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H.R. 4773 119th Congress House

ACO Assignment Improvement Act of 2025

Official title: To amend title XVIII of the Social Security Act to establish a SNF-at-home program under the Medicare program.

Introduced: July 25, 2025 Introduced by: Adrian Smith Republican · Nebraska See on congress.gov
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 Everywhere this bill has been 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jul 25, 2025
Introduced in House
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.
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What's happening now July 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.

 Plain-English summary Congressional Research Service

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.

 Related & companion bills 1
  • S 3350 ACO Assignment Improvement Act of 2025
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 2
 Lobbying activity 29

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

Bodies those filers lobbied

A filing lists the bills it worked on and the parts of government it contacted in separate sections, so these are the bodies those filers named anywhere in the filing, not a per-bill breakdown.

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 Cosponsors 1
All 1 Democratic 1
D
DelBene, Suzan K.
Washington · Jul 25, 2025
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APA
U.S. Congress. (2026). H.R. 4773: ACO Assignment Improvement Act of 2025. 119th Congress. Open America. https://openamerica.io/bill/119-HR-4773/
MLA
"H.R. 4773: ACO Assignment Improvement Act of 2025." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-HR-4773/.
Bluebook (legal)
H.R. 4773, 119th Cong. (2026), https://openamerica.io/bill/119-HR-4773/.
Markdown link
[H.R. 4773: ACO Assignment Improvement Act of 2025](https://openamerica.io/bill/119-HR-4773/)
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