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    <number>4580</number>
    <updateDate>2023-01-11T13:39:18Z</updateDate>
    <updateDateIncludingText>2023-01-11T13:39:18Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <type>HR</type>
    <introducedDate>2017-12-06</introducedDate>
    <congress>115</congress>
    <constitutionalAuthorityStatementText><![CDATA[<pre>[Congressional Record Volume 163, Number 199 (Wednesday, December 6, 2017)][Pages H9709-H9710]From the Congressional Record Online through the Government Publishing Office [<a href='http://www.gpo.gov'>www.gpo.gov</a>]By Mr. WELCH:H.R. 4580.Congress has the power to enact this legislation pursuantto the following:Article 1, Section 8, Clause 18: The Congress shall havePower To . . . make all Laws which shall be necessary andproper for carrying into Execution the foregoing Powers, andall other Powers vested by this Constitution in theGovernment of the United[[Page H9710]]States, or in any Department or Officer thereof.____________________</pre>]]></constitutionalAuthorityStatementText>
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                <name>Referred to</name>
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            <name>Referred to</name>
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        <actionDate>2017-12-08</actionDate>
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        <text>Referred to the Subcommittee on Health.</text>
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        <actionDate>2017-12-06</actionDate>
        <text>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.</text>
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        <actionDate>2017-12-06</actionDate>
        <text>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.</text>
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    <sponsors>
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        <bioguideId>W000800</bioguideId>
        <fullName>Rep. Welch, Peter [D-VT-At Large]</fullName>
        <firstName>Peter</firstName>
        <lastName>Welch</lastName>
        <party>D</party>
        <state>VT</state>
        <isByRequest>N</isByRequest>
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    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>B001273</bioguideId>
        <fullName>Rep. Black, Diane [R-TN-6]</fullName>
        <firstName>Diane</firstName>
        <lastName>Black</lastName>
        <party>R</party>
        <state>TN</state>
        <district>6</district>
        <sponsorshipDate>2017-12-06</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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    <policyArea>
      <name>Health</name>
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    <subjects>
      <legislativeSubjects>
        <item>
          <name>Congressional oversight</name>
        </item>
        <item>
          <name>Digital media</name>
        </item>
        <item>
          <name>Government studies and investigations</name>
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        <item>
          <name>Health care costs and insurance</name>
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        <item>
          <name>Health care quality</name>
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          <name>Health information and medical records</name>
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          <name>Health promotion and preventive care</name>
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          <name>Home and outpatient care</name>
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          <name>Medicare</name>
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        <name>Health</name>
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    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2017-12-06</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2018-02-12T20:24:44Z</updateDate>
        <text><![CDATA[ <p><strong>ACO Improvement Act of 2017</strong></p> <p>This bill amends title XVIII (Medicare) of the Social Security Act to allow an accountable care organization (ACO) to: (1) reduce or eliminate certain cost-sharing for primary care services provided within the ACO's network; (2) develop incentives to encourage patient engagement; (3) elect prospective assignment of Medicare fee-for-service beneficiaries; and (4) if specified requirements are met, distribute internal cost savings.</p> <p>The Centers for Medicare &amp; Medicaid Services (CMS) shall waive specified regulatory requirements for ACOs that have elected to share in both savings and losses under a "two-sided risk model." </p> <p>In addition, the bill: (1) requires the CMS to waive, with respect to certain ACOs,&nbsp;specified limitations regarding telehealth services; (2) allows certain ACOs to depart slightly from specified minimum enrollment requirements; (3) requires the CMS to establish a demonstration project for allowing growth of&nbsp;certain prospective risk&nbsp;scores; (4) and allows the CMS to make permanent certain ACO-related pilot programs that have been successful.</p>]]></text>
      </summary>
    </summaries>
    <title>ACO Improvement Act of 2017</title>
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        <titleType>Display Title</titleType>
        <title>ACO Improvement Act of 2017</title>
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      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>ACO Improvement Act of 2017</title>
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      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To amend title XVIII of the Social Security Act to improve the Medicare accountable care organization (ACO) program, and for other purposes.</title>
      </item>
    </titles>
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        <type>Introduced in House</type>
        <date>2017-12-06T05:00:00Z</date>
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            <url>https://www.govinfo.gov/content/pkg/BILLS-115hr4580ih/xml/BILLS-115hr4580ih.xml</url>
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    <latestAction>
      <actionDate>2017-12-08</actionDate>
      <text>Referred to the Subcommittee on Health.</text>
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    <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>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.</dc:description>
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