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<dc:title>119 HR 4773 IH: ACO Assignment Improvement Act of 2025</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2025-07-25</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">I</distribution-code><congress display="yes">119th CONGRESS</congress><session display="yes">1st Session</session><legis-num display="yes">H. R. 4773</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20250725">July 25, 2025</action-date><action-desc><sponsor name-id="S001172">Mr. Smith of Nebraska</sponsor> (for himself and <cosponsor name-id="D000617">Ms. DelBene</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HWM00">Committee on Ways and Means</committee-name>, and in addition to the Committee on <committee-name committee-id="HIF00">Energy and Commerce</committee-name>, 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</action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To amend title XVIII of the Social Security Act to establish a SNF-at-home program under the Medicare program.</official-title></form><legis-body id="H0A1A74249AF34A04AB92BE4C5087F109"><section id="H871F46E4A7CB43A9B7DEE4068265A2CE" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>ACO Assignment Improvement Act of 2025</short-title></quote>.</text></section><section id="HDC5EDBC932CB4827B6C8D0FD961FF7D7"><enum>2.</enum><header>Improvements to the assignment of beneficiaries under the medicare shared savings program</header><text display-inline="no-display-inline">Section 1899(c)(1) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395jjj">42 U.S.C. 1395jjj(c)(1)</external-xref>) is amended—</text><paragraph id="H6D2F7C1B2A704DAC8A060365BB3F82C7"><enum>(1)</enum><text>in subparagraph (A), by striking <quote>and</quote> at the end;</text></paragraph><paragraph id="H645684BC51EC4108A592E56A5C618077"><enum>(2)</enum><text>in subparagraph (B), by striking the period at the end and inserting <quote>; and</quote>; and</text></paragraph><paragraph id="H4B81AF7E16524B6DA3F0231A11F76147"><enum>(3)</enum><text>by adding at the end the following new subparagraph:</text><quoted-block id="H7EC07E9C55854CB8AD10A642A93213CA" style="OLC"><subparagraph id="HC53859D007F9463EAA33BB027CEB5804"><enum>(C)</enum><text>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)</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section></legis-body></bill> 

