Accountable Produce is Medicine Act of 2026
Sponsored By: Representative Smucker, Lloyd [R-PA-11]
Introduced
Summary
Creates a produce-centered bundled payment model to prevent and manage diet-related chronic disease. The bill would direct the Center for Medicare and Medicaid Innovation (CMMI) to test an Accountable Produce Is Medicine bundled payment model across Medicare, Medicaid, and CHIP.
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 2 benefits, 0 costs, 1 mixed.
One-year free produce and care package
If enacted, selected programs would screen referred patients and provide a one-year package of produce and care services to eligible people. The package would include a health risk assessment and prevention plan, care coordination, telehealth, remote monitoring, nutrition counseling, exercise and smoking-cessation support, and healthy plant-based foods. These APIM services and the food would be provided without deductibles, copays, coinsurance, or other cost-sharing while you are enrolled. The Secretary would favor foods grown within 250 miles or produced using regenerative agriculture when they meet standards.
Produce care pilot for Medicare, Medicaid, CHIP
If enacted, the Centers for Medicare & Medicaid Innovation would start an "Accountable Produce Is Medicine" bundled payment model within 180 days. The model would run for at least 5 years and must include at least five participating programs, each for at least 2 years. The Secretary would set payment amounts and could require programs to take financial risk starting in year 3. The model would prioritize programs that provide fresh or minimally processed fruits, vegetables, and other plant-based foods.
Program monitoring and reenrollment rules
If enacted, APIM programs would collect and submit data on services, engagement, and quarterly clinical measures like weight, blood pressure, and blood glucose. At the end of the one-year period programs would submit data the Secretary needs to evaluate health and cost savings and could run another eligibility check for reenrollment. Programs could also end a person's participation early if the person does not meet Secretary-established engagement or adherence standards, and then could not furnish more APIM services to that person under the model.
Sponsors & CoSponsors
Sponsor
Smucker, Lloyd [R-PA-11]
PA • R
Cosponsors
Rep. Davids, Sharice [D-KS-3]
KS • D
Sponsored 4/16/2026
Rep. Mann, Tracey [R-KS-1]
KS • R
Sponsored 4/30/2026
Rep. Miller, Max L. [R-OH-7]
OH • R
Sponsored 5/12/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov