Plain English
GovGreed Synthesis ·
ACO Assignment Improvement Act of 2025 This bill establishes additional requirements for assigning Medicare fee-for-service beneficiaries to accountable care organizations (ACOs) under the Medicare shared savings program. Under current law, the program enables ACOs to receive payments for savings stemming from care coordination and management. The bill requires the basis for assignment to reflect beneficiaries' utilization of not only primary care services provided by ACO physicians, but also those provided by other ACO practitioners—specifically, physician assistants, nurse practitioners, and clinical nurse specialists.
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Full Bill Text
119 HR 4773 IH: ACO Assignment Improvement Act of 2025 U.S. House of Representatives 2025-07-25 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. I 119th CONGRESS 1st Session H. R. 4773 IN THE HOUSE OF REPRESENTATIVES July 25, 2025 Mr. Smith of Nebraska (for himself and Ms. DelBene ) introduced the following bill; which was referred to the Committee on Ways and Means , and in addition to the Committee on Energy and Commerce , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To amend title XVIII of the Social Security Act to establish a SNF-at-home program under the Medicare program. 1. Short title This Act may be cited as the ACO Assignment Improvement Act of 2025 . 2. Improvements to the assignment of beneficiaries under the medicare shared savings program Section 1899(c)(1) of the Social Security Act ( 42 U.S.C. 1395jjj(c)(1) ) is amended— (1) in subparagraph (A), by striking and at the end; (2) in subparagraph (B), by striking the period at the end and inserting ; and ; and (3) by adding at the end the following new subparagraph: (C) in the case of performance years beginning on or after January 1, 2027, primary care services provided under this title by an ACO professional described in subsection (h)(1)(B) .
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