# 119-hr-10706: Strengthening Innovation in Medicare and Medicaid Act

119-hr-10706, Strengthening Innovation in Medicare and Medicaid Act, is a 119th Congress bill sponsored by Rep. Smith, Adrian [R-NE-3] (R-NE); status introduced; PRIA reads it as touching household money (as of 2026-10-16).

- Canonical: https://policyrisk.com/legislation/119-hr-10706
- As of: 2026-10-16
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-10706
- Congress: 119
- Title: Strengthening Innovation in Medicare and Medicaid Act
- Status: introduced
- Introduced: 2026-10-01
- Sponsor: Rep. Smith, Adrian [R-NE-3] (R-NE)
- Cosponsors: 0
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-16

## Summary

**Reins in the Center for Medicare and Medicaid Innovation by capping tests and forcing transparency.** This bill would limit how large and long CMI models can run, require public actuarial and quality data, and add new congressional and public review steps for design, testing, and expansion.

## Provisions PRIA read

- Medicare and Medicaid patient protections: mixed, medium. If enacted, the bill would require more transparency and public input for new Medicare and Medicaid payment models starting January 1, 2027. The government would have to get expert input and allow at least 45 days for public comment on model plans. Within 60 days of enactment the Secretary would ha…
- Congressional and court oversight changes: mixed, low. If enacted, the Secretary would have to send proposed model tests, expansions, or changes to specified House and Senate committees before they start. Congress would have 45 days to pass a joint resolution to disapprove a proposal. The bill would also preserve the ability to go to court to enforce b…
- Caps on Medicare and Medicaid trials: mixed, low. If enacted, the bill would limit early-stage (Phase I) Medicare and Medicaid models. Starting in fiscal year 2027 no more than six new Phase I models could start each year and no more than five mandatory Phase I tests could run at once. Phase I tests would be limited to 5 years and to the lesser of…

## Related bills

- 119-hr-6500: Continuing Appropriations and Extensions Act, 2027
- 119-hr-137: TCJA Permanency Act
- 119-hr-1229: United States-Israel Defense Partnership Act of 2025
- 119-hr-7613: ALERT Act
- 119-hr-624: RIFLE Act of 2025
- 119-hr-7352: PASTEUR Act of 2026

## Sources
- [119-hr-10706 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/10706)

## Related
- [119-hr-6500: Continuing Appropriations and Extensions Act, 2027](https://policyrisk.com/legislation/119-hr-6500)
- [119-hr-137: TCJA Permanency Act](https://policyrisk.com/legislation/119-hr-137)
- [119-hr-1229: United States-Israel Defense Partnership Act of 2025](https://policyrisk.com/legislation/119-hr-1229)
- [119-hr-7613: ALERT Act](https://policyrisk.com/legislation/119-hr-7613)
- [119-hr-624: RIFLE Act of 2025](https://policyrisk.com/legislation/119-hr-624)
- [119-hr-7352: PASTEUR Act of 2026](https://policyrisk.com/legislation/119-hr-7352)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-10706 (as of 2026-10-16).