ACO Assignment Improvement Act of 2019

Bill: 116-hr-900
Sponsor: full_name: Rep. Kilmer, Derek [D-WA-6]
Introduced: 2019-01-30
Policy area: Health
Subjects: Health care quality

Health personnel

Medicare
Latest action: action_date: 2019-01-30
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2019-01-30
action_desc: Introduced in House
text: <p><b>ACO Assignment Improvement Act of </b><b>2019</b></p> <p>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.</p> <p>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&#8212;specifically, physician assistants, nurse practitioners, and clinical nurse specialists.</p>

tv_txt: I 116th CONGRESS 1st Session H. R. 900 IN THE HOUSE OF REPRESENTATIVES January 30, 2019 Mr. Kilmer (for himself, Ms. Norton , Mr. King of New York , Ms. Meng , and Mr. Tipton ) 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 2019 . 2. Improvements to the assignment of beneficiaries under the Medicare shared savings program Section 1899(c)(1) of the Social Security Act ( 42 U.S.C. 1395jjj(c)(1) ) is amended— (1) in subparagraph (A), by striking and at the end; (2) in subparagraph (B), by striking the period at the end and inserting ; and ; and (3) by adding at the end the following new subparagraph: (C) in the case of performance years beginning on or after January 1, 2020, primary care services provided under this title by an ACO professional described in subsection (h)(1)(B). .