# 119-hr-4773: ACO Assignment Improvement Act of 2025

119-hr-4773, ACO Assignment Improvement Act of 2025, 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 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-4773
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-4773
- Congress: 119
- Title: ACO Assignment Improvement Act of 2025
- Status: introduced
- Introduced: 2025-07-25
- Sponsor: Rep. Smith, Adrian [R-NE-3] (R-NE)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## 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. - 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.

## Cosponsors (1)

- Rep. DelBene, Suzan K. [D-WA-1] (D-WA), 2025-07-25T00:00:00.000Z

## Provisions PRIA read

- More Medicare assignment from primary care visits: benefit, medium. 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 chan…

## Related bills

- 119-hr-6500: Continuing Appropriations and Extensions Act, 2027
- 119-hr-10421: Transforming Education for the Future Act
- 119-hr-6900: American Affordability Act of 2025
- 119-hr-7352: PASTEUR Act of 2026
- 119-hr-137: TCJA Permanency Act
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act

## Sources
- [119-hr-4773 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4773)

## Related
- [119-hr-6500: Continuing Appropriations and Extensions Act, 2027](https://policyrisk.com/legislation/119-hr-6500)
- [119-hr-10421: Transforming Education for the Future Act](https://policyrisk.com/legislation/119-hr-10421)
- [119-hr-6900: American Affordability Act of 2025](https://policyrisk.com/legislation/119-hr-6900)
- [119-hr-7352: PASTEUR Act of 2026](https://policyrisk.com/legislation/119-hr-7352)
- [119-hr-137: TCJA Permanency Act](https://policyrisk.com/legislation/119-hr-137)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4773 (as of 2026-04-21).