. McMorris Rodgers, Cathy [R-WA-5]* Rep. Scott, Austin [R-GA-8] Rep. Collins, Doug [R-GA-9]

Rep. Williams, Roger [R-TX-25] Rep. Vela, Filemon [D-TX-34] Rep. Peterson, Collin C. [D-MN-7] Rep. Massie, Thomas [R-KY-4] Rep. Rogers, Mike D. [R-AL-3] Rep. Loebsack, David [D-IA-2] Rep. Fleischmann, Charles J. “Chuck” [R-TN-3] Rep. Roe, David P. [R-TN-1] Rep. Allen, Rick W. [R-GA-12] Rep. LoBiondo, Frank A. [R-NJ-2] Rep. Sarbanes, John P. [D-MD-3]

S. 3308 Lead Sponsors: Sen. Capito, Shelley Moore [R-WV]* Sen. Tester, Jon [D-MT]* Sen. Boozman, John [R-AR]* Sen. Cotton, Tom [R-AR]* Sen. Lankford, James [R-OK] Sen. Grassley, Chuck [R-IA] Sen. Wicker, Roger F. [R-MS] Sen. Moran, Jerry [R-KS]

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. Collins, Doug [R-GA-9]* Rep. Loebsack, David [D-IA-2]*

Rep. Abraham, Ralph Lee [R-LA-5] Rep. Aderholt, Robert B. [R-AL-4] Rep. Allen, Rick W. [R-GA-12]

Rep. Amodei, Mark E. [R-NV-2] Rep. Babin, Brian [R-TX-36] Rep. Barletta, Lou [R-PA-11]

ELECTION GUIDE

Rep. Blum, Rod [R-IA-1] Rep. Boustany, Charles W., Jr. [R-LA-3] Rep. Bridenstine, Jim [R-OK-1] Rep. Brooks, Mo [R-AL-5] Rep. Carter, Earl L. “Buddy” [R-GA-1] Rep. Coffman, Mike [R-CO-6] Rep. Conaway, K. Michael [R-TX-11] Rep. Cramer, Kevin [R-ND-At Large] Rep. Crawford, Eric A. “Rick” [R-AR-1] Rep. Cummings, Elijah E. [D-MD-7] Rep. Davis, Rodney [R-IL-13] Rep. Ellmers, Renee L. [R-NC-2] Rep. Forbes, J. Randy [R-VA-4] Rep. Fortenberry, Jeff [R-NE-1]

Rep. Graves, Tom [R-GA-14] Rep. Griffith, H. Morgan [R-VA-9] Rep. Harper, Gregg [R-MS-3] Rep. Herrera Beutler, Jaime [R-WA-3] Rep. Jones, Walter B., Jr. [R-NC-3] Rep. Joyce, David P. [R-OH-14] Rep. McMorris Rodgers, Cathy [R-WA-5] Rep. Miller, Candice S. [R-MI-10] Rep. Mooney, Alexander X. [R-WV-2] Rep. Newhouse, Dan [R-WA-4] Rep. Olson, Pete [R-TX-22] Rep. Palazzo, Steven M. [R-MS-4] Rep. Peterson, Collin C. [D-MN-7] Rep. Pittenger, Robert [R-NC-9]

Rep. Chuck Fleischmann (R-TN-3) visits Clinton Drug Store in Clint, Tenn.

Rep. Roby, Martha [R-AL-2] Rep. Rogers, Mike D. [R-AL-3] Rep. Rouzer, David [R-NC-7] Rep. Sarbanes, John P. [D-MD-3] Rep. Scott, Austin [R-GA-8] Rep. Thompson, Bennie G. [D-MS-2] Rep. Vela, Filemon [D-TX-34] Rep. Welch, Peter [D-VT-At Large] Rep. Westmoreland, Lynn A. [R-GA-3] Rep. Williams, Roger [R-TX-25] Rep. Wittman, Robert J. [R-VA-1] Rep. Young, David [R-IA-3]

Maryland pharmacy stakeholders and NCPA staff meet 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. Griffith, H. Morgan [R-VA-9]* Rep. Welch, Peter [D-VT-At Large]* Rep. Abraham, Ralph Lee [R-LA-5] Rep. Allen, Rick W. [R-GA-12] Rep. Amodei, Mark E. [R-NV-2] Rep. Babin, Brian [R-TX-36] Rep. Barletta, Lou [R-PA-11] Rep. Beatty, Joyce [D-OH-3]

Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep.

Bishop, Rob [R-UT-1] Bishop, Sanford D., Jr. [D-GA-2] Blum, Rod [R-IA-1] Boustany, Charles W., Jr. [R-LA-3] Bridenstine, Jim [R-OK-1] Bustos, Cheri [D-IL-17] Carter, Earl L. “Buddy” [R-GA-1] Chu, Judy [D-CA-27] Clarke, Yvette D. [D-NY-9]

Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep.

Coffman, Mike [R-CO-6] Cohen, Steve [D-TN-9] Collins, Doug [R-GA-9] Comstock, Barbara [R-VA-10] Conaway, K. Michael [R-TX-11] Conyers, John, Jr. [D-MI-13] Cramer, Kevin [R-ND-At Large] Crawford, Eric A. “Rick” [R-AR-1] Cummings, Elijah E. [D-MD-7]

ELECTION GUIDE

Rep. David Loebsack (D-IA-2) meets with pharmacists at Towncrest Pharmacyin Iowa City, Iowa.

Rep. Davis, Rodney [R-IL-13] Rep. DeFazio, Peter A. [D-OR-4] Rep. Deutch, Theodore E. [D-FL-21] Rep. Duncan, John J., Jr. [R-TN-2] Rep. Engel, Eliot L. [D-NY-16] Rep. Farenthold, Blake [R-TX-27] Rep. Farr, Sam [D-CA-20] Rep. Fleischmann, Charles J. “Chuck” [R-TN-3] Rep. Forbes, J. Randy [R-VA-4] Rep. Fortenberry, Jeff [R-NE-1] Rep. Gibson, Christopher P. [R-NY-19] Rep. Goodlatte, Bob [R-VA-6] Rep. Gosar, Paul A. [R-AZ-4] Rep. Guthrie, Brett [R-KY-2] Rep. Harper, Gregg [R-MS-3] Rep. Harris, Andy [R-MD-1] Rep. Herrera Beutler, Jaime [R-WA-3] Rep. Hice, Jody B. [R-GA-10] Rep. Hinojosa, Ruben [D-TX-15] Rep. Huelskamp, Tim [R-KS-1] Rep. Huizenga, Bill [R-MI-2]

Rep. Hurt, Robert [R-VA-5] Rep. Jenkins, Evan H. [R-WV-3] Rep. Jones, Walter B., Jr. [R-NC-3] Rep. Joyce, David P. [R-OH-14] Rep. Kaptur, Marcy [D-OH-9] Rep. Kildee, Daniel T. [D-MI-5] Rep. King, Steve [R-IA-4] Rep. Kirkpatrick, Ann [D-AZ-1] Rep. Lamborn, Doug [R-CO-5] Rep. Langevin, James R. [D-RI-2] Rep. Lipinski, Daniel [D-IL-3] Rep. Loebsack, David [D-IA-2] Rep. Maloney, Sean Patrick [D-NY-18] Rep. Marino, Tom [R-PA-10] Rep. Massie, Thomas [R-KY-4] Rep. McKinley, David B. [R-WV-1] Rep. McMorris Rodgers, Cathy [R-WA-5] Rep. Nolan, Richard M. [D-MN-8] Rep. Norton, Eleanor Holmes [D-DC-At Large] Rep. Olson, Pete [R-TX-22] Rep. Palazzo, Steven M. [R-MS-4]

Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep. Rep.

Pearce, Stevan [R-NM-2] Peterson, Collin C. [D-MN-7] Pocan, Mark [D-WI-2] Price, David E. [D-NC-4] Reed, Tom [R-NY-23] Ribble, Reid J. [R-WI-8] Roe, David P. [R-TN-1] Rogers, Harold [R-KY-5] Rogers, Mike D. [R-AL-3] Ruiz, Raul [D-CA-36] Ruppersberger, C. A. Dutch [D-MD-2] Rush, Bobby L. [D-IL-1] Ryan, Tim [D-OH-13] Sarbanes, John P. [D-MD-3] Schakowsky, Janice D. [D-IL-9] Scott, Austin [R-GA-8] Scott, David [D-GA-13] Sessions, Pete [R-TX-32] Sewell, Terri A. [D-AL-7] Slaughter, Louise McIntosh [D-NY-25] Stefanik, Elise M. [R-NY-21] Swalwell, Eric [D-CA-15] Thompson, Bennie G. [D-MS-2] Tonko, Paul [D-NY-20] Walz, Timothy J. [D-MN-1] Westerman, Bruce [R-AR-4] Westmoreland, Lynn A. [R-GA-3] Whitfield, Ed [R-KY-1] Williams, Roger [R-TX-25] Wittman, Robert J. [R-VA-1] Young, David [R-IA-3]

S. 1190 Lead Sponsors: Sen. Brown, Sherrod [D-OH]* Sen. Capito, Shelley Moore [R-WV]* Sen. Cotton, Tom [R-AR]* Sen. Manchin, Joe, III [D-WV]* Sen. Boozman, John [R-AR] Sen. Cochran, Thad [R-MS] Sen. Gardner, Cory [R-CO] Sen. Moran, Jerry [R-KS] Sen. Udall, Tom [D-NM] Sen. Vitter, David [R-LA] Sen. Wicker, Roger F. [R-MS]

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. Butterfield, G. K. [D-NC-1]* Rep. Guthrie, Brett [R-KY-2]* Rep. Kind, Ron [D-WI-3]* Rep. Young, Todd C. [R-IN-9]* Rep. Abraham, Ralph Lee [R-LA-5] Rep. Adams, Alma S. [D-NC-12] Rep. Aderholt, Robert B. [R-AL-4] Rep. Aguilar, Pete [D-CA-31] Rep. Allen, Rick W. [R-GA-12] Rep. Amodei, Mark E. [R-NV-2] Rep. Ashford, Brad [D-NE-2] Rep. Barletta, Lou [R-PA-11] Rep. Barr, Andy [R-KY-6] Rep. Barton, Joe [R-TX-6] Rep. Bass, Karen [D-CA-37] Rep. Beatty, Joyce [D-OH-3] Rep. Bera, Ami [D-CA-7] Rep. Bilirakis, Gus M. [R-FL-12] Rep. Bishop, Mike [R-MI-8] Rep. Bishop, Rob [R-UT-1] Rep. Bishop, Sanford D., Jr. [D-GA-2] Rep. Blackburn, Marsha [R-TN-7] Rep. Blum, Rod [R-IA-1] Rep. Blumenauer, Earl [D-OR-3] Rep. Bost, Mike [R-IL-12] Rep. Boustany, Charles W., Jr. [R-LA-3] Rep. Boyle, Brendan F. [D-PA-13] Rep. Brady, Robert A. [D-PA-1] Rep. Brat, Dave [R-VA-7] Rep. Bridenstine, Jim [R-OK-1] Rep. Brooks, Mo [R-AL-5] Rep. Brooks, Susan W. [R-IN-5] Rep. Brown, Corrine [D-FL-5] Rep. Brownley, Julia [D-CA-26] Rep. Bucshon, Larry [R-IN-8] Rep. Bustos, Cheri [D-IL-17] Rep. Byrne, Bradley [R-AL-1] Rep. Cardenas, Tony [D-CA-29] Rep. Carson, Andre [D-IN-7] Rep. Carter, Earl L. “Buddy” [R-GA-1] Rep. Carter, John R. [R-TX-31] Rep. Cartwright, Matt [D-PA-17] Rep. Castor, Kathy [D-FL-14]

Rep. Castro, Joaquin [D-TX-20] Rep. Chu, Judy [D-CA-27] Rep. Cicilline, David N. [D-RI-1] Rep. Clarke, Yvette D. [D-NY-9] Rep. Clawson, Curt [R-FL-19] Rep. Coffman, Mike [R-CO-6] Rep. Cohen, Steve [D-TN-9] Rep. Cole, Tom [R-OK-4] Rep. Collins, Chris [R-NY-27] Rep. Collins, Doug [R-GA-9] Rep. Comstock, Barbara [R-VA-10] Rep. Conaway, K. Michael [R-TX-11] Rep. Connolly, Gerald E. [D-VA-11] Rep. Conyers, John, Jr. [D-MI-13] Rep. Cook, Paul [R-CA-8] Rep. Costello, Ryan A. [R-PA-6] Rep. Courtney, Joe [D-CT-2] Rep. Cramer, Kevin [R-ND-At Large] Rep. Cummings, Elijah E. [D-MD-7] Rep. Curbelo, Carlos [R-FL-26] Rep. Davis, Danny K. [D-IL-7] Rep. Davis, Rodney [R-IL-13] Rep. DeFazio, Peter A. [D-OR-4] Rep. Delaney, John K. [D-MD-6] Rep. DeLauro, Rosa L. [D-CT-3] Rep. DelBene, Suzan K. [D-WA-1] Rep. Dent, Charles W. [R-PA-15] Rep. DeSantis, Ron [R-FL-6] Rep. DeSaulnier, Mark [D-CA-11] Rep. DesJarlais, Scott [R-TN-4] Rep. Deutch, Theodore E. [D-FL-21] Rep. Dingell, Debbie [D-MI-12] Rep. Dold, Robert J. [R-IL-10] Rep. Doyle, Michael F. [D-PA-14] Rep. Duckworth, Tammy [D-IL-8] Rep. Duncan, John J., Jr. [R-TN-2] Rep. Ellmers, Renee L. [R-NC-2] Rep. Emmer, Tom [R-MN-6] Rep. Engel, Eliot L. [D-NY-16] Rep. Eshoo, Anna G. [D-CA-18] Rep. Farenthold, Blake [R-TX-27] Rep. Farr, Sam [D-CA-20] Rep. Fitzpatrick, Michael G. [R-PA-8] Rep. Fleischmann, Charles J. “Chuck” [R-TN-3]

Rep. Forbes, J. Randy [R-VA-4] Rep. Fortenberry, Jeff [R-NE-1] Rep. Foster, Bill [D-IL-11] Rep. Frankel, Lois [D-FL-22] Rep. Frelinghuysen, Rodney P. [R-NJ-11] Rep. Fudge, Marcia L. [D-OH-11] Rep. Gabbard, Tulsi [D-HI-2] Rep. Gallego, Ruben [D-AZ-7] Rep. Gibbs, Bob [R-OH-7] Rep. Gibson, Christopher P. [R-NY-19] Rep. Goodlatte, Bob [R-VA-6] Rep. Graham, Gwen [D-FL-2] Rep. Graves, Garret [R-LA-6] Rep. Graves, Sam [R-MO-6] Rep. Grayson, Alan [D-FL-9] Rep. Griffith, H. Morgan [R-VA-9] Rep. Grijalva, Raul M. [D-AZ-3] Rep. Guinta, Frank C. [R-NH-1] Rep. Gutierrez, Luis V. [D-IL-4] Rep. Hanna, Richard L. [R-NY-22] Rep. Hardy, Cresent [R-NV-4] Rep. Harper, Gregg [R-MS-3] Rep. Hartzler, Vicky [R-MO-4] Rep. Hastings, Alcee L. [D-FL-20] Rep. Heck, Denny [D-WA-10] Rep. Heck, Joseph J. [R-NV-3] Rep. Hensarling, Jeb [R-TX-5] Rep. Higgins, Brian [D-NY-26] Rep. Hill, J. French [R-AR-2] Rep. Hinojosa, Ruben [D-TX-15] Rep. Holding, George [R-NC-13] Rep. Hudson, Richard [R-NC-8] Rep. Huelskamp, Tim [R-KS-1] Rep. Huffman, Jared [D-CA-2] Rep. Hunter, Duncan D. [R-CA-50] Rep. Hurd, Will [R-TX-23] Rep. Jackson Lee, Sheila [D-TX-18] Rep. Jeffries, Hakeem S. [D-NY-8] Rep. Jenkins, Evan H. [R-WV-3] Rep. Jenkins, Lynn [R-KS-2] Rep. Johnson, Bill [R-OH-6] Rep. Johnson, Henry C. “Hank,” Jr. [D-GA-4] Rep. Jolly, David W. [R-FL-13] Rep. Jones, Walter B., Jr. [R-NC-3]

ELECTION GUIDE

Rep. Joyce, David P. [R-OH-14] Rep. Kaptur, Marcy [D-OH-9] Rep. Katko, John [R-NY-24] Rep. Keating, William R. [D-MA-9] Rep. Kelly, Mike [R-PA-3] Rep. Kelly, Robin L. [D-IL-2] Rep. Kelly, Trent [R-MS-1] Rep. Kennedy, Joseph P., III [D-MA-4] Rep. Kildee, Daniel T. [D-MI-5] Rep. Kilmer, Derek [D-WA-6] Rep. King, Steve [R-IA-4] Rep. Kinzinger, Adam [R-IL-16] Rep. Kirkpatrick, Ann [D-AZ-1] Rep. Knight, Stephen [R-CA-25] Rep. LaHood, Darin [R-IL-18] Rep. LaMalfa, Doug [R-CA-1] Rep. Lance, Leonard [R-NJ-7] Rep. Langevin, James R. [D-RI-2] Rep. Larson, John B. [D-CT-1] Rep. Latta, Robert E. [R-OH-5] Rep. Lawrence, Brenda L. [D-MI-14] Rep. Lee, Barbara [D-CA-13] Rep. Lewis, John [D-GA-5] Rep. Lieu, Ted [D-CA-33] Rep. Lipinski, Daniel [D-IL-3] Rep. LoBiondo, Frank A. [R-NJ-2] Rep. Loebsack, David [D-IA-2] Rep. Lofgren, Zoe [D-CA-19] Rep. Long, Billy [R-MO-7] Rep. Lowenthal, Alan S. [D-CA-47] Rep. Lucas, Frank D. [R-OK-3] Rep. Luetkemeyer, Blaine [R-MO-3] Rep. Lujan Grisham, Michelle [D-NM-1] Rep. Lujan, Ben Ray [D-NM-3] Rep. Lynch, Stephen F. [D-MA-8] Rep. Maloney, Sean Patrick [D-NY-18] Rep. Massie, Thomas [R-KY-4] Rep. Matsui, Doris O. [D-CA-6] Rep. McGovern, James P. [D-MA-2] Rep. McMorris Rodgers, Cathy [R-WA-5] Rep. McNerney, Jerry [D-CA-9] Rep. McSally, Martha [R-AZ-2] Rep. Meadows, Mark [R-NC-11] Rep. Meehan, Patrick [R-PA-7] Rep. Meng, Grace [D-NY-6] Rep. Messer, Luke [R-IN-6] Rep. Mica, John L. [R-FL-7] Rep. Miller, Candice S. [R-MI-10]

Rep. Miller, Jeff [R-FL-1] Rep. Mooney, Alexander X. [R-WV-2] Rep. Moore, Gwen [D-WI-4] Rep. Mullin, Markwayne [R-OK-2] Rep. Murphy, Patrick [D-FL-18] Rep. Murphy, Tim [R-PA-18] Rep. Napolitano, Grace F. [D-CA-32] Rep. Neugebauer, Randy [R-TX-19] Rep. Newhouse, Dan [R-WA-4] Rep. Noem, Kristi L. [R-SD-At Large] Rep. Nolan, Richard M. [D-MN-8] Rep. Norcross, Donald [D-NJ-1] Rep. Norton, Eleanor Holmes [D-DC-At Large] Rep. Nugent, Richard B. [R-FL-11] Rep. Nunes, Devin [R-CA-22] Rep. Olson, Pete [R-TX-22] Rep. O’Rourke, Beto [D-TX-16] Rep. Palazzo, Steven M. [R-MS-4] Rep. Palmer, Gary J. [R-AL-6] Rep. Pascrell, Bill, Jr. [D-NJ-9] Rep. Paulsen, Erik [R-MN-3] Rep. Pearce, Stevan [R-NM-2] Rep. Perlmutter, Ed [D-CO-7] Rep. Perry, Scott [R-PA-4] Rep. Peters, Scott H. [D-CA-52] Rep. Peterson, Collin C. [D-MN-7] Rep. Pingree, Chellie [D-ME-1] Rep. Pocan, Mark [D-WI-2] Rep. Poe, Ted [R-TX-2] Rep. Poliquin, Bruce [R-ME-2] Rep. Polis, Jared [D-CO-2] Rep. Pompeo, Mike [R-KS-4] Rep. Price, David E. [D-NC-4] Rep. Quigley, Mike [D-IL-5] Rep. Rangel, Charles B. [D-NY-13] Rep. Reed, Tom [R-NY-23] Rep. Reichert, David G. [R-WA-8] Rep. Ribble, Reid J. [R-WI-8] Rep. Rice, Kathleen M. [D-NY-4] Rep. Rice, Tom [R-SC-7] Rep. Richmond, Cedric L. [D-LA-2] Rep. Rigell, E. Scott [R-VA-2] Rep. Roby, Martha [R-AL-2] Rep. Roe, David P. [R-TN-1] Rep. Rogers, Harold [R-KY-5] Rep. Rogers, Mike D. [R-AL-3] Rep. Rokita, Todd [R-IN-4] Rep. Rooney, Thomas J. [R-FL-17]

Rep. Ross, Dennis A. [R-FL-15] Rep. Rouzer, David [R-NC-7] Rep. Roybal-Allard, Lucille [D-CA-40] 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. Sanchez, Linda T. [D-CA-38] Rep. Schakowsky, Janice D. [D-IL-9] Rep. Schiff, Adam B. [D-CA-28] Rep. Schock, Aaron [R-IL-18] Rep. Scott, Austin [R-GA-8] Rep. Scott, David [D-GA-13] Rep. Scott, Robert C. “Bobby” [D-VA-3] Rep. Sessions, Pete [R-TX-32] Rep. Sewell, Terri A. [D-AL-7] Rep. Shimkus, John [R-IL-15] Rep. Shuster, Bill [R-PA-9] Rep. Slaughter, Louise McIntosh [D-NY-25] Rep. Smith, Adam [D-WA-9] Rep. Smith, Christopher H. [R-NJ-4] Rep. Smith, Jason [R-MO-8] Rep. Smith, Lamar [R-TX-21] Rep. Speier, Jackie [D-CA-14] Rep. Stefanik, Elise M. [R-NY-21] Rep. Stewart, Chris [R-UT-2] Rep. Stivers, Steve [R-OH-15] Rep. Swalwell, Eric [D-CA-15] Rep. Takai, Mark [D-HI-1] Rep. Takano, Mark [D-CA-41] Rep. Thompson, Bennie G. [D-MS-2] Rep. Thompson, Glenn [R-PA-5] Rep. Thompson, Mike [D-CA-5] Rep. Tiberi, Patrick J. [R-OH-12] Rep. Tipton, Scott R. [R-CO-3] Rep. Tonko, Paul [D-NY-20] Rep. Torres, Norma J. [D-CA-35] Rep. Tsongas, Niki [D-MA-3] Rep. Turner, Michael R. [R-OH-10] Rep. Valadao, David G. [R-CA-21] Rep. Veasey, Marc A. [D-TX-33] Rep. Vela, Filemon [D-TX-34] Rep. Walberg, Tim [R-MI-7] Rep. Walden, Greg [R-OR-2] Rep. Walker, Mark [R-NC-6] Rep. Walorski, Jackie [R-IN-2] Rep. Walters, Mimi [R-CA-45] Rep. Walz, Timothy J. [D-MN-1]

ELECTION GUIDE

Rep. Wasserman Schultz, Debbie [D-FL-23] Rep. Watson Coleman, Bonnie [D-NJ-12] Rep. Webster, Daniel [R-FL-10] Rep. Welch, Peter [D-VT-At Large] Rep. Wenstrup, Brad R. [R-OH-2] Rep. Westerman, Bruce [R-AR-4] Rep. Whitfield, Ed [R-KY-1] Rep. Williams, Roger [R-TX-25] Rep. Wilson, Joe [R-SC-2] Rep. Wittman, Robert J. [R-VA-1] Rep. Womack, Steve [R-AR-3] Rep. Yarmuth, John A. [D-KY-3] Rep. Yoder, Kevin [R-KS-3]

S. 314 Lead Sponsors: Sen. Brown, Sherrod [D-OH]* Sen. Casey, Robert P., Jr. [D-PA]* Sen. Grassley, Chuck [R-IA]* Sen. Kirk, Mark Steven [R-IL]* Sen. Ayotte, Kelly [R-NH] Sen. Barrasso, John [R-WY] Sen. Bennet, Michael F. [D-CO] Sen. Blunt, Roy [R-MO] Sen. Boozman, John [R-AR] Sen. Boxer, Barbara [D-CA] Sen. Cantwell, Maria [D-WA] Sen. Capito, Shelley Moore [R-WV] Sen. Cardin, Benjamin L. [D-MD] Sen. Cochran, Thad [R-MS]

Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen. Sen.

Collins, Susan M. [R-ME] Coons, Christopher A. [D-DE] Cotton, Tom [R-AR] Daines, Steve [R-MT] Donnelly, Joe [D-IN] Durbin, Richard [D-IL] Enzi, Michael B. [R-WY] Ernst, Joni [R-IA] Franken, Al [D-MN] Gardner, Cory [R-CO] Gillibrand, Kirsten E. [D-NY] Heinrich, Martin [D-NM] Heitkamp, Heidi [D-ND] Hirono, Mazie K. [D-HI] Hoeven, John [R-ND] King, Angus S., Jr. [I-ME] Klobuchar, Amy [D-MN] Manchin, Joe, III [D-WV] Markey, Edward J. [D-MA] Merkley, Jeff [D-OR] Mikulski, Barbara A. [D-MD] Moran, Jerry [R-KS] Murphy, Christopher S. [D-CT] Peters, Gary C. [D-MI] Roberts, Pat [R-KS] Rounds, Mike [R-SD] Schatz, Brian [D-HI] Schumer, Charles E. [D-NY] Scott, Tim [R-SC]

Sen. Sen. Sen. Sen. Sen. Sen. Sen.

Shaheen, Jeanne [D-NH] Stabenow, Debbie [D-MI] Tester, Jon [D-MT] Thune, John [R-SD] Udall, Tom [D-NM] Vitter, David [R-LA] Wicker, Roger F. [R-MS]

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 sacrifices to run for elected office, spent hours volunteering for local campaigns 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.

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Contributions to the NCPA PAC are not deductible for federal income tax purposes. Contributions to NCPA PAC are used for political purposes. All contributions are voluntary. You may refuse to contribute without reprisal. The guidelines are merely suggestions; you may chose to contribute more or less than the guidelines suggest, and NCPA will not favor or disadvantage you by reason of the amount of your contribution or your decision not to contribute. Only U.S. citizens (or those who have been lawfully admitted to permanent U.S. residence) are allowed to contribute to NCPA PAC. Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation and name of employer for each individual whose contributions aggregate in excess of $200 in a calendar year. NCPAPAC-2016