H.R. 4773 explained  ·  119th Congress  ·  Pending in Congress

ACO Assignment Improvement Act of 2025

Create a free account or sign in to follow H.R. 4773 and get alerts. Policy area: Health Create a free account or sign in to follow the Health policy area and get alerts. ▲ 452 days since action Sponsor: Adrian Smith, NE-03, R → Congress.gov

Cosponsors: 1 (1 D, 0 R) · per Congress.gov, 2026-10-11

Introduced: 2025-07-25

Latest action (2025-07-25): 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.

What H.R. 4773 does, in plain terms

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.

Official summary by the Congressional Research Service, via Congress.gov.

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