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ACO Assignment Improvement Act of 2025
To amend title XVIII of the Social Security Act to improve the way beneficiaries are assigned under the Medicare shared savings program by also basing such assignment on primary care services furnished by nurse practitioners, physician assistants, and clinical nurse specialists.
Summary
- Expands the Medicare shared savings program to allow assignment of beneficiaries to Accountable Care Organizations based on primary care services provided by nurse practitioners, physician assistants, and clinical nurse specialists.
- These additional categories of healthcare professionals may now be used to assign Medicare beneficiaries to ACOs, previously the program was more limited in which professionals' services could trigger assignment.
- This change takes effect for performance years beginning on or after January 1, 2026.
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)
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![Sen. Barrasso, John [R-WY]](https://media.civicgate.org/people/d/politicians/B001261.thumb.jpg)
Sen. Barrasso, John (R-WY)
1 cosponsor
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![Sen. Whitehouse, Sheldon [D-RI]](https://media.civicgate.org/people/d/politicians/W000802.thumb.jpg)
Sen. Whitehouse, Sheldon (D-RI)
Actions (2)
- Dec 4, 2025 Read twice and referred to the Committee on Finance. (text: CR S8512) · senate
- Dec 4, 2025 Introduced in Senate
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.
Full text
IN THE SENATE OF THE UNITED STATES
December 4, 2025
Mr. Barrasso (for himself and Mr. Whitehouse) introduced the following bill; which was read twice and referred to the Committee on Finance
A BILL
To amend title XVIII of the Social Security Act to improve the way beneficiaries are assigned under the Medicare shared savings program by also basing such assignment on primary care services furnished by nurse practitioners, physician assistants, and clinical nurse specialists.
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, 2026, primary care services provided under this title by an ACO professional described in subsection (h)(1)(B).”. <all>
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