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H.R. 786
U.S. House•In House Committee
Summary
H.R. 786, the Preserving Patient Access to Accountable Care Act, was introduced in the House on Jan 28, 2025 by Rep. Darin LaHood (R) with 6 co-sponsors. It was referred to Energy And Commerce, and last saw action on Jan 28, 2025: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
Record
Text
H.R. 786 has 6 co-sponsors.
hb786/introduced-in-house.txt119 HR 786 IH: Preserving Patient Access to Accountable Care ActU.S. House of Representatives2025-01-28text/xmlENPursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.I 119th CONGRESS 1st Session H. R. 786 IN THE HOUSE OF REPRESENTATIVES January 28, 2025 Mr. LaHood (for himself, Ms. DelBene , Mr. Dunn of Florida , and Ms. Schrier ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committee on Ways and Means , 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 BILLTo amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models under the Medicare program.1.Short titleThis Act may be cited as the Preserving Patient Access to Accountable Care Act .2.Extending incentive payments for participation in eligible alternative payment models(a)In generalSection 1833(z) of the Social Security Act ( 42 U.S.C. 1395l(z) ) is amended—(1)in paragraph (1)(A)—(A)by striking with 2026 and inserting with 2027 ; and(B)by inserting , or, with respect to 2027, 3.53 percent after 1.88 percent ;(2)in paragraph (2)—(A)in subparagraph (B)—(i)in the subsection heading, by striking2026 and inserting2027 ; and(ii)in the matter preceding clause (i), by striking 2026 and inserting 2027 ;(B)in subparagraph (C)—(i)in the subparagraph heading, by striking2027 and inserting2028 ; and(ii)in the matter preceding clause (i), by striking 2027 and inserting 2028 ; and(C)in subparagraph (D), by striking and 2026 and inserting 2026, and 2027 ; and(3)in paragraph (4)(B), by inserting , or, with respect to 2027, 3.53 percent after 1.88 percent .(b)Conforming amendmentsSection 1848(q)(1)(C)(iii) of the Social Security Act ( 42 U.S.C. 1395w–4(q)(1)(C)(iii) ) is amended—(1)in subclause (II), by striking 2026 and inserting 2027 ; and(2)in subclause (III), by striking 2027 and inserting 2028 .
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-01-28
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
CRS Summary
The summaries are the Congressional Research Service’s, one per stage. Read them in full.
Introduced in House Jan 28, 2025
hb786/introduced-in-house.mdShown Here:
Introduced in House (01/28/2025)
Sponsors
Rep. Darin LaHood (R) sponsors H.R. 786, and 6 members have co-sponsored it, 3 of them from the day it was introduced.

Rep. · R–IL-16 · Sponsor
Introduced Jan 28, 2025

Rep. · D–WA-1 · Co-sponsor
Joined Jan 28, 2025 · Original

Rep. · R–FL-2 · Co-sponsor
Joined Jan 28, 2025 · Original

Rep. · D–WA-8 · Co-sponsor
Joined Jan 28, 2025 · Original

Rep. · D–NC-1 · Co-sponsor
Joined Feb 4, 2025

Rep. · D–IL-10 · Co-sponsor
Joined Feb 4, 2025

Rep. · R–TX-2 · Co-sponsor
Joined Feb 5, 2025
Committees
H.R. 786 went before 2 committees: Ways and Means and Energy and Commerce.
Actions
H.R. 786 has taken 2 actions since Jan 28, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Jan 28, 2025 | House | Introduced in House | ||
Jan 28, 2025 | House | Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.Energy and Commerce Committee |
Votes
H.R. 786 has not gone to a roll call.
Related bills
3 bills are related to H.R. 786.
HR 1768Lower Costs for Everyday Americans ActMar 3, 2025 · Referred to the Committee on Energy and Commerce, and in addition to the Commit… · Related bill
S 1460Preserving Patient Access to Accountable Care ActApr 10, 2025 · Read twice and referred to the Committee on Finance. · Identical bill
S 891Bipartisan Health Care ActMar 6, 2025 · Read twice and referred to the Committee on Finance. · Related billTitles
H.R. 786 goes by 3 titles, 1 of them short titles.
- Preserving Patient Access to Accountable Care Act — Display Title
- Preserving Patient Access to Accountable Care Act — Short Title(s) as Introduced
- To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models under the Medicare program. — Official Title as Introduced
Lobbying
11 clients hired 11 firms and 92 registered lobbyists who named H.R. 786 in 50 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Health Issues, Medicare/Medicaid, Budget/Appropriations, Education, Immigration, Taxation/Internal Revenue Code, Pharmacy, Veterans.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| AMERICAN MEDICAL ASSOCIATION | — | District of Columbia | 1 | 8 | — |
| TRINITY HEALTH | — | Michigan | 1 | 7 | — |
| AMERICAN ACADEMY OF FAMILY PHYSICIANS | — | Kansas | 1 | 6 | — |
| ASSOCIATION FOR CLINICAL ONCOLOGY | — | Virginia | 1 | 6 | — |
| NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS | — | District of Columbia | 1 | 6 | — |
| PREMIER, INC. | — | District of Columbia | 1 | 6 | — |
| MEDICAL GROUP MANAGEMENT ASSN | — | District of Columbia | 1 | 4 | — |
| ACCOUNTABLE FOR HEALTH, INC. | A national advocacy organization accelerating the adoption of accountable care | District of Columbia | 1 | 2 | — |
| AMERICAN PSYCHIATRIC ASSOCIATION | — | District of Columbia | 1 | 2 | — |
| VILLAGE PRACTICE MANAGEMENT COMPANY HOLDINGS, LLC | Village Practice Management Holding Company, LLC is a high quality primary care provider. | Illinois | 1 | 2 | — |
| AMERICAN HOSPITAL ASSOCIATION | — | District of Columbia | 1 | 1 | — |
Firms
Registrants who filed on the bill, by filings.
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 92.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| ALEXIS PIERCE | 1 | 1 | 8 |
| ANDREW WANKUM | 1 | 1 | 8 |
| ASHLEY DELOSH | 1 | 1 | 8 |
| BRYAN HULL | 1 | 1 | 8 |
| CHRISTOPHER SHERIN | 1 | 1 | 8 |
| DANA LICHTENBERG | 1 | 1 | 8 |
| JASON MARINO | 1 | 1 | 8 |
| JEFFREY COUGHLIN | 1 | 1 | 8 |
| KATHERINE DAPPER | 1 | 1 | 8 |
| LINDSEY BRILL | 1 | 1 | 8 |
| LISA MYERS | 1 | 1 | 8 |
| MARGARET GARIKES | 1 | 1 | 8 |
| MATTHEW REID | 1 | 1 | 8 |
| ROBERT REDDING | 1 | 1 | 8 |
| SANDRA MARKS | 1 | 1 | 8 |
| SHANNON CURTIS | 1 | 1 | 8 |
| SUZANNE JOY | 1 | 1 | 8 |
| TODD ASKEW | 1 | 1 | 8 |
| JENNIFER BROWN | 1 | 1 | 7 |
| JENNIFER NADING | 1 | 1 | 7 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2025 first_quarter | $8M | 1st Quarter - Report |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 first_quarter | $8M | 1st Quarter - Amendme… |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 first_quarter | $8M | 1st Quarter - Report |
| AMERICAN HOSPITAL ASSOCIATION | AMERICAN HOSPITAL ASSOCIATION | 2025 third_quarter | $5.7M | 3rd Quarter - Report |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2025 fourth_quarter | $5.5M | 4th Quarter - Report |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 second_quarter | $5.1M | 2nd Quarter - Amendme… |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2025 second_quarter | $5M | 2nd Quarter - Report |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2025 third_quarter | $4.6M | 3rd Quarter - Report |
| AMERICAN ACADEMY OF FAMILY PHYSICIANS | AMERICAN ACADEMY OF FAMILY PHYSICIANS | 2025 second_quarter | $1.2M | 2nd Quarter - Report |
| AMERICAN ACADEMY OF FAMILY PHYSICIANS | AMERICAN ACADEMY OF FAMILY PHYSICIANS | 2025 first_quarter | $1.1M | 1st Quarter - Report |
| AMERICAN ACADEMY OF FAMILY PHYSICIANS | AMERICAN ACADEMY OF FAMILY PHYSICIANS | 2026 second_quarter | $1M | 2nd Quarter - Report |
| AMERICAN ACADEMY OF FAMILY PHYSICIANS | AMERICAN ACADEMY OF FAMILY PHYSICIANS | 2025 third_quarter | $760.5K | 3rd Quarter - Report |
| AMERICAN ACADEMY OF FAMILY PHYSICIANS | AMERICAN ACADEMY OF FAMILY PHYSICIANS | 2026 first_quarter | $684K | 1st Quarter - Report |
| AMERICAN ACADEMY OF FAMILY PHYSICIANS | AMERICAN ACADEMY OF FAMILY PHYSICIANS | 2025 fourth_quarter | $667.9K | 4th Quarter - Report |
| ASSOCIATION FOR CLINICAL ONCOLOGY | ASSOCIATION FOR CLINICAL ONCOLOGY | 2025 second_quarter | $650K | 2nd Quarter - Report |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 second_quarter | $513K | 2nd Quarter - Report |
| ASSOCIATION FOR CLINICAL ONCOLOGY | ASSOCIATION FOR CLINICAL ONCOLOGY | 2026 second_quarter | $480K | 2nd Quarter - Report |
| MEDICAL GROUP MANAGEMENT ASSN | MEDICAL GROUP MANAGEMENT ASSN | 2025 fourth_quarter | $300K | 4th Quarter - Report |
| MEDICAL GROUP MANAGEMENT ASSN | MEDICAL GROUP MANAGEMENT ASSN | 2025 third_quarter | $300K | 3rd Quarter - Report |
| MEDICAL GROUP MANAGEMENT ASSN | MEDICAL GROUP MANAGEMENT ASSN | 2025 second_quarter | $300K | 2nd Quarter - Report |
Classification
The Congressional Research Service files H.R. 786 under Health, one of its 31 policy areas, and gives it 2 legislative subjects.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 786’s is Health.
hr786/policy-areas.txtLegislative Subjects
H.R. 786 carries 2 of CRS’s legislative subjects, from Health care costs and insurance to Medicare.
hr786/subjects.txtSource: congress.gov · legiscan.com