# 119-hr-8129: To amend title XVIII of the Social Security Act to establish a full risk ACO program.

119-hr-8129, To amend title XVIII of the Social Security Act to establish a full risk ACO program., is a 119th Congress bill sponsored by Rep. Tenney, Claudia [R-NY-24] (R-NY); status introduced; PRIA reads it as touching household money (as of 2026-08-08).

- Canonical: https://policyrisk.com/legislation/119-hr-8129
- As of: 2026-08-08
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-8129
- Congress: 119
- Title: To amend title XVIII of the Social Security Act to establish a full risk ACO program.
- Status: introduced
- Introduced: 2026-03-26
- Sponsor: Rep. Tenney, Claudia [R-NY-24] (R-NY)
- Cosponsors: 2
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-08-08

## Summary

**This bill would create a permanent Medicare program for *full-risk Accountable Care Organizations* to push care toward coordinated, whole-person management and new payment options.** It focuses on complex patients and rural or underserved areas while letting ACOs choose capitation and other full-risk payment arrangements.

## Cosponsors (2)

- Rep. Schneider, Bradley Scott [D-IL-10] (D-IL), 2026-03-26T00:00:00.000Z
- Rep. Clarke, Yvette D. [D-NY-9] (D-NY), 2026-08-06T00:00:00.000Z

## Provisions PRIA read

- Required coordinated services for patients: benefit, medium. If enacted, ACOs would have to provide individualized, coordinated care for aligned Medicare FFS patients. Required care can include care transitions, social supports, behavioral health, non‑visit care (phone, video, email), extra access and tech for population management, in‑home care, and palliat…
- Rules for ACO notices and data: benefit, low. If enacted, the Secretary would set marketing and communication rules so Medicare FFS patients learn about ACO care options and their right to opt out. The Secretary would also provide ACOs regular reports with up‑to‑date claims and payment data for aligned patients to support care coordination.
- Simpler quality rules and MIPS exemption: benefit, low. If enacted, the bill would use a small set of quality measures focused on patient experience and outcomes. Complex Care ACOs would also report a "Days at Home" measure. All full‑risk ACO participants would be exempt from MIPS reporting.
- How ACO payments are benchmarked: mixed, medium. If enacted, the bill would set different benchmark rules for the two ACO tracks. Standard ACOs would use their past spending trended forward, blended with regional costs from an adjusted Medicare Advantage rate book, risk‑adjusted, and discounted by the Secretary. Complex Care ACO benchmarks would…
- New ACO payment and risk choices: mixed, medium. If enacted, the bill would let ACOs pick different payment models. Options include primary care capitation (PMPM up to 7% of a beneficiary's yearly Medicare spending), total care capitation that replaces CMS fee‑for‑service payments, and a monthly payment tied to reduced FFS claims. ACOs could take…
- New Medicare full-risk ACOs: mixed, medium. If enacted, the bill would require the HHS Secretary to set up a permanent full‑risk ACO program for Original Medicare by June 30, 2026. ACOs would sign five‑year contracts, must show a financial guarantee, and join at the TIN–NPI level using the listed provider types. Standard ACOs would need at l…

## Related bills

- 119-hr-9237: Take Care of America’s Veterans Act
- 119-hr-3816: Weather Act Reauthorization Act of 2025
- 119-hr-1229: United States-Israel Defense Partnership Act of 2025
- 119-hr-4206: CONNECT for Health Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-10421: Transforming Education for the Future Act

## Sources
- [119-hr-8129 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/8129)

## Related
- [119-hr-9237: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-hr-9237)
- [119-hr-3816: Weather Act Reauthorization Act of 2025](https://policyrisk.com/legislation/119-hr-3816)
- [119-hr-1229: United States-Israel Defense Partnership Act of 2025](https://policyrisk.com/legislation/119-hr-1229)
- [119-hr-4206: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-hr-4206)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-10421: Transforming Education for the Future Act](https://policyrisk.com/legislation/119-hr-10421)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-8129 (as of 2026-08-08).