ACO Assignment Improvement Act of 2025
Sponsored By: Representative Smith (NE)
Introduced
Summary
Expands which primary care services and professionals count for beneficiary assignment in the Medicare Shared Savings Program. The bill would add ACO professionals described in subsection (h)(1)(B) into the assignment framework for performance years beginning January 1, 2027.
Show full summary
- ACOs: Would have a broader set of primary care services and clinicians counted when assigning beneficiaries, which could change which patients are attributed to an ACO.
- ACO professionals: Those identified in subsection (h)(1)(B) would have their Medicare primary care services included in assignment calculations starting with 2027 performance years.
- Medicare beneficiaries: Assignment to an ACO could change because more clinicians and services would be part of the assignment rules beginning in 2027.
Your PRIA Score
Personalized for You
How does this bill affect your finances?
Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
More Medicare assignment from primary care visits
This bill would change how Medicare assigns you to a care team. Medicare would count primary care visits with certain clinicians in accountable care organizations when deciding your assignment. This would start for performance years that begin on or after January 1, 2027. If passed, this could change which team coordinates your care.
Sponsors & CoSponsors
Sponsor
Smith (NE)
NE • R
Cosponsors
DelBene
WA • D
Sponsored 7/25/2025
Roll Call Votes
No roll call votes available for this bill.
View on Congress.govTake It Personal
Get Your Personalized Policy View
Start a Free Government Policy Watch to see how policy affects your household, then upgrade to PRIA Full Coverage for year-round monitoring.
Already have an account? Sign in