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S 3350 119th Congress

ACO Assignment Improvement Act of 2025

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.

Official Title as Introduced Congress.gov

Introduced Dec 4, 2025 Latest action Dec 4, 2025 Sponsor: Sen. Barrasso, John [R-WY] Health
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Source: Congress.govUpdated 2026-08-03 13:15:07 UTC.

Source-linked procedural record

Bill journey

5 dated records

This is a chronology, not a progress score. Politically.com does not classify stages or infer what comes next. Records sharing a date are grouped because not every source field supplies a time.

Congress.gov Recently refreshed U.S. Senate XML Recently refreshed
Introduction 1 One supplied introduction date.
Official actions 3 3 dated action records.
Committees 1 1 undated relationship.
Amendments 0 No record is cached.
Text versions 1 1 dated, 0 without a supplied date.
House roll calls 0 No exact legislation-key match in the House-vote cache.
Senate roll calls 0 No exact document-key match in the Senate-vote cache.
Related measures 1 1 undated relationship.
Linked law 0 No linked law record is cached; this does not predict outcome.
  1. Official action Congress.gov

    Read twice and referred to the Committee on Finance. (text: CR S8512)

    IntroReferral · Senate

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    Official action Congress.gov

    Structured action record

    IntroReferral · Library of Congress · Code Intro-S

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    Official action Congress.gov

    Introduced in Senate

    IntroReferral · Library of Congress · Code 10000

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    Text version Congress.gov

    Introduced in Senate

    A dated text-version record is available.

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View the complete bill journey as an accessible table
Every dated cached record linked to S 3350. Same-date row order does not assert procedural sequence.
Date and timeRecordOfficial detailSource
IntroductionIntroduced Introduced in the Senate. Congress.gov
Official actionRead twice and referred to the Committee on Finance. (text: CR S8512) No additional detail supplied.IntroReferral · Senate Congress.gov
Official actionStructured action record No additional detail supplied.IntroReferral · Library of Congress · Code Intro-S Congress.gov
Official actionIntroduced in Senate No additional detail supplied.IntroReferral · Library of Congress · Code 10000 Congress.gov
Text versionIntroduced in Senate A dated text-version record is available. Congress.gov

House roll calls join only on matching Congress, legislation type, and number. Senate roll calls join only on matching source-supplied document type and number, not question text. Committee and related-measure relationships have no date in their relationship records and therefore are counted above but never placed on the chronology.

Congressional Research Service

CRS summary

Introduced in Senate Dec 4, 2025

ACO Assignment Improvement Act of 2025This 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.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.

Official documents

Text versions