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H.R. 4773
U.S. House•In House Committee
Summary
H.R. 4773, the ACO Assignment Improvement Act of 2025, was introduced in the House on Jul 25, 2025 by Rep. Adrian Smith (R) with 1 co-sponsor. It was referred to Ways And Means, and last saw action on Jul 25, 2025: 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.
Record
Text
H.R. 4773 has 1 co-sponsor.
hb4773/introduced-in-house.txt119 HR 4773 IH: ACO Assignment Improvement Act of 2025U.S. House of Representatives2025-07-25text/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. 4773 IN THE HOUSE OF REPRESENTATIVES July 25, 2025 Mr. Smith of Nebraska (for himself and Ms. DelBene ) 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 BILLTo amend title XVIII of the Social Security Act to establish a SNF-at-home program under the Medicare program.1.Short titleThis Act may be cited as the ACO Assignment Improvement Act of 2025 .2.Improvements to the assignment of beneficiaries under the medicare shared savings programSection 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, 2027, primary care services provided under this title by an ACO professional described in subsection (h)(1)(B).
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-07-25
- 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 Jul 25, 2025
hb4773/introduced-in-house.mdShown Here:
Introduced in House (07/25/2025)
Sponsors
Rep. Adrian Smith (R) sponsors H.R. 4773, and 1 member has co-sponsored it from the day it was introduced.
Committees
H.R. 4773 went before 2 committees: Energy and Commerce and Ways and Means.
Actions
H.R. 4773 has taken 2 actions since Jul 25, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Jul 25, 2025 | House | Introduced in House | ||
Jul 25, 2025 | House | 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.Ways and Means Committee |
Votes
H.R. 4773 has not gone to a roll call.
Related bills
1 bill is related to H.R. 4773.
Titles
H.R. 4773 goes by 3 titles, 1 of them short titles.
- ACO Assignment Improvement Act of 2025 — Display Title
- ACO Assignment Improvement Act of 2025 — Short Title(s) as Introduced
- To amend title XVIII of the Social Security Act to establish a SNF-at-home program under the Medicare program. — Official Title as Introduced
Lobbying
5 clients hired 6 firms and 17 registered lobbyists who named H.R. 4773 in 22 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, Government Issues, Taxation/Internal Revenue Code, Veterans, Labor Issues/Antitrust/Workplace.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | To promote support for nurse practitioners and high quality, patient centered health care. | Virginia | 2 | 8 | $260K |
| AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES | Association representing physician assistants | Virginia | 2 | 4 | $120K |
| NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS | National professional association for pediatric nurse practitioners | New Jersey | 1 | 4 | $96K |
| NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS | — | District of Columbia | 1 | 4 | — |
| NATIONAL LEAGUE FOR NURSING | National health care association | District of Columbia | 1 | 2 | $58.1K |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| MASON CONSULTING, LLC | 2 | 6 | $154.1K |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | 1 | 4 | — |
| NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS | 1 | 4 | — |
| WHEAT SHROYER GOVERNMENT RELATIONS LLC | 1 | 4 | $260K |
| AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES | 1 | 2 | — |
| ERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG) | 1 | 2 | $120K |
Lobbyists
Named on the filings that cite the bill.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| GLEN MASON | 1 | 2 | 6 |
| ADAM HORGAN | 1 | 1 | 4 |
| AISHA PITTMAN | 1 | 1 | 4 |
| ALAN WHEAT | 1 | 1 | 4 |
| ANDREA BERGMAN | 1 | 1 | 4 |
| FRANKLIN HARRINGTON | 1 | 1 | 4 |
| JAMES FLEISCHMANN | 1 | 1 | 4 |
| JESSICA TALBERT | 1 | 1 | 4 |
| JULIE SHROYER | 1 | 1 | 4 |
| MARYANNE SAPIO | 1 | 1 | 4 |
| ROBERT DALEY | 1 | 1 | 4 |
| HEATHER MEADE | 1 | 1 | 2 |
| KRISTIN BUTTERFIELD | 1 | 1 | 2 |
| LAURA DILLON | 1 | 1 | 2 |
| TARA BRADSHAW | 1 | 1 | 2 |
| W HEUER | 1 | 1 | 2 |
| COREY MCGEE | 1 | 1 | 1 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | 2025 fourth_quarter | $550K | 4th Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | 2026 second_quarter | $400K | 2nd Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | 2026 first_quarter | $400K | 1st Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | 2025 third_quarter | $380K | 3rd Quarter - Report |
| NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS | NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS | 2026 first_quarter | $183.3K | 1st Quarter - Report |
| AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES | AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES | 2026 first_quarter | $180K | 1st Quarter - Report |
| NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS | NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS | 2025 third_quarter | $167.3K | 3rd Quarter - Report |
| AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES | AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES | 2026 second_quarter | $160K | 2nd Quarter - Report |
| NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS | NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS | 2026 second_quarter | $142.2K | 2nd Quarter - Report |
| NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS | NATIONAL ASSOCIATION OF ACCOUNTABLE CARE ORGANIZATIONS | 2025 fourth_quarter | $134.6K | 4th Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | WHEAT SHROYER GOVERNMENT RELATIONS LLC | 2026 second_quarter | $70K | 2nd Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | WHEAT SHROYER GOVERNMENT RELATIONS LLC | 2026 first_quarter | $70K | 1st Quarter - Report |
| AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES | ERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG) | 2026 second_quarter | $60K | 2nd Quarter - Report |
| AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES | ERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG) | 2026 first_quarter | $60K | 1st Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | WHEAT SHROYER GOVERNMENT RELATIONS LLC | 2025 fourth_quarter | $60K | 4th Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | WHEAT SHROYER GOVERNMENT RELATIONS LLC | 2025 third_quarter | $60K | 3rd Quarter - Report |
| NATIONAL LEAGUE FOR NURSING | MASON CONSULTING, LLC | 2026 second_quarter | $29.1K | 2nd Quarter - Report |
| NATIONAL LEAGUE FOR NURSING | MASON CONSULTING, LLC | 2026 first_quarter | $29.1K | 1st Quarter - Report |
| NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS | MASON CONSULTING, LLC | 2026 second_quarter | $24K | 2nd Quarter - Report |
| NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS | MASON CONSULTING, LLC | 2026 first_quarter | $24K | 1st Quarter - Report |
Classification
The Congressional Research Service files H.R. 4773 under Health, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 4773’s is Health.
hr4773/policy-areas.txtSource: congress.gov · legiscan.com
