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House bill · H.R. 4773 (119th Congress)

ACO Assignment Improvement Act of 2025

U.S. House of Representatives

Latest action Jul 25, 2025

Sponsor: Adrian Smith (U.S. Representative, NE-3, Republican)

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From Congress.gov and official rosters. This record was last updated Sep 9, 2026. About our data

Summary

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.

Summary from the Congressional Research Service. How we handle summaries

Where it stands

Assigned to a committee for review.

  1. Introduced
  2. In committee
  3. Up for a vote
  4. Passed one chamber
  5. Passed
  6. Enacted

Committee

House Committee on Energy and Commerce · U.S. House of Representatives

Also referred to House Committee on Ways and Means · U.S. House of Representatives.

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Related bills

As identified by Congress.gov.

Full history

  1. Jul 25, 2025

    Introduced

    Introduced in House

    U.S. House of Representatives

  2. Jul 25, 2025

    Introduced

    Introduced in U.S. House

    U.S. House

  3. Jul 25, 2025

    Referred to committee

    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.

  4. Jul 25, 2025

    Referred to committee

    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.

  5. Jul 25, 2025

    Referred to committee

    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.

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