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ACO Assignment Improvement Act of 2025
To amend title XVIII of the Social Security Act to establish a SNF-at- home program under the Medicare program.
Summary
This Act amends the Medicare Shared Savings Program (Accountable Care Organizations or ACOs) to expand the types of services and providers that can be used to assign Medicare beneficiaries to ACOs starting in 2027. The amendment adds primary care services provided by certain ACO professionals to the criteria for beneficiary assignment, broadening how beneficiaries can be attributed to ACOs under the Medicare program. The bill also establishes a SNF-at-home program under Medicare, though the specific details of that program are not fully detailed in the provided text.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
- Rep. Smith, Adrian [R-NE-3] (R-NE)
1 cosponsor
Actions (2)
- 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. · house
- Jul 25, 2025 Introduced in House
Similar bills (6)
Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.
Text versions (1)
Bills are re-published as they move (Introduced → Reported → Engrossed → Enrolled …). Each stage below is a separate text; pick two to see what changed. Data from Congress.gov.
Full text
IN THE HOUSE OF REPRESENTATIVES
July 25, 2025
Mr. Smith of Nebraska (for himself and Ms. DelBene) introduced the following bill; which was 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
A BILL
To amend title XVIII of the Social Security Act to establish a SNF-at- home program under the Medicare program.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the “ACO Assignment Improvement Act of 2025”.
SEC. 2. IMPROVEMENTS TO THE ASSIGNMENT OF BENEFICIARIES UNDER THE MEDICARE SHARED SAVINGS PROGRAM.
Section 1899(c)(1) of the Social Security Act (42 U.S.C. 1395jjj(c)(1)) is amended—
(1) in subparagraph (A), by striking “and” at the end;
(2) in subparagraph (B), by striking the period at the end and inserting “; and”; and
(3) by adding at the end the following new subparagraph:
“(C) in the case of performance years beginning on or after January 1, 2027, primary care services provided under this title by an ACO professional described in subsection (h)(1)(B)”. <all>
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