H.R. 4773 · Where this bill is now
In committee
Introduced in the House, sent to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned, Jul 25, 2025
What this bill does
In plain words · AI-written from the official summaryExpands who counts for Medicare ACO assignments
Medicare uses accountable care organizations (ACOs)—groups of doctors and hospitals that coordinate patient care and share savings when they cut costs. Right now, when deciding which Medicare patients belong to an ACO, Medicare only looks at whether patients saw the main doctors in the group. This bill would change that so Medicare also counts visits to other practitioners in the ACO, like physician assistants, nurse practitioners, and clinical nurse specialists.
How it affects you
If you're on Medicare, this change affects how you might be assigned to an ACO, potentially expanding which healthcare providers in a group can influence that assignment. For ACOs and their practitioners, it broadens who can have patients counted toward their group, which could affect how they share in any savings from coordinated care.
Read the official summary (Introduced in House, Jul 25, 2025)
ACO Assignment Improvement Act of 2025
This bill establishes additional requirements for assigning Medicare fee-for-service beneficiaries to accountable care organizations (ACOs) under the Medicare shared savings program. Under current law, the program enables ACOs to receive payments for savings stemming from care coordination and management.
The bill requires the basis for assignment to reflect beneficiaries' utilization of not only primary care services provided by ACO physicians, but also those provided by other ACO practitioners—specifically, physician assistants, nurse practitioners, and clinical nurse specialists.
Written by AI (Claude) using only the official summary by the Congressional Research Service, the Library of Congress’s nonpartisan research staff. It can miss nuance, so check the official summary and the bill text for details.
1st SessionH. R. 4773
A BILL
ACO Assignment Improvement Act of 2025
Sponsor: Rep. Adrian Smith (R-NE-3) · Introduced Jul 25, 2025 · Health · 1 version of the text
Sources: Congress.gov actions and votes · bill text from GovInfo · latest official action Jul 25, 2025: “Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.”