Accountable Produce is Medicine Act of 2026
Sponsored By: Senator Banks, Jim [R-IN]
Introduced
Summary
This bill would create an experimental CMMI model that uses a _bundled payment to fund food-is-medicine services_ aimed at reducing diet-related chronic disease. It would test integrated nutrition, care coordination, remote monitoring, and healthy-food provision for Medicare, Medicaid, and CHIP enrollees during a multi-year pilot.
Show full summary
- Eligible individuals would receive a one-year package of services including personal risk assessment, nutrition counseling, care coordination, telehealth and remote monitoring, lifestyle programs, and provision of healthy, nutrient-dense foods, all without deductibles or copays. Participants who do not engage can be disenrolled.
- The model would select at least five eligible programs for a minimum of two years each and pay a single bundled payment to cover APIM services. Beginning in the model's third year, selected programs may be required to bear financial risk for performance.
- Programs must collect and submit health and utilization data, including quarterly weight, blood pressure, and blood glucose, for evaluation of cost savings and effectiveness. Purchasing priority goes to fresh or minimally processed plant foods and prefers locally produced or regenerative-agriculture produce, and the model must run for at least five years.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 0 costs, 1 mixed.
Bundled produce and care payments
If enacted, HHS' Innovation Center would launch the Accountable Produce Is Medicine bundled payment model within 180 days. The model would run at least five years and must include at least five selected programs, each for at least two years. Selected programs would receive a single bundled payment to provide produce-focused and clinical services for eligible Medicare, Medicaid, and CHIP enrollees. The Secretary would set payment rules and would be able to require programs to assume financial risk starting in the model's third year. Priority would go to programs that furnish fresh, frozen, or minimally processed plant-based foods and to locally or regeneratively produced food.
One-year free produce and care
If enacted, selected programs would screen referred patients for APIM eligibility. If you are eligible, you would get one year of services and healthy, nutrient-dense foods without deductibles, copays, or coinsurance. Services would include a health risk assessment, prevention plan, care coordination, telehealth, remote monitoring, nutrition counseling, lifestyle programs, and quarterly collection of weight, blood pressure, and blood glucose. The food would meet Secretary standards and the program would prefer items grown nearby (for example, within 250 miles) or produced using regenerative agriculture. You would qualify only if you are on Medicare Part A or B, or enrolled in a State Medicaid or CHIP plan, and you live in a rural, medically underserved, Health Professional Shortage Area, or another area the Secretary designates; you must have an eligible condition and a clinician and program must agree you are prepared to participate. Programs would re-evaluate at year end and could terminate your participation early if you are not adequately engaging; after termination, the program may not furnish further APIM services to you under the model.
Sponsors & CoSponsors
Sponsor
Banks, Jim [R-IN]
IN • R
Cosponsors
Sen. Padilla, Alex [D-CA]
CA • D
Sponsored 8/5/2026
Sen. Marshall, Roger [R-KS]
KS • R
Sponsored 8/5/2026
Sen. Heinrich, Martin [D-NM]
NM • D
Sponsored 8/6/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov