HR4773119th CongressWALLET

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.

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  • 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.

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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.

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