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HR 4773 · in committee · significant

ACO Assignment Improvement Act of 2025

What this bill does

  • The bill expands how Medicare assigns patients to accountable care organizations by including services from physician assistants, nurse practitioners, and clinical nurse specialists.
  • Medicare patients and healthcare providers participating in ACO programs are affected by the new assignment criteria.
  • The bill changes assignment methodology with no specified cost or implementation date mentioned.

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Community Threads

Started by Cosponsor

  1. 01

    How might expanding ACO assignment criteria to include physician assistant and nurse practitioner services change patient access to care in rural versus urban areas?

  2. 02

    What evidence exists that broadening assignment methodology improves outcomes or reduces costs for Medicare beneficiaries in existing ACO programs?

  3. 03

    Which providers and healthcare systems would face the largest operational changes from the new assignment criteria, and how should they prepare?

Cosponsor writes these to seed civic discussion — they aren't user posts. Sign in to reply.

Sponsor · R-NE-3

Adrian Smith

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House Reps cosponsoring

Introduced 2025-07-25

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Legislative timeline

  1. 2025-07-25 · house · IntroReferral

    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.

  2. 2025-07-25 · house · IntroReferral

    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.

  3. 2025-07-25 · IntroReferral

    Introduced in House

  4. 2025-07-25 · IntroReferral

    Introduced in House

Congress.gov ↗

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