# 115-hr-4580: ACO Improvement Act of 2017

115-hr-4580, ACO Improvement Act of 2017, is a 115th Congress bill sponsored by Sen. Welch, Peter [D-VT] (D-VT); status Referred to the Subcommittee on Health. (as of 2025-11-18).

- Canonical: https://policyrisk.com/legislation/115-hr-4580
- As of: 2025-11-18
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 115-hr-4580
- Congress: 115
- Title: ACO Improvement Act of 2017
- Status: Referred to the Subcommittee on Health.
- Introduced: 2017-12-06
- Sponsor: Sen. Welch, Peter [D-VT] (D-VT)
- Cosponsors: 1
- Policy area: Health
- Touches household money: no
- Last recorded action: 2025-11-18

## Summary

ACO Improvement Act of 2017 This bill amends title XVIII (Medicare) of the Social Security Act to allow an accountable care organization (ACO) to: (1) reduce or eliminate certain cost-sharing for primary care services provided within the ACO's network; (2) develop incentives to encourage patient engagement; (3) elect prospective assignment of Medicare fee-for-service beneficiaries; and (4) if specified requirements are met, distribute internal cost savings. The Centers for Medicare & Medicaid Services (CMS) shall waive specified regulatory requirements for ACOs that have elected to share in both savings and losses under a "two-sided risk model." In addition, the bill: (1) requires the CMS to waive, with respect to certain ACOs, specified limitations regarding telehealth services; (2) allows certain ACOs to depart slightly from specified minimum enrollment requirements; (3) requires the CMS to establish a demonstration project for allowing growth of certain prospective risk scores; (4) and allows the CMS to make permanent certain ACO-related pilot programs that have been successful.

## Cosponsors (1)

- Rep. Black, Diane [R-TN-6] (R-TN), 2017-12-06T00:00:00.000Z

## Related bills

- 115-hr-5879: Merchant Mariners of World War II Congressional Gold Medal Act of 2018
- 115-hr-5499: Stephen Michael Gleason Congressional Gold Medal Act
- 115-hr-5343: Prescription Transparency Act of 2018
- 115-hr-4229: Protecting HOME Access Act of 2017
- 115-hr-4107: USS Indianapolis Congressional Gold Medal Act
- 115-hr-3360: Telehealth Enhancement Act of 2017

## Sources
- [115-hr-4580 on Congress.gov](https://www.congress.gov/bill/115th-congress/house-bill/4580)

## Related
- [115-hr-5879: Merchant Mariners of World War II Congressional Gold Medal Act of 2018](https://policyrisk.com/legislation/115-hr-5879)
- [115-hr-5499: Stephen Michael Gleason Congressional Gold Medal Act](https://policyrisk.com/legislation/115-hr-5499)
- [115-hr-5343: Prescription Transparency Act of 2018](https://policyrisk.com/legislation/115-hr-5343)
- [115-hr-4229: Protecting HOME Access Act of 2017](https://policyrisk.com/legislation/115-hr-4229)
- [115-hr-4107: USS Indianapolis Congressional Gold Medal Act](https://policyrisk.com/legislation/115-hr-4107)
- [115-hr-3360: Telehealth Enhancement Act of 2017](https://policyrisk.com/legislation/115-hr-3360)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/115-hr-4580 (as of 2025-11-18).