Accountable for Health monitors federal legislation that impacts the accountable care landscape. Our tracker of the 119th Congress is updated on a regular basis. 118th Congress data is available here.

Intro DateNumberTitleFirst NameLast NamePartyStateSummaryResources
7/15/2026H.R. 9693Patients First ActJohnJoyceRPAThe Patient First Act would reform MACRA, specifically: tie reimbursement to an inflationary measure; reform primary care payment to offer a per-member-per-month payment along with regular reimbursement; create a provider-led task force at CMS to develop better quality measures; freeze A-APM participation thresholds for three years and require notice and comment for mandatory CMMI models, and increase the budget neutrality threshold from $20M o $54.3M.Press Release
5/19/2026S.J.Res. 192A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services of the Department of Health and Human Services relating to “Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model”.RonWydenDORA Congressional Review Act (CRA) resolution expressing disapproval of the WISeR Model. If the CRA passes in both chambers, the rule creating WISeR could be overturnedPress Release
5/19/2026H.R.Res. 187Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services of the Department of Health and Human Services relating to “Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model”.GregLandsmanDOHA Congressional Review Act (CRA) resolution expressing disapproval of the WISeR Model. If the CRA passes in both chambers, the rule creating WISeR could be overturnedPress Release
5/19/2026H.R. 8907Innovative Maternal Payment and Coverage To (IMPACT To) Save Moms ActJanSchakowskyDILThe legislation would establish a new Center for Medicare and Medicaid Services Innovation Center demonstration project focused on developing innovative maternity care payment models and improving maternal health outcomes nationwidePress Release
5/11/2026S. 4481Innovative Maternal Payment and Coverage To (IMPACT To) Save Moms ActLisaBlunt RochesterDDEThe legislation would establish a new Center for Medicare and Medicaid Services Innovation Center demonstration project focused on developing innovative maternity care payment models and improving maternal health outcomes nationwidePress Release
4/30/2026H.R. 8622Medicare Physician Data-Driven Performance Payment System ActMariannetteMiller-MeeksRIAReplaces MIPS with a new Data Driven Performance Payment System. Reforms include: reducing the maximum penalty from -9 percent to one-half of a physician’s annual payment update; reinvesting penalties in quality improvement and alternative payment model readiness; freezing the performance threshold at 75 points for at least three years; and ensuring physicians receive timely, actionable dataPress Release
3/26/2026H.R. 8129To amend title XVIII of the Social Security Act to establish a full risk ACO program.ClaudiaTenneyRNYEstablishes a permanent full risk Accountable Care Organization (ACO) program within Traditional MedicarePress Release
1/20/2026H.R. 7148Consolidated Appropriations Act, 2026 (L-HHS Funding Bill)TomColeROKProvides full-year funding for the Departments of Labor, Health and Human Services, Education, and related agencies, and includes health care priorities, including an extension of the Advanced APM incentive payment and Medicare telehealth flexibilitiesPress Release
12/4/2025S. 3350ACO Assignment Improvement ActJohnBarrassoRWY–Press Release
11/6/2025S. 3145CARE Act of 2025SusanCollinsRME–Press Release
9/16/2025H.R. 5371Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026TomColeROKContinuing Resolution until January 30, 2026; extends telehealth, Hospital-at-Home, and other expiring provisions; and includes three full-year appropriations bills: Military Construction and Veterans Affairs; Agriculture and Food and Drug Administration; and Legislative Branch–
9/15/2025H.R. 5347Health Care Efficiency Through Flexibility ActVernBuchananRFLDelays implementation of CMS’ proposed rule requiring ACOs to transition to electronic Clinical Quality Measures (eCQMs)–
9/4/2025S. 2709Telehealth Modernization ActTimScottRSCExtends certain Medicare telehealth flexibilites through Sept. 30, 2027Press Release; Section-by-Section
9/2/2025H.R. 5081Telehealth Modernization ActBuddyCarterRGAExtends certain Medicare telehealth flexibilites through Sept. 30, 2027Press Release
7/10/2025H.R. 4313Hospital Inpatient Services Modernization ActVernBuchananRFL“This bill extends the Acute Hospital Care at Home Program under Medicare and requires an additional study regarding the program. The program allows hospitals to treat certain patients from emergency departments or inpatient hospital beds at home. Specifically, the bill extends the program through FY2030 and requires the Centers for Medicare & Medicaid Services to conduct a study of the program with respect to several metrics, including the quality of care, incurred costs, types of services, and demographics of patients under the program compared to inpatient settings.”Press Release
6/26/2025H.R. 4206CONNECT for Health ActMikeThompsonDCAThe CONNECT for Health Act would: permanently remove all geographic restrictions on telehealth services and expand originating sites to the location of the patient, including homes; permanently allow health centers and rural health clinics to provide telehealth services; allow more eligible health care professionals to utilize telehealth services; remove unnecessary in-person visit requirement for telemental health services; allow for the waiver of telehealth restrictions during public health emergencies; and require more published data to learn more about how telehealth is being used, impacts of quality of care, and how it can be improved to support patients and health care providers.–
5/20/2025H.R. 1One Big Beautiful Bill ActJodeyArringtonRTXRepublicans’ reconciliation bill advancing President Trump’s domestic agenda. The health provisions in the bill, as enacted, make significant changes to the Medicaid program by instituting work requirements and changing Medicaid financing policies. The bill also included a 2.5% one-year Medicare physician pay boost.Senate Budget Committee Resource on H.R.1
5/7/2025S. 1640A bill to amend title XVIII of the Social Security Act to increase support for physicians and other practitioners in adjusting to Medicare payment changesRogerMarshallRKSProvides for a “doc fix” by establishing a payment increase in excess of the 2.83 percent cut to providers, effective in June.–
4/10/2025S. 1460Preserving Patient Access to Accountable Care ActJohnBarrassoRWYThe bill would extend the incentive payments for qualifying participants (QPs) in advanced alternative payment models (APMs) through payment year 2027 based on performance year 2025, at an adjusted amount of 3.53 percent, and extend the QP eligibility thresholds in effect for performance year 2023 through payment years 2027.Press Release
4/2/2025H.R. 2590Mental and Physical Health Care Comorbidities ActBrendanBoyleDPA“The Mental and Physical Health Care Comorbidities Act focuses on hospitals and health systems serving low-income and dually eligible populations (those who qualify for both Medicare and Medicaid). Participating hospitals will collaborate with the Department of Health and Human Services to develop plans for improving care for uninsured and Medicaid patients with comorbid conditions. The bill would: address social determinants of health by promoting holistic care models; integrate mental and behavioral health screenings into medical assessments, particularly for children and adolescents; identify potential payment reforms to improve care delivery; and enhance electronic health records to better integrate mental, behavioral, and physical health data.”Press Release
4/2/2025S. 1264Mental and Physical Health Care Comorbidities ActMichaelBennettDCO“The Mental and Physical Health Care Comorbidities Act focuses on hospitals and health systems serving low-income and dually eligible populations (those who qualify for both Medicare and Medicaid). Participating hospitals will collaborate with the Department of Health and Human Services to develop plans for improving care for uninsured and Medicaid patients with comorbid conditions. The bill would: address social determinants of health by promoting holistic care models; integrate mental and behavioral health screenings into medical assessments, particularly for children and adolescents; identify potential payment reforms to improve care delivery; and enhance electronic health records to better integrate mental, behavioral, and physical health data.”Press Release
4/2/2025S. 1261CONNECT for Health ActBrianSchatzDHIThe CONNECT for Health Act would: permanently remove all geographic restrictions on telehealth services and expand originating sites to the location of the patient, including homes; permanently allow health centers and rural health clinics to provide telehealth services; allow more eligible health care professionals to utilize telehealth services; remove unnecessary in-person visit requirement for telemental health services; allow for the waiver of telehealth restrictions during public health emergencies; and require more published data to learn more about how telehealth is being used, impacts of quality of care, and how it can be improved to support patients and health care providers.Press Release
4/2/2025S. 1248Ensuring Access to Specialty Care Everywhere (EASE) ActMarkwayneMullinROKAuthorizes the Center of Medicare and Medicaid Innovation (CMMI) to create a virtual specialty care provider network that rural patients can access through telehealth.Press Release
4/1/2025H.R. 2533Ensuring Access to Specialty Care Everywhere (EASE) ActJodyArringtonRTXAuthorizes the Center of Medicare and Medicaid Innovation (CMMI) to create a virtual specialty care provider network that rural patients can access through telehealth.Press Release
4/1/2025H.R. 2538Comprehensive Alternative Response for Emergencies (CARE) ActMikeCareyROHThe bill would allow seniors on Medicare to receive at-home emergency medical services to treat minor medical incidents by creating a model that reimburses Emergency Medical Service (EMS) providers delivering treatment in place and not just reimburse when Medicare patients are transported to the hospital.Press Release
3/14/2025H.R. 2120Radiation Oncology Case Rate (ROCR) Value-Based Program ActBrianFitzpatrickRPA––
3/13/2025S. 1031Radiation Oncology Case Rate (ROCR) Value-Based Program ActThomasTillisRNC–Press Release
1/31/2025H.R. 879Medicare Patient Access and Practice Stabilization ActGregMurphyRNCEffective April 1, fully offsets and exceeds the 2.83 percent cut by estblishing a 6.62 percent increasePress Release
1/28/2025H.R. 786To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models under the Medicare programDarinLaHoodRILExtends the incentive payments for qualifying participants (QPs) in advanced alternative payment models (APMs) through payment year 2027 and freezes the qualifying thresholds increasePress Release
1/16/2025H.R. 483Healthcare Efficiency Through Flexibility ActVernBuchananRFLDelays implementation of CMS’ proposed rule requiring ACOs to transition to electronic Clinical Quality Measures (eCQMs)Press Release

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