ACO Assignment Improvement Act of 2016

Bill: 114-hr-6261
Sponsor: full_name: Rep. Kilmer, Derek [D-WA-6]
Introduced: 2016-09-28
Policy area: Health
Latest action: action_date: 2016-10-07
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2016-09-28
action_desc: Introduced in House
text: <p><b>ACO Assignment Improvement Act of 2016</b></p> <p>This bill amends title XVIII (Medicare) of the Social Security Act to establish additional requirements for assigning Medicare fee-for-service beneficiaries to accountable care organizations (ACOs) under the Medicare shared savings program. (The program enables ACOs to receive payments for savings stemming from care coordination and management.)</p> <p>Specifically, 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. Other ACO practitioners include physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, certified nurse-midwives, clinical social workers, clinical psychologists, and registered dieticians or nutrition professionals.</p>

tv_txt: I 114th CONGRESS 2d Session H. R. 6261 IN THE HOUSE OF REPRESENTATIVES September 28, 2016 Mr. Kilmer (for himself and Ms. Jenkins of Kansas ) introduced the following bill; which was 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 A BILL To amend title XVIII of the Social Security Act to improve the way beneficiaries are assigned under the Medicare shared savings program by also basing such assignment on primary care services furnished by nurse practitioners, physician assistants, and clinical nurse specialists.

1. Short title This Act may be cited as the ACO Assignment Improvement Act of 2016 . 2. Improvements to the assignment of beneficiaries under the Medicare shared savings program Section 1899(c) of the Social Security Act ( 42 U.S.C. 1395jjj(c) ) is amended— (1) by striking utilization of primary and inserting “utilization of— (1) in the case of performance years beginning on or after April 1, 2012, primary ; (2) in paragraph (1), as added by paragraph (1) of this section, by striking the period at the end and inserting ; and ; and (3) by adding at the end the following new paragraph: (2) in the case of performance years beginning on or after January 1, 2018, primary care services provided under this title by an ACO professional described in subsection (h)(1)(B). .