[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"current-user-roles":3,"user-subscription":3,"bill:119-hr-4773":4},null,{"bill":5,"indexable":134,"summaries":135,"cosponsors":141,"cosponsorSlugs":148,"actions":150,"amendments":175,"amendmentSponsorSlugs":176,"linkages":177,"sponsorSlug":178},{"statusDate":6,"sponsor":7,"updateDate":15,"cboCostEstimates":16,"originChamber":17,"congress":18,"isByRequest":19,"title":20,"createdAt":21,"committeeReports":22,"cosponsorCount":23,"onBehalfOfSponsor":3,"adminOverride":3,"amendmentCount":24,"actionCount":25,"popularTitle":3,"laws":3,"billType":26,"subjects":27,"introducedDate":6,"committees":28,"congressGovUrl":29,"constitutionalAuthority":30,"policyArea":31,"deletedAt":3,"latestAction":32,"billNumber":34,"cosponsorCountIncludingWithdrawn":23,"status":35,"keyMilestoneCount":36,"shortTitle":20,"officialTitle":37,"updatedAt":38,"policyAreaLower":39,"searchTokens":40,"committeeCodes":133},"2025-07-25",{"firstName":8,"lastName":9,"district":10,"fullName":11,"state":12,"party":13,"bioguideId":14},"Adrian","Smith","3","Rep. Smith, Adrian [R-NE-3]","NE","R","S001172","2026-01-23T21:37:51Z",[],"House",119,false,"ACO Assignment Improvement Act of 2025","2026-05-13T21:15:40.576Z",[],1,0,4,"hr",[],[],"https:\u002F\u002Fwww.congress.gov\u002Fbill\u002F119th-congress\u002Fhouse-bill\u002F4773","\u003Cpre>\n[Congressional Record Volume 171, Number 128 (Friday, July 25, 2025)]\n[House]\nFrom the Congressional Record Online through the Government Publishing Office [\u003Ca href=\"https:\u002F\u002Fwww.gpo.gov\">www.gpo.gov\u003C\u002Fa>]\nBy Mr. SMITH of Nebraska:\nH.R. 4773.\nCongress has the power to enact this legislation pursuant\nto the following:\nArticle 1, Section 8, U.S. Constitution\n[Page H3656]\n\u003C\u002Fpre>","Health",{"date":6,"text":33},"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.",4773,"in_committee",2,"To amend title XVIII of the Social Security Act to establish a SNF-at-home program under the Medicare program.","2026-05-23T00:47:20.244Z","health",[41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92,93,94,95,96,97,98,99,100,101,102,103,104,105,106,107,108,109,110,111,112,113,114,115,116,117,118,119,120,121,122,123,124,125,126,127,128,129,130,131,132],"aco","assignment","as","ass","assi","assig","assign","assignm","assignme","assignmen","improvement","im","imp","impr","impro","improv","improve","improvem","improveme","improvemen","act","of","2025","20","202","to","amend","am","ame","amen","title","ti","tit","titl","xviii","xv","xvi","xvii","the","social","so","soc","soci","socia","security","se","sec","secu","secur","securi","securit","establish","es","est","esta","estab","establ","establi","establis","snf","at","home","ho","hom","program","pr","pro","prog","progr","progra","under","un","und","unde","medicare","me","med","medi","medic","medica","medicar","rep","smith","sm","smi","smit","adrian","ad","adr","adri","adria","ne",[],true,[136],{"versionCode":137,"actionDate":6,"actionDesc":138,"text":139,"updateDate":140},"00","Introduced in House","\u003Cp>\u003Cstrong>ACO Assignment Improvement Act of 2025\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>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.\u003C\u002Fp>\u003Cp>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.\u003C\u002Fp>","2025-12-02T16:45:39Z",[142],{"bioguideId":143,"fullName":144,"party":145,"state":146,"district":147,"sponsorshipDate":6,"isOriginalCosponsor":134,"withdrawn":19,"sponsorshipWithdrawnDate":3},"D000617","Rep. DelBene, Suzan K. 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